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

**Thursday, December 19, 2019**

TODAY ON THE BLOG

FOLLOWING THE ACA

Continued Uncertainty As Fifth Circuit Strikes Mandate, Remands On Rest
Of ACA

By Katie Keith

In a 2-1 decision, the Fifth Circuit partially affirmed a district court
decision that had declared the entire ACA invalid. Read More >>

PHARMACEUTICALS AND MEDICAL TECHNOLOGY

The Case For Letting Biosimilars Compete

By Sameer Awsare, Anthony Barrueta, Amy Gutierrez, and Polly F. Webster

There are steps policy makers can take to support others interested in
boosting biosimilar use, which would increase pressure on reference
product manufacturers to compete on price. Read More >>

IN THE JOURNAL

RURAL HEALTH

Rural-Urban Differences In Individual-Market Health Plan Affordability
After Subsidy Payment Cuts

By David Anderson, Jean M. Abraham, and Coleman Drake

Rural Marketplace enrollees eligible for Advance Premium Tax Credits saw
their premiums decrease $126 from 2017 to 2019 following the termination
of cost-sharing reduction (CSR) subsidies in 2017, while those in urban
markets saw theirs decrease $95. David Anderson of the Duke-Margolis
Center for Health Policy and coauthors examined how insurers and states
reacted to CSR cuts and the impact on urban and rural enrollees. Read
More >>

Effect Of Population Size On Rural Health Insurance Premiums In The
Federal Employees Health Benefits Program

By Abigail R. Barker

In the study of health insurance access and affordability in rural
areas, a recurring issue is to understand the challenges that programs
based upon the competitive market model, such as the Affordable Care
Act's Marketplaces, may experience in less populated areas. This
article analyzes data for 2013-16 from the Federal Employees Health
Benefits Program, focusing on premium and enrollment data for
"state-specific" plans-which offer insurance policies and set
premiums at the regional level. Read More >>

Read the December 2019 Table of Contents

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A CLOSER LOOK-Age-Friendly Care

There are more than 46 million Americans ages 65 and over, and that
number is projected to double to more than 98 million by 2060. To
improve care for the geriatric community, Mount Sinai Hospital in New
York City is at the forefront of an innovative approach to age-friendly
emergency care
.

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 identifies 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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