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healthaffairs.org

healthaffairs.org is SSL secured

Free website and domain report on healthaffairs.org

Last Updated: 29th March, 2021 Update Now
Overview

Snoop Summary for healthaffairs.org

This is a free and comprehensive report about healthaffairs.org. The domain healthaffairs.org is currently hosted on a server located in United States with the IP address 65.156.1.83, where USD is the local currency and the local language is English. Healthaffairs.org is expected to earn an estimated $19 USD per day from advertising revenue. The sale of healthaffairs.org would possibly be worth $14,066 USD. This figure is based on the daily revenue potential of the website over a 24 month period. Healthaffairs.org receives an estimated 6,756 unique visitors every day - a huge amount of traffic! This report was last updated 29th March, 2021.

About healthaffairs.org

Site Preview: healthaffairs.org healthaffairs.org
Title: Health Affairs
Description: Health policy journal publishing original, peer-reviewed research and commentary.
Keywords and Tags: general news, health
Related Terms:
Fav Icon:
Age: Over 25 years old
Domain Created: 4th October, 1998
Domain Updated: 1st August, 2021
Domain Expires: 4th September, 2023
Review

Snoop Score

3/5 (Great!)

Valuation

$14,066 USD
Note: All valuation figures are estimates.

Popularity

High
Note: Popularity is estimated.

Rank, Reach and Authority

Alexa Rank: 66,391
Alexa Reach:
SEMrush Rank (US):
SEMrush Authority Score:
Moz Domain Authority: 0
Moz Page Authority: 0

Organic vs Paid (Google Ads)

Traffic

Visitors

Daily Visitors: 6,756
Monthly Visitors: 205,631
Yearly Visitors: 2,465,940
Note: All visitors figures are estimates.

Visitors By Country

Revenue

Revenue

Daily Revenue: $19 USD
Monthly Revenue: $586 USD
Yearly Revenue: $7,028 USD
Note: All revenue figures are estimates.

Revenue By Country

SEO

Backlinks Analysis (SEMrush)

Top New Follow Links

Top Ranking Keywords (US)

Domain Analysis

Value Length
Domain: healthaffairs.org 17
Domain Name: healthaffairs 13
Extension (TLD): org 3
Expiry Check:

Page Speed Analysis

Average Load Time: 1.62 seconds
Load Time Comparison: Faster than 56% of sites

PageSpeed Insights

Avg. (All Categories) 72
Performance 73
Accessibility 80
Best Practices 80
SEO 92
Progressive Web App 36
0–49 (Fail) 50–89 (Average) 90–100 (Pass)
URL: https://www.healthaffairs.org/
Updated: 29th March, 2021

1.64 seconds
First Contentful Paint (FCP)
36%
59%
5%

0.01 seconds
First Input Delay (FID)
96%
3%
1%

Simulate loading on desktop
73

Performance

Indicates how well the page is performing and highlights opportunities where performance may be improved for healthaffairs.org. This includes details about optimizing page load times which can result in a better user experience.

Metrics

Total Blocking Time — 10 ms
The total blocking time is the sum of all time periods between First Contentful Paint and Time to Interactive (when task length exceeded 50ms).

Other

Max Potential First Input Delay — 70 ms
Users could experience a delay when interacting with the page.
Estimated Input Latency — 20 ms
The time taken for the page to respond to user input (during the busiest 5 second window of page load). Users are likely to perceive healthaffairs.org as laggy when the latency is higher than 0.05 seconds.
Network Requests
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Network Round Trip Times — 0 ms
High Network RTT (Round Trip Times) can have a large impact on performance. Providing servers geographically closer to the user could improve performance.
Server Backend Latencies — 0 ms
High server latencies indicate the server is overloaded or has a poor backend performance.
Tasks
Below is a list of the top-level main thread tasks that executed during page load.
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12.607
2079.863
5.206
2085.084
6.271
2098.077
23.495
2130.374
34.46
2164.991
6.386
2172.988
10.003
2197.633
31.748
2237.384
103.12
2343.942
17.206
2372.324
9.57
2385.141
46.689
2440.789
14.343
2460.619
32.078
2552.671
29.526
2641.951
9.714
2657.057
6.068
2686.771
10.011
2699.332
14.345
2716.919
91.243
2829.597
38.236
2874.555
14.561
2889.311
10.435
2911.96
10.89
2942.089
9.475
2962.963
7.961
2982.245
7.496
3000.36
7.13
3008.748
6.575
3025.159
7.949
3041.892
6.872
3058.505
6.704
3075.197
7.098
3091.889
6.397
3108.552
10.757
3579.148
10.041
3591.756
14.422
3712.493
22.62
3736.019
6.58
3755.073
7.979
3787.082
7.376
3809.234
7.78
3817.287
5.898
3823.46
6.689
3833.099
17.285
3863.624
5.881
3869.826
11.471
3887.645
9.541
3903.121
6.925
3914.445
8.688
3964.905
24.487
4004.665
7.392
4082.555
6.796
4098.511
6.237
4112.352
6.197
4141.182
5.683
4181.882
6.521
4193.593
8.501
4217.48
6.248
4223.867
7.042
4273.571
7.721
4576.218
5.649
4607.877
6.65
5033.966
7.47
5658.398
8.068
5984.121
5.059
7061.64
5.683
Diagnostics
Below is a collection of useful page vitals.
View Data
Metrics
Below is a collection of metrics.
View Data

Opportunities

Eliminate render-blocking resources — Potential savings of 70 ms
Resources, such as JavaScript and style sheets, can block the first paint of the page. Healthaffairs.org should consider delivering critical JavaScript/style sheets (JS/CSS) inline and deferring all non-critical JS/CSS.
URL Transfer Size (Bytes) Potential Savings (Ms)
https://www.healthaffairs.org/products/hope/releasedAssets/css/build-7462ab09208e3c167ba2.css
121598
200
https://www.healthaffairs.org/pb-assets/styles/hope-css-1613079099330.css
12149
80
Defer offscreen images — Potential savings of 19 KiB
Time to Interactive can be slowed down by resources on the page. Healthaffairs.org should consider lazy-loading offscreen and hidden images.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2021-03/health-affairs-journal-state-health-policies-alfonso-1616610794.png
19236
19236
Minify CSS — Potential savings of 3 KiB
Cascading Style Sheets (CSS) files can contribute to network payload sizes. Healthaffairs.org should consider minifying CSS files.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/pb-assets/styles/hope-css-1613079099330.css
12149
2620
Minify JavaScript — Potential savings of 5 KiB
JavaScript (JS) files can contribute to network payload sizes and increase script parse times. Healthaffairs.org should consider minifying JS files.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://healthaffairs.blueconic.net/plugin/plugin/57a0882fdc566b456021f55e9ff115dc
34299
5312
Preconnect to required origins
Resource hints, such as 'preconnect' or 'dns-prefetch', may assist in establishing early connections to important third-party origins.
Preload key requests
Key requests can be preloaded by using '<link rel=preload>'. Healthaffairs.org should consider using '<link rel=preload>' to prioritize fetching resources that are currently requested later in page load.
Use video formats for animated content
Large GIFs are inefficient for delivering animated content. It is recommended to use MPEG4/WebM videos for animations and PNG/WebP for static images instead of GIF.
Remove duplicate modules in JavaScript bundles
Ensure that no duplicate JavaScript modules from bundles exist to reduce bytes consumed by network activity.
Preload Largest Contentful Paint image
It is recommended to preload images used by LCP elements, to improve LCP time.

Diagnostics

Avoid chaining critical requests — 22 chains found
Below is a list of Critical Request Chains, which shows which resources are loaded with a high priority. Healthaffairs.org should consider reducing the length of chains, reducing the download size of resources, or deferring the download of unnecessary resources to improve page load.
User Timing marks and measures
Make use of the User Timing API to measure an app's real-world performance during key user experiences.
JavaScript execution time — 0.6 s
JavaScript (JS) execution time can be lowered by reducing the time required for parsing, compiling and executing JS. Delivering smaller JS payloads may help with this.
URL Total CPU Time (Ms) Script Evaluation (Ms) Script Parse (Ms)
https://www.healthaffairs.org/
360.163
22.547
2.214
Unattributable
279.908
8.523
0.132
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
269.438
209.56
14.542
https://platform.twitter.com/widgets.js
233.479
83.66
5.195
https://cdn.blueconic.net/healthaffairs.js
143.77
122.37
3.059
https://served-by.pixfuture.com/www/delivery/headerbid.js
100.295
94.034
1.329
All text remains visible during webfont loads
Make use of the font-display CSS feature, which will ensure text is user-visible while webfonts are loading.
Keep request counts low and transfer sizes small — 377 requests • 5,303 KiB
It is advised to add a budgets.json file in order to set budgets for the quantity and size of page resources.
Resource Type Requests Transfer Size (Bytes)
Total
377
5430632
Image
127
3546813
Script
38
1197405
Font
11
202524
Stylesheet
8
182452
Document
24
173076
Other
169
128362
Media
0
0
Third-party
330
1637695
Minimize third-party usage — Third-party code blocked the main thread for 0 ms
It is advised to either limit, remove or delay the loading of redundant third-party code which may be significantly impacting load performance.
Third-Party Transfer Size (Bytes) Main-Thread Blocking Time (Ms)
SHOW DETAILS
545125
0
SHOW DETAILS
63264
0
SHOW DETAILS
56988
0
SHOW DETAILS
45276
0
SHOW DETAILS
22074
0
SHOW DETAILS
20837
0
SHOW DETAILS
17461
0
SHOW DETAILS
13031
0
SHOW DETAILS
13005
0
SHOW DETAILS
12051
0
SHOW DETAILS
11920
0
SHOW DETAILS
8121
0
SHOW DETAILS
7939
0
SHOW DETAILS
7725
0
SHOW DETAILS
6756
0
SHOW DETAILS
5054
0
SHOW DETAILS
4458
0
SHOW DETAILS
3439
0
SHOW DETAILS
3424
0
SHOW DETAILS
3396
0
SHOW DETAILS
3187
0
SHOW DETAILS
2699
0
SHOW DETAILS
2591
0
SHOW DETAILS
2375
0
SHOW DETAILS
2372
0
SHOW DETAILS
2351
0
SHOW DETAILS
2287
0
SHOW DETAILS
2248
0
SHOW DETAILS
1876
0
SHOW DETAILS
1760
0
SHOW DETAILS
1669
0
SHOW DETAILS
1615
0
SHOW DETAILS
1581
0
SHOW DETAILS
1557
0
SHOW DETAILS
1548
0
SHOW DETAILS
1524
0
SHOW DETAILS
1413
0
SHOW DETAILS
1376
0
SHOW DETAILS
1341
0
SHOW DETAILS
1309
0
SHOW DETAILS
1145
0
SHOW DETAILS
1128
0
SHOW DETAILS
1024
0
SHOW DETAILS
992
0
SHOW DETAILS
973
0
SHOW DETAILS
878
0
SHOW DETAILS
860
0
SHOW DETAILS
784
0
SHOW DETAILS
757
0
SHOW DETAILS
725
0
SHOW DETAILS
723
0
SHOW DETAILS
723
0
SHOW DETAILS
705
0
SHOW DETAILS
678
0
SHOW DETAILS
656
0
SHOW DETAILS
613
0
SHOW DETAILS
555
0
SHOW DETAILS
508
0
SHOW DETAILS
364
0
SHOW DETAILS
88
0
Lazy load third-party resources with facades
Consider replacing third-party embeds with a facade until they are required (use lazy loading).
Largest Contentful Paint element — 1 element found
The element which was identified as the Largest Contentful Paint.
Element
img
Avoid large layout shifts — 5 elements found
Below is a list of all DOM elements that contribute to the CLS of the page.
Element CLS Contribution
RESEARCH ARTICLE | AHEAD OF PRINT Public Health Neglected: US State Spend…
0.27485847917004
Embed View on Twitter
0.076666666666667
Health Affairs ✔ @Health_Affairs #WomenInHistory: Where are we headed on genet…
0.056973883894129
TOPICS JOURNAL BLOG BRIEFS ADVANCED SEARCH
0.031401717170416
MARCH 2021 Table of Contents FEATURED ARTICLES RESEARCH ARTICLE In Traditional …
0.020024195197976
Avoid long main-thread tasks — 2 long tasks found
Below is a list of the longest tasks on the main thread, which is useful when identifying the worst input delay contributors.
URL Start Time (Ms) Duration (Ms)
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
5107
74
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
2528
52
Avoid non-composited animations
It is recommended to avoid non-composited animations which are often janky and increase CLS.

Budgets

Performance budget
It is advised to keep the quantity and size of all network requests under the targets set by the provided performance budget.
Timing budget
It is advised to set a timing budget to monitor the performance of your site.

Metrics

First Contentful Paint — 1.0 s
The time taken for the first image or text on the page to be rendered.
Largest Contentful Paint — 1.5 s
The timing of the largest text or image that is painted.
Time to Interactive — 4.2 s
The time taken for the page to become fully interactive.

