From Health Affairs Today <[email protected]>
Subject ACA Marketplace Plan Affordability; MSSP Participation Following Recent Rule Changes; Medicare’s Annual Wellness Visit
Date November 22, 2019 7:08 PM
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**The Latest Research, Commentary, and News from Health Affairs**

**Friday, November 22, 2019**

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TODAY ON THE BLOG

AFFORDABLE CARE ACT

ACA Marketplace Plan Affordability Is Likely To Decrease For Subsidized
Enrollees In 2020

By David Anderson, Andrew Sprung, and Coleman Drake

Policy actions that reduce premiums, such as the reinsurance programs
implemented or in progress in a growing number of states, stand to
increase out-of-pocket premiums for some enrollees and decrease them for
others. Read More >>

CONSIDERING HEALTH SPENDING

MSSP Participation Following Recent Rule Changes: What Does It Tell Us?

By Michael E. Chernew, Andres de Loera-Brust, Vinay Rathi, and J.
Michael McWilliams

Recently released CMS data on MSSP participation in 2019 raise concerns
that the program has now become much less attractive to providers. Read
More >>

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HEALTH AFFAIRS EVENTS-Rural Health

Wednesday, December 4
9:00 am - 1:00 pm Eastern
National Press Club
529 14th Street NW
Washington DC (Metro Center)
Registration Open

The December 2019 issue of Health Affairs explores various dimensions of
health and health care in rural America. Authors examine the health
needs of people living in rural areas, investigate inequities in the
availability, accessibility, and financing of care, and identify
policies, financing mechanisms, and practices that can improve the
health and well-being of rural Americans.
View Speaker List

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IN THE JOURNAL

MEDICARE

Association Of Medicare's Annual Wellness Visit With Cancer Screening,
Referrals, Utilization, And Spending

By Ishani Ganguli, Jeffrey Souza, J. Michael McWilliams, and Ateev
Mehrotra

Medicare's annual wellness visit was introduced in 2011 to promote
evidence-based preventive care and identify risk factors and undiagnosed
conditions in aging adults. Use of the visit has risen steadily since
then, yet its benefits remain unclear. Using national Medicare data for
2008-15, Ishani Ganguli and coauthors examined claims from
fee-for-service Medicare beneficiaries attributed to practices that did
or did not adopt the visit. The authors performed
difference-in-differences analysis to compare differential changes in
appropriate and low-value cancer screening, functional and
neuropsychiatric care, emergency department visits, hospitalizations,
and total spending. Read More >>

Read the November 2019 Table of Contents

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A CLOSER LOOK-E-cigarettes

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Tobacco executives, vaping industry representatives, and public health
leaders are scheduled to meet with President Donald Trump today at the
White House to discuss the safety of vape products and whether they
should be banned. This Health Affairs blog post argues that we need to
fill the gap between what we know and don't know about e-cigarettes
.

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