Preview

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 on Tuesday, 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.”

Disability And Health

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.

We will also host a poetry contest for the Narrative Matters section of the issue.

We are looking for well-crafted poems that touch on topics related to disability and health, by writers with lived experience of disability. (Note: This includes family members or caregivers of people with disabilities.)

The winning poet will receive a $500 prize and publication in the October issue of Health Affairs. The contest is open until July 25.

In Health Affairs Forefront, authors write about care delivery, such as Hospital at Home Care, and the Medicare Hospital Insurance Trust Fund.

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.

Adaeze Enekwechi and coauthors address projections that the Medicare Hospital Insurance Trust Fund will be depleted in 2028 and discuss how to prevent this time from being squandered.

In an episode of This Week, Health Affairs' Chris Fleming interviews Manatt Health's Cindy Mann on budget neutrality requirements for Medicaid 1115 demonstrations.

Currently, more than 70 percent of our content is freely available—and we’d like to keep it that way. With your support, we can continue to keep our digital publication Forefront and podcasts free for everyone.

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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