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

**Friday, January 24, 2020**

TODAY ON THE BLOG

ACCESS TO CARE

From Hospital To Home: Why Nutrition Counts

By Wendy Everett, Christina Badaracco, and Sharon McCauley

It is time to recognize the essential role that nutrition plays in
health and make policy and clinical practice changes to carry out
effective post-hospital nutrition care. Read More >>

DISEASES

One Step Closer To Ending Leprosy

By Ann Aerts

While we still don't know everything there is to know about leprosy,
we do know that we already have the tools, the partnership models, and
the evidence to be able to put the world on a path toward eradication.
Read More >>

IN THE JOURNAL

COSTS & SPENDING

National Health Care Spending In 2018: Growth Driven By Accelerations In
Medicare And Private Insurance Spending

By Micah Hartman, Anne B. Martin, Joseph Benson, Aaron Catlin, and
The National Health Expenditure Accounts Team

This new analysis from the Office of the Actuary at the Centers for
Medicare and Medicaid Services estimates that in 2018 health care
spending in the United States grew at a rate of 4.6 percent to $3.6
trillion, or $11,172 per person. The 4.6 percent growth rate in 2018 was
faster than that of 4.2 percent in 2017 but was equal to the rate in
2016. The 0.4-percentage-point acceleration in overall growth in 2018
was driven by faster growth in private health insurance spending and
Medicare. For the second year in a row, the number of uninsured people
increased by 1.0 million, reaching 30.7 million in 2018. Read More >>

HOSPITALS

Out-Of-Network Billing And Negotiated Payments For Hospital-Based
Physicians

By Zack Cooper, Hao Nguyen, Nathan Shekita, and Fiona Scott Morton

Most recently, attention on out-of-network billing has been focused on
patients receiving large, unexpected physician bills. However, the
impact of out-of-network billing on total health care spending is also
significant, according to Zack Cooper and coauthors from Yale
University. Analyzing data from a large commercial insurer, the authors
found that at in-network hospitals, 11.8 percent of anesthesiology care,
12.3 percent of care involving a pathologist, 5.6 percent of claims for
radiologists, and 11.3 percent of cases involving an assistant surgeon
were billed out of network. Read More >>

Read the January 2020 Table of Contents

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A CLOSER LOOK-Gender Minority Patients

Rigorous studies describing the health and health care use of gender
minority (transgender or gender nonbinary) people are scarce. A Health
Affairs journal article identifies gender minority patients' health
and health care needs in administrative claims data
.

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About Health Affairs

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Sunday Update .  

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published Health Affairs since 1981.

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