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

**Wednesday, January 15, 2020**

TODAY ON THE BLOG

FOLLOWING THE ACA

Federal Circuit Hears Oral Argument Over Unpaid CSRs

By Katie Keith

On January 9, 2020, a three-judge panel of the Court of Appeals for the
Federal Circuit held oral argument in four consolidated cases over
whether insurers are entitled to unpaid cost-sharing reduction payments.
Read More >>

ACA Round-Up: Enrollment Numbers, New 1332 Guidance, QHP Enrollee Survey
FAQ
By Katie Keith

In the first two weeks of January 2020, the Centers for Medicare and
Medicaid Services has released updated enrollment numbers for
HealthCare.gov, updated resources on pass-through funding for Section
1332 waivers, and a new frequently asked question on reporting
requirements for the 2020 qualified health plan (QHP) enrollee
experience survey.
Read More >>

HEALTH EQUITY

Implicit Bias Curricula In Medical School: Student And Faculty
Perspectives

By Swapna Reddy, Stephanie Starr, Sharonne Hayes, Joyce Balls-Berry,
Mary Saxon, Matthew Speer, Jessica Todsen, Johanny Lopez Dominguez, and
Natalia Wilson

Including implicit bias curricula in medical education is a crucial
proactive opportunity in developing future physicians who can contribute
to a more equitable health care system. Read More >>

Beyond Racial Bias: Rethinking Risk Stratification In Health Care

By Leonard W. D'Avolio

A recent study by Ziad Obermeyer and colleagues in

**Science** identified a racial bias in a risk stratification algorithm
that is used to prioritize patients for care management. This study and
the concerns it raised offer an opportunity to carefully consider
unintended consequences of the prevalent approaches of stratifying risk
to find a new way forward. Read More >>

It's Time To Address The Role Of Implicit Bias Within Health Care
Delivery

By Shantanu Agrawal and Adaeze Enekwechi

We propose a few solutions that can help to drive continued gains in
health equity and address factors internal and external to delivery
systems. We envision two main leverage points to address equity: the
health care workforce and the use of data and performance measurement
coupled with payment policies. Read More >>

IN THE JOURNAL

BEHAVIORAL HEALTH CARE

Trends In Opioid Prescribing And Self-Reported Pain Among US Adults

By Mark Olfson, Shuai Wang, Melanie M. Wall, and Carlos Blanco

Mark Olfson and coauthors evaluated data from the Agency for Healthcare
Research and Quality about opioid prescribing for the years 2014-16.
Among the key findings: In 2016, 24.91 million adults were prescribed
Schedule II or III opioids-a significant decrease from 2014, when
30.87 million adults were prescribed them. According to the authors,
this decrease occurred among both those experiencing severe or moderate
pain and patients with lesser pain. Read More >>

Read the January 2020 Table of Contents

**Subscribe to**Health Affairs

**for full journal access**

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HEALTH AFFAIRS EVENTS-PAST EVENT:  Violence & Health

Violence permeates our society with consequences for victims,
perpetrators, and communities alike. Even as media attention tends to
focus on incidents of mass violence, it is the daily burden of violence
in its many forms that takes the greater toll.

Get caught up with the DC event:  slides

(click on Download Event), video
, and
podcast
. Get
caught up with the Los Angeles event:  slides
,
video
, and
podcast
.
Access the October PRINT

or ONLINE

issue.

A CLOSER LOOK-Alcohol-Related Deaths

Researchers who analyzed US mortality data found that almost 1 million
alcohol-related deaths were recorded between 1999 and 2017.
Alcohol-related deaths have doubled since 1999. A Health Affairs journal
article centers on the importance of expanding access to local
sober-living homes and recovery residences
to combat
addiction In rural communities.

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About Health Affairs

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at the intersection of health,
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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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