Other

First CPU Idle — 3.2 s
The time taken for the page's main thread to be quiet enough to handle input.
First Meaningful Paint — 1.0 s
The time taken for the primary content of the page to be rendered.

Opportunities

Enable text compression — Potential savings of 280 KiB
Text-based resources should be served with compression, such as gzip, deflate or brotli.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://cdn.pixfuture.com/pbix.js
369783
254204
https://cdn.pixfuture.com/hb_v2.js
28664
21968
https://image6.pubmatic.com/AdServer/PugMaster?kdntuid=1&rnd=64630974&p=158127&s=0&a=0&ptask=ALL&np=0&fp=0&mpc=0&spug=1&coppa=0&gdpr=0&gdpr_consent=&us_privacy=&sec=1
7849
5997
https://crossmark-cdn.crossref.org/widget/v2.0/style.css
3010
2339
https://served-by.pixfuture.com/www/delivery/hb_v2.php?dat=10339x728x90x1846x_ADSLOT1&keywords=health,affairs,leading,publication,health,policy,research,insight&refUrl=&refresh=false&innerWidth=800&jscookie=SERVER=WZ6myaEXBLFg0xgoxPFS5w==;%20BCTempID=556df510-e484-4d42-b9be-dc346c41b9c5;%20ac_enable_tracking=1;%20_ga=GA1.2.1904545251.1616996609;%20_gid=GA1.2.508238481.1616996609;%20_gat_UA-99028713-1=1
2932
1824
Avoid multiple page redirects — Potential savings of 340 ms
Redirects can cause additional delays before the page can begin loading. Healthaffairs.org should avoid multiple or unnecessary page redirects.
URL Time Spent (Ms)
http://healthaffairs.org/
190
https://healthaffairs.org/
150
https://www.healthaffairs.org/
0
Avoid serving legacy JavaScript to modern browsers — Potential savings of 51 KiB
Polyfills and transforms enable legacy browsers to use new JavaScript features. For bundled JavaScript it is recommended to adopt a modern script deployment strategy using module/nomodule feature detection. This will reduce the amount of code shipped to modern browsers.
URL Potential Savings (Bytes)
https://cdn.pixfuture.com/pbix.js
37244
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
8637
https://www.healthaffairs.org/wro/k3fa~product.js
6335

Diagnostics

Avoid an excessive DOM size — 1,084 elements
A large DOM (Document Object Model) will increase memory usage, cause longer system calculations as well as costly layout reflows.
Statistic Element Value
Total DOM Elements
1084
Maximum DOM Depth
Benjamin F. Miller
22
Maximum Child Elements
Go to Health Affairs homepage Sign up to the Health Affairs ne…
17
Minimize main-thread work — 2.1 s
Main-thread work timing can be lowered by reducing the time required for parsing, compiling and executing JS. Delivering smaller JS payloads may help with this.
Category Time Spent (Ms)
Script Evaluation
827.80999999999
Other
486.69899999999
Style & Layout
284.398
Rendering
174.069
Script Parsing & Compilation
125.616
Parse HTML & CSS
105.227
Garbage Collection
55.606

Metrics

Speed Index — 2.8 s
The time taken for the page contents to be visibly populated.
Cumulative Layout Shift — 0.382
Cumulative Layout Shift is the measurement of visible elements collective movement within the viewport.
View Data

Opportunities

Properly size images — Potential savings of 2,459 KiB
Images can slow down the page's load time. Healthaffairs.org should consider serving more appropriate-sized images.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
558760
541963
https://www.healthaffairs.org/do/10.1377/hpb20201228.198475/tile/health-affairs-brief-suicide-risk-prevention-miller.png
492830
432487
https://www.healthaffairs.org/do/10.1377/hblog20210322.718367/tile/health-affairs-blog-covid19-stds-jamison.png
446858
395908
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
328806
318922
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-chronic-care-managemet-chen-1614360367943.png
274202
218354
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-02/considering-health-sending-1612213178527.png
228192
181916
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
200559
168817
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
170277
106831
https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/doilist/health-affairs-brief-administrative-burdens-social-welfare-herd.png
104211
101078
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-covid-19-unemployment-insurance-berkowitz-1614359991.png
53416
42536
https://www.healthaffairs.org/pb-assets/images/hubs/vaccines-treatment/vaccines-treatment-1607048977160.png
20688
8828
Remove unused CSS — Potential savings of 147 KiB
Dead and/or unused rules in Style Sheets (CSS) can contribute to network payload sizes. Healthaffairs.org should consider removing dead rules from style sheets and deferring the loading of CSS not used for above-the-fold content.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/products/hope/releasedAssets/css/build-7462ab09208e3c167ba2.css
121598
116149
https://www.healthaffairs.org/wro/k3fa~product.css
22679
22490
https://www.healthaffairs.org/pb-assets/styles/hope-css-1613079099330.css
12149
11754
Remove unused JavaScript — Potential savings of 724 KiB
It is advised to remove unused JavaScript in order to reduce bytes consumed by network activity.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://cdn.pixfuture.com/pbix.js
370789
213695
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
219815
162916
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
156541
103767
https://platform.twitter.com/widgets/widget_iframe.0edc1ef9f8b82d9b79c6115bda79f63f.html?origin=https%3A%2F%2Fwww.healthaffairs.org
106170
102346
https://www.healthaffairs.org/wro/k3fa~product.js
93223
75852
https://script.hotjar.com/modules.35981999a656a5a28309.js
59187
38448
https://www.googletagmanager.com/gtm.js?id=GTM-MM39PJT
56988
23251
https://healthaffairs.blueconic.net/plugin/plugin/57a0882fdc566b456021f55e9ff115dc
34299
20812
Efficiently encode images — Potential savings of 251 KiB
Unoptimized images can consume more cellular data than what is necessary.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
200559
134318
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
170277
117118
https://pbs.twimg.com/profile_images/378800000451999613/b54e97c592698bd6e5562e7959a8be80_normal.jpeg
7190
5813
Serve images in next-gen formats — Potential savings of 2,199 KiB
Image formats like PNG and JPEG have poor compression when compared to other next-gen formats, such as JPEG 200, JPEG XR and WebP.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
558760
483354
https://www.healthaffairs.org/do/10.1377/hpb20201228.198475/tile/health-affairs-brief-suicide-risk-prevention-miller.png
492830
446268
https://www.healthaffairs.org/do/10.1377/hblog20210322.718367/tile/health-affairs-blog-covid19-stds-jamison.png
446858
414712
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
328806
292394
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
200559
166217
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
170277
139315
https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/doilist/health-affairs-brief-administrative-burdens-social-welfare-herd.png
104211
69687
https://pbs.twimg.com/card_img/1375451315367723010/OphshxwY?format=png&name=144x144_2
49664
42398
https://pbs.twimg.com/card_img/1375056126312656898/yy5AhF_I?format=png&name=144x144_2
42576
37578
https://pbs.twimg.com/card_img/1375418516111818759/X29gppgK?format=png&name=144x144_2
40485
36451
https://pbs.twimg.com/card_img/1375524214422302726/5M6_3koT?format=png&name=144x144_2
38888
35226
https://pbs.twimg.com/card_img/1375115939667185666/3LLFvXog?format=png&name=144x144_2
38145
34361
https://pbs.twimg.com/card_img/1372896335037403136/SGuje8mM?format=png&name=144x144_2
30472
27770
https://cdn.pixfuture.com/banners/728x90.png
25711
17909
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2021-03/health-affairs-journal-featured-articles-cost-and-spending-chua-leading-to-health-waters-2nd-half.png
32963
8479
Reduce initial server response time — Root document took 720 ms
It is advised to keep the server response time short for the main document, because all other requests depend on it.
URL Time Spent (Ms)
https://www.healthaffairs.org/
718.012

Diagnostics

Avoid enormous network payloads — Total size was 5,303 KiB
Large network payloads can cost users money and are linked to long load times.
URL Transfer Size (Bytes)
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
559686
https://www.healthaffairs.org/do/10.1377/hpb20201228.198475/tile/health-affairs-brief-suicide-risk-prevention-miller.png
493770
https://www.healthaffairs.org/do/10.1377/hblog20210322.718367/tile/health-affairs-blog-covid19-stds-jamison.png
447787
https://cdn.pixfuture.com/pbix.js
370789
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
329750
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-chronic-care-managemet-chen-1614360367943.png
275134
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-02/considering-health-sending-1612213178527.png
229099
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
219815
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
201465
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
170993
Serve static assets with an efficient cache policy — 32 resources found
Healthaffairs.org can speed up repeat visits by increasing the cache lifetime, which is essentially how long before a cached copy expires.
URL Cache TTL (Ms) Transfer Size (Bytes)
https://image6.pubmatic.com/AdServer/PugMaster?kdntuid=1&rnd=64630974&p=158127&s=0&a=0&ptask=ALL&np=0&fp=0&mpc=0&spug=1&coppa=0&gdpr=0&gdpr_consent=&us_privacy=&sec=1
0
8743
https://static.cloudflareinsights.com/beacon.min.js
0
5440
https://crossmark-cdn.crossref.org/widget/v2.0/style.css
0
3410
https://ac-image.s3.amazonaws.com/6/1/7/7/1/0/home/RocketMill/ha_logo_header_335x112px-1542331212787.png?r=0.3934301090894149
0
1876
https://d3rxaij56vjege.cloudfront.net/form-serialize/0.3/serialize.min.js
0
1673
https://id5-sync.com/c/434/434/9/1.gif?puid=d6d45c78-54da-41eb-a176-6334a20387ba&gdpr=0&gdpr_consent=
0
1147
https://pixel.tapad.com/idsync/ex/receive/check?partner_id=1955&partner_device_id=3153e63f-a264-4ebe-b8ef-3e763e305845
0
828
https://www.healthaffairs.org/products/hope/releasedAssets/Images/blank.gif
0
750
https://tags.bluekai.com/site/33141?&id=dc3aebfe64acf74e
0
725
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Does not use passive listeners to improve scrolling performance
Improve the page's scroll performance by marking touch and wheel event listeners as 'passive'.
Source
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Avoid `document.write()`
Avoid or limit the use of external scripts that are dynamically injected via 'document.write()' as users on slow connections will be delayed by tens of seconds.
Source
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Image elements do not have explicit `width` and `height`
Reduce layout shifts and improve CLS by setting explicit width and height properties on image elements.
URL Failing Elements
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
img
https://www.healthaffairs.org/do/10.1377/hpb20201228.198475/tile/health-affairs-brief-suicide-risk-prevention-miller.png
img
https://www.healthaffairs.org/do/10.1377/hblog20210322.718367/tile/health-affairs-blog-covid19-stds-jamison.png
img
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
img
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-chronic-care-managemet-chen-1614360367943.png
The Practice Of Medicine
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-02/considering-health-sending-1612213178527.png
Considering Health Spending
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
img
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
Cover image for the latest issue
https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/doilist/health-affairs-brief-administrative-burdens-social-welfare-herd.png
img
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-covid-19-unemployment-insurance-berkowitz-1614359991.png
COVID-19
https://www.healthaffairs.org/pb-assets/images/hubs/vaccines-treatment/vaccines-treatment-1607048977160.png
COVID-19 Vaccines Treatment Resource Center
https://www.healthaffairs.org/do/10.1377/hp20210325.481166/tile/Podcast_This-Week_Logo_podcast_300x300.png
img
https://www.healthaffairs.org/pb-assets/images/logos/project_hope_footer_logo-1551988072747.png
Project HOPE
https://www.healthaffairs.org/pb-assets/images/logos/HA_logo_footer_320x74px-1503947084287.png
img
https://www.healthaffairs.org/pb-assets/images/logos/HA_logo_header_335x112px-1542331212787.png
Health Affairs
80

Accessibility

Indicates how accessible the page is and highlights opportunities where the page can be made more accessible to users of healthaffairs.org. This includes details about various page attributes that can be optimized.

Navigation

`[accesskey]` values are unique
Access keys assist users with focusing on different parts of the page. Each access key should be unique for proper navigation.
The page contains a heading, skip link, or landmark region
It is advised to provide ways to bypass repetitive content, allowing users to navigate the page efficiently.
`[id]` attributes on active, focusable elements are unique
Ensure all focusable elements have a unique id value to allow them to be visible to users of assistive technologies, like a screen reader.
No element has a `[tabindex]` value greater than 0
Although technically valid, a tabindex value greater than 0 often creates frustrating experiences for users who rely on assistive technologies.

