From Health Affairs Today <[email protected]>
Subject Narrative Matters: A Health System That Won’t Learn From Its Mistakes
Date September 28, 2022 8:02 PM
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Forefront: HRSA's Confusing, Out-Of-Date Guidance Undermines
Contraceptive Coverage And Access
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Wednesday, September 28, 2022 | The Latest Research, Commentary, And
News From Health Affairs

Dear John,

In case you missed it, we provide Health Affairs Insiders with curated
newsletters covering topics like social determinants of health, health
spending, health equity, and more. Use discount code HAInsider10 to get
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Narrative Matters:
A Health System That Won't Learn

September's Narrative Matters column focuses on the aftermath of a
patient dying from medical error.

Author Chandra Keller writes about her uncle
,
who died while in the care of an intensive care unit team within an
integrated managed care consortium.

"He died because of apparent failures to communicate across silos and to
consider the cumulative or interactive effects of individually applied
treatments," Keller explains.

In her essay, Keller reveals that she investigated her uncle's care
leading up to his death and ultimately had his official cause of death
corrected.

"The burden is apparently on the patient and the patient's family both
to coordinate the patient's care proactively without any personal
medical knowledge and to conduct their own investigation after an
adverse event occurs," she writes.

Ultimately, "no one took responsibility for the gaps in care and lack of
coordination and communication that led to his preventable death,"
Keller says.

Stories like Keller's provide personal perspectives about experiences
with the health care system
while
highlighting important public policy issues. To listen to these stories,
check out our Narrative Matters podcast
,
which goes beyond the printed page with the authors.

Read More

Please take a few minutes to let us know how we're doing by taking this
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about our newsletters.

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Join us on October 6 for a free in-person event at Main Street Connect
in Rockville, Maryland. If you can't
join us in person, you can also attend virtually.

The evening will include a panel discussion about unmet needs in
Montgomery County, Maryland's disability community and ways to address
them, led by Health Affairs Director of Health Equity Vabren Watts. The
event will also include screening of a short film featuring disability
rights activist Judy Heumann.

Register

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Elsewhere At Health Affairs

Elsewhere in Health Affairs Forefront, Katie Keith discusses the latest
lawsuit over the implementation of the independent dispute resolution
(IDR) process under the No Surprises Act, challenging a final rule on
the IDR process

that was issued in August 2022.

In another article, Keith covers a new lawsuit in federal district court
in DC

to challenge a Trump-era policy that allows insurers and pharmacy
benefit managers to not apply financial support from a drug manufacturer
towards a patient's deductible or annual out-of-pocket maximum.

Richard Hughes IV and coauthors explain how the Affordable Care Act's
contraceptive coverage requirements

are prone to misinterpretation by patients, providers, and plans when
translated into practice and have failed to evolve and keep pace with
new and innovative technologies over time.

Are you enjoying articles from Forefront? Join Health Affairs Insider

to show your support for high-value health policy news, commentary, and
analysis.

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Daily Digest

A Health System That Won't Learn From Its Mistakes

Chandra Keller

Providers Sue (Again) Over No Surprises Act

Katie Keith

Lawsuit Challenges Federal Copay Accumulator Policy

Katie Keith

HRSA's Confusing, Out-Of-Date Guidance Undermines Contraceptive
Coverage And Access

Richard Hughes IV et al.

 

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