Forefront: Pivoting From Carceral To Compassionate Drug Policy Approaches
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Wednesday, June 1, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

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End-Of-Life Care
In this month’s issue of Health Affairs, Helena Temkin-Greener and coauthors investigate end-of-life care in assisted living communities.

The authors examine associations of both death at home and home hospice care with individual characteristics, such as race or ethnicity and dual Medicare-Medicaid enrollment; community characteristics; and the stringency of state-level assisted living regulations.

Among assisted living residents enrolled in fee-for-service Medicare who died in 2018–19, Temkin-Greener and coauthors find that dual Medicare-Medicaid enrollees were significantly less likely to die at home and more likely to die in hospitals or nursing homes compared with non–dual enrollees.

They also find that Black residents, regardless of dual enrollment status, were significantly less likely than White residents to have been enrolled in hospice at death.

"Although dual enrollment status was significantly associated with lower odds of hospice care, race appeared to be even more influential," the authors conclude.

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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Arthur Robin Williams discusses remaining challenges after the President’s Office of National Drug Control Policy released the annual national drug control strategy announcing priorities for the administration.

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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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