ARIA

`[aria-*]` attributes match their roles
Avoid mismatching 'aria-*' attributes and their 'role' value, as it invalidates the attribute.
`button`, `link`, and `menuitem` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
`[aria-hidden="true"]` is not present on the document `<body>`
If aria-hidden=true is set on the document body, assistive technologies, like a screen reader will work inconsistently.
`[aria-hidden="true"]` elements do not contain focusable descendents
Interactive elements within an aria-hidden=true element are unavailable to users of assistive technologies, like a screen reader.
ARIA input fields have accessible names
Generic names are announced to users of assistive technologies, like a screen reader, when an input field does not have an accessible name specified.
ARIA `meter` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
ARIA `progressbar` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
`[role]`s have all required `[aria-*]` attributes
Some ARIA roles have required 'aria-*' attributes, which provide essential information about state and functionality.
Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.
Some ARIA parent roles cannot perform their intended functions if specific child roles are not used.
`[role]`s are contained by their required parent element
Some ARIA child roles cannot perform their intended functions if specific parent roles are not used.
`[role]` values are valid
All ARIA roles require valid values to perform their intended functions.
ARIA toggle fields have accessible names
Generic names are announced to users of assistive technologies, like a screen reader, when a toggle field does not have an accessible name specified.
ARIA `tooltip` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
ARIA `treeitem` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
`[aria-*]` attributes have valid values
ARIA attributes cannot be interpreted with invalid values when used by screen readers and other assistive technologies.
`[aria-*]` attributes are valid and not misspelled
ARIA attributes cannot be interpreted with invalid names when used by screen readers and other assistive technologies.
ARIA IDs are unique
Ensure all ARIA ID values are unique to prevent elements from being overlooked by assistive technologies, like a screen reader.

Names and labels

Buttons have an accessible name
Buttons become unusable as they are announced simply as "button" when the button does not have an accessible name, when used by screen readers and other assistive technologies.
Document has a `<title>` element
Search engines, screen reader users and other assistive technology users rely on the title to provide an overview of the page and to help determine if the page is relevant to their search.
No form fields have multiple labels
Having multiple labels for form fields can be confusing to assistive technologies, like a screen reader.
`<input type="image">` elements have `[alt]` text
Input buttons with alternative text assist screen readers and other assistive technology users to understand its purpose.
Form elements have associated labels
Screen readers and other assistive technologies rely on labels to properly announce form controls.
`<object>` elements have `[alt]` text
It is advised that alt text is used on '<object>' elements in order to provide meaning to screen reader and other assistive technology users, as these technologies are unable to translate non-text content.

Tables and lists

`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
Screen readers and other assistive technologies may produce poor and inaccurate output when definition lists are not properly marked up.
Definition list items are wrapped in `<dl>` elements
In order for screen readers and other assistive technologies to properly announce definition list items ('<dt>' and '<dd>'), they must be wrapped in parent a '<dl>' element.
List items (`<li>`) are contained within `<ul>` or `<ol>` parent elements
In order for screen readers to announce list items, ensure that list items ('<li>') are contained within parent '<ul>' or '<ol>' tags.
Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
Screen readers and other assistive technologies have features to make navigating tables easier. Ensure that '<td>' cells using the headers attribute only refer to other cells in the same table, to improve screen reader user experience.
`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
Screen readers and other assistive technologies have features to make navigating tables easier. Ensure that table headers refer to some set of cells, to improve screen reader user experience.

Internationalization and localization

`<html>` element has a `[lang]` attribute
It is advised to provide a lang attribute so that screen readers and other assistive technologies are guaranteed to announce the page's text correctly. When not provided, the user's default language setting will be used which may cause inaccuracies.
`<html>` element has a valid value for its `[lang]` attribute
Specify a valid BCP 47 language in order to help screen readers and other assistive technologies announce text properly.
`[lang]` attributes have a valid value
Specify a valid BCP 47 language on elements in order to help screen readers and other assistive technologies announce text properly.

Best practices

The document does not use `<meta http-equiv="refresh">`
Pages that refresh automatically cause a poor user experience as focus is directed back to the top of the page unexpectedly.

Audio and video

`<video>` elements contain a `<track>` element with `[kind="captions"]`
Healthaffairs.org may provide assistance to deaf or hearing-impaired users with captions on videos.

Contrast

Background and foreground colors do not have a sufficient contrast ratio.
Many (if not most) users find low-contrast text difficult or impossible to read.
Failing Elements
FOR AUTHORS
MARCH 2021
FEATURED ARTICLES
RESEARCH ARTICLE
March 2021
RESEARCH ARTICLE
March 2021
RESEARCH ARTICLE
March 2021
HEALTH AFFAIRS BLOG
FOLLOWING THE ACA
March 17, 2021
HEALTH AFFAIRS BLOG
March 26, 2021
LATEST FROM THE BLOG
March 26, 2021
March 26, 2021
GRANTWATCH
March 25, 2021
January 29, 2021
Robert J. Cramer
Richard C. Fording
Phyllis Gerstenfeld
Andre Kehn
Jason Marsden
Cynthia Deitle
Angela King
Shelley Smart
Matt R. Nobles
November 9, 2020
Pamela Herd
Donald Moynihan
October 2, 2020
Ingrid Gould Ellen
Alexis Captanian
August 17, 2020
March 26, 2021
March 26, 2021
March 23, 2021
March 22, 2021
March 19, 2021
March 11, 2021
December 8, 2020
October 29, 2020
October 21, 2020
March 2021
March 2021
March 2021

Names and labels

`<frame>` or `<iframe>` elements do not have a title
Screen reader users and other assistive technology users rely on frame titles to describe the contents of frames.
Failing Elements
iframe
Image elements do not have `[alt]` attributes
Provide short and descriptive alternative text where possible on informative elements.
Failing Elements
img
img
img
img
img
img
img
img
img
img
img
img
Links do not have a discernible name
In order to improve the navigation for screen reader and other assistive technology users, use link text that is unique, focusable and discernible.

Navigation

Heading elements are not in a sequentially-descending order
Properly order all headers and do not skip heading levels to better the navigation and readability for users of assistive technologies, like a screen reader.
Failing Elements
TOPICS

Tables and lists

Lists do not contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
Use proper list structure to aid screen readers and other assistive technologies.
Failing Elements
N. Yao et al.
C. Liu et al.
S. Desai et al.
S. Berkowitz et al.
C. Whaley et al.
M. Pany et al.

Best practices

`[user-scalable="no"]` is used in the `<meta name="viewport">` element or the `[maximum-scale]` attribute is less than 5.
For users with low vision who rely on screen magnification, ensure that zooming is not disabled.
Failing Elements
meta

Manual Checks

The page has a logical tab order
The visual layout should be logical in its tab order and users cannot focus elements that are offscreen.
Interactive controls are keyboard focusable
Ensure that custom interactive controls are keyboard focusable and that a focus indicator is displayed.
Interactive elements indicate their purpose and state
Ensure that interactive elements (such as links and buttons) are distinguishable from non-interactive elements and that they indicate their state.
The user's focus is directed to new content added to the page
When new content (such as a dialogue) is added to the page, the user's focus should be directed to it.
User focus is not accidentally trapped in a region
Avoid focus being accidentally trapped when a user tabs in and out of controls or regions on page.
Custom controls have associated labels
Ensure that custom interactive controls have associated labels, which are provided by aria-label and aria-labelledby attributes.
Custom controls have ARIA roles
Ensure that all custom interactive controls have appropriate ARIA roles.
Visual order on the page follows DOM order
Ensure that the DOM order matches with the page's visual order, in order to improve navigation for screen readers and other assistive technologies.
Offscreen content is hidden from assistive technology
Ensure that offscreen content is hidden through the use of "display:none" styling or the aria-hidden attribute.
HTML5 landmark elements are used to improve navigation
Elements such as <main> and <nav> are recommended as they are used by screen readers and other assistive technologies to improve keyboard navigation.
80

Best Practices

Indicates the recommended, best practices currently in place on the page and highlights the best practices that healthaffairs.org should incorporate. This includes practices such as protecting pages with HTTPS.

Audits

Avoids requesting the geolocation permission on page load
When requesting a user's location, provide context or consider tying the request to a user action to avoid confusion and mistrust from users.
Avoids requesting the notification permission on page load
When requesting permission to send notifications, provide context or consider tying the request to a user action to avoid confusion and mistrust from users.

Audits

Allows users to paste into password fields
Ensure that password inputs may be pasted into to aid in the user's ability to use password managers and improve security.
Displays images with correct aspect ratio
Ensure that image display dimensions match their natural aspect ratio.
Serves images with appropriate resolution
For maximum image clarity, ensure images have natural dimensions and are proportional to the display size and pixel ratio.
Fonts with `font-display: optional` are preloaded
It is recommended that optional fonts are preloaded.

Audits

Page has the HTML doctype
Ensure a doctype is specified to prevent the browser from switching to quirks-mode.
Properly defines charset
It is advised to declare a character encoding, optionally via a <meta> tag in the first 1024 bytes of the HTML or in the Content-Type HTTP response header.

Audits

Avoids `unload` event listeners
The 'unload' event does not fire reliably, causing issues with browser optimizations such as the Back-Forward Cache. It is recommended that 'pagehide' or 'visibilitychange' events are used instead.
Avoids Application Cache
Application cache is deprecated and is no longer recommended.
Detected JavaScript libraries
Below is a list of all front-end JavaScript libraries that were detected on the page.
Name Version
Bootstrap
4.4.1
jQuery
3.5.1
jQuery UI
1.10.2
Mustache
2.2.1
core-js
core-js-global@3.9.1; core-js-pure@3.6.4
Avoids deprecated APIs
Avoid deprecated APIs which will eventually be removed the browser.
No browser errors logged to the console
Below is a list of all errors logged to the console, which indicate unresolved problems on the site.
No issues in the `Issues` panel in Chrome Devtools
There may be unresolved issues logged to Chrome Devtools.

Audits

Does not use HTTPS — 1 insecure request found
Ensure that all pages are protected with HTTPS (including those that do not handle sensitive data) as HTTPS prevents tampering and passive listening on communications between the app and its users. Additionally, HTTPS is a prerequisite for HTTP/2 and many new web platform APIs.
Insecure URL Request Resolution
http://healthaffairs.org/
Allowed
Links to cross-origin destinations are unsafe
Improve performance and prevent security vulnerabilities by adding rel="noopener" and rel="noreferrer" to external links.
Includes front-end JavaScript libraries with known security vulnerabilities — 1 vulnerability detected
Ensure that the use of third-party scripts is minimal and that only trusted third-party scripts are used as some may contain known security vulnerabilities which may be exploited by attackers.
Library Version Vulnerability Count Highest Severity
SHOW DETAILS
1
High

Audits

Missing source maps for large first-party JavaScript
Consider deploying source maps for added benefits such as the ability to debug while in production.
URL Map URL
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
https://healthaffairs.blueconic.net/plugin/library/jquery-migrate.min.map
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js.map
https://www.healthaffairs.org/products/hope/releasedAssets/js/build.lazyload.bundle-1e9a08eae02b2c22ec7f.js
https://www.healthaffairs.org/products/hope/releasedAssets/js/build.lazyload.bundle-1e9a08eae02b2c22ec7f.js.map
92

SEO

Indicates how well the page is optimized for ranking in search engines and highlights Search Engine Optimization (SEO) opportunities for healthaffairs.org. This includes optimizations such as providing meta data.

Mobile Friendly

Has a `<meta name="viewport">` tag with `width` or `initial-scale`
It is advised to use a '<meta name="viewport">' tag for the optimization of healthaffairs.org on mobile screens.
Document uses legible font sizes
Font sizes of 12px or less are too small to most mobile users without user gestures and further action. Aim for more than 60% of page text to use font sizes greater than 12px.
Tap targets are sized appropriately
Interactive elements (such as buttons and links) should be appropriately spaced, sized and easy enough to select or tap with regard to their surrounding elements.

Content Best Practices

Document has a `<title>` element
Search engines, screen reader users and other assistive technology users rely on the title to provide an overview of the page and to help determine if the page is relevant to their search.
Document has a meta description
Meta descriptions may be used by search engines when displaying a link to the page and should concisely summarize the page's content.
Links have descriptive text
Make use of descriptive link text to assist search engines in understanding the content.
Document has a valid `hreflang`
Search engines can be instructed to list specific versions of a page for a given language or region through the use of hreflang links.
Document has a valid `rel=canonical`
Search engines can be suggested which URL should be shown in search results through the use of canonical links.
Document avoids plugins
The content of plugins cannot be indexed by search engines and many devices either restrict or do not support them.

Crawling and Indexing

Page has successful HTTP status code
Avoid pages with unsuccessful HTTP status codes as they may not be indexed by search engines.
Links are crawlable
Ensure that the 'href' attribute of anchor elements links to the appropriate destination. This allows for more pages of the site to be discovered by search engines.
Page isn’t blocked from indexing
Pages that cannot be crawled by search engines cannot be indexed or included in their search results. Ensure that search engines have permission to crawl all pages that should be indexed.
robots.txt is valid
Malformed robots.txt files prevent crawlers from understanding how a site wants to be crawled or indexed, which can be devastating to SEO.

Content Best Practices

Image elements do not have `[alt]` attributes
Provide short and descriptive alternative text where possible on informative elements.
Failing Elements
img
img
img
img
img
img
img
img
img
img
img
img

Manual Checks

Structured data is valid
Structured data can be validated through the use of the Structured Data Testing Tool and the Structured Data Linter.
36

Progressive Web App

Indicates how valid the aspects of a Progressive Web App (PWA) are for the page and highlights opportunities to enable/improve the PWA of healthaffairs.org. This includes details about web app manifests.

