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A Weekly Health Policy Round Up From Health Affairs            

**December 1, 2019**

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DIFFUSION OF INNOVATION

A Roadmap To Welcoming Health Care Innovation

By Samyukta Mullangi, Said A. Ibrahim, Nigam H. Shah, and Kevin A.
Schulman (11/26/19)

Health care systems across the country are struggling with their
approach to innovation, which has resulted in a tremendous proliferation
of pilot studies but little adoption of solutions at scale. Read More >>

ELDER CARE

Supporting The Health Of Older Adults Before, During, And After
Disasters

By Sue Anne Bell, Jeffrey T. Kullgren, Erica Solway, and Preeti Malani
(11/27/19)

The University of Michigan National Poll on Healthy Aging recently
explored these issues through its recurring, nationally representative
survey of US older adults ages 50 to 80 years. The results identified
several aspects of emergency preparation that could be improved
including having discussions with older adults about their plans for
evacuation with family or loved ones, maintaining a stocked emergency
kit, and signing up for local emergency alert systems. Read More >>

PHARMACEUTICALS AND MEDICAL TECHNOLOGY

Payer Funding Of Interventional Pharmacoeconomic Studies: A New Paradigm

By Daniel A. Goldstein, Allen S. Lichter, and Mark J. Ratain (11/25/19)

We believe that the most efficient strategy to unlock this potential is
to create a global consortium of health care payers to run
interventional pharmacoeconomic studies.
Read More >>

PAYMENT

Surprise Bills, Benchmarks, And The Problem Of Indexation

By Daniel P. O'Neill (11/25/19)

Policy makers should be working to bring prices down, not mandating
further increases for a few highly compensated services, through rigid,
statutory indexation.
Read More >>

SYSTEMS OF CARE

Consolidation And Health Systems In 2018: New Data From The AHRQ
Compendium

By Michael Furukawa, Laura Kimmey, David J. Jones, Rachel M. Machta,
Jing Guo, and Eugene Rich (11/25/19)

Updating prior work, we examine new data from the AHRQ Compendium of
U.S. Health Systems, the first publicly available database depicting
attributes of the nation's health systems. This analysis describes the
landscape of health systems in 2018 and reports variation by system
size, ownership type, and geographic scope. Read More >>

HEALTH AFFAIRS EVENTS-2019 Commonwealth Fund International Health
Policy Survey

Wednesday, December 11, 9:00 am - 12:00 pm Eastern
Conrad Hotel - 950 New York Ave NW, Washington DC
Registration Now Open

Join us for a special event to be convened by Health Affairs and The
Commonwealth Fund marking the publication of the 2019 Commonwealth Fund
International Health Policy Survey of Primary Care Physicians in 11
Countries. Senior government officials, delivery system experts, and
leading policy thinkers from around the world will gather for a high
level discussion of strategies to promote high-quality primary care,
with special attention to the integration of health and social care.

Getevent-specific emails

delivered directly to your inbox.

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REQUEST FOR ABSTRACTS-Children's Health

**Health Affairs** is planning a theme issue on Children's Health, to
be published in October 2020.  We thank Nemours for its generous
support of this issue.

We invite all interested authors to submit abstracts for consideration
for this issue. Editors will review the abstracts and, for those that
best fit our vision and goals for the issue, invite authors to submit
full papers for consideration for the issue.

In order to be considered, abstracts must be submitted no later than
11:59PM

**Eastern time**,

**December 29, 2019**. We regret that we will not be able to consider
any abstracts submitted after that date. Abstracts must be submitted via
our abstract submission portal
-abstracts
submitted via other channels will not be considered.

More information here

Preparation and formatting guidelines

Submit abstracts via our online submission form

Queries: [email protected]

IN THE JOURNAL

ETHICS

Potential Unintended Consequences Of Recent Shared Decision Making
Policy Initiatives

By Jennifer Blumenthal-Barby, Douglas J. Opel, Neal W. Dickert, Daniel
B. Kramer, Brownsyne Tucker Edmonds, Keren Ladin, Monica E. Peek, Jeff
Peppercorn, and Jon Tilburt

Shared decision making (SDM)-when clinicians and patients make medical
decisions together-is moving swiftly from an ethical ideal toward
widespread clinical implementation affecting millions of patients.
Jennifer Blumenthal-Barby and coauthors argue that policy initiatives to
promote SDM implementation in clinical practice carry the risk of
several unintended negative consequences if limitations in defining and
measuring SDM are not addressed. Read More >>

QUALITY OF CARE

Hospital-Acquired Condition Reduction Program Is Not Associated With
Additional Patient Safety Improvement

By Kyle H. Sheetz, Justin B. Dimick, Michael J. Englesbe, and Andrew M.
Ryan

In 2013 the Centers for Medicare and Medicaid Services announced that it
would begin levying penalties against hospitals with the highest rates
of hospital-acquired conditions through the Hospital-Acquired Condition
Reduction Program. Kyle Sheetz and coauthors used clinical registry data
on rates of hospital-acquired conditions in 2010-18 from a large
surgical collaborative in Michigan to estimate the impact of the policy.
Read More >>

THE PRACTICE OF MEDICINE

Changes In Physician Consolidation With The Spread Of Accountable Care
Organizations

By Genevieve P. Kanter, Daniel Polsky, and Rachel M. Werner

While early evidence suggests that accountable care organizations (ACOs)
are associated with higher quality and lower costs, there have been
simultaneous concerns that ACOs may incentivize consolidation of
physician groups. This is particularly concerning as previous research
has shown that consolidation is associated with lower quality and higher
prices. Using a difference-in-differences strategy and data from the
Medicare Shared Savings Program, which began in 2012, Genevieve Kanter
and coauthors examined whether physician practices consolidated after
ACOs entered health care markets. Read More >>

The Practice Of Medicine
series is
supported by The Physicians Foundation.

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GRANTWATCH

Funders Supporting Smoking Prevention

By Lee L. Prina

The November 2019 GrantWatch column focuses on what foundations are
funding to prevent smoking and educate people about youth vaping. It
highlights foundations around the country. These include Bloomberg
Philanthropies, which has a $160 million initiative called Protect Kids:
Fight Flavored E-Cigarettes, and the Paso del Norte Health Foundation,
in El Paso, Texas, which has been encouraging adherence to the new Texas
21 Law through an awareness campaign. In key personnel news, Antony
Chiang has a new job: He is the CEO of a new conversion foundation with
a sizable endowment. Read More >>

Read the November 2019 Table of Contents

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About Health Affairs

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at the intersection of health,
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Update .  

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