Help for Authors


Use these instructions if you are submitting a revised version of a manuscript in response to an editor’s request for revisions to a previously submitted manuscript. If you are submitting a new paper, an interview, an invited Perspective, the initial draft of a paper invited for a theme issue of the journal, or a letter to the editor, you must follow different instructions; return to the Help for Authors main page and click on the appropriate link.


All manuscripts must be submitted via Health Affairsonline manuscript processing system.

Log In And Find Your Manuscript

When you are ready to submit your revised manuscript, log in using your user ID and password at the login screen and enter your Author Center, where you will find your manuscript title listed under "Manuscripts with Decisions." Under "Actions," click "Create a Revision." Your manuscript number has been appended to denote a revision. If you have forgotten your user ID or password, enter your e-mail address in the “Password Help” field of the login screen, then click on “Go.” You will receive e-mail with instructions on how to obtain a user ID and password.

Responses To Comments

When submitting your revised manuscript, you should respond to the comments of editors and reviewers in the space provided in Step 1 of the “Submit a Revision” process, “View and Respond to Decision Letter” (you will find this space at the bottom of the page in Step 1). To expedite the processing of the revised manuscript, please be as specific as possible in your responses and include an explanation for any points that you choose not to respond to. Do not include any information in this space that would reveal the identities of any of the authors.

Required Information

Some fields in the submission form are still filled in from your previous submission, and others will be blank. You must enter information for all required fields, and you should check that the information that remains from the previous submission is still accurate (for example, title, abstract, author names and order, word count, exhibit count, etc.), and update that information as needed. This information may appear with your published paper, so please ensure that it is accurate and complete.


Manuscript Files

During Step 6 of the “Submit a Revision” process (“File Upload”), you will be asked to upload your revised manuscript files, which may include the following:

1. Abstract (indicate the date of the submission on the upper left hand corner of this page; abstracts not required for Narrative Matters submissions), main text, and endnotes, all in one document (required; preferred format for this file is MS Word, 95 and above)

2. Exhibits

3. Supplemental materials/technical appendices

IMPORTANT: Your original files will be available to you when you upload your revised manuscript in Step 6 of the “Submit a Revision” process (“File Upload”). You may download these files to your computer for use in making your revisions (NOTE: They have not been altered in the Health Affairs manuscript system; they should still be as they were when you submitted them for consideration). However, these files must be deleted from our system before you upload any updated revised files (use the “Delete” button on the screen). If you fail to observe this step, the system will combine the old and new files into a single document. The files that you upload in Step 6 should not include any information that would reveal the identities of any of the authors.

Text, abstract, and endnotes.
Submit one document in a standard word-processing format (such as MS Word) that includes your 100-word abstract (not required for Narrative Matters submissions), the main text of the manuscript, and the endnotes; all text should be double-spaced and prepared in 12-point Courier New font or its equivalent, with a minimum of one-inch margins. All pages should be numbered. This file MUST NOT include a cover page or any other pages that identify the authors of the manuscript. It must also not include any running headers or footers that identify the authors.

If your paper includes any exhibits (tables or figures), you must also include at the end of the document a listing of all exhibits that includes:

 1.) The exhibit number,
 2.) Identification of each exhibit as a table or figure,
 3.) Exhibit title,
 4.) Any notes that correspond to the exhibit.



These descriptions in the list must match exactly with their counterparts in the exhibits themselves.

Tables (but not figures) must be included as editable components of the manuscript file and placed at the end of the manuscript, following the exhibit list. The 12-point Courier New font requirement does not apply to exhibits. However, tables must fit on a single page in the Word document in portrait format using an 8-point or larger font.

Figures (e.g., graphs, maps, diagrams) must be submitted as files that are separate from the manuscript text files and must be submitted in their native format (e.g., PowerPoint, Excel, rather than pasted-in images). Map files must be provided in .eps or .ai format.

Additional information on exhibit requirements is provided below.

Do not include supplemental material as part of this file.

All of the material in this file except for the exhibit list and tables will be counted in your document word count.