PWA Optimized

Redirects HTTP traffic to HTTPS
It is advised to redirect all HTTP traffic to HTTPS, in order to enable secure web features for all users.
Content is sized correctly for the viewport
Ensure that the width of the app's content matches the width of the viewport, otherwise the app might not be optimized for mobile screens.
Has a `<meta name="viewport">` tag with `width` or `initial-scale`
It is advised to use a '<meta name="viewport">' tag for the optimization of healthaffairs.org on mobile screens.

Installable

Web app manifest or service worker do not meet the installability requirements — 1 reason
User engagement may be increased by leveraging the browsers ability to proactively prompt users to add the app to their homescreen.
Failure reason
No manifest was fetched

PWA Optimized

Does not register a service worker that controls page and `start_url`
A service worker is used to provide Progressive Web Apps the use of features such as working offline, the ability for the app to be added to the homescreen as well as push notifications.
Is not configured for a custom splash screen
Themed splash screens ensure a high-quality user experience at launch for app users.
View Data
Does not set a theme color for the address bar.
A theme may be applied to the browser address bar, which ideally can be made to match the site.
View Data
Does not provide a valid `apple-touch-icon`
iOS users of Progressive Web Apps will benefit from an apple touch icon, which can be defined with 'apple-touch-icon', which must point to a non-transparent 192px (or 180px) square PNG.
Manifest doesn't have a maskable icon
Maskable icons are great to ensure that images fill the entire shape when installing the app on a device.

Manual Checks

Site works cross-browser
Ensure that the Progressive Web App works correctly across every major browser.
Page transitions don't feel like they block on the network
Users perceive apps with responsive, snappy transitions as higher peforming and ensures a great user experience, even on a slow network.
Each page has a URL
Ensure that all pages are deep linkable via URL. They should also be unique for the purpose of shareability on social media.
Avg. (All Categories) 60
Performance 21
Accessibility 72
Best Practices 73
SEO 90
Progressive Web App 42
0–49 (Fail) 50–89 (Average) 90–100 (Pass)
URL: https://www.healthaffairs.org/
Updated: 29th March, 2021

2.43 seconds
First Contentful Paint (FCP)
35%
53%
12%

0.02 seconds
First Input Delay (FID)
93%
5%
2%

Simulate loading on mobile
21

Performance

Indicates how well the page is performing and highlights opportunities where performance may be improved for healthaffairs.org. This includes details about optimizing page load times which can result in a better user experience.

Metrics

Cumulative Layout Shift — 0.071
Cumulative Layout Shift is the measurement of visible elements collective movement within the viewport.
View Data

Opportunities

Defer offscreen images — Potential savings of 169 KiB
Time to Interactive can be slowed down by resources on the page. Healthaffairs.org should consider lazy-loading offscreen and hidden images.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2021-03/health-affairs-journal-graduate-medical-education-payment-griswold-1614364616073.png
122080
122080
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2021-03/health-affairs-journal-featured-articles-cost-and-spending-chua-leading-to-health-waters-2nd-half.png
32963
32963
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2020-11/podcast-this-week-1607032536413.png
9916
9916
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2021-03/health-affairs-journal-march-2021-covid-19-nursing-homes-1614365839983.png
5904
5904
https://www.healthaffairs.org/products/hope/widgets/royal-slider/Images/rs-default.png
2559
2559
Minify CSS — Potential savings of 3 KiB
Cascading Style Sheets (CSS) files can contribute to network payload sizes. Healthaffairs.org should consider minifying CSS files.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/pb-assets/styles/hope-css-1613079099330.css
12149
2620
Enable text compression — Potential savings of 31 KiB
Text-based resources should be served with compression, such as gzip, deflate or brotli.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://cdn.pixfuture.com/hb_v2.js
28664
21968
https://image6.pubmatic.com/AdServer/PugMaster?kdntuid=1&rnd=97218353&p=158127&s=0&a=0&ptask=ALL&np=0&fp=0&mpc=0&spug=1&coppa=0&gdpr=0&gdpr_consent=&us_privacy=&sec=1
7849
5996
https://crossmark-cdn.crossref.org/widget/v2.0/style.css
3010
2339
https://served-by.pixfuture.com/www/delivery/hb_v2.php?dat=10339x728x90x1846x_ADSLOT1&keywords=health,affairs,leading,publication,health,policy,research,insight&refUrl=&refresh=false&innerWidth=360&jscookie=SERVER=WZ6myaEXBLFg0xgoxPFS5w==;%20_ga=GA1.2.661322375.1616996644;%20_gid=GA1.2.66302645.1616996644;%20_gat_UA-99028713-1=1;%20BCSessionID=a7b929ba-3362-48af-8045-812d3ac10b90
2932
1824
Preconnect to required origins
Resource hints, such as 'preconnect' or 'dns-prefetch', may assist in establishing early connections to important third-party origins.
Initial server response time was short — Root document took 590 ms
It is advised to keep the server response time short for the main document, because all other requests depend on it.
URL Time Spent (Ms)
https://www.healthaffairs.org/
588.392
Preload key requests
Key requests can be preloaded by using '<link rel=preload>'. Healthaffairs.org should consider using '<link rel=preload>' to prioritize fetching resources that are currently requested later in page load.
Use video formats for animated content
Large GIFs are inefficient for delivering animated content. It is recommended to use MPEG4/WebM videos for animations and PNG/WebP for static images instead of GIF.
Remove duplicate modules in JavaScript bundles
Ensure that no duplicate JavaScript modules from bundles exist to reduce bytes consumed by network activity.
Avoid serving legacy JavaScript to modern browsers — Potential savings of 26 KiB
Polyfills and transforms enable legacy browsers to use new JavaScript features. For bundled JavaScript it is recommended to adopt a modern script deployment strategy using module/nomodule feature detection. This will reduce the amount of code shipped to modern browsers.
URL Potential Savings (Bytes)
https://cdn.pixfuture.com/pbix.js
11710
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
8637
https://www.healthaffairs.org/wro/k3fa~product.js
6342
Preload Largest Contentful Paint image
It is recommended to preload images used by LCP elements, to improve LCP time.
URL Potential Savings (Ms)
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2020-11/podcast-this-week-1607032536413.png
0

Diagnostics

Avoid chaining critical requests — 22 chains found
Below is a list of Critical Request Chains, which shows which resources are loaded with a high priority. Healthaffairs.org should consider reducing the length of chains, reducing the download size of resources, or deferring the download of unnecessary resources to improve page load.
User Timing marks and measures
Make use of the User Timing API to measure an app's real-world performance during key user experiences.
All text remains visible during webfont loads
Make use of the font-display CSS feature, which will ensure text is user-visible while webfonts are loading.
Keep request counts low and transfer sizes small — 380 requests • 5,103 KiB
It is advised to add a budgets.json file in order to set budgets for the quantity and size of page resources.
Resource Type Requests Transfer Size (Bytes)
Total
380
5225976
Image
127
3598917
Script
37
937923
Font
11
202523
Stylesheet
8
182384
Document
24
173065
Other
173
131164
Media
0
0
Third-party
334
1433254
Lazy load third-party resources with facades
Consider replacing third-party embeds with a facade until they are required (use lazy loading).
Largest Contentful Paint element — 1 element found
The element which was identified as the Largest Contentful Paint.
Element
img
Avoid large layout shifts — 5 elements found
Below is a list of all DOM elements that contribute to the CLS of the page.
Element CLS Contribution
Embed View on Twitter
0.076666666666667
Health Affairs ✔ @Health_Affairs #WomenInHistory: Where are we headed on genet…
0.069486157128514
RESEARCH ARTICLE | AHEAD OF PRINT Public Health Neglected: US State Spend…
0.067027165964143
Health Affairs ✔ @Health_Affairs #WomenInHistory: Nearly three 3 people work a…
0.030636069277108
0.0087589288974078
Avoid long main-thread tasks — 20 long tasks found
Below is a list of the longest tasks on the main thread, which is useful when identifying the worst input delay contributors.
URL Start Time (Ms) Duration (Ms)
https://healthaffairs.activehosted.com/f/embed.php?id=67
22590
415
https://simage2.pubmatic.com/AdServer/Pug?vcode=bz0yJnR5cGU9MSZjb2RlPTI5NDcmdGw9MTI5NjAw&piggybackCookie=569787929989
21739
406
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
17824
243
https://platform.twitter.com/widgets/widget_iframe.0edc1ef9f8b82d9b79c6115bda79f63f.html?origin=https%3A%2F%2Fwww.healthaffairs.org
6150
139
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27370
130
https://platform.twitter.com/widgets.js
26290
128
https://cdn.pixfuture.com/pbix.js
7084
127
https://cdn.blueconic.net/healthaffairs.js
5490
120
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
23035
114
https://script.hotjar.com/modules.35981999a656a5a28309.js
25173
96
https://platform.twitter.com/widgets.js
3685
95
https://served-by.pixfuture.com/www/delivery/headerbid.js
8896
84
https://image6.pubmatic.com/AdServer/PugMaster?kdntuid=1&rnd=97218353&p=158127&s=0&a=0&ptask=ALL&np=0&fp=0&mpc=0&spug=1&coppa=0&gdpr=0&gdpr_consent=&us_privacy=&sec=1
10860
84
https://www.healthaffairs.org/products/hope/releasedAssets/css/build-7462ab09208e3c167ba2.css
5190
83
https://de.tynt.com/deb/?m=xch&rt=html&ru=deb&id=azC7qard4r6OkMaKlId8sQ&gdpr_consent=undefined&us_privacy=undefined
10204
75
https://www.google-analytics.com/analytics.js
10759
74
https://served-by.pixfuture.com/www/delivery/headerbid.js
7279
70
https://cdn.pixfuture.com/hb_v2.js
7211
68
https://www.healthaffairs.org/
2113
66
https://www.googletagmanager.com/gtm.js?id=GTM-MM39PJT
8547
65
Avoid non-composited animations
It is recommended to avoid non-composited animations which are often janky and increase CLS.

Budgets

Performance budget
It is advised to keep the quantity and size of all network requests under the targets set by the provided performance budget.
Timing budget
It is advised to set a timing budget to monitor the performance of your site.

Other

Network Requests
Below is a list of network requests that were made during page load.
URL Protocol Start Time (Ms) End Time (Ms) Transfer Size (Bytes) Resource Size (Bytes) Status Code MIME Type Resource Type
http://healthaffairs.org/
http/1.1
0
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186
0
301
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0
301
https://www.healthaffairs.org/
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text/html
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h2
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Stylesheet
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Stylesheet
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h2
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Stylesheet
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h2
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h2
1057.1630001068
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h2
1057.3110003024
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h2
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image/webp
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h2
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image/webp
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h2
1057.7930002473
1429.0510001592
33753
32963
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image/png
Image
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2020-11/podcast-this-week-1607032536413.png
h2
1057.9920001328
1084.2860001139
10811
9916
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image/webp
Image
https://www.healthaffairs.org/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js
h2
931.79500009865
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h2
1058.3359999582
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h2
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h2
1058.5400001146
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h2
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h2
1058.989000041
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h2
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h2
1059.2380003072
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h2
1059.3389999121
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h2
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h2
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h2
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h2
1060.020999983
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h2
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h2
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Script
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h2
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h2
1059.9090000615
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h2
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XHR
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Font
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http/1.1
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application/x-javascript
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4221.8030001968
4239.233000204
978
0
307
text/plain
https://match.prod.bidr.io/cookie-sync?userid=7831458936949930125&bee_sync_partners=pp,pm&bee_sync_current_partner=syn&bee_sync_initiator=adx&bee_sync_hop_count=3
http/1.1
4240.0810001418
4351.427000016
381
0
303
https://image2.pubmatic.com/AdServer/Pug?vcode=bz0yJnR5cGU9MSZjb2RlPTMyOTcmdGw9MTI5NjAw&piggybackCookie=AAGyNU7AwtIAACdeqsfz8g
http/1.1
4352.0770003088
4428.4069999121
773
42
200
image/gif
Document
https://ib.adnxs.com/async_usersync?cbfn=queuePixels
http/1.1
4397.9680002667
4488.657000009
589
0
200
text/html
Script
https://ssc-cms.33across.com/ps?xi=64&xu=AAACHipH6Ix-tAMhC1bxAAAAAAA&expiration=1617083046&is_secure=true&us_privacy=
http/1.1
4446.6719999909
4476.6840003431
680
0
302
https://cms-xch-chicago.33across.com/match?bidder_id=64&external_user_id=AAACHipH6Ix-tAMhC1bxAAAAAAA&ts=1616996646&gdpr_58=&gdpr=0&gdpr_consent=&us_privacy=
http/1.1
4476.8850002438
4615.7590001822
324
68
200
image/png
Image
https://simage4.pubmatic.com/AdServer/SPug?partnerID=158127&gdpr=0&gdpr_consent=&us_privacy=
http/1.1
5488.1160003133
5592.194000259
587
0
200
text/plain
Script
https://sync.go.sonobi.com/us.gif?nw=zt&nuid=2810316543744700507
http/1.1
6248.5380000435
6315.4299999587
848
49
200
image/gif
Image
https://simage2.pubmatic.com/AdServer/Pug?vcode=bz0yJnR5cGU9MSZjb2RlPTI5NDcmdGw9MTI5NjAw&piggybackCookie=569787929989
http/1.1
6534.0860001743
6631.3360002823
762
42
200
image/gif
Document
Network Round Trip Times — 0 ms
High Network RTT (Round Trip Times) can have a large impact on performance. Providing servers geographically closer to the user could improve performance.
Server Backend Latencies — 0 ms
High server latencies indicate the server is overloaded or has a poor backend performance.
Tasks
Below is a list of the top-level main thread tasks that executed during page load.
Start Time (Ms) End Time (Ms)
792.238
6.836
1069.018
20.802
1089.91
30.103
1120.026
29.143
1163.252
33.215
1201.447
7.564
1215.769
14.168
1238.183
14.146
1252.666
6.298
1261.276
16.197
1279.701
13.17
1293.079
15.562
1311.898
18.395
1374.478
60.653
1455.063
31.667
1487.629
5.931
1507.565
207.694
1720.312
17.011
1749.608
6.254
1759.619
12.785
1773.082
57.205
1834.806
6.668
1841.488
6.214
1872.825
5.91
1889.2
34.916
1935.144
11.354
1952.994
5.398
1973.446
24.093
2016.03
34.714
2052.422
5.761
2058.727
7.852
2076.208
8.847
2121.757
8.744
2130.514
12.314
2192.594
11.565
2333.826
32.44
2425.798
9.36
2435.2
6.668
2442.457
64.165
2528.564
26.3
2569.995
47.739
2625.649
18.927
2646.886
26.335
2674.076
10.891
2691.703
6.983
2708.247
6.047
2724.907
5.728
2741.568
5.727
2758.226
5.776
2774.897
5.812
2791.582
5.825
2808.201
5.286
2824.884
5.882
2841.547
5.813
2858.218
22.25
3203.499
20.931
3234.043
6.588
3263.244
5.859
3291.941
5.996
3299.794
18.763
3318.672
6.971
3328.054
6.239
3335.086
9.083
3353.077
7.228
3360.321
11.858
3375.101
7.128
3382.648
6.229
3390.677
12.254
3404.06
10.608
3427.688
7.642
3507.672
21.106
3552.461
5.988
3562.793
5.823
3628.055
6.768
3642.776
6.134
3667.817
8.927
3691.398
8.071
3701.235
8.364
3719.937
8.474
3733.125
8.651
3781.435
5.675
3873.219
5.896
3880.038
6.013
3886.824
5.892
4468.298
6.015
5523.755
6.203
6674.215
101.545
6793.041
7.395
Diagnostics
Below is a collection of useful page vitals.
View Data
Metrics
Below is a collection of metrics.
View Data

