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**The Latest Research, Commentary, and News from Health Affairs**

**Thursday, December 12, 2019**

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TODAY ON THE BLOG

HEALTH INFORMATION TECHNOLOGY

Rethinking Patient Data Privacy In The Era Of Digital Health

By Lisa Bari and Daniel P. O'Neill

As federal and state lawmakers look to revamp privacy rules, this post
outlines a proposal to adapt and extend the familiar HIPAA framework,
and some of the fiduciary principles embedded in that framework, for a
new era of digital-first health care. Read More >>

FOLLOWING THE ACA

Justices Appear Sympathetic To Insurers In Risk Corridor Payment Oral
Arguments

By Katie Keith

This post discusses the history of the risk corridors litigation, the
arguments made by the parties and amici, the oral argument, and
potential outcomes. A decision, which will have implications beyond the
risk corridors program, is expected by summer 2020. Read More >>

HEALTH CARE SPENDING

Health Conundrum: How State Budgets Can Find The Balance Between Social
Versus Medical Services

By Shannon Brownlee, Vikas Saini, and Benjamin F. Miller

Can the United States bring down overall health care costs by spending
more on social determinants of health? The authors say that strategy
remains unproven. However, states are the principal spenders on social
services. Few studies have directly examined the tradeoffs that states
and local governments are making between social services and health
care. The authors discuss results of a Lown Institute report-funded by
Well Being Trust-on California spending. Read More >>

IN THE JOURNAL

RURAL HEALTH

Rural Counties With Majority Black Or Indigenous Populations Suffer The
Highest Rates Of Premature Death In The US

By Carrie E. Henning-Smith, Ashley M. Hernandez, Rachel R. Hardeman,
Marizen R. Ramirez, and Katy Backes Kozhimannil

Despite well-documented health disparities by rurality and
race/ethnicity, research investigating racial/ethnic health differences
among US rural residents is limited. We used county-level data to
measure and compare premature death rates in rural counties by each
county's majority racial/ethnic group. Read More >>

Healthy People 2020: Rural Areas Lag In Achieving Targets For Major
Causes Of Death

By Sirin Yaemsiri, Johanna M. Alfier, Ernest Moy, Lauren M. Rossen,
Brigham Bastian, Jane Bolin, Alva O. Ferdinand, Timothy Callaghan, and
Melonie Heron

Rural America faces numerous public health challenges, including reduced
access to health services, poor nutrition, uncontrolled diabetes, mental
and substance use disorders, heart disease, and stroke. We evaluated
rural and urban progress toward national targets for rates of the seven
major causes of death tracked by Healthy People 2020, an initiative led
by the Department of Health and Human Services that provides a national
framework for setting and tracking public health priorities. Read More
>>

Read the December 2019 Table of Contents

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HEALTH AFFAIRS EVENTS-PAST EVENT:  VIOLENCE & HEALTH

Violence permeates our society with consequences for victims,
perpetrators, and communities alike. Even as media attention tends to
focus on incidents of mass violence, it is the daily burden of violence
in its many forms that takes the greater toll.

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A CLOSER LOOK-Universal Health Coverage

Today, Universal Health Coverage Day, countries are being called upon to
keep their promise to make health care for all a reality. Achieving
universal health coverage is a Sustainable Development Goal of the World
Health Organization, adopted by United Nations member states in 2015. A
Health Affairs Blog post provides an international perspective on the
paradoxes of US health care
.

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About Health Affairs

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Sunday Update .  

Project HOPE is a global health and
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