Forefront: CMS Innovation Center Tackles Implicit Bias
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Wednesday, July 6, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

Health Affairs recently earned its highest-ever Journal Impact Factor of 9.048, according to the recently released Journal Citation Reports® (JCR) 2022 from Clarivate.

This is a 44 percent increase from Health Affairs’ 2021 Journal Impact Factor. The journal also earned the No. 1 ranking in the Health Policy And Services category. Read more about the research that affected this new ranking.
Diabetes And Fragmented Policy
The US has made significant advances in uncovering how to better prevent and manage type 2 diabetes. Despite these gains, the country is experiencing a rapid increase in cases.

This increase and the burden of its effects are disproportionately concentrated in Black, Hispanic, and Native populations and the geographic South.

In the July 2022 issue of Health Affairs, Puneet Kaur Chehal and coauthors explore the detrimental role of fragmentation in the inequities seen in the contemporary type 2 diabetes landscape.

Fragmentation in health policy and governance, payers and reimbursement design, and service delivery are cited as issues of greatest concern.

To remedy the fragmented and decentralized health system, the authors recommend legislating coverage for evidence-based services from the top, aligning incentives with high-value (as opposed to high-volume) services, and promoting both continuity and quality of care through improved information management.

Chehal and coauthors conclude that, “There is evidence that these advances, taken together, support a data-driven, coordinated, population health-focused agenda to lower diabetes burdens and inequities.”
Elsewhere At Health Affairs
Today in Health Affairs Forefront, Jason Levitis and Sabrina Corlette argue that delaying legislation to extend the premium tax credit expansions from the American Rescue Plan’s health insurance subsidies will raise premiums and reduce coverage.

Melissa Majerol and Dora Lynn Hughes discuss the Centers for Medicare and Medicaid Services (CMS) Innovation Center's recent review of three existing experimental payment and service delivery models to determine whether implicit bias may be present.

Sean Duffy and Sachin Jain argue that it’s time to liberate the billing system and reimbursement models from the restrictions of synchronous interactions in specific “places of service” and redefine what constitutes “a visit.”

Katie Keith discusses the Supreme Court decisions from the recently completed term that focus on the constitutional right to an abortion, the methodology for Medicare disproportionate share hospital payments, and climate change.

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.
Juan Andino Breaks Down Interstate Telehealth Waivers

Juan Andino from the University of Michigan joins A Health Podyssey to discuss how interstate telehealth use changed in the face of COVID-19.

This month, we're hosting events that cover the recent US Supreme Court term, emergency department facility fees, and type 2 diabetes.

Guests this month will include Jonathan H. Adler, Katie Keith, Sara Rosenbaum, Morgan A. Henderson, Morgane C. Mouslim, and several authors and analysts featured in the July issue of Health Affairs.

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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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