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**The Latest Research, Commentary, and News from Health Affairs**

**Wednesday, January 8, 2020**

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TODAY ON THE BLOG

SYSTEMS OF CARE

Moving To A Learning Measurement System

By Somava Stout, Christine Petrin, and Karen DeSalvo

We need a national measurement system that can bridge sectors to advance
health, well-being, and equity. Read More >>

MEDICAID

Proposed Rules On Medicaid Financing Miss Mark And Threaten Access

By Cindy Mann and Anne O'Hagen Karl

If finalized, the rules would have a profound impact on state financing
and payment policies that, in turn, could dramatically reduce
beneficiary access to care. Read More >>

IN THE JOURNAL

PAYMENT

Differences Between Public And Private Hospital Payment Rates Narrowed,
2012-16

By Thomas M. Selden

In an earlier study Tom Selden and coauthors used data from the Medical
Expenditure Panel Survey (MEPS) to show that the average difference in
payment rates for inpatient hospital stays between private insurance and
Medicare grew from under 10 percent in 2000 to about 75 percent in 2012.
This DataWatch updates those results through 2016, revealing a slowing
in and even a reversal of the divergence between private and public
(Medicare and Medicaid) payment rates. Read More >>

AFFORDABLE CARE ACT

Terminating Cost-Sharing Reduction Subsidy Payments: The Impact Of
Marketplace Zero-Dollar Premium Plans On Enrollment

By Coleman Drake and David M. Anderson

The termination of cost-sharing reduction subsidy payments to insurers
in 2017 resulted in a proliferation of Marketplace plans having
zero-dollar premiums in 2018 and 2019. In this study Coleman Drake and
David Anderson examined whether a zero-price effect exists in potential
enrollees' decisions to become insured in the Marketplaces. Read More
>>

Read the January 2020 Table of Contents

**Subscribe to**Health Affairs

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A CLOSER LOOK-Rural Health

Rural hospitals are closing, and many Americans are losing access to
health care. A recent Heath Affairs article explains that monitoring and
improving rural health is challenging because of varied and conflicting
concepts of just what rural means
. The
authors evaluate the challenges and implications of definitions that
inadequately encompass rural people and places.

HEALTH AFFAIRS CAREER OPPORTUNITY

Editorial Assistant/Coordinator

Health Affairs has an immediate opening for an editorial
assistant/coordinator

in its Bethesda, Maryland, office. The position provides:

* support for editorial information and project management needs

* technical assistance to users of editorial databases

* editorial/production support for Health Affairs Blog

Please visit our website

for a position description and information on how to apply.

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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.

Copyright © Project HOPE: The People-to-People Health Foundation, Inc.

Health Affairs, 7500 Old Georgetown Road, Suite 600, Bethesda, MD 20814, United States

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