Forefront: HHS Proposes Revised ACA Anti-Discrimination Rule
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Thursday, July 28, 2022 | The Latest Research, Commentary, And News From
Health Affairs
Dear John,
Next week, we'll kick off our event programming in August with a Policy
Spotlight event featuring Robert M. Califf, the Biden appointed
Commissioner of the Food and Drug Administration (FDA). Join us on
August 3
for the one-on-one discussion.
Diabetes-Related Amputations
Nontraumatic lower extremity amputation is a complication of inadequate
diabetes control. It is typically preceded by peripheral diabetic
neuropathy and peripheral artery disease, which can predispose patients
to foot ulcers and infections that lead to limb loss.
In their July issue paper, Hamlet Gasoyan and coauthors perform a
systematic review of the literature about disparities in rates or levels
of diabetic neuropathy and lower extremity amputation
in the US.
The authors examine the demographic factors, barriers to health care,
and social determinants of health associated with the rates of both
conditions among US adults during the period 2000-2020.
They find that a number of studies report interrelating factors,
including patient, provider, and payer variables, associated with
diabetic neuropathy and lower extremity amputation.
Furthermore, Gasoyan and coauthors observe race-dependent treatment
patterns in the studies they examine.
The authors note that Black patients had a higher likelihood of
presenting with peripheral arterial disease undergoing a lower extremity
amputation, whereas White patients were more likely to receive a lower
extremity arterial revascularization procedure aimed at limb salvage.
Unlock more of our diabetes-related research
and read more about the intersections of racism and health
on our website by becoming a Health Affairs subscriber today.
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Katie Keith discusses the proposed
rule from HHS
to significantly revise the agency's prior interpretation of Section
1557 of the Affordable Care Act, which prohibits discrimination on the
basis of race, color, national origin, sex, age, and disability in
certain health programs and activities.
Cynthia Ho and Liza Vertinsky discuss how getting a clearer picture of
the true costs and risks of drug research
and development is a critical starting point in ensuring a more balanced
and accurate policy approach toward biomedical innovation.
Health Affairs Forefront provides readers with the latest high value
health policy news, commentary, and analysis. With your support
we can continue to offer communitywide access to the industry-leading
perspectives featured every day on our digital publication.
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Daily Digest
Disparities In Diabetes-Related Lower Extremity Amputations In The
United States: A Systematic Review
Hamlet Gasoyan et al.
HHS Proposes Revised ACA Anti-Discrimination Rule
Katie Keith
To Promote Innovation, Congress And Companies Should Support Drug
Development Cost Disclosure
Cynthia Ho and Liza Vertinsky
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About Health Affairs
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