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

**Monday, January 13, 2020**

IN THE JOURNAL

EYE ON HEALTH REFORM

Texas Ruling Brings More ACA Uncertainty

By Katie Keith

Katie Keith reviews the history of Texas v. United States, a case
concerning the constitutionality of the Affordable Care Act (ACA). The
recent Fifth Circuit Court of Appeals ruling remands the case back to
the district court for further consideration. Keith notes that this
decision could delay the resolution of the case, particularly if the
Supreme Court declines to hear an appeal made by twenty-one Democratic
attorneys general-which could lead to years of future litigation.

The Supreme Court is also considering another ACA lawsuit over unmade
risk-corridor payments arguably owed to insurance companies by the
Department of Health and Human Services. Keith observes that while the
justices peppered both sides with challenging questions during the oral
arguments, they appeared more sympathetic to the insurers' contention
that the government was obligated to make full payments regardless of
mitigating circumstances. Read More >>

Read the January 2020 Table of Contents

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**for full journal access**

TODAY ON THE BLOG

HEALTH REFORM

Five Health Care Trends For 2020

By Susan DeVore

There are some clear trends on the horizon that could fundamentally
alter the health care narrative well into the next decade. Read More >>

ACCESS TO CARE

Why Aren't More Patients Electronically Accessing Their Medical
Records
(Yet)
?
By Christine Bechtel, Lygeia Ricciardi, Dave deBronkart, Casey Quinlan,
and Donna Cryer

It's time to make a dramatic shift to a world in which patient data is
no longer a closely held business asset, but a private (for use by the
individual!) and public good. Read More >>

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HEALTH AFFAIRS EVENTS-Save The Dates

Affordable Care Act at 10 - March 10

Practice of Medicine - March 12

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when there's more information available on these events.

A CLOSER LOOK-Homelessness

California Gov. Gavin Newsom unveiled a budget plan Friday that includes
more than $1.4 billion for providing emergency housing and health care
for the homeless. A Health Affairs journal article evaluates the effects
of homelessness on health, health care use, and health care spending
during the early years of life
.

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About Health Affairs

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at the intersection of health,
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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
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health care workers to save lives across the globe. Project HOPE has
published Health Affairs since 1981.

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