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**The Latest Research, Commentary, and News from Health Affairs**
**Monday, December 23, 2019**
TODAY ON THE BLOG
FOLLOWING THE ACA
HHS Acknowledges Larger Costs In Finalizing Rule On Separate
Transactions For Abortion Coverage In Marketplaces
By Katie Keith
Under the final rule, insurers must send, and consumers must pay, two
separate monthly premium bills for the amount attributable to certain
abortion services and the amount for all other services. Although HHS
made slight adjustments to the proposed rule, the final rule will still
generate consumer confusion and significantly burden insurers,
exchanges, and consumers. Read More >>
HealthCare.gov Enrollment Declines Slightly; New Rate Review And AV
Guidance
By Katie Keith
The data show the stability of the marketplaces and continued demand for
comprehensive individual market coverage. This was true even in a year
with low awareness, no individual mandate penalty, the expansion of
short-term and other non-ACA plans, and continued funding cuts for
navigators and advertising. Read More >>
PHARMACEUTICALS AND MEDICAL TECHNOLOGY
Can We Talk? Rethinking FDA Communications With Drug Developers
By Peter J. Pitts
A more nimble approach to communications between the FDA and sponsors
that does not compromise review integrity or sponsor resources is
crucial to advancing the uptake of 21st-century regulatory science. Read
More >>
IN THE JOURNAL
RURAL HEALTH
****
Rural-Urban Differences In Severe Maternal Morbidity And Mortality In
The US, 2007-15
By Katy Backes Kozhimannil, Julia D. Interrante, Carrie Henning-Smith,
and Lindsay K. Admonil
In the United States, severe maternal morbidity and mortality is
climbing-a reality that is especially challenging for rural
communities, which face declining access to obstetric services. Using
data for 2007-15 from the National Inpatient Sample, Katy Kozhimannil
and coauthors analyzed severe maternal morbidity and mortality during
childbirth hospitalizations among rural and urban residents. Read More
>>
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BOOK REVIEWS
Aging In America
By Robyn I. Stone
Robyn Stone reviews
**Elderhood** by Louise Aronson.
Read More >>
When Pain Becomes Personal
By Anita Ho
Anita Ho reviews In Pain, by Travis Rieder.
Read More >>
For Global Health, The Past Is Not Prologue
Harley Feldbaum
Harley Feldbaum reviews Thomas Bollyky's
**Plagues and the Paradox of Progress.**
Read More >>
Read the December 2019 Table of Contents
****
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A CLOSER LOOK-Oral Health Care
Oral health conditions and diseases increase with age, and obtaining
adequate oral health care can be particularly problematic for older
Americans. This Health Affairs Blog post discusses the importance of
addressing rural seniors' unmet needs for oral health care
.
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