From Health Affairs Today <[email protected]>
Subject Abortion Coverage In Marketplaces; HealthCare.gov Enrollment Declines Slightly; FDA Communications With Drug Developers; Rural-Urban Differences In Severe Maternal Morbidity; Book Reviews
Date December 23, 2019 8:58 PM
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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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