Metrics

First Contentful Paint — 3.7 s
The time taken for the first image or text on the page to be rendered.

Other

First Meaningful Paint — 3.7 s
The time taken for the primary content of the page to be rendered.

Opportunities

Eliminate render-blocking resources — Potential savings of 680 ms
Resources, such as JavaScript and style sheets, can block the first paint of the page. Healthaffairs.org should consider delivering critical JavaScript/style sheets (JS/CSS) inline and deferring all non-critical JS/CSS.
URL Transfer Size (Bytes) Potential Savings (Ms)
https://www.healthaffairs.org/products/hope/releasedAssets/css/build-7462ab09208e3c167ba2.css
121598
1350
https://www.healthaffairs.org/pb-assets/styles/hope-css-1613079099330.css
12149
150
Minify JavaScript — Potential savings of 5 KiB
JavaScript (JS) files can contribute to network payload sizes and increase script parse times. Healthaffairs.org should consider minifying JS files.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://healthaffairs.blueconic.net/plugin/plugin/57a0882fdc566b456021f55e9ff115dc
34299
5312

Diagnostics

Serve static assets with an efficient cache policy — 30 resources found
Healthaffairs.org can speed up repeat visits by increasing the cache lifetime, which is essentially how long before a cached copy expires.
URL Cache TTL (Ms) Transfer Size (Bytes)
https://image6.pubmatic.com/AdServer/PugMaster?kdntuid=1&rnd=97218353&p=158127&s=0&a=0&ptask=ALL&np=0&fp=0&mpc=0&spug=1&coppa=0&gdpr=0&gdpr_consent=&us_privacy=&sec=1
0
8743
https://crossmark-cdn.crossref.org/widget/v2.0/style.css
0
3410
https://ac-image.s3.amazonaws.com/6/1/7/7/1/0/home/RocketMill/ha_logo_header_335x112px-1542331212787.png?r=0.3934301090894149
0
1876
https://d3rxaij56vjege.cloudfront.net/form-serialize/0.3/serialize.min.js
0
1673
https://mwzeom.zeotap.com/mw?google_gid=CAESECzUjZ8MDtPtLAHGhCHRarc&google_cver=1&zpartnerid=1&env=mWeb&eventType=map&id_mid_4=eee5d039-33b7-4cab-7fca-22d6a420b958&reqId=99eeb3c4-fccd-4976-4a7f-37e0042d4b2f&zcluid=758af7fcd66359e2&zdid=1332
0
869
https://pixel.tapad.com/idsync/ex/receive?partner_id=1830&partner_device_id=4a23a031-796e-4d0d-8d1b-15b0eaa0200b&ttd_puid=c63058a5-9051-11eb-9bf3-2e5c92c50538%2C
0
834
https://pixel.tapad.com/idsync/ex/receive?partner_id=1955&partner_device_id=ea2e5698-cc80-4fbb-a545-65841e847ef5
0
828
https://www.healthaffairs.org/products/hope/releasedAssets/Images/blank.gif
0
750
https://dmx.districtm.io/s/10051/y-QP8Gy4ZE2uF_FcBGZJk5BMNKGUvYYxTF~A~UPc638967f-9051-11eb-b71f-02a8e4a7db61
0
728
https://p.adsymptotic.com/d/px/?_pid=16218&_psign=0aa5badf92527f7732e22463d6fa4dbc&coopa=0&gdpr=0&gdpr_consent=&_puuid=ddf5da13-bfdf-4f7b-a6d4-4a9467e67d64&_expected_cookie=ca0ea073dc66ada389aa3df78529b0a9
0
708
https://dmx.districtm.io/s/10057/y-fIkbtvNE2uELVNXZDDnZZg_xVYOLy26p3Dw.g0M-~A
0
704
https://dmx.districtm.io/s/10001/4e339908-275b-49ed-9a6d-dca9f765c528-60616925-5553
0
701
https://dmx.districtm.io/s/10025/AAGyNU7AwtIAACdeqsfz8g
0
684
https://t.trafmag.com/images/images/1px-matching-adtelligent.gif?id=41824b4201d9b4b5
0
322
https://rtb.adentifi.com/CookieSyncPubMatic&gdpr=0&gdpr_consent=
0
88
https://static.hotjar.com/c/hotjar-1385644.js?sv=6
60000
2387
https://cdn.blueconic.net/healthaffairs.js
600000
39848
https://platform.twitter.com/widgets.js
1800000
29584
https://www.google-analytics.com/analytics.js
7200000
19610
https://snap.licdn.com/li.lms-analytics/insight.min.js
20870000
2169
https://ads.pubmatic.com/AdServer/js/user_sync.html?p=156578&predirect=
38036000
3387
https://eus.rubiconproject.com/usync.js
81852000
9920
https://cdn.districtm.io/ids/idsync.d5cb6b96.js
172800000
2264
https://served-by.pixfuture.com/www/delivery/headerbid.js
172800000
1620
https://www.healthaffairs.org/cdn-cgi/scripts/5c5dd728/cloudflare-static/email-decode.min.js
172800000
1255
https://ton.twimg.com/tfw/css/syndication_bundle_v1_73385286cca9d2256f6bf3993470820d4827b058.css
604767000
7410
https://ton.twimg.com/tfw/css/syndication_bundle_v1_73385286cca9d2256f6bf3993470820d4827b058.css
604767000
7410
https://cdn.pixfuture.com/pbix.js
2678400000
116606
https://cdn.pixfuture.com/hb_v2.js
2678400000
29643
https://cdn.pixfuture.com/banners/728x90.png
2678400000
26700
Avoid an excessive DOM size — 1,083 elements
A large DOM (Document Object Model) will increase memory usage, cause longer system calculations as well as costly layout reflows.
Statistic Element Value
Total DOM Elements
1083
Maximum DOM Depth
Benjamin F. Miller
22
Maximum Child Elements
Go to Health Affairs homepage Sign up to the Health Affairs ne…
17
Reduce JavaScript execution time — 3.3 s
JavaScript (JS) execution time can be lowered by reducing the time required for parsing, compiling and executing JS. Delivering smaller JS payloads may help with this.
URL Total CPU Time (Ms) Script Evaluation (Ms) Script Parse (Ms)
Unattributable
1280.968
33.76
0.54
https://platform.twitter.com/widgets.js
1204.54
346.348
18.324
https://www.healthaffairs.org/
1027.368
71
8.596
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
1002.004
771.552
55.72
https://cdn.blueconic.net/healthaffairs.js
598.02
506.164
11.608
https://simage2.pubmatic.com/AdServer/Pug?vcode=bz0yJnR5cGU9MSZjb2RlPTI5NDcmdGw9MTI5NjAw&piggybackCookie=569787929989
415.376
9.656
4.748
https://served-by.pixfuture.com/www/delivery/headerbid.js
393.08
359.664
3.788
https://script.hotjar.com/modules.35981999a656a5a28309.js
193.74
151.48
15.036
https://platform.twitter.com/widgets/widget_iframe.0edc1ef9f8b82d9b79c6115bda79f63f.html?origin=https%3A%2F%2Fwww.healthaffairs.org
172.648
30.884
81.108
https://cdn.pixfuture.com/pbix.js
160.1
94.756
25.892
https://www.healthaffairs.org/wro/k3fa~product.js
148.036
71.568
31.468
https://www.googletagmanager.com/gtm.js?id=GTM-MM39PJT
143.792
121.412
17.116
https://cdn.syndication.twimg.com/timeline/profile?callback=__twttr.callbacks.tl_i0_profile_Health_Affairs_old&dnt=false&domain=www.healthaffairs.org&lang=en&screen_name=Health_Affairs&suppress_response_codes=true&t=1796662&tz=GMT-0700&with_replies=false
136.496
34.796
10.608
https://eus.rubiconproject.com/usync.js
110.936
100.652
4.5
https://de.tynt.com/deb/?m=xch&rt=html&ru=deb&id=azC7qard4r6OkMaKlId8sQ&gdpr_consent=undefined&us_privacy=undefined
106.1
69.424
11.768
https://www.google-analytics.com/analytics.js
99.764
86
5.048
https://www.healthaffairs.org/products/hope/releasedAssets/css/build-7462ab09208e3c167ba2.css
83.208
0
0
https://image6.pubmatic.com/AdServer/PugMaster?kdntuid=1&rnd=97218353&p=158127&s=0&a=0&ptask=ALL&np=0&fp=0&mpc=0&spug=1&coppa=0&gdpr=0&gdpr_consent=&us_privacy=&sec=1
81.868
28.86
1.596
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
80.088
23.544
32.048
https://acdn.adnxs.com/dmp/async_usersync.html
61.084
20.616
16.368

Metrics

Speed Index — 10.2 s
The time taken for the page contents to be visibly populated.
Largest Contentful Paint — 6.4 s
The timing of the largest text or image that is painted.
Time to Interactive — 24.1 s
The time taken for the page to become fully interactive.
Total Blocking Time — 1,180 ms
The total blocking time is the sum of all time periods between First Contentful Paint and Time to Interactive (when task length exceeded 50ms).

Other

First CPU Idle — 20.8 s
The time taken for the page's main thread to be quiet enough to handle input.
Max Potential First Input Delay — 420 ms
Users could experience a delay when interacting with the page.
Estimated Input Latency — 160 ms
The time taken for the page to respond to user input (during the busiest 5 second window of page load). Users are likely to perceive healthaffairs.org as laggy when the latency is higher than 0.05 seconds.
First Contentful Paint (3G) — 7110 ms
The time taken for the first image or text on the page to be rendered while on a 3G network.

