Friday, July 15, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,
Our next Journal Club on July 20 will feature authors Morgan Henderson and Morgane Mouslim, who will discuss their new study examining how emergency department facility fees for self-pay patients (cash prices) vary according to hospital and regional characteristics.
Bodenheimer and Willard-Grace write that although patients are responsible for making decisions regarding their diet, level of activity, and adherence to
prescribed medications, building the self-management skills necessary for these vital decisions requires support.
While primary care clinicians do not have the time to help patients manage their diabetes, care managers do.
Diabetes care management can include “developing a diabetes care plan with the patient, family members, or other caregivers; reviewing labs and adjusting medications per protocol…and tracking patients’ progress.”
Despite the evidence supporting the benefits of care management, there are barriers to implementation: shortages in adequately trained care managers, state regulations, and misaligned payment policies.
Bodenheimer and Willard-Grace propose the adoption of a value-based primary care payment, modernization of restrictive state regulations, and increase in primary care spending to address current barriers to implementation.
The authors conclude that “policy changes are needed to spread this evidence-based service to everyone with diabetes.”
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Leighton Ku and coauthors explain that after the public health emergency expires—as determined by HHS —the countdown will begin for the “unwinding” of Medicaid’s continuous enrollment policies.
Ann Greiner and coauthors urge CMS and the Center for Medicare and Medicaid Innovation leaders to continue their collaboration in the commitment to have all Medicare beneficiaries in a care relationship with accountability for quality and total cost of care by 2030.
Health Affairs is the leading peer-reviewedjournalat 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.
