HEALTH AFFAIRS健康事务
HEALTH AFFAIRS(英文缩写 HEALTH AFFAIR),ISSN 0278-2715,eISSN 0278-2715,中文译名:健康事务 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 9.048 | Q1 |
| 2022 | 9.700 | Q1 |
| 2023 | 8.600 | Q1 |
| 2024 | 8.100 | Q1 |
| 2025 | 6.700 | Q1 |
HEALTH AFFAIRS 最新收录文献
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1. Real-World Brinkmanship In Hospital-Insurer Negotiations.
1. 医院与保险公司谈判中的现实边缘政策PMID:日期:2026-09-23Hospital prices for Americans with commercial health insurance are determined through thousands of negotiations between hospitals and insurers. Threats of network departicipation (brinkmanship) in these negotiations may help parties secure more favorable terms. We studied 14,918 relationships between 3,772 unique hospitals and 92 unique in-market insurers to better understand the relationships among organizational characteristics (including market conditions), public brinkmanship, and departicipation. We documented 1,249 episodes of public brinkmanship, corresponding to about 8 percent of hospital-insurer relationships, for contracts ending between August 2021 and July 2025. About 28 percent of these public threats culminated in withdrawal. Profitable hospitals, for-profit hospitals, and hospitals commanding relatively high prices were most likely to engage in public brinkmanship; national insurers were more likely to engage in brinkmanship than single-state or regional insurers. We observed brinkmanship in about 16 percent of relationships where the hospital system and insurer each controlled roughly 25-45 percent and 30-45 percent of local beds and commercial lives, respectively. Our findings emphasize the importance of local contexts in shaping hospital-insurer relationships. Policy makers should assess the effectiveness of aggressive negotiations as a means to control costs and the impact of brinkmanship and departicipation on consumers' access and experiences.
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2. US Health Care Financing: Tax, Premium, And Out-Of-Pocket Contributions Among Tax Filers, 2023.
2. 美国医疗保健融资：2023年纳税申报者的税收、保费和自付费用贡献PMID:日期:2026-09The United States spends more on health care than any other country, yet its fragmented financing structure masks the full financial burden that individuals bear through taxes, premiums, and out-of-pocket payments. A sizeable number of people contribute to the health care financing of others while they themselves remain uninsured. This cross-sectional study used 2023 Current Population Survey Annual Social and Economic Supplement data to quantify health care contributions among US tax filers, by income quintile, payment type, and sociodemographic characteristics. Although total contributions were higher at each successive income quintile, out-of-pocket spending fell disproportionately on lower-income and sicker people. Uninsured tax filers younger than age sixty-five contributed approximately 64 percent of what their insured counterparts paid, despite lacking coverage. Virtually all tax filers contributed to US health care financing through its public financing streams, yet many remained exposed to significant financial risk or lacked coverage altogether. This reflects the fragmented structure of US health care financing, where financial contributions are not aligned with coverage or protection from medical costs.
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3. Medicare Advantage Rebates Are Too Large To Be Financed By Reductions In Plans' Medical Spending Alone.
3. 联邦医疗保险优势计划的退款规模过大，仅靠削减计划的医疗支出无法为其提供资金PMID:日期:2026-09Medicare Advantage (MA) rebates are financed by plans' reductions in medical spending, program features such as quality bonuses, and unintended aspects of program operation such as coding and selection. We used the statutory rebate formula and 2024 Centers for Medicare and Medicaid Services administrative data to simulate implied rebates when assuming plan spending reductions of the magnitude suggested by the literature. With no unintended financing from MA coding intensity or selection in MA, we found that implied rebates were well below observed levels. For example, implied rebates ranged from $74 per member per month (assuming that MA has 15 percent lower medical spending and 15 percent administrative costs) to $152 per member per month (assuming 20 percent lower spending and 10 percent administrative costs) compared with an observed average rebate of about $211 per member per month in 2024. When we incorporated coding and selection effects of the magnitude estimated by the Medicare Payment Advisory Commission, implied rebates increased substantially and aligned with observed 2024 rebates. These findings suggest that current MA rebates are difficult to explain with lower MA spending alone and likely reflect unintended aspects of program operation.
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4. Colorado Braces For Impact As It Prepares To Meet H.R. 1's New Rules.
PMID:日期:2026-09The 2025 federal budget reconciliation legislation, H.R. 1, includes sweeping changes to Medicaid that affect immigrants, Medicaid expansion enrollees, and providers and health systems.
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5. WIC Benefits Issued Remotely Increased Participation, Especially In States With Online Benefit Distribution, 2017-21.