Opportunities

Properly size images — Potential savings of 913 KiB
Images can slow down the page's load time. Healthaffairs.org should consider serving more appropriate-sized images.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
558760
526631
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
328806
309900
https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/doilist/health-affairs-brief-administrative-burdens-social-welfare-herd.png
104211
98219
Remove unused CSS — Potential savings of 148 KiB
Dead and/or unused rules in Style Sheets (CSS) can contribute to network payload sizes. Healthaffairs.org should consider removing dead rules from style sheets and deferring the loading of CSS not used for above-the-fold content.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/products/hope/releasedAssets/css/build-7462ab09208e3c167ba2.css
121598
117050
https://www.healthaffairs.org/wro/k3fa~product.css
22577
22413
https://www.healthaffairs.org/pb-assets/styles/hope-css-1613079099330.css
12149
11641
Remove unused JavaScript — Potential savings of 580 KiB
It is advised to remove unused JavaScript in order to reduce bytes consumed by network activity.
URL Transfer Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
219815
162562
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
156541
103708
https://platform.twitter.com/widgets/widget_iframe.0edc1ef9f8b82d9b79c6115bda79f63f.html?origin=https%3A%2F%2Fwww.healthaffairs.org
106170
102346
https://www.healthaffairs.org/wro/k3fa~product.js
93325
75935
https://cdn.pixfuture.com/pbix.js
116606
67163
https://script.hotjar.com/modules.35981999a656a5a28309.js
59187
38448
https://www.googletagmanager.com/gtm.js?id=GTM-MM39PJT
56883
23370
https://healthaffairs.blueconic.net/plugin/plugin/57a0882fdc566b456021f55e9ff115dc
34299
20812
Efficiently encode images — Potential savings of 259 KiB
Unoptimized images can consume more cellular data than what is necessary.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
200559
134318
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
170277
117118
https://pbs.twimg.com/profile_images/378800000451999613/b54e97c592698bd6e5562e7959a8be80_bigger.jpeg
16298
13754
Serve images in next-gen formats — Potential savings of 2,227 KiB
Image formats like PNG and JPEG have poor compression when compared to other next-gen formats, such as JPEG 200, JPEG XR and WebP.
URL Resource Size (Bytes) Potential Savings (Bytes)
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
558760
483354
https://www.healthaffairs.org/do/10.1377/hpb20201228.198475/tile/health-affairs-brief-suicide-risk-prevention-miller.png
492830
446268
https://www.healthaffairs.org/do/10.1377/hblog20210322.718367/tile/health-affairs-blog-covid19-stds-jamison.png
446858
414712
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
328806
292394
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
200559
166217
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
170277
139315
https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/doilist/health-affairs-brief-administrative-burdens-social-welfare-herd.png
104211
69687
https://pbs.twimg.com/card_img/1375451315367723010/OphshxwY?format=png&name=144x144_2
49664
42398
https://pbs.twimg.com/card_img/1375056126312656898/yy5AhF_I?format=png&name=144x144_2
42576
37578
https://pbs.twimg.com/card_img/1375418516111818759/X29gppgK?format=png&name=144x144_2
40485
36451
https://pbs.twimg.com/card_img/1375524214422302726/5M6_3koT?format=png&name=144x144_2
38888
35226
https://pbs.twimg.com/card_img/1375115939667185666/3LLFvXog?format=png&name=144x144_2
38145
34361
https://pbs.twimg.com/card_img/1372896335037403136/SGuje8mM?format=png&name=144x144_2
30472
27770
https://cdn.pixfuture.com/banners/728x90.png
25711
17909
https://pbs.twimg.com/profile_images/378800000451999613/b54e97c592698bd6e5562e7959a8be80_bigger.jpeg
16298
14602
https://pbs.twimg.com/media/ExaIU9CXMAQJveF?format=jpg&name=small
33392
13468
https://www.healthaffairs.org/pb-assets/images/homepage/slider/2021-03/health-affairs-journal-featured-articles-cost-and-spending-chua-leading-to-health-waters-2nd-half.png
32963
8479
Avoid multiple page redirects — Potential savings of 1,110 ms
Redirects can cause additional delays before the page can begin loading. Healthaffairs.org should avoid multiple or unnecessary page redirects.
URL Time Spent (Ms)
http://healthaffairs.org/
630
https://healthaffairs.org/
480
https://www.healthaffairs.org/
0

Diagnostics

Avoid enormous network payloads — Total size was 5,103 KiB
Large network payloads can cost users money and are linked to long load times.
URL Transfer Size (Bytes)
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
559686
https://www.healthaffairs.org/do/10.1377/hpb20201228.198475/tile/health-affairs-brief-suicide-risk-prevention-miller.png
493770
https://www.healthaffairs.org/do/10.1377/hblog20210322.718367/tile/health-affairs-blog-covid19-stds-jamison.png
447787
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
329750
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-chronic-care-managemet-chen-1614360367943.png
275134
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-02/considering-health-sending-1612213178527.png
229099
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
219815
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
201465
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
170993
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
156541
Minimize main-thread work — 8.4 s
Main-thread work timing can be lowered by reducing the time required for parsing, compiling and executing JS. Delivering smaller JS payloads may help with this.
Category Time Spent (Ms)
Script Evaluation
3211.168
Other
1973.7
Style & Layout
1265.572
Rendering
547.59600000003
Script Parsing & Compilation
487.736
Garbage Collection
487.348
Parse HTML & CSS
453.104
Reduce the impact of third-party code — Third-party code blocked the main thread for 400 ms
It is advised to either limit, remove or delay the loading of redundant third-party code which may be significantly impacting load performance.
Third-Party Transfer Size (Bytes) Main-Thread Blocking Time (Ms)
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46055
215.068
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600608
138.82
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63274
20.556
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20837
15.36
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56883
12.104
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22076
0
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88
0
Does not use passive listeners to improve scrolling performance
Improve the page's scroll performance by marking touch and wheel event listeners as 'passive'.
Source
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Avoid `document.write()`
Avoid or limit the use of external scripts that are dynamically injected via 'document.write()' as users on slow connections will be delayed by tens of seconds.
Source
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Image elements do not have explicit `width` and `height`
Reduce layout shifts and improve CLS by setting explicit width and height properties on image elements.
URL Failing Elements
https://www.healthaffairs.org/do/10.1377/hpb20200724.106767/doilist/brief-gentrification-health-captanian.png
img
https://www.healthaffairs.org/do/10.1377/hpb20201228.198475/tile/health-affairs-brief-suicide-risk-prevention-miller.png
img
https://www.healthaffairs.org/do/10.1377/hblog20210322.718367/tile/health-affairs-blog-covid19-stds-jamison.png
img
https://www.healthaffairs.org/do/10.1377/hpb20200929.601434/doilist/health-affairs-brief-hate-behavior-public-health-cramer.png
img
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-chronic-care-managemet-chen-1614360367943.png
The Practice Of Medicine
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-02/considering-health-sending-1612213178527.png
Considering Health Spending
https://www.healthaffairs.org/do/10.1377/hblog20210316.222833/tile/HABlogKKeithFACA.jpg
img
https://www.healthaffairs.org/na101/home/literatum/publisher/hope/journals/content/hlthaff/2021/hlthaff.2021.40.issue-3/hlthaff.2021.40.issue-3/20210301/hlthaff.2021.40.issue-3.cover.jpg
Cover image for the latest issue
https://www.healthaffairs.org/do/10.1377/hpb20200904.405159/doilist/health-affairs-brief-administrative-burdens-social-welfare-herd.png
img
https://www.healthaffairs.org/pb-assets/images/homepage/topics/2021-03/health-affairs-journal-covid-19-unemployment-insurance-berkowitz-1614359991.png
COVID-19
https://www.healthaffairs.org/pb-assets/images/hubs/vaccines-treatment/vaccines-treatment-1607048977160.png
COVID-19 Vaccines Treatment Resource Center
https://www.healthaffairs.org/do/10.1377/hp20210325.481166/tile/Podcast_This-Week_Logo_podcast_300x300.png
img
https://www.healthaffairs.org/pb-assets/images/logos/project_hope_footer_logo-1551988072747.png
Project HOPE
https://www.healthaffairs.org/pb-assets/images/logos/HA_logo_footer_320x74px-1503947084287.png
img
https://www.healthaffairs.org/pb-assets/images/logos/HA_logo_header_335x112px-1542331212787.png
Health Affairs
72

Accessibility

Indicates how accessible the page is and highlights opportunities where the page can be made more accessible to users of healthaffairs.org. This includes details about various page attributes that can be optimized.

Navigation

`[accesskey]` values are unique
Access keys assist users with focusing on different parts of the page. Each access key should be unique for proper navigation.
The page contains a heading, skip link, or landmark region
It is advised to provide ways to bypass repetitive content, allowing users to navigate the page efficiently.
`[id]` attributes on active, focusable elements are unique
Ensure all focusable elements have a unique id value to allow them to be visible to users of assistive technologies, like a screen reader.
Heading elements appear in a sequentially-descending order
Properly order all headers and do not skip heading levels to better the navigation and readability for users of assistive technologies, like a screen reader.
No element has a `[tabindex]` value greater than 0
Although technically valid, a tabindex value greater than 0 often creates frustrating experiences for users who rely on assistive technologies.

ARIA

`[aria-*]` attributes match their roles
Avoid mismatching 'aria-*' attributes and their 'role' value, as it invalidates the attribute.
`button`, `link`, and `menuitem` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
`[aria-hidden="true"]` is not present on the document `<body>`
If aria-hidden=true is set on the document body, assistive technologies, like a screen reader will work inconsistently.
`[aria-hidden="true"]` elements do not contain focusable descendents
Interactive elements within an aria-hidden=true element are unavailable to users of assistive technologies, like a screen reader.
ARIA input fields have accessible names
Generic names are announced to users of assistive technologies, like a screen reader, when an input field does not have an accessible name specified.
ARIA `meter` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
ARIA `progressbar` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
`[role]`s have all required `[aria-*]` attributes
Some ARIA roles have required 'aria-*' attributes, which provide essential information about state and functionality.
Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.
Some ARIA parent roles cannot perform their intended functions if specific child roles are not used.
`[role]`s are contained by their required parent element
Some ARIA child roles cannot perform their intended functions if specific parent roles are not used.
`[role]` values are valid
All ARIA roles require valid values to perform their intended functions.
ARIA toggle fields have accessible names
Generic names are announced to users of assistive technologies, like a screen reader, when a toggle field does not have an accessible name specified.
ARIA `tooltip` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
ARIA `treeitem` elements have accessible names
Without accessible names on elements, screen readers will default to announcing a generic name, which means your content will be less accessible to users who rely on screen readers.
`[aria-*]` attributes have valid values
ARIA attributes cannot be interpreted with invalid values when used by screen readers and other assistive technologies.
`[aria-*]` attributes are valid and not misspelled
ARIA attributes cannot be interpreted with invalid names when used by screen readers and other assistive technologies.
ARIA IDs are unique
Ensure all ARIA ID values are unique to prevent elements from being overlooked by assistive technologies, like a screen reader.

Names and labels

Buttons have an accessible name
Buttons become unusable as they are announced simply as "button" when the button does not have an accessible name, when used by screen readers and other assistive technologies.
Document has a `<title>` element
Search engines, screen reader users and other assistive technology users rely on the title to provide an overview of the page and to help determine if the page is relevant to their search.
No form fields have multiple labels
Having multiple labels for form fields can be confusing to assistive technologies, like a screen reader.
`<frame>` or `<iframe>` elements have a title
Screen reader users and other assistive technology users rely on frame titles to describe the contents of frames.
`<input type="image">` elements have `[alt]` text
Input buttons with alternative text assist screen readers and other assistive technology users to understand its purpose.
Form elements have associated labels
Screen readers and other assistive technologies rely on labels to properly announce form controls.
`<object>` elements have `[alt]` text
It is advised that alt text is used on '<object>' elements in order to provide meaning to screen reader and other assistive technology users, as these technologies are unable to translate non-text content.

Tables and lists

`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
Screen readers and other assistive technologies may produce poor and inaccurate output when definition lists are not properly marked up.
Definition list items are wrapped in `<dl>` elements
In order for screen readers and other assistive technologies to properly announce definition list items ('<dt>' and '<dd>'), they must be wrapped in parent a '<dl>' element.
List items (`<li>`) are contained within `<ul>` or `<ol>` parent elements
In order for screen readers to announce list items, ensure that list items ('<li>') are contained within parent '<ul>' or '<ol>' tags.
Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
Screen readers and other assistive technologies have features to make navigating tables easier. Ensure that '<td>' cells using the headers attribute only refer to other cells in the same table, to improve screen reader user experience.
`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
Screen readers and other assistive technologies have features to make navigating tables easier. Ensure that table headers refer to some set of cells, to improve screen reader user experience.

Internationalization and localization

`<html>` element has a `[lang]` attribute
It is advised to provide a lang attribute so that screen readers and other assistive technologies are guaranteed to announce the page's text correctly. When not provided, the user's default language setting will be used which may cause inaccuracies.
`<html>` element has a valid value for its `[lang]` attribute
Specify a valid BCP 47 language in order to help screen readers and other assistive technologies announce text properly.
`[lang]` attributes have a valid value
Specify a valid BCP 47 language on elements in order to help screen readers and other assistive technologies announce text properly.

Best practices

The document does not use `<meta http-equiv="refresh">`
Pages that refresh automatically cause a poor user experience as focus is directed back to the top of the page unexpectedly.

Audio and video

`<video>` elements contain a `<track>` element with `[kind="captions"]`
Healthaffairs.org may provide assistance to deaf or hearing-impaired users with captions on videos.

