How we can prevent and improve care and outcomes for Type 2 diabetes.
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Monday, June 27, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

Tomorrow we're hosting a Professional Development event with Rabih Torbay, President and CEO of Project HOPE, to discuss career paths in global health and humanitarian work.

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Type 2 Diabetes
An estimated 37.3 million Americans have type 2 diabetes, an increase of more than 40 percent from a decade ago.

The July 2022 issue of Health Affairs, to be published next week, is devoted to papers discussing how we can prevent and improve care and outcomes for type 2 diabetes.

In one paper, Mohammed Ali and coauthors argue that fragmentation in insurance coverage, payment, and delivery have all contributed to poor diabetes outcomes in the United States.

Despite a strong base of evidence supporting care management activities designed to assist patients, Thomas Bodenheimer and Rachel Willard-Grace note significant barriers to wider use of these programs in primary care.

David Jiang and coauthors propose the adoption of new quality measures and modernization of existing ones, arguing for alignment of measures with the six domains of quality as defined by the National Academy of Medicine.

Leonard Egede and coauthors conduct a systematic review of studies of nonmedical interventions for diabetes and find that “interventions with targeted, multicomponent designs that combine both medical and nonmedical approaches” can improve outcomes.

Maria Alva and coauthors analyze national survey data and determine that 13.5 percent of the population has prediabetes, representing a 4.8 percentage point increase between 2010 and 2020.

Sabrina Wang and coauthors analyze alternative payment models for diabetes care and conclude that “the fragmented US health care system, with its myriad payers and payment models, is structurally at odds with the need for care continuity for chronic conditions such as diabetes.”
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Bruce Leff and Arnold Milstein write that although the Acute Hospital Care at Home waiver applied only to fee-for-service Medicare, hospitals and health systems have taken it as a sign that Hospital at Home care is entering the mainstream of health service delivery.

Health Affairs Editor-in-Chief Alan Weil discusses a session he recentl moderated at the Aspen Ideas Festival, featuring former Department of Health and Human Services Secretaries Donna Shalala and Alex Azar, entitled “HHS Secretaries: Looking Ahead, Looking Back.”

Charles Silver considers the history of the War on Drugs to predict the tactics that abortion opponents may use to prevent abortion access for pregnant people.
Daily Digest
What We're Reading

When we're not reading Health Affairs, we're looking at the headlines to keep track of how the health care and health policy space is changing. Here are some of the stories that caught our attention today.

Improving Rural Care And Health Equity With Telemedicine
 
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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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