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The Abstract
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> By Torie Ludwin, Arnold Ventures
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Just in time for the holidays, the U.S. House of Representatives has gifted Americans a bipartisan health care victory that aims to lower health care costs.
House passage of H.R. 5378, the Lower Costs, More Transparency Act earlier this week is a tremendous step forward for patients, taxpayers, and employers. The Act is comprised of a comprehensive package of health care legislation aimed at improving transparency and addressing health care costs. This includes the site-neutral payment provision, which seeks to ensure patients are billed the same amount for certain routine procedures, whether they receive it in a hospital outpatient facility or a physician’s office. Sounds like common sense, right? Perhaps that’s why the act saw significant bipartisan support in the House, with a sweeping 320 to 71 vote.
While most see the legislation as a commonsense solution to lowering health care costs, large, consolidated hospital systems are fighting their hardest against the proposed reforms. These hospitals have been buying up physician practices and then charging patients much higher “hospital” prices at those newly purchased physician offices.
In an op-ed for Townhall, Jared Whitley notes when hospitals buy physician-owned practices, the average cost of an office visit increases from $118 to $186, the cost of ultrasounds more than doubles, and the price of biopsies jumps from $146 to $791. Opponents claim that site neutral billing – the same price for the same service – would compromise care. However, the argument makes no sense when it’s a routine service that is often provided in a physician’s office for a much lower price.
As we celebrate this victory in the House, we are gearing up with our coalition of advocates and partners to work with the Senate as they consider this important legislation that will have a meaningful effect on health care costs for patients, taxpayers, and employers. Let’s hope the Senate keeps up the gift-giving in January.
Learn more about site-neutral payment reform>
Read Arnold Ventures Executive Vice President of Health Care Mark E. Miller’s statement on the passing of site-neutral payment reform>
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Improving Student Outcomes
with Research
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By Evan Mintz, communications director
A bipartisan reauthorization in the Senate could open the door to more and better research-driven policy in higher education.
What’s Happening: Sens. Bernie Sanders (I-VT) and Bill Cassidy (R-LA) worked together this week to introduce and mark up a bipartisan reauthorization bill of the Education Sciences Reform Act, which presents an opportunity to bolster policies aimed at improving student outcomes and expanding the use of evidence-based student success practices. The newly introduced bill is called the Advancing Research in Education Act (AREA).
Why It Matters: More than two-thirds of two-year colleges don’t graduate most of their students, and more than a quarter of bachelor’s degree programs leave students with a negative return on investment. Evidence-based programs create an opportunity for more students to graduate – and rigorous, federally funded research can help to build that evidence base.
What’s Next: If AREA becomes law, it would help improve access to education data and put high-quality evidence into the hands of practitioners across the country – paving the way to more and better evidence-based and data-driven student success policies.
Read our statement>
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AV's Biggest Stories of the Year
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By Evan Mintz, communications director
Take a look at our roundup of the 23 best stories of the year where Arnold Ventures helped maximize opportunity and minimize injustice across criminal justice, health care, public finance, higher education, and other portfolios.
Read our roundup>
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Criminal Justice
- In an op-ed for The Hill, Arnold Ventures’ Vice President of Criminal Justice Advocacy Kevin Ring writes about how the First Step Act demonstrates that commonsense reforms are the best way to fix our broken criminal justice system.
- The New Yorker reports on the controversial legal doctrine of felony murder and how it has been used to incarcerate thousands of people not directly responsible for killing anyone.
- The Prosecutor and Law Enforcement Advisory Council at the American Conservative Union Foundation’s Nolan Center for Justice has released a list of “Conservative Principles of Prosecution,” which aims to "bring more clarity to the Nation’s prosecutorial corps and to the public, whom they protect."
- In a story published by KFF Health News, Arnold Ventures’ Director of Criminal Justice Marc Krupanski discusses how the discredited theory of "excited delirium" encouraged police officers to use greater force rather than call medical personnel when experiencing people in aggressive states, contributing to more deaths.
- The New York Times reports on how some firearms being surrendered in gun buyback programs are being resold by private companies on secondary arms markets rather than being destroyed. (free link)
- A new report from the Council of State Governments Justice Center details how the "States Supporting Familiar Faces Project" has been working with Georgia and New Mexico to improve outcomes for individuals with high rates of justice involvement and health service usage.
Health Care
- Polling released from United States of Care shows strong public support for policymakers to ban or restrict “facility fees” (74%), with 75% of voters identifying the cost of health care as fair or poor.
- The Century Foundation’s new report on how states can leverage cost-growth benchmark programs to improve health equity and health care affordability, including policy recommendations to better promote equity in design, implementation and execution.