Contrast

Background and foreground colors do not have a sufficient contrast ratio.
Many (if not most) users find low-contrast text difficult or impossible to read.
Failing Elements
MARCH 2021
FEATURED ARTICLES
RESEARCH ARTICLE
March 2021
RESEARCH ARTICLE
March 2021
RESEARCH ARTICLE
March 2021
HEALTH AFFAIRS BLOG
FOLLOWING THE ACA
March 17, 2021
HEALTH AFFAIRS BLOG
March 26, 2021
LATEST FROM THE BLOG
March 26, 2021
March 26, 2021
GRANTWATCH
March 25, 2021
January 29, 2021
Robert J. Cramer
Richard C. Fording
Phyllis Gerstenfeld
Andre Kehn
Jason Marsden
Cynthia Deitle
Angela King
Shelley Smart
Matt R. Nobles
November 9, 2020
Pamela Herd
Donald Moynihan
October 2, 2020
Ingrid Gould Ellen
Alexis Captanian
August 17, 2020
March 26, 2021
March 26, 2021
March 23, 2021
March 22, 2021
March 19, 2021
March 11, 2021
December 8, 2020
October 29, 2020
October 21, 2020
March 2021
March 2021
March 2021

Names and labels

Image elements do not have `[alt]` attributes
Provide short and descriptive alternative text where possible on informative elements.
Failing Elements
img
img
img
img
img
img
img
img
img
img
img
Links do not have a discernible name
In order to improve the navigation for screen reader and other assistive technology users, use link text that is unique, focusable and discernible.

Tables and lists

Lists do not contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
Use proper list structure to aid screen readers and other assistive technologies.
Failing Elements
N. Yao et al.
C. Liu et al.
S. Desai et al.
S. Berkowitz et al.
C. Whaley et al.
M. Pany et al.

Best practices

`[user-scalable="no"]` is used in the `<meta name="viewport">` element or the `[maximum-scale]` attribute is less than 5.
For users with low vision who rely on screen magnification, ensure that zooming is not disabled.
Failing Elements
meta

Manual Checks

The page has a logical tab order
The visual layout should be logical in its tab order and users cannot focus elements that are offscreen.
Interactive controls are keyboard focusable
Ensure that custom interactive controls are keyboard focusable and that a focus indicator is displayed.
Interactive elements indicate their purpose and state
Ensure that interactive elements (such as links and buttons) are distinguishable from non-interactive elements and that they indicate their state.
The user's focus is directed to new content added to the page
When new content (such as a dialogue) is added to the page, the user's focus should be directed to it.
User focus is not accidentally trapped in a region
Avoid focus being accidentally trapped when a user tabs in and out of controls or regions on page.
Custom controls have associated labels
Ensure that custom interactive controls have associated labels, which are provided by aria-label and aria-labelledby attributes.
Custom controls have ARIA roles
Ensure that all custom interactive controls have appropriate ARIA roles.
Visual order on the page follows DOM order
Ensure that the DOM order matches with the page's visual order, in order to improve navigation for screen readers and other assistive technologies.
Offscreen content is hidden from assistive technology
Ensure that offscreen content is hidden through the use of "display:none" styling or the aria-hidden attribute.
HTML5 landmark elements are used to improve navigation
Elements such as <main> and <nav> are recommended as they are used by screen readers and other assistive technologies to improve keyboard navigation.
73

Best Practices

Indicates the recommended, best practices currently in place on the page and highlights the best practices that healthaffairs.org should incorporate. This includes practices such as protecting pages with HTTPS.

Audits

Avoids requesting the geolocation permission on page load
When requesting a user's location, provide context or consider tying the request to a user action to avoid confusion and mistrust from users.
Avoids requesting the notification permission on page load
When requesting permission to send notifications, provide context or consider tying the request to a user action to avoid confusion and mistrust from users.

Audits

Allows users to paste into password fields
Ensure that password inputs may be pasted into to aid in the user's ability to use password managers and improve security.
Displays images with correct aspect ratio
Ensure that image display dimensions match their natural aspect ratio.
Serves images with appropriate resolution
For maximum image clarity, ensure images have natural dimensions and are proportional to the display size and pixel ratio.
Fonts with `font-display: optional` are preloaded
It is recommended that optional fonts are preloaded.

Audits

Page has the HTML doctype
Ensure a doctype is specified to prevent the browser from switching to quirks-mode.
Properly defines charset
It is advised to declare a character encoding, optionally via a <meta> tag in the first 1024 bytes of the HTML or in the Content-Type HTTP response header.

Audits

Avoids `unload` event listeners
The 'unload' event does not fire reliably, causing issues with browser optimizations such as the Back-Forward Cache. It is recommended that 'pagehide' or 'visibilitychange' events are used instead.
Avoids Application Cache
Application cache is deprecated and is no longer recommended.
Detected JavaScript libraries
Below is a list of all front-end JavaScript libraries that were detected on the page.
Name Version
Bootstrap
4.4.1
jQuery
3.5.1
jQuery UI
1.10.2
Mustache
2.2.1
core-js
core-js-pure@3.6.4; core-js-global@3.9.1
Avoids deprecated APIs
Avoid deprecated APIs which will eventually be removed the browser.
No issues in the `Issues` panel in Chrome Devtools
There may be unresolved issues logged to Chrome Devtools.

Audits

Does not use HTTPS — 1 insecure request found
Ensure that all pages are protected with HTTPS (including those that do not handle sensitive data) as HTTPS prevents tampering and passive listening on communications between the app and its users. Additionally, HTTPS is a prerequisite for HTTP/2 and many new web platform APIs.
Insecure URL Request Resolution
http://healthaffairs.org/
Allowed
Links to cross-origin destinations are unsafe
Improve performance and prevent security vulnerabilities by adding rel="noopener" and rel="noreferrer" to external links.
Includes front-end JavaScript libraries with known security vulnerabilities — 1 vulnerability detected
Ensure that the use of third-party scripts is minimal and that only trusted third-party scripts are used as some may contain known security vulnerabilities which may be exploited by attackers.
Library Version Vulnerability Count Highest Severity
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1
High

Audits

Browser errors were logged to the console
Below is a list of all errors logged to the console, which indicate unresolved problems on the site.
Source Description
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Failed to load resource: net::ERR_TIMED_OUT
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Failed to load resource: net::ERR_TIMED_OUT
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Failed to load resource: net::ERR_TIMED_OUT
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Failed to load resource: the server responded with a status of 502 (Bad Gateway)
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Refused to execute script from 'https://x.bidswitch.net/sync?ssp=districtm&user_id=1qQ0k22kPY7ckVQANwUUN8ayQUi' because its MIME type ('image/gif') is not executable.
Missing source maps for large first-party JavaScript
Consider deploying source maps for added benefits such as the ability to debug while in production.
URL Map URL
https://healthaffairs.blueconic.net/plugin/library/78e2c572f40d932abcd1377ad38f5d84
https://healthaffairs.blueconic.net/plugin/library/jquery-migrate.min.map
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js
https://www.healthaffairs.org/products/hope/releasedAssets/js/main.bundle-7e618c1e30215ff0d465.js.map
https://www.healthaffairs.org/products/hope/releasedAssets/js/build.lazyload.bundle-1e9a08eae02b2c22ec7f.js
https://www.healthaffairs.org/products/hope/releasedAssets/js/build.lazyload.bundle-1e9a08eae02b2c22ec7f.js.map
90

SEO

Indicates how well the page is optimized for ranking in search engines and highlights Search Engine Optimization (SEO) opportunities for healthaffairs.org. This includes optimizations such as providing meta data.

Mobile Friendly

Has a `<meta name="viewport">` tag with `width` or `initial-scale`
It is advised to use a '<meta name="viewport">' tag for the optimization of healthaffairs.org on mobile screens.
Document uses legible font sizes — 100% legible text
Font sizes of 12px or less are too small to most mobile users without user gestures and further action. Aim for more than 60% of page text to use font sizes greater than 12px.
Source Selector % of Page Text Font Size
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100.00%
≥ 12px

Content Best Practices

Document has a `<title>` element
Search engines, screen reader users and other assistive technology users rely on the title to provide an overview of the page and to help determine if the page is relevant to their search.
Document has a meta description
Meta descriptions may be used by search engines when displaying a link to the page and should concisely summarize the page's content.
Links have descriptive text
Make use of descriptive link text to assist search engines in understanding the content.
Document has a valid `hreflang`
Search engines can be instructed to list specific versions of a page for a given language or region through the use of hreflang links.
Document has a valid `rel=canonical`
Search engines can be suggested which URL should be shown in search results through the use of canonical links.
Document avoids plugins
The content of plugins cannot be indexed by search engines and many devices either restrict or do not support them.

Crawling and Indexing

Page has successful HTTP status code
Avoid pages with unsuccessful HTTP status codes as they may not be indexed by search engines.
Links are crawlable
Ensure that the 'href' attribute of anchor elements links to the appropriate destination. This allows for more pages of the site to be discovered by search engines.
Page isn’t blocked from indexing
Pages that cannot be crawled by search engines cannot be indexed or included in their search results. Ensure that search engines have permission to crawl all pages that should be indexed.
robots.txt is valid
Malformed robots.txt files prevent crawlers from understanding how a site wants to be crawled or indexed, which can be devastating to SEO.

Mobile Friendly

Tap targets are not sized appropriately — 67% appropriately sized tap targets
Interactive elements (such as buttons and links) should be appropriately spaced, sized and easy enough to select or tap with regard to their surrounding elements.
Tap Target Size Overlapping Target
Privacy
38x15
customerservice@healthaffairs.org
CULTURE OF HEALTH
240x19
Hate-Motivated Behavior: Impacts, Risk Factors, And Interventions
CULTURE OF HEALTH
240x19
How Administrative Burdens Can Harm Health
CULTURE OF HEALTH
240x19
Gentrification And The Health Of Legacy Residents
FOLLOWING THE ACA
131x16
New ACA Subsidies Available On April 1
HEALTH AFFAIRS BLOG
141x16
COVID-19 Has Made It Harder To Slow The Rise In Sexually Transmitted Infections…
CULTURE OF HEALTH
128x16
Understanding Suicide Risk And Prevention
COVID-19
58x16
COVID-19
THE PRACTICE OF MEDICINE
172x16
The Practice Of Medicine
RESEARCH ARTICLE
330x20
In Traditional Medicare, Modest Growth In The Home Care Workforce Largely Drive…
RESEARCH ARTICLE
330x20
The Affordable Care Act’s Insurance Marketplace Subsidies Were Associated With …
RESEARCH ARTICLE
330x20
Online Advertising Increased New Hampshire Residents’ Use Of Provider Price Too…
Terms and conditions
116x15
customerservice@healthaffairs.org
THIS WEEK
316x19
Podcast: Elevating Women's Voices In Health Policy During Women's History Month
Robert J. Cramer
110x22
Richard C. Fording
Richard C. Fording
119x22
Phyllis Gerstenfeld
Phyllis Gerstenfeld
122x22
Jason Marsden
Andre Kehn
75x22
Cynthia Deitle
Jason Marsden
99x22
Angela King
Angela King
78x22
Matt R. Nobles
Shelley Smart
89x22
Cynthia Deitle
Project HOPE
70x15
customerservice@healthaffairs.org
Robert J. Cramer
110x22
Hate-Motivated Behavior: Impacts, Risk Factors, And Interventions
Pamela Herd
84x22
How Administrative Burdens Can Harm Health
Donald Moynihan
112x22
How Administrative Burdens Can Harm Health
Ingrid Gould Ellen
114x22
Gentrification And The Health Of Legacy Residents
Alexis Captanian
109x22
Gentrification And The Health Of Legacy Residents

Content Best Practices

Image elements do not have `[alt]` attributes
Provide short and descriptive alternative text where possible on informative elements.
Failing Elements
img
img
img
img
img
img
img
img
img
img
img

Manual Checks

Structured data is valid
Structured data can be validated through the use of the Structured Data Testing Tool and the Structured Data Linter.
42

Progressive Web App

Indicates how valid the aspects of a Progressive Web App (PWA) are for the page and highlights opportunities to enable/improve the PWA of healthaffairs.org. This includes details about web app manifests.

PWA Optimized

Redirects HTTP traffic to HTTPS
It is advised to redirect all HTTP traffic to HTTPS, in order to enable secure web features for all users.
Content is sized correctly for the viewport
Ensure that the width of the app's content matches the width of the viewport, otherwise the app might not be optimized for mobile screens.
Has a `<meta name="viewport">` tag with `width` or `initial-scale`
It is advised to use a '<meta name="viewport">' tag for the optimization of healthaffairs.org on mobile screens.

Installable

Web app manifest or service worker do not meet the installability requirements — 1 reason
User engagement may be increased by leveraging the browsers ability to proactively prompt users to add the app to their homescreen.
Failure reason
No manifest was fetched

PWA Optimized

Does not register a service worker that controls page and `start_url`
A service worker is used to provide Progressive Web Apps the use of features such as working offline, the ability for the app to be added to the homescreen as well as push notifications.
Is not configured for a custom splash screen
Themed splash screens ensure a high-quality user experience at launch for app users.
View Data
Does not set a theme color for the address bar.
A theme may be applied to the browser address bar, which ideally can be made to match the site.
View Data
Does not provide a valid `apple-touch-icon`
iOS users of Progressive Web Apps will benefit from an apple touch icon, which can be defined with 'apple-touch-icon', which must point to a non-transparent 192px (or 180px) square PNG.
Manifest doesn't have a maskable icon
Maskable icons are great to ensure that images fill the entire shape when installing the app on a device.

