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

**Wednesday, December 18, 2019**

TODAY ON THE BLOG

CONSIDERING HEALTH SPENDING

Biomedical Innovation: CMS's Next Frontier For Value Transformation

By Kushal T. Kadakia

Executive order 13890, released in October 2019, provides a policy
window for the Centers for Medicare and Medicaid Services (CMS) to
extend the "value" movement to biomedical innovation. This post outlines
the implications of the executive order, describes a potential policy
agenda for CMS, and identifies the additional bipartisan legislative
support structures needed to accelerate the uptake of value-based
payment models for biomedical innovation.
Read More >>

MEDICARE

Access For 21st Century Cures: Updating Medicare's Approach to
Coverage And Payment

By Mark McClellan, Morgan Romine, Jeff Allen, Tanisha Carino, and Scott
Gottlieb

Fulfilling the promise of 21st century, innovative care will require
further steps to address issues related to technology access at the
Centers for Medicare and Medicaid Services and throughout the US health
care system. Read More >>

IN THE JOURNAL

RURAL HEALTH

Rural Residents With Mental Health Needs Have Fewer Care Visits Than
Urban Counterparts

By James B. Kirby, Samuel H. Zuvekas, Amanda E. Borsky, and Quyen
Ngo-Metzger

James Kirby and coauthors report that "among people likely to need
mental health treatment, rural residents typically received fewer mental
health services than urban residents did in 2010-15, even after mental
and physical health and a variety of sociodemographic factors were
controlled for." Read More >>

Enhancing Staffing In Rural Community Health Centers Can Help Improve
Behavioral Health Care

By Xinxin Han and Leighton Ku

Xinxin Han and Leighton Ku find that, despite an overall disadvantage in
provider levels in rural areas, behavioral health staffing levels grew
more rapidly in rural health centers than in urban centers in 2013-17,
with most care provided by licensed clinical social workers and other
licensed mental health providers. Read More >>

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Read the December 2019 Table of Contents

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A CLOSER LOOK-Rural Mortality Rates

More than 46 million Americans, or 15 percent of the US population, live
in rural areas as defined by the US Census Bureau. This article from our
latest issue on rural health says that higher US rural mortality rates
are
linked to socioeconomic status, physician shortages, and lack of health
insurance.

HEALTH AFFAIRS EVENTS-PAST EVENT:  RURAL HEALTH

The December 2019 issue of Health Affairs explores various dimensions of
health and health care in rural America-health needs of people living
in rural areas, inequities, financing of care-and identify policies
and practices that can improve the health and well-being of rural
Americans. Get caught up with the Rural Health event: slides

(click on Download Event), video
, and
podcast
.

Access the December PRINT

or ONLINE

issue.

Getevent-specific emails

delivered directly to your inbox.

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About Health Affairs

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