GESTIÓN EN SALUD PÚBLICA: marzo 2026

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.

Redefining AI ROI in Healthcare: The New Framework that Puts Clinical Use Cases First Premier | March 1, 2026

https://www.healthaffairs.org/sponsored-content/redefining-ai-roi-in-healthcare-the-new-framework-that-puts-clinical-use-cases-first?utm_campaign=34032557-Health%20Affairs%20Sunday%20Update%202026&utm_medium=email&_hsenc=p2ANqtz-9OwH11fNJT08tafQ5wZlhF2f-uwN10CFTgRkCi185SLCF51W5WgIGX01ObmzfgyEXzyAfa6-ajazGpWsU-I7KTDFt2hA&_hsmi=406123006&utm_content=406123006&utm_source=hs_email For years, hospitals have evaluated artificial intelligence (AI) in healthcare the same way they evaluate most capital investments: through the narrow lens of financial return. Savings, cost reduction, revenue lift, throughput gains and similar metrics tend to dominate nearly every AI business case placed in front of a CFO.

Inclusion of antimicrobial resistance in a Pandemic Agreement: Why it matters and What comes next?

https://academic.oup.com/healthaffairsscholar/advance-article/doi/10.1093/haschl/qxag044/8502021?rss=1&login=false

Restricting Access To Medication Abortion Will Not Help Survivors Of Intimate Partner Violence Elizabeth Tobin-Tyler Kari White Maeve Wallace Samuel Dickman February 26, 2026

https://www.healthaffairs.org/content/forefront/restricting-access-medication-abortion-not-help-survivors-intimate-partner-violence Despite its well-established safety profile, mifepristone—one of two medications used for abortion—is under an FDA safety review, at the request of the Trump Administration. Mail order, an evidence-based delivery mechanism for the medication, is also under scrutiny; anti-abortion groups now claim that if mifepristone is available by mail, abusive men will use it to coerce women into having unwanted abortions. Therefore, they argue, it should only be available through an in-person clinic visit, or not at all.

Federal PBM Reforms In Action And In Context Elizabeth Y. McCuskey February 26, 2026

https://www.healthaffairs.org/content/forefront/federal-pbm-reforms-action-and-context This article is the latest in the Health Affairs Forefront featured topic, “Health Policy at a Crossroads,” produced with the support of the Commonwealth Fund. Articles in this topic offer timely analysis of regulatory, legislative, and judicial developments in health policy under the Trump-Vance Administration and the 119th Congress.

The Marketplace Illusion: Coverage Without Care Shawnna Read-Richards Teresa Keller February 26, 2026

https://www.healthaffairs.org/content/forefront/marketplace-illusion-coverage-without-care The Affordable Care Act (ACA) established health insurance Marketplaces to expand coverage, improve affordability, and enhance consumer choice. However, coverage alone does not guarantee care—especially in states such as New Mexico, where plan design fails to reflect the geographic realities of care delivery. Affordability is also worsening in 2026 because the ACA’s enhanced premium tax credits, expanded during the pandemic and extended through 2025, expired on January 1, 2026, increasing net premiums for many Marketplace enrollees. As consumers face higher out-of-pocket premiums, plan design and network adequacy become even more consequential: People may be pushed into the cheapest options, regardless of whether those plans offer realistic access to in-network care.

One Step Forward And One Step Back For US Health Darshak Sanghavi Jake Segal Caroline Whistler February 27, 2026

https://www.healthaffairs.org/content/forefront/one-step-forward-and-one-step-back-us-health Last year was marked by significant change within the federal government. Much was jettisoned: notably, foreign aid, along with huge swaths of the Centers for Disease Control and Prevention and the Food and Drug Administration, and talented people working on workforce development, artificial intelligence, consumer experience, and education policy.

Immigrant Physicians And The American Promise Yasmin Sokkar Harker February 27, 2026

https://www.healthaffairs.org/content/forefront/immigrant-physicians-and-american-promise As a child, I was very familiar with the term FMG: Foreign Medical Graduate. My parents were FMGs and their colleagues and friends were also FMGs. All of them had crossed oceans to make their lives in our rural, midwestern corner of the United States. I was raised within this dedicated, tight-knit community of professionals; but I had always wondered: How did we all end up here?

National Health Care Spending Increased 7.2 Percent In 2024 As Utilization Remained Elevated Micah Hartman, Anne B. Martin, David Lassman, Aaron Catlin

https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2025.01683 Health care spending in the US reached $5.3 trillion and increased 7.2 percent in 2024, similar to growth of 7.4 percent in 2023, as increased demand for health care influenced this two-year trend. As in 2023, the use and intensity of health care goods and services continued to grow rapidly in 2024, particularly for hospital care, physician and clinical services, and retail prescription drugs. The insured share of the population remained relatively high in 2024, at 91.8 percent, after its peak in 2023 of 92.5 percent. Health care spending growth continued to outpace overall economic growth in 2024, and as a result, the health care share of the economy increased from 17.7 percent in 2023 to 18.0 percent in 2024.

Time For State-Based Single Payer: The New York Health Act Ashley M. Fox Martha Livingston Len Rodberg Richard Gottfried

https://www.healthaffairs.org/content/forefront/time-state-based-single-payer-new-york-health-act?utm_campaign=forefront&utm_medium=email&_hsenc=p2ANqtz-9th5kU4K4O15Q-AWGQ76pJ5tUlTBsZTEBJoO3nknohgk_0z8On8h-HXsO09YZQQNo81ZkHQDcYo2QXOkvLUhYQ-gY7zw&_hsmi=406122480&utm_source=well%20read With the recent passage of the One Big Beautiful Bill (OBBB) Act, the fate of millions of Americans’ health care coverage hangs in the balance. Although implementation of the largest cuts have been pushed off to 2028, the Congressional Budget Office’s latest cost estimates show that the law will reduce federal Medicaid spending by $793 billion and increase the number of uninsured people by 7.8 million. A separate study suggests that as many as 16,642 people annually could lose their lives as a result of these cuts. In New York, initial estimates suggest that Medicaid cuts will cost New York State $13.5 billion a year and that one in five New Yorkers could lose health insurance as a result of federal cuts.

The US Health Spending Problem Is Still About Prices Irene Papanicolas Jonathan Cylus Luca Lorenzoni

https://www.healthaffairs.org/content/forefront/us-health-spending-problem-still-prices?utm_campaign=forefront&utm_medium=email&_hsenc=p2ANqtz-9ayRCVghXVsyKQ2Gz9WE1xjJxkCgMXauMyO5N-TpuJu10Nkd1wUb1NUiaUSsuAeNWtGsQFodTEH-nLIDP85wZ07Uz46g&_hsmi=406122480&utm_source=well%20read For more than two decades, debates about why US health care spending is so high have been shaped by the insight articulated by Gerard Anderson, Uwe Reinhardt and Peter Hussey: that the United States does not use more health care than other high-income countries but pays much higher prices for it. The original “It’s the Prices, Stupid” argument was fundamentally about price levels, not price growth. That central insight remains as true today as when it was first articulated: across services, drugs, and inputs, the United States consistently pays substantially higher prices than its peers for comparable services, drugs, and inputs.