Forefront: Moving Toward Broader Value
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Thursday, June 23, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

Health Affairs is publishing a theme issue on disability and health in October 2022. Content will include original research, analyses, and commentaries that provides a multidimensional perspective on disability and health.

As part of Health Affairs' commitment to supporting and raising awareness of disabilities and health, we will launch a video component, as well as unique artwork and digital assets, alongside the research to set the foundation of the issue.

We invite participants to submit their responses to the proposals for video production and artwork and digital assets by July 15.

Fixing The FDA's Orange Book
In this month’s issue of Health Affairs, Scott Hemphill and Bhaven Sampat argue in a Perspective that the regime for balancing innovation and competition in pharmaceuticals needs updating.

Their article is in response to a paper by William Feldman and coauthors analyzing how manufacturers limit generic competition through the use of patents and other exclusivities granted to inhalers approved by the Food and Drug Administration.

Feldman and coauthors find that of the sixty-two inhalers for asthma and chronic obstructive pulmonary disease that were approved during 1986–2020, only one contained an active ingredient with a new mechanism of action.

In their companion Perspective, Scott Hemphill and Bhaven Sampat argue for updating the system for competition between brand-name and generic drugs, with a focus on challenging invalid or irrelevant patents.

"We agree with Feldman and colleagues that the four-decade-old Hatch-Waxman machinery is due for an update," the authors write.

Feldman recently wrote an essay for the Health Affairs Today newsletter to discuss the research. We frequently include curated newsletters on topics like this as part of the Health Affairs Insider program.

To read more from the June issue of Health Affairs, consider becoming a subscriber.
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Beth Beaudin-Seiler and coauthors argue that, through strategies such as the use of real-world data, we can gain a better understanding of the value of health care resources across the entire spectrum of care, including procedures, screenings, and other services.

Yuna Lee and Ingrid Nembhard write that while COVID-19 brought much devastation, it also showed the creative potential of the health care industry to address serious problems.

Peter Nelson discusses how President Biden’s proposed regulatory fix to the so-called family glitch in the Affordable Care Act contravenes the relevant statutory provisions.

Doug Badger argues Congress alone has the institutional capacity to weigh the upsides and downsides of "fixing" the "family glitch" and the constitutional authority to amend the statute.

Rachel Sachs delves into the Verifying Accurate Leading-edge IVCT Development (VALID) Act, which would provide the Food and Drug Administration with greater authority to regulate diagnostic tests.

Elevating Voices: Pride Month: As part of the Borders, Immigrants & Health theme issue, C. Nicholas Cuneo and coauthors examine data about people seeking asylum in the US from El Salvador, Guatemala, and Honduras who presented to a medical clinic in Boston.

The authors find a total of 5.3 percent of their sample identified as LGBTQ and that the most common type of asylum claim was based on membership in a particular social group, such LGBTQ identity.
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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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