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Friday, January 13, 2023 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

In case you missed it, yesterday we released the first episode of the new Pathways podcast series. In "A Disproportionate Share," NYC Health + Hospitals' Michael Shen, a primary care doctor and Chief Creative Officer for the medical education podcast Core IM, explores safety-net hospitals and how we pay for them.
Risk Adjustment & Equity
In their new Health Affairs article, J. Michael McWilliams and coauthors examine spending among community dwelling, fee-for-service Medicare beneficiaries with an eye to risk adjustment methods.

Risk adjustment methods, the authors argue, “should encourage the desired level and distribution of spending, not entrench the status quo.”

To advance equity, the authors suggest that payments must be set above current levels of spending for historically disadvantaged groups.

The article indicates that the risk-adjusted spending for Black and Hispanic populations is lower than spending for White beneficiaries despite the former populations’ worse risk-adjusted health and functional status.

Overall, the authors find that adding social factors to the Hierarchical Conditions Categories (HCC) model can entrench health disparities instead of reducing them, by lowering population-based payments to more accurately predicted levels of spending.
University of Miami Herbert Business School Health Care Conference

The University of Miami Herbert Business School holds its 12th annual Business of Health Care Conference on February 24. Industry leaders will tackle cost, staffing, access, consolidation, technology, and other pressing challenges. Participate in person or via livestream in this signature event hosted by a leader in health management education.

Sponsored by The University of Miami Herbert Business School
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Elsewhere At Health Affairs
In Forefront, Michael Hodin writes that two global trends are on a collision course to upend decades of medical progress and health outcomes: antimicrobial resistance and our rapidly aging society.

Helen DuPlessis and coauthors argue that equitable access to and uptake of monoclonal antibodies, particularly in Medicaid where the impact of respiratory syncytial virus (RSV) falls disproportionately on low-income children, will be best achieved by coverage in the Vaccines for Children program.

Enjoying Forefront? Bookmark our website and never miss an article.
Leqembi & Health Equity

In the first episode of the "Health Equity Corner" series on This Week, Health Affairs' Ryann Tanap and Vabren Watts discuss the latest from the health equity department and unpack what Leqembi, the newly approved Alzheimer's disease drug, could mean in the health equity space.

 
 
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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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