Forefront: Health Care Affordability
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Thursday, February 16, 2023 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

Join us for our first virtual happy hour on Tuesday, February 28.

Insiders from across the country will have the opportunity to network with other Health Affairs Insiders, health policy professionals, and members of the Health Affairs senior leadership team. Become an Insider today.
Dialysis Networks In Medicare Advantage
When the 21st Century Cures Act went into effect in January 2021, it permitted people with end-stage renal disease (ESRD) to enroll in Medicare Advantage (MA).

Eunhae Oh and coauthors analyze the dialysis facility networks for MA plans in 2020, one year before the act significantly increased MA enrollment among patients with ESRD.

Nearly one-quarter of dialysis networks were narrow, which Oh and coauthors defined as including 25 percent or fewer of dialysis facilities within the plan’s service area.

The authors also report that Hispanic, Asian/Pacific Islander, and American Indian/Alaska Native beneficiaries with ESRD were more likely than White beneficiaries to be enrolled in narrow-network MA plans.

Visit our website to read more about the policy implications of their findings.
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Elsewhere At Health Affairs
Today in Forefront, Bryan Dowd and Tim McDonald explain the meaning of the "iron triangle" in health policy and describe how "discriminant" coverage designs could reduce spending without reducing quality or access.

Bill Frist, one of the cochairs of the Health Affairs Council on Health Care Spending and Value, published an article in Forbes discussing administrative waste and inefficiencies in US health care spending.

Frist's article is the first in a four-part series on the Health Affairs Council on Health Care Spending and Value’s newly released report, "A Road Map for Action."
During Black History Month, we're highlighting influential Black voices and organizations who have made an impact on health equity and policy.

Did you know? When a group of Black doctors sought membership into the American Medical Association in the late 1800s, they were repeatedly denied. In 1895, they formed the National Medical Association.

In 1908, the NMA began publishing the Journal of the National Medical Association. The NMA is now the largest and oldest national organization representing African American physicians and their patients.

Paid For By UnitedHealthcare

Community & State is the business segment of UnitedHealthcare that provides health care coverage for the economically disadvantaged, the medically underserved and those without the benefit of employer-funded health plans. These state-based health plans meet local needs, while leveraging the national resources of UnitedHealthcare.
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Daily Digest
How well do you know health policy?

Every week, we'll send out a quiz question covering Health Affairs history and health policy trivia. Test your knowledge today on the question below:

What is the phone number to the national mental health hotline?

  • 911
  • 977
  • 988
  • 999
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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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