Manual Checks

Site works cross-browser
Ensure that the Progressive Web App works correctly across every major browser.
Page transitions don't feel like they block on the network
Users perceive apps with responsive, snappy transitions as higher peforming and ensures a great user experience, even on a slow network.
Each page has a URL
Ensure that all pages are deep linkable via URL. They should also be unique for the purpose of shareability on social media.
Hosting

Server Location

Server IP Address: 65.156.1.83
Continent: North America
Country: United States
United States Flag
Region:
City:
Longitude: -97.822
Latitude: 37.751
Currencies: USD
USN
USS
Languages: English

Web Hosting Provider

Name IP Address
CenturyLink Communications, LLC
Registration

Domain Registrant

Private Registration: No
Name:
Organization:
Country:
City:
State:
Post Code:
Email:
Phone:
Note: Registration information is derived from various sources and may be inaccurate.

Domain Registrar

Name IP Address
NETWORK SOLUTIONS, LLC. 162.159.128.31
Security

Visitor Safety

Mature Content: Not Likely
McAfee WebAdvisor Rating: Safe
WOT Rating: 3.4/5
WOT Trustworthiness: 68/100
WOT Child Safety: 94/100
Note: Safety information is not guaranteed.

SSL/TLS Certificate

Issued To: www.healthaffairs.org
Issued By: DigiCert SHA2 Secure Server CA
Valid From: 26th March, 2020
Valid To: 31st March, 2022
Subject: CN = www.healthaffairs.org
O = Atypon Systems, LLC
L = Santa Clara
S = US
Hash: b901b856
Issuer: CN = DigiCert SHA2 Secure Server CA
O = DigiCert Inc
S = US
Version: 2
Serial Number: 12392693092229858959946387754915741021
Serial Number (Hex): 0952BEF1742C5E92A8F16075F8643D5D
Valid From: 26th March, 2024
Valid To: 31st March, 2024
Signature Algorithm (Short Name): RSA-SHA256
Signature Algorithm (Long Name): sha256WithRSAEncryption
Authority Key Identifier: keyid:0F:80:61:1C:82:31:61:D5:2F:28:E7:8D:46:38:B4:2C:E1:C6:D9:E2
Extended Key Usage: TLS Web Server Authentication, TLS Web Client Authentication
CRL Distribution Points:
Full Name:
URI:http://crl3.digicert.com/ssca-sha2-g6.crl

Full Name:
URI:http://crl4.digicert.com/ssca-sha2-g6.crl
Certificate Policies: Policy: 2.16.840.1.114412.1.1
CPS: https://www.digicert.com/CPS
Policy: 2.23.140.1.2.2
Authority Information Access: OCSP - URI:http://ocsp.digicert.com
CA Issuers - URI:http://cacerts.digicert.com/DigiCertSHA2SecureServerCA.crt
SCT List: Signed Certificate Timestamp:
Version : v1 (0x0)
Log ID : 46:A5:55:EB:75:FA:91:20:30:B5:A2:89:69:F4:F3:7D:
11:2C:41:74:BE:FD:49:B8:85:AB:F2:FC:70:FE:6D:47
Timestamp : Mar 26 12:38:02.583 2020 GMT
Extensions: none
Signature : ecdsa-with-SHA256
30:46:02:21:00:C4:91:DC:17:13:20:96:B0:9C:53:63:
67:7F:7A:B6:D1:E5:F4:4A:E9:EE:7F:AC:30:4B:55:78:
AB:D5:75:7B:FD:02:21:00:A8:76:59:64:04:29:5E:D6:
EA:1E:EB:3D:D1:6E:C6:C3:FA:E7:4A:E6:67:F8:FC:C4:
67:41:1B:B6:ED:EA:D9:FC
Signed Certificate Timestamp:
Version : v1 (0x0)
Log ID : 51:A3:B0:F5:FD:01:79:9C:56:6D:B8:37:78:8F:0C:A4:
7A:CC:1B:27:CB:F7:9E:88:42:9A:0D:FE:D4:8B:05:E5
Timestamp : Mar 26 12:38:02.619 2020 GMT
Extensions: none
Signature : ecdsa-with-SHA256
30:44:02:20:30:6C:79:2F:AA:E8:CD:64:5D:5D:1A:4D:
DC:CD:23:3D:7B:3D:39:D5:26:1D:40:B8:89:DA:82:57:
AF:B6:90:7C:02:20:3B:31:39:1F:F5:CF:99:69:AB:75:
98:DB:89:B7:DE:3A:0B:AA:9C:D5:EA:3D:5F:24:A1:32:
AC:A6:E4:DE:A4:8C
Signed Certificate Timestamp:
Version : v1 (0x0)
Log ID : BB:D9:DF:BC:1F:8A:71:B5:93:94:23:97:AA:92:7B:47:
38:57:95:0A:AB:52:E8:1A:90:96:64:36:8E:1E:D1:85
Timestamp : Mar 26 12:38:02.546 2020 GMT
Extensions: none
Signature : ecdsa-with-SHA256
30:45:02:20:23:53:33:C9:E1:69:E8:1F:A6:E8:9E:39:
C8:21:10:C2:8A:E2:4F:F8:24:E8:70:4A:6C:60:CD:8E:
E7:A1:5D:11:02:21:00:A6:6F:D6:04:AC:26:A1:83:33:
9C:4C:B8:02:FD:3A:27:54:BB:8F:83:B7:75:D0:1E:62:
2C:1F:29:6B:76:34:81
Key Usage: Digital Signature, Key Encipherment
Basic Constraints: CA:FALSE
Subject Alternative Name: DNS:www.healthaffairs.org
DNS:healthaffairs.org
Technical

DNS Lookup

A Records

Host IP Address Class TTL
healthaffairs.org. 65.156.1.83 IN 3599

NS Records

Host Nameserver Class TTL
healthaffairs.org. ns1-02.azure-dns.com. IN 21599
healthaffairs.org. ns2-02.azure-dns.net. IN 21599
healthaffairs.org. ns3-02.azure-dns.org. IN 21599
healthaffairs.org. ns4-02.azure-dns.info. IN 21599

MX Records

Priority Host Server Class TTL
10 healthaffairs.org. spamtitan.projecthope.org. IN 299

SOA Records

Domain Name Primary NS Responsible Email TTL
healthaffairs.org. ns1-02.azure-dns.com. postmaster.healthaffairs.org. 3599

TXT Records

Host Value Class TTL
healthaffairs.org. v=spf1 IN 59

HTTP Response Headers

HTTP-Code: HTTP/1.1 200 OK
Date: 29th March, 2021
Content-Type: text/html; charset=UTF-8
Cache-Control: no-cache
Server: cloudflare
Connection: keep-alive
Set-Cookie: *
X-XSS-Protection: 1; mode=block
X-Content-Type-Options: nosniff
Strict-Transport-Security: max-age=15552000
X-Frame-Options: SAMEORIGIN
Pragma: no-cache
X-Webstats-RespID: 9c1acb90ad6c520a8fbea2ba118a8daf
CF-Cache-Status: DYNAMIC
cf-request-id: 091e1b289c00003e2ead86d000000001
Expect-CT: max-age=604800, report-uri="https://report-uri.cloudflare.com/cdn-cgi/beacon/expect-ct"
CF-RAY: 6376c7ba987b3e2e-EWR

Whois Lookup

Created: 4th October, 1998
Changed: 1st August, 2021
Expires: 4th September, 2023
Registrar: Network Solutions, LLC
Status: clientTransferProhibited
Nameservers: ns1-02.azure-dns.com
ns2-02.azure-dns.net
ns3-02.azure-dns.org
ns4-02.azure-dns.info
Owner Name: Statutory Masking Enabled
Owner Organization: Statutory Masking Enabled
Owner Street: Statutory Masking Enabled
Owner Post Code: Statutory Masking Enabled
Owner City: Statutory Masking Enabled
Owner State: VA
Owner Country: US
Owner Phone: Statutory Masking Enabled
Owner Email: abuse@web.com
Admin Name: Statutory Masking Enabled
Admin Organization: Statutory Masking Enabled
Admin Street: Statutory Masking Enabled
Admin Post Code: Statutory Masking Enabled
Admin City: Statutory Masking Enabled
Admin State: Statutory Masking Enabled
Admin Country: Statutory Masking Enabled
Admin Phone: Statutory Masking Enabled
Admin Email: abuse@web.com
Tech Name: Statutory Masking Enabled
Tech Organization: Statutory Masking Enabled
Tech Street: Statutory Masking Enabled
Tech Post Code: Statutory Masking Enabled
Tech City: Statutory Masking Enabled
Tech State: Statutory Masking Enabled
Tech Country: Statutory Masking Enabled
Tech Phone: Statutory Masking Enabled
Tech Email: abuse@web.com
Billing Name: Statutory Masking Enabled
Billing Organization: Statutory Masking Enabled
Billing Street: Statutory Masking Enabled
Billing Post Code: Statutory Masking Enabled
Billing City: Statutory Masking Enabled
Billing State: Statutory Masking Enabled
Billing Country: Statutory Masking Enabled
Billing Phone: Statutory Masking Enabled
Billing Fax: Statutory Masking Enabled
Billing Email: abuse@web.com
Full Whois: Domain Name: HEALTHAFFAIRS.ORG
Registry Domain ID: D1094683-LROR
Registrar WHOIS Server: whois.networksolutions.com
Registrar URL: http://www.networksolutions.com
Updated Date: 2021-01-08T23:21:13Z
Creation Date: 1998-04-10T04:00:00Z
Registrar Registration Expiration Date: 2023-04-09T04:00:00Z
Registrar Registration Expiration Date:
Registrar: Network Solutions, LLC
Registrar IANA ID: 2
Reseller:
Domain Status: clientTransferProhibited https://icann.org/epp#clientTransferProhibited
Registry Registrant ID: Statutory Masking Enabled
Registrant Name: Statutory Masking Enabled
Registrant Organization: Statutory Masking Enabled
Registrant Street: Statutory Masking Enabled
Registrant City: Statutory Masking Enabled
Registrant State/Province: VA
Registrant Postal Code: Statutory Masking Enabled
Registrant Country: US
Registrant Phone: Statutory Masking Enabled
Registrant Phone Ext: Statutory Masking Enabled
Registrant Fax: Statutory Masking Enabled
Registrant Fax Ext: Statutory Masking Enabled
Registrant Email: abuse@web.com
Registry Admin ID: Statutory Masking Enabled
Admin Name: Statutory Masking Enabled
Admin Organization: Statutory Masking Enabled
Admin Street: Statutory Masking Enabled
Admin City: Statutory Masking Enabled
Admin State/Province: Statutory Masking Enabled
Admin Postal Code: Statutory Masking Enabled
Admin Country: Statutory Masking Enabled
Admin Phone: Statutory Masking Enabled
Admin Phone Ext: Statutory Masking Enabled
Admin Fax: Statutory Masking Enabled
Admin Fax Ext: Statutory Masking Enabled
Admin Email: abuse@web.com
Registry Tech ID: Statutory Masking Enabled
Tech Name: Statutory Masking Enabled
Tech Organization: Statutory Masking Enabled
Tech Street: Statutory Masking Enabled
Tech City: Statutory Masking Enabled
Tech State/Province: Statutory Masking Enabled
Tech Postal Code: Statutory Masking Enabled
Tech Country: Statutory Masking Enabled
Tech Phone: Statutory Masking Enabled
Tech Phone Ext: Statutory Masking Enabled
Tech Fax: Statutory Masking Enabled
Tech Fax Ext: Statutory Masking Enabled
Tech Email: abuse@web.com
Registry Billing ID: Statutory Masking Enabled
Billing Name: Statutory Masking Enabled
Billing Organization: Statutory Masking Enabled
Billing Street: Statutory Masking Enabled
Billing City: Statutory Masking Enabled
Billing State/Province: Statutory Masking Enabled
Billing Postal Code: Statutory Masking Enabled
Billing Country: Statutory Masking Enabled
Billing Phone: Statutory Masking Enabled
Billing Phone Ext: Statutory Masking Enabled
Billing Fax: Statutory Masking Enabled
Billing Fax Ext: Statutory Masking Enabled
Billing Email: abuse@web.com
Name Server: NS3-02.AZURE-DNS.ORG
Name Server: NS1-02.AZURE-DNS.COM
Name Server: NS2-02.AZURE-DNS.NET
Name Server: NS4-02.AZURE-DNS.INFO
DNSSEC: unsigned
Registrar Abuse Contact Email: abuse@web.com
Registrar Abuse Contact Phone: +1.8003337680
URL of the ICANN Whois Inaccuracy Complaint Form https: //www.icann.org/wicf/)
>>> Last update of WHOIS database: 2021-03-29T