Preview

Two papers in the November issue discuss the health implications of paid sick leave policies.

Alina Schnake-Mahl and coauthors find that cities with paid sick leave policies had a COVID-19 vaccination coverage rate that was 17 percent higher than the rates in cities without these policies.

Disparities in vaccination rates between less and more vulnerable neighborhoods were also smaller in cities with paid sick leave policies.

In another article, Kristen Harknett and Daniel Schneider analyze data from 2017–21 and determine that paid sick leave laws narrow gender gaps in access to leave for service-sector workers.

The authors indicate that in the absence of paid sick leave laws, 43 percent of men and 38 percent of women reported access to paid sick leave. However, if these laws are present, up to 70 percent of men and 69 percent of women are covered.

“In the absence of a federal paid sick leave guarantee, the US labor market is characterized by stark inequalities in access to these benefits,” Harknett and Schneider conclude.

Today on Forefront, Allison Rizer writes that some states are unable or unwilling to implement Medicaid managed care, resulting in a large number of dual-eligible individuals not having access to meaningfully integrated options.

Jordan Anderson and Gen Gillespie examine D-SNP plans and describe steps to mitigate operational risks in pursuing the development of D-SNP plans.

Zhanlian Feng and coauthors discuss how full-benefit dually eligible beneficiaries in D-SNPs, FIDE-SNPs, and PACE were less likely to be institutionalized than those in nonintegrated Medicare Advantage plans.

This article is the latest in a series about Medicare and Medicaid Integration, produced with the support of Arnold Ventures.

Elevating Voices - National American Indian and Alaska Native Heritage Month: In a 2021 Forefront article, Raymond Foxworth and Gabriel R. Sanchez summarize findings from a national survey on COVID vaccination, and identify how to integrate communication and outreach programs to increase vaccination rates in Native communities.

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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.

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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