From Health Affairs Today <[email protected]>
Subject National Health Care Spending In 2018; Market-Driven Medicare; ACA Round-Up; Philanthropy Funding For Gun Violence Research
Date December 5, 2019 9:15 PM
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**The Latest Research, Commentary, and News from Health Affairs**

**Thursday, December 5, 2019**

IN THE JOURNAL

AHEAD OF PRINT

National Health Care Spending In 2018: Growth Driven By Accelerations In
Medicare And Private Insurance Spending

By Micah Hartman, Anne B. Martin, Joseph Benson, Aaron Catlin, and
The National Health Expenditure Accounts Team

This new analysis from the Office of the Actuary at the Centers for
Medicare and Medicaid Services estimates that in 2018 health care
spending in the United States grew at a rate of 4.6 percent to $3.6
trillion, or $11,172 per person. The 4.6 percent growth rate in 2018 was
faster than that of 4.2 percent in 2017 but was equal to the rate in
2016. The 0.4-percentage-point acceleration in overall growth in 2018
was driven by faster growth in private health insurance spending and
Medicare. For the second year in a row, the number of uninsured people
increased by 1.0 million, reaching 30.7 million in 2018. Read More >>

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Read the December 2019 Table of Contents

****

Subscribe to Health Affairs

**for full journal access**

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TODAY ON THE BLOG

MEDICARE

Moving To A Market-Driven Medicare Program

By Brian J. Miller and Gail R. Wilensky

With more than half a century of price setting in Medicare
fee-for-service, we have failed to control health care expenditure
growth. Now is the time to try something different.
Read More >>

FOLLOWING THE ACA

ACA Round-Up: Enrollment Lags, IRS Reporting Requirements, And QHP
Compliance Report

By Katie Keith

With less than two weeks left until the December 15 deadline, enrollment
through HealthCare.gov is lagging by about 10 percent relative to last
year. This update also covers the release of new issuer-level enrollment
data for prior years, nonenforcement of penalties connected with certain
IRS reporting requirements, and a report on improved insurer compliance
with 2019 notices. Read More >>

VIOLENCE AND HEALTH

The Critical Role Of Philanthropy In Researching Solutions To Gun
Violence

By Nina E. Vinik

The Joyce Foundation looks back at 25 years of funding gun violence
research. Grantees have included universities, hospitals, and think
tanks. Early research supported by Joyce helped define gun violence as a
public health discipline. And, because lack of data was a barrier to
understanding gun violence, this foundation and others funded
development of a comprehensive data set on all violent deaths in the US.
There is more we need to learn, though, says this author. Read More >>

HEALTH AFFAIRS EVENTS-PAST EVENT:  MILITARY HEALTH SYSTEMS

The August 2019 issue of Health Affairs examines the Military Health
System (MHS) and the pressures and opportunities that are similar to
those in the civilian sector. Get caught up with the Military Health
Systems event: slides

(click on Download Event), video
, and
podcast
.

Access the August PRINT

or ONLINE

issue.

Getevent-specific emails

delivered directly to your inbox.

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A CLOSER LOOK-HIV Prevention

**** The Trump administration announced a plan to distribute
HIV-prevention medication free to individuals who do not have
prescription drug insurance coverage. A Health Affairs Blog post argues
that ending this epidemic requires multiple interventions. The authors
offer considerations for developing and harmonizing HIV preventive
recommendations
.

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About Health Affairs

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Today , and Health Affairs
Sunday Update .  

Project HOPE is a global health and
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