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Health Affairs' Jeff Byers is joined by Frank McStay of Duke Margolis Institute for Health Policy to discuss the results of a recent CMS report that explores the impacts of the Medicare Shared Savings Program (MSSP) in 2023 and beyond.
Health Affairsâs Research and Justice For All podcast returns for its second season, focusing on drivers of health.Bookmark Health Affairs Forefront to keep an eye out for future articles from guest Frank McStay and colleagues.
PRESS RELEASE: Medicare Shared Savings Program Continues to Deliver Meaningful Savings and High-Quality Health CareBuilding On CMS's Accountable Care Vision To Improve Care For Medicare Beneficiaries (Health Affairs Forefront)Do Teams Work Better Than Solo Providers? Spoiler Alert: Yes (A Health Podyssey)
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Health Affairs' Jeff Byers is joined by Jason Resendez, President and CEO of the National Alliance for Caregiving, to discuss the recent finalization of CMS's 2025 Medicare Physician Fee Schedule and how these policies will impact family caregivers and the integration of these individuals into the health care system.
Health Affairsâs Research and Justice For All podcast returns for its second season, focusing on drivers of health. Check out the first episode.
Check out the 200th episode of A Health Podyssey featuring Leemore Dafny of the Harvard Business School discussing vertical integration.
Join Health Affairs on November 20 for a virtual event with John Bowblis examining how the loss of public health emergency funds challenges the financial viability of nursing homes.Related Articles:
PRESS RELEASE: HHS Finalizes Physician Payment Rule Strengthening Person-Centered Care and Health Quality Measures 11/20/2024: Caregiver Nation Summit (Agenda and Virtual Attendance Options)Subscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers is joined by Deputy Editor Chris Fleming and Zachary Baron of Georgetown University's O'Neill Institute to discuss what the outcome of the 2024 US Presidential Election could mean for future health care decisions.
Order the November 2024 issue of Health Affairs with a focus on health insurance, pharmaceuticals, and more.
Check out a recent episode of A Health Podyssey featuring author Janice Jhang discussing her recent paper from the November 2024 issue that explores how regulatory and market forces are driving adoption of biosimilars.Join Health Affairs on November 20 for a virtual event with Senior Editor Kathleen Haddad and author John Bowblis examining how the loss of public health emergency funds challenges the financial viability of nursing homes.
Related Articles from Zachary Baron:
New Lawsuit Threatens Affordable Care Actâs Employer Shared Responsibility Provisions (Health Affairs Forefront)Supreme Court Overrules Chevron Doctrine: Ripple Effects Across Health Care (Health Affairs Forefront)Another Administration Win In Medicare Drug Price Negotiation Lawsuits (Health Affairs Forefront)Subscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers welcomes Senior Deputy Editor Rob Lott back to the program to discuss the 2024 election on the state level with ballot initiatives focused on reproductive health, cannabis restrictions, Medicaid work requirements, and more.
Check out our upcoming events:
11/7/2024 - BRIEFING: Financial Integration of Medicare and Medicaid: Necessary But Not Sufficient (Open to All)11/20/2024 - JOURNAL CLUB: Nursing Home Financial Stability and Funding Challenges (Health Affairs Insiders Exclusive Event)
HEALTH POLICY BRIEF: Direct Democracy And Population Health: Making Health Policy Through State Ballot Initiatives (Health Affairs)
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Health Affairs' Jeff Byers welcomes Senior Editor Leslie Erdelack back to the program to discuss the current state of retail clinics within retailers such as Walgreens, CVS, and Walmart, the challenges these operations have faced, and what the future implications for consumers might be as some retailers shutter some arms of these operations.
Check out our 2024 Election Collection available from Health Affairs with featured paywalled content made available for $39.95.
Related Articles:
Why Retail Health Clinics Failed (Harvard Business Review)Why Walmart, Walgreens, CVS retail health clinic experiment is struggling (CNBC)CVS and Walgreens are ailing. Hereâs why (NPR)Subscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers welcomes Senior Editor Ellen Bayer to the program to take a closer look at the health care-related topics tied to the upcoming US presidential election. The two cover home care, reproductive health, drug pricing, and more throughout their conversation.
RSVP for our upcoming Journal Club Event on 10/21 featuring an examination on the timing of new drug launches in low-, middle-, and high-income markets from 1982 to 2024.
Check out our 2024 Election Collection available from Health Affairs with featured paywalled content made available for $39.95.