- The National Partnership for Women & Families’ case study on CMMI’s new Making Care Primary (MCP) model, highlights how population-based payment reform can be used to advance health equity and better sustain primary care.
- Eighty-one percent of small businesses participating in a national survey from Small Business for America’s Future said the cost of health care impacts their businesses and constrains their ability to grow and hire, in addition to causing them to raise prices for goods and services.
Public Finance
- George Will describes the nation’s fiscal challenges and what realistic solutions might look like in his Washington Post column. (free link)
- Angélica Serrano-Román unpacks the latest developments for Puerto Rico’s tax plan in Bloomberg.
- Andrew Leahey discusses the merits of reforming the estate tax rather than enacting a new wealth tax for Bloomberg.
Higher Education
- The Washington Post covered a new report published by AV grantees the Century Foundation, EducationCounsel and American Enterprise Institute on ways to reform the system for financing graduate student education. (free link)
- Student Defense has released a report on for-profit graduate programs, which explains how for-profit graduate schools, on average, leave students worse-off than public and private non-profit institutions.
- Want to know what’s going on in the world of higher education accountability? Check out AV grantee Jason Delisle’s primer on recent accountability proposals and challenges to the reform efforts.
- Third Way released a blog post on how the Department of Education can improve accreditation through negotiated rulemaking.
- Last week, the Department of Education announced more than $40 million in Postsecondary Student Success Program grants for nine institutions, which will use the funds to implement evidence-based strategies to improve completion rates for their underserved students.
Infrastructure
- Want a quick download on the state of solar energy? Check out the latest fact sheet from the Solar Energy Industries Association and Wood Mackenzie.
- The New York Times explores the recent spike in pedestrian deaths and asks why so many people are dying at night. (free link)
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Sharon Woodward had an exciting, good paying career and a nice home before a debilitating medical diagnosis left her with difficult life decisions and a mountain of medical debt. Her story is part of a series produced by KFF Health News and NPR, Diagnosis: Debt, that explores the scale, impact, and causes of medical debt, which affects 41% of Americans. Watch her story here.
The Scripps News Emmy-winning “ In Real Life” series devotes an episode to the complicated world of organ donation. Scripps follows patients and lawmakers, taking a deep look into the long waiting list and dysfunctional system of organ donation and transplantation in the U.S. Watch "In Real Life: Waiting to Live" here.
In related news, Sen. Chuck Grassley of Iowa took to the Senate floor this week to call out urgent concerns about the failing organ donation system. Watch Grassley here.
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On Thursday, December 21 (the actual fifth anniversary of the First Step Act), from 8-9 a.m. EST, Kevin Ring, vice president of criminal justice advocacy at Arnold Ventures, will be in conversation with Colleen Eren, author of Reform Nation, on C-SPAN’s Washington Journal, talking about the law and its impact.
On Tuesday, January 16, 2024, from 12 to 1:30 p.m. EST, the Niskanen Center will host the first in a series of criminal justice-focused lunch conversations. At this event, Kevin Ring, vice president of criminal justice advocacy at Arnold Ventures, will moderate a discussion with Greg Berman, distinguished fellow of practice at the Harry Frank Guggenheim Foundation and coeditor of Vital City, and Aubrey Fox, executive director of the New York City Criminal Justice Agency. They cowrote Gradual: The Case for Incremental Change in a Radical Age. RSVP here.
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- It's a bit like Punch Buggy but for the holiday season: #Whamageddon. I'm still in.
- Daniel Kish pioneered the use of echolocation to help people who are blind navigate their world. He now teaches it to others. This short documentary delves into Kish's work with students and attempts to recreate what he perceives.
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We're Seeking Proposals
and Fellows
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The Criminal Justice team at Arnold Ventures is supporting a new Social Science Research Council fellowship program. This program will provide generous and unrestricted support to postdoctoral fellows working to innovate and evaluate more effective and equitable criminal justice policy solutions. The application deadline is January 15, 2024.
The Higher Education and Evidence-Based Policy teams have created a request for proposals for rigorous impact evaluations of programs and practices (“interventions”) to promote college success in the United States.
The Criminal Justice team at Arnold Ventures has released a new request for proposals (RFP) titled “ Causal Research on Community Safety and the Criminal Justice System.” The RFP seeks research proposals across all issues related to the criminal justice system and will remain open indefinitely.
The Evidence-Based Policy team invites grant applications to conduct randomized controlled trials (RCTs) of social programs in any area of U.S. policy. Details are here.
View our RFPs here>
The Abstract is taking a holiday break for the next two weeks and will resurface in your inbox in January. See you in 2024!
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Have an evidence-based week,
– Torie
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Torie Ludwin leads strategic branding efforts across digital, print, and multimedia, including this delightful newsletter. |
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