Forefront: How The Next NIH Director Can Ensure Global Equitable Access
To Medical Technologies
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Thursday, August 25, 2022 | The Latest Research, Commentary, And News
From Health Affairs
Dear John,
We're still accepting applications for the 2023 Health Equity Fellowship
for Trainees (HEFT)! The Fellowship is part of Health Affairs'
national initiative to advance racial equity in health policy and health
services scholarly publishing.
Applications are due September 19, 2022. Apply today
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Medicaid Expansion And COVID
In 2019, Virginia expanded Medicaid under the Affordable Care Act,
extending coverage to more than 500,000 low-income adults in the state
by the end of 2021.
Hannah Shadowen and coauthors analyzedresults from the Medicaid
Expansion New Member Survey
,
for which the follow-up survey period overlapped with the COVID-19
pandemic.
Their findings offer insights on the impact of public health insurance
in a time of economic and public health crisis.
They find that Medicaid enrollment was significantly associated with
decreases in reporting nonmedical financial needs and decreases in
concern about medical costs and medical debts.
Shadowen and coauthors report 5.0 and 7.7 percentage-point decreases in
the likelihood of respondents being concerned about paying for housing
costs and food, respectively, after twelve months of enrollment compared
with the year before enrollment.
Further, the likelihood of being concerned about the cost of normal
health care and the cost of catastrophic health care decreased by 33.7
percentage points and 23.8 percentage points, respectively.
The authors also observe advances in equity as a result of Medicaid
expansion.
"Non-Hispanic Black and African American members reported larger
reductions than non-Hispanic White members in concerns about paying for
housing and normal health care costs," they write.
Finally, the authors find that members who lived in rural areas reported
significantly larger decreases in the likelihood of having problems
paying medical bills over time after enrolling in Medicaid.
Read More
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Elsewhere At Health Affairs
Today in Health Affairs Forefront, Andrew Spencer Goldman and Reshma
Ramachandran argue that the Biden administration should appoint a
National Institutes of Health director
who will commit to making global equitable access to medical
technologies an inseparable aspect of the biomedical innovation
ecosystem instead of an afterthought.
If you like the work we publish on Forefront and our podcasts, you can
show your support by becoming a Health Affairs Insider
,
and as an added bonus, you'll get a free gift for joining.
[link removed]
Daily Digest
Virginia Medicaid Expansion: New Members Report Reduced Financial
Concerns During The COVID-19 Pandemic
Hannah Shadowen et al.
How The Next NIH Director Can Ensure Global Equitable Access To Medical
Technologies
Andrew Spencer Goldman and Reshma Ramachandran
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