Exhibits should have been submitted with your original manuscript submission, following all guidelines and editors’ instructions. Introducing new exhibits at the revision stage might entail further review. If you are not certain, please contact the editor with whom you have been working during the review process. If you have exhibits to resubmit with your revision, please ensure that you follow the instructions provided with your initial submission. Here are the most important points to remember: (1) Exhibits must not be embedded in the manuscript document; (2) exhibits must be provided in the software in which they were constructed (such as MS Excel, PowerPoint, or Word), not as graphics or PDF files; (3) exhibits must be numbered consecutively in the order in which they are mentioned. For details on exhibit preparation, see the relevant section of Help for Authors.

If your paper is accepted for publication, plotting points for all graphs (line graphs, bar charts, pie charts, and others) must be provided, in table or spreadsheet form. Please include only the plotting points that were used to produce each exhibit, and please ensure that they are clearly labeled to correspond exactly with the finished exhibit. These may be separate documents or part of the exhibits’ original documents. If they are separate, please make sure that they are all clearly labeled. If the plotting points are recoverable from the application that produced the graphics (for example, Excel or PowerPoint), there is no need to include them as a separate document. Please make sure that none of the exhibit files contain information that would identify any author(s).

Supplemental materials.
You may include supplemental materials with the manuscript. These could include detailed discussion of data/methods or technical discussion of results, large tables or graphics too complicated to include in the published version of a paper, survey instruments, extended bibliographies, etc. These materials can be submitted in any format that is suitable to the material (for example, Word, Excel, PowerPoint, or PDF). They will be supplied to reviewers but typically will not be published with the manuscript (although they could be made available in the form of an online supplement to a published paper). The files for supplementary material should not include any information that identifies the authors of the paper. The contents of these files do not count in the document word count; nonetheless, if you do include supplemental materials, we encourage you to present them in a concise, clear, and well-organized fashion. If you intend for these materials to accompany the published paper as online-only supplements, you should make explicit references to these materials in appropriate locations in the text of the manuscript.

PLEASE NOTE: If your analysis is based on regressions, please include with your manuscript a technical appendix showing the full specification of each regression--number of observations, dependent and independent variables (including any transformations from the variables discussed in the text), coefficients, either standard errors or t-statistics, R-squared and F statistics. You may decide how much if any of the regression results to display in exhibits in the paper, but the presentation should be concise, and presented in a form that would be suitable for nonexperts.

The Health Affairs editors do not edit or format supplemental materials; they are the sole responsibility of the author. Thus, they should be submitted in a format in which you would like them to appear in the final version, and it is your responsibility to ensure their accuracy. You will be given the opportunity to review them if your paper is accepted for publication.

If you require additional assistance on how to prepare or refer to exhibits or supplemental materials, please contact a member of the editorial staff.


Disclosures. Submitters are asked to supply information for all authors regarding employers, funding sources for the work, potential conflicts of interest, and associations with organizations that may have a stake in the outcome of the work. At the revision stage, we ask for additional information on sources of income related to the work.


You will receive with your revision letter an Excel spreadsheet outlining the additional information requested. Please complete the form (separate tab for each author) and upload the file as a “supplemental file not for review” at the time you submit your revision. Each author is responsible for the accuracy and completeness of his/her own entries, and we ask that you check all employment, funding, and disclosure information for accuracy and completeness at each revision.


Related Matters

After you have submitted your revision, do not submit additional revisions unless instructed to do so by a member of the editorial staff. We will notify you of the outcome on your paper as soon as possible. After acceptance, no changes are permitted until the galley-review stage, except by special arrangement. At the galley stage, you will be asked to sign a copyright agreement, transferring publication rights (including electronic transmission) to the journal.

You should not release information about your manuscript to the media, nor should you distribute the manuscript in any form (including electronic) prior to publication. Violation of these rules could result in rejection of the manuscript.

Additional Information

Health Affairs
has specific style and formatting requirements concerning typeface, spacing, endnote format, endnote numbering and callouts, etc. If your submission did not conform to these requirements, you should have been informed of this by the editor assigned to your paper. Please follow all editors’ instructions and visit the “Manuscript Preparation and Review Process” section of the Help for Authors main page for guidance on specific aspects of manuscript preparation and style.

If you have any questions about the process, please contact Health Affairs’ executive editor, Don Metz, at or 301-347-3907.