GESTIÓN EN SALUD PÚBLICA

domingo, 1 de marzo de 2026

Congress Has Preserved The Substance Abuse And Mental Health Services Administration (SAMHSA). What’s Next For Substance Use Care? Yngvild Olsen Sunny Patel February 25, 2026

https://www.healthaffairs.org/content/forefront/congress-has-preserved-substance-abuse-and-mental-health-services-administration-samhsa Ms. B (identified by first initial of last name for privacy) had never told anyone about the sexual abuse she had suffered at the hands of her uncle as a young child. For years during her adolescence, the secret festered, driving her to run away from home, drop out of school, and begin drinking and taking opioids to numb the pain.

We Must Protect The Only National Data On Preventable Maternal Deaths Cindy L. Herrick Rizwana Biviji Karen Tabb Dina February 23, 2026

https://www.healthaffairs.org/content/forefront/we-must-protect-only-national-data-preventable-maternal-deaths The United States has the highest maternal mortality rates (18.6 deaths per 100,000 live births) among high-income nations, a grim statistic that reflects a major public health crisis. Maternal mortality is recognized as a key indicator of public health, and each maternal death carries a profound societal and economic impact. Data from Maternal Mortality Review Committees (MMRCs), multidisciplinary groups that convene at the state or local level to comprehensively review deaths that occur during or within 1 year of the end of pregnancy, now provide the nation’s clearest understanding of pregnancy-related deaths, defined as deaths during pregnancy or within one year postpartum caused by pregnancy complications, pregnancy-initiated events, or the exacerbation of an existing condition by pregnancy. Most critically, MMRC data provide preventability factors, measures, and recommendations for change.

Leveraging Tech-Enabled Innovation To Support Medicaid Enrollees In Navigating Work Requirements Kelsey Brykman Veenu Aulakh Allison Hamblin Nida Joseph February 25, 2026

https://www.healthaffairs.org/content/forefront/leveraging-tech-enabled-innovation-support-medicaid-enrollees-navigating-work Recent federal shifts in Medicaid policy require state agencies to operate more efficiently amid fewer resources. The 2025 budget reconciliation bill (H.R.1) introduces work and community engagement requirements for certain Medicaid enrollees. Other H.R.1 provisions—such as shortened periods for retroactive Medicaid coverage, more frequent eligibility checks, and new limits on state use of provider taxes and state-directed payments—will increase administrative costs and reduce Medicaid funding. In this complex policy landscape, Medicaid agencies must manage these new resource constraints in ways that minimize coverage loss for Medicaid beneficiaries and reimbursement risks to providers, while still delivering high-quality health care.

Medicare Advantage At 25 Years: Reclaiming A Public Purpose Sachin H. Jain February 23, 2026

https://www.healthaffairs.org/content/forefront/medicare-advantage-25-years-reclaiming-public-purpose In 1997, Congress created what would later become Medicare Advantage, then known as Medicare+Choice. Enrollment began in 1999, with coverage starting in 2000. Twenty-five years later, Medicare Advantage has become the dominant pathway through which Americans receive Medicare benefits, enrolling more than half of all beneficiaries nationwide. Few health policy efforts have reshaped the Medicare program so profoundly or so quickly.

When ChatGPT Health Becomes The Health Record For Direct-To-Consumer Care Ashwini Nagappan February 24, 2026

https://www.healthaffairs.org/content/forefront/chatgpt-health-becomes-health-record-direct-consumer-care On January 7, OpenAI introduced ChatGPT Health, a separate tab within ChatGPT where users are invited to upload their medical records and consumer health data to receive more personalized answers to health-related questions.