This week, Forefront debuted a new series focusing on "Ethics and Health System Change." The first article from M Gregg Bloche can be read here and information about submitting articles for the symposium can be found through our submission portal.
Related Articles:
Eye on The IRA series (Health Affairs)2024 Election Collection (Health Affairs)PBMs. What Are They Hiding? w/ Stacie Dusetzina (Health Affairs This Week)Rachel Sachs Explains the FTC's Pharmacy Benefit Manager Lawsuit & PBM Reform (Health Affairs This Week)Subscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers welcomes Senior Editor Michael Gerber back to the program to discuss Medicare open enrollment, the newly-announced 2025 Medicare Advantage and Part D Star Ratings, and how large insurance companies may be scaling back Medicare Advantage product offerings.
Check out the October 2024 issue of Health Affairs.
RSVP for our upcoming Journal Club Event on 10/21 featuring an examination on the timing of new drug launches in low-, middle-, and high-income markets from 1982 to 2024.
Check out our 2024 Election Collection available from Health Affairs with featured paywalled content made available for $39.95.
In preparation of our November 2024, explore a new ahead-of-print article from Gary Claxton and coauthors on employer strategies for covering GLP-1 agonists, mental health, substance use, and other family benefits as employer-sponsored health insurance premiums continue to increase.Related Articles:
PRESS RELEASE FROM CMS NEWSROOM: 2025 Medicare Advantage and Part D Star RatingsMedicare Advantage Supplemental Benefits: Origins, Evolution, And Issues For Policy Making (Health Affairs Forefront)Subscribe to UnitedHealthcare's Community & State newsletter.
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This episode was originally published on June 14, 2024.
Health Affairs' Jeff Byers is joined by Michael Chernew to discuss the recently released National Health Expenditures Projections for 2023â32 from the Office of the Actuary (OACT) at the Centers for Medicare and Medicaid Services (CMS).
Join us for these upcoming events:
6/18/24 - Journal Club: âCommunity Power-Building Groups And Public Health NGOs: Reimagining Public Health Advocacyâ7/10/24 - Lunch and Learn: Supreme Court Wrap-UpRelated Articles:
National Health Expenditure Projections, 2023â32: Payer Trends Diverge As Pandemic-Related Policies Fade (Health Affairs)National Health Expenditure Data from CMSSubscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers is joined by Deputy Editor Chris Fleming and Rachel Sachs of Washington University, St. Louis to discuss a recent lawsuit filed by the Federal Trade Commission (FTC) against the three largest pharmacy benefit managers (PBMs) in the country for rebating practices that the FTC claims resulted in inflating the list price of insulin.
Health Affairs just released an Election 2024 resource hub for research and studies associated with key issues in the upcoming US presidential election.
Related Articles:
PBMs. What Are They Hiding? w/ Stacie Dusetzina (Health Affairs This Week)FTC sues major pharmacy benefit managers over insulin prices (Healthcare Dive)The Implications Of Rutledge v. PCMA For State Health Care Cost Regulation (Health Affairs Forefront)Subscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers welcomes Brad Ryan, MD, Chief Growth Officer at NCQA, to the program to discuss the evolving state of EHRs, who owns the data, whether providers are excited about data standards, and what opportunities could be out there as health care embraces more digital efforts and arrangements.
Health Affairs released an ahead-of-print article this week by Gillian K. SteelFisher and coauthors examining the public awareness and perceptions of Paxlovid as well as discovering that a majority of Americans have limited awareness of the at-home COVID-19 treatment.Order the September 2024 issue of Health Affairs.
Related Articles:
Digital Quality Transition Hub from NCQAElectronic health records giant Epic Systems sued over alleged monopolistic practices (Stat+)Subscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers welcomes Senior Editor Kathleen Haddad back to the program to discuss the upcoming 2024 open enrollment season for Medicare and what changes to expect with recent news that large insurance companies may be scaling back Medicare Advantage offerings in the coming year.
Learn more about our upcoming events in September:
9/24 - Briefing: The Future of Telehealth and Its Impact on Primary Care (open to all)9/25 - Journal Club: Biosimilars and Their Impacts on Costs and Market Choices (Insider Exclusive)Related Articles:
Medicare Advantage Supplemental Benefits: Origins, Evolution, And Issues For Policy Making (Health Affairs Forefront)Call For Forefront Submissions on Supplemental Benefits In Medicare AdvantageMedicare Advantage vendors brace for supplemental benefits cuts (Modern Healthcare)Cigna to cut Medicare Advantage plans in several states (Modern Healthcare)Subscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Deputy Editor Jessica Bylander to the program to discuss a recent health advisory issued by US Surgeon General Vivek Murthy declaring parental stress as a public health challenge. They also discuss the Murthy's focus on social media and its impact on mental health.
Learn more about our upcoming events in September:
9/24 - Briefing: The Future of Telehealth and Its Impact on Primary Care (open to all)9/25 - Journal Club: Biosimilars and Their Impacts on Costs and Market Choices (Insider Exclusive)Sign up for our free newsletters to never miss an event, an article, podcast, or health policy brief.
Related Articles:
US Surgeon General Advisory on Parental Mental Health & Well-Being | HHS Press ReleaseSurgeon General: Why Iâm Calling for a Warning Label on Social Media Platforms (The New York Times)Higher COVID-19 Vaccination and Narrower Disparities in US Cities with Paid Sick Leave Compared to Those Without (Health Affairs)State Mandatory Paid Sick Leave Associated With a Decline in Emergency Department Use in the US, 2011-19 (Health Affairs)High Job Flexibility and Paid Sick Leave Increase Health Care Access and Use Among US Workers (Health Affairs)Subscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Deputy Editor Chris Fleming to the program to discuss the latest hurdle to the FTC's attempt to ban noncompete agreements in employment contracts, and what the implications are for the health care industry.
This week, Health Affairs released their September 2024 issue focusing on access to care, coverage, & more.
Read the issue here and order your copy today!
Health Affairs also published a new health policy brief from Paula Lantz and Emma Carter about the role of direct democracy in state policy making as it relates to the drivers of population health and health disparities.
Related Articles:
The FTC's Noncompete Rule: Legal Challenges And Potential Solutions For Physician Markets (Health Affairs Forefront)Judge strikes down FTC noncompete ban nationwide (Healthcare Dive)Fight over health noncompete pacts far from over (Axios)Subscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Seth Berkowitz of University of North Carolina at Chapel Hill School of Medicine to the program to discuss his recent book "Equal Care: Health Equity, Social Democracy, and the Egalitarian State," which offers a vision for the future of health equity by examining the social mechanisms that link injustice to poor health.
Order the September 2024 issue of Health Affairs.Check out A Health Podyssey to hear further insights from authors featured in our journal.
Learn more about Seth's book.Related Articles:
Unconditional Cash Study (OpenResearch)Food Insecurity Was Associated With Greater Family Health Care Expenditures In The US, 2016â17 (Health Affairs)Unmet Social Needs And Worse Mental Health After Expiration Of COVID-19 Federal Pandemic Unemployment Compensation (Health Affairs)Food Insecurity, Missed Workdays, And Hospitalizations Among Working-Age US Adults With Diabetes (Health Affairs)Subscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Senior Editor Ellen Bayer to the program to discuss the ongoing progress of the Inflation Reduction Act of 2022, how it's being implemented, and how we can best evaluate the Medicare Drug Price Negotiation Program.
Health Affairs will be hosting a virtual Journal Club event on Tuesday, August 27, entitled "Coverage of Anti-Obesity Medicines Could Increase Medicare Spending By Billions" featuring author Benedic Ippolito discussing his recent paper on the topic.
This event is exclusive to our Health Affairs Insiders.
If you have yet to become an Insider, sign up today to stay up-to-date on what health care experts are thinking and talking about.
Related Articles:
Is It Working? Evaluating The First Round Of Medicare Drug Price Negotiations (Health Affairs)FACT SHEET: Biden-â Harris Administration Announces New, Lower Prices for First Ten Drugs Selected for Medicare Price Negotiation to Lower Costs for Millions of AmericansThe First-Ever Government Negotiation Process For Drugs Has Finished, But The Politics Are Ongoing (Health Affairs Forefront)FAQs about the Inflation Reduction Actâs Medicare Drug Price Negotiation Program (KFF)Explaining the Prescription Drug Provisions in the Inflation Reduction Act (KFF)Subscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Senior Editor Leslie Erdelack back to the program to discuss recent cybersecurity events that have affected both health care businesses and patients alike, prevention measures, and what does a provider do when their technology tools aren't working.
This week, Health Affairs published two ahead-of-print articles. You can check those out below:
Is It Working? Evaluating The First Round Of Medicare Drug Price Negotiations Expanding Medicare Coverage Of Anti-Obesity Medicines Could Increase Annual Spending By $3.1 Billion To $6.1 BillionRelated Articles:
FACT SHEET: Biden-â Harris Administration Bolsters Protections for Americansâ Access to Healthcare Through Strengthening CybersecuritySubscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Stacie Dusetzina of Vanderbilt University back to the program to discuss an interim staff report released by the Federal Trade Commission (FTC) about the impact that pharmacy benefit managers (PBMs) have on the accessibility and affordability of prescription drugs.
Check out the August 2024 issue of Health Affairs.RSVP for our upcoming Age-Friendly Health Briefing entitled "What Do Recent Nursing Home Developments Mean for Residents, Families, and the Future of Long-Term Care?" in partnership with The John A. Hartford Foundation.
Become an Insider to not miss out on Stacie Dusetzina's exclusive newsletter, Policy Prescription, which focuses on drug pricing.
Related Articles:
PRESS RELEASE: FTC Releases Interim Staff Report on Prescription Drug MiddlemenMerging Medical And Drug Benefits: Seeing The Whole Picture (Health Affairs Forefront)Three Key Ways To Strengthen Proposed Pharmacy Benefit Manager Regulations (Health Affairs Forefront)Subscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Senior Editor Marianne Amoss to the program to explore the state of maternal health in health care and what a recent policy proposal from CMS could do to reduce maternal mortality and advance health equity.
RSVP for our upcoming Age-Friendly Health Briefing entitled "What Do Recent Nursing Home Developments Mean for Residents, Families, and the Future of Long-Term Care?" in partnership with The John A. Hartford Foundation.Become an Insider to not miss out on Stacie Dusetzina's exclusive newsletter, Policy Prescription, which focuses on drug pricing.
Related Articles:
PRESS RELEASE: Biden Harris Administration Proposes Policies to Reduce Maternal Mortality, Advance Health Equity, and Support Underserved Communities (CMS)How bad is maternal mortality in the U.S.? A new study says it's been overestimated by Selena Simmons-Duffin (NPR)Subscribe to UnitedHealthcare's Community & State newsletter.
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Subscribe to UnitedHealthcare's Community & State newsletter.
Health Affairs' Jeff Byers welcomes Senior Deputy Editor Rob Lott to the program to discuss a recent policy proposal that would result in prohibiting medical debt from being included in credit reporting and how the upcoming presidential election could play into the policy's implementation.
Read our "ahead-of-print" article on how adverse childhood experiences and health care utilization and expenditures.
Check out this year's You're A Health Policy Wonk If... contest!Submit an abstract for our upcoming theme issue focusing on Food, Nutrition, and Health. Submissions are due by Monday, July 29th.
Submit an article for the Forefront series "Supplemental Benefits in Medicare Advantage." Submissions will be taken on a rolling basis through June 2025.
Related Articles:
FACT SHEET: Vice President Harris Announces Proposal to Prohibit Medical Bills from Being Included on Credit Reports and Calls on States and Localities to Take Further Actions to Reduce Medical DebtIllness And Injury As Contributors To Bankruptcy (Health Affairs)Medical Bankruptcy: Dranove And Millenson Respond (Health Affairs)The Joint Distribution Of High Out-Of-Pocket Burdens, Medical Debt, And Financial Barriers To Needed Care (Health Affairs)HEALTH POLICY BRIEF: Health, Income, & Poverty: Where We Are & What Could Help (Health Affairs)Subscribe to UnitedHealthcare's Community & State newsletter.
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Health Affairs' Jeff Byers welcomes Senior Editor Leslie Erdelack to the program to discuss FDA's recent approval of an Alzheimer's treatment drug, Lillyâs Kisunla, how private insurers and Medicare may cover the drug, and the emerging new class of drugs surrounding Alzheimer's treatment.
We announced the winner for our You're A Health Policy Wonk If... contest this week!
Until July 20, we are having a flash sale on Health Affairs Insider membership. Use the code HealthWonkLife for $30 off the normal Insider price.
Check out our Request For Abstracts page for the April 2025 theme issue focusing on Food, Nutrition, and Health.Related Articles:
Approval of Newest Alzheimerâs Drug Will Accelerate New Era of Treatment by Peter Loftus and Joseph Walker (Wall Street Journal)Press Release: Lilly's Kisunla Approved by the FDA for the Treatment of Early Symptomatic Alzheimer's DiseaseSubscribe to UnitedHealthcare's Community & State newsletter.
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