5. 2017-21年，远程发放WIC福利提高了参与率，尤其是在采用在线福利分发的州PMID:日期:2026-09The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides food assistance and nutrition education for pregnant and postpartum women and children younger than age five in low-income households. State policy changes implemented during the COVID-19 pandemic aimed to increase WIC access. This study used national administrative data from the period January 2017-March 2021 and a quasi-experimental difference-in-differences approach to assess the associations between five state-level policy changes and WIC participation rates overall and among women, children (ages 1-4), and infants (under age 1) ( = 2,550 state-months). Remote WIC benefit issuance increased participation rates: States that allowed remote benefit issuance experienced a 10 percent relative increase in total WIC participation compared with states that did not. No other policy changes were independently associated with participation, which may be related to difficulty disentangling single policy effects during the pandemic. Findings from this study suggest that policy makers should consider removing barriers to safety-net programs to increase participation rates among eligible people.
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7. New Medicaid State-Directed Payment Limits Are Likely To Decrease Medicaid Spending By 10-25 Percent In 17 States.
7. 新的医疗补助州定向支付限额可能会使17个州的医疗补助支出减少10-25%PMID:日期:2026-09The 2025 budget reconciliation bill, H.R. 1, limits Medicaid state-directed payment (SDP) reimbursement for four provider types to Medicare-equivalent rates. This study assessed the provision's potential fiscal impact on states based on recent Medicaid spending on SDPs subject to the payment limits. Total Medicaid spending on these payments in thirty-nine states that paid providers at rates higher than Medicare rates averaged $106.3 billion annually during the 2024-25 rating periods, which is 12.5 percent of total fiscal year 2024 Medicaid spending in these states. Spending on SDPs ranged from less than 1 percent of total state Medicaid spending in Maryland to 31 percent in Tennessee. When the analysis was limited to subset of the highest-paying SDP arrangements in thirty-six states, which paid providers at or near the average commercial rate, a reduction of approximately $51.8 billion in annual Medicaid spending across these states might be required, including more than a quarter of total state Medicaid spending in Nebraska, Louisiana, and South Carolina. By reducing Medicaid reimbursement, the new SDP limits-compounded by limits on provider taxes-are likely to create financial strain for providers and threaten Medicaid beneficiaries' access to care.
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8. Broken Teeth And The Quiet Cost Of Caregiving.
8. 破碎的牙齿与照护的无声代价PMID:日期:2026-09When a patient with autism receives dental care, his dentist notices unmet health needs in his mother and caregiver.
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9. Same-Insurer Coverage Associated With Fewer Hospitalizations, More Outpatient Visits Among Dual-Eligible Enrollees.
9. 双重资格参保者中，同一保险公司承保与较少的住院次数和较多的门诊就诊次数相关PMID:日期:2026-09Dual-eligible enrollees who use Medicaid-funded long-term services and supports (LTSS) often face care fragmentation between Medicare and Medicaid benefits. One strategy to improve care coordination is for dual-eligible LTSS users to have both Medicare and Medicaid plans administered by a single insurer. When a single insurer manages both plans, it may have greater financial incentive and operational capacity to coordinate care between programs. Using 2018-21 nationwide Medicare Advantage encounter data and Medicaid claims, we assessed the association between same-insurer coverage and health care use among dual-eligible LTSS users ages sixty-five and older. We found that same-insurer coverage was associated with a lower probability of hospitalization and a higher number of outpatient visits. Our results suggest that same-insurer coverage can reduce acute care use among dual-eligible LTSS users, potentially by improving access to outpatient visits. They support the Centers for Medicare and Medicaid Services' policy direction toward aligning Medicare and Medicaid coverage under the same insurer.
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10. Housing Instability And Acute Care Use Among Veterans Approved For A VA Home Loan And Those Who Were Denied.
10. 获得VA住房贷款批准的退伍军人与被拒退伍军人之间的住房不稳定性和急性护理使用情况PMID:日期:2026-09The Department of Veterans Affairs (VA) home loan program supports veterans in achieving home ownership. This study estimated the causal effects of this program on housing instability and acute care use. A target trial emulation framework was applied to compare propensity score-matched veterans (28,681 per group) approved for or denied VA home loans in fiscal years 2022-24. Survival analyses were performed using data from the Veterans Benefits Administration and the Veterans Health Administration. Veterans approved for VA home loans were less likely to experience housing instability or to use VA acute care compared with veterans denied VA home loans. However, these effects were not significant among veterans with preexisting housing instability and acute care use, respectively. The VA home loan program may prevent housing instability and acute care use among some veterans, demonstrating the value of affordable, government-backed home loans for health.