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A Weekly Health Policy Round Up From Health Affairs            

**December 29, 2019**

FOLLOWING THE ACA

HHS Acknowledges Larger Costs In Finalizing Rule On Separate
Transactions For Abortion Coverage In Marketplaces

By Katie Keith (12/23/19)

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 (12/22/19)

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 (12/23/19)

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 >>

HEALTH PHILANTHROPY

Staff And Board Changes At Health Funders; Health Policy Job Opening

By Lee-Lee Prina (12/22/19)

Read people news from funders around the United States and check out a
job opening for a vice president of health policy. Read More >>

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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
>>

Declines In Pediatric Mortality Fall Short For Rural US Children

By Janice Probst, Whitney Zahnd, and Charity Breneman

While pediatric death rates have declined nationally, disparities remain
for some groups of children. Janice Probst and coauthors analyzed
mortality data from the Centers for Disease Control and Prevention,
finding that rural youth ages 0-19 were more likely than urban youth
to die during childhood throughout the period from 1999 through 2017. In
addition, while the death rate for rural children dropped 19 percent
between 1999 and 2017, from 77.6 per 100,000 children to 62.9 per
100,000, the decline among urban children was significantly greater-a
decrease of 24 percent, from 66.4 per 100,000 to 50.2 per 100,000. Among
rural children, non-Hispanic black infants and American Indian/Alaska
Native children were particularly at risk. **Read More >>**

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GRANTWATCH

Foundation Funding To Improve Rural Health Care

By Lee L. Prina

The December 2019 GrantWatch column goes along with that issue's
theme, rural health. The column describes results of rural health
funding and mentions rural health publications funded by foundations.
The column also includes a long list of other foundations around the
country that fund in rural health, which should be helpful to
grantseekers. In the Key Personnel Change section, a professor of
pediatrics, who is said to be  "one of the nation's leading advocates
for rural children's health," was named to the board of a foundation.
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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About Health Affairs

Health Affairs is the leading peer-reviewed journal
at the intersection of health,
health care, and policy. Published monthly by Project HOPE, the journal
is available in print and online. Late-breaking content is also found
through healthaffairs.org , Health Affairs Today
, and Health Affairs Sunday
Update .  

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published Health Affairs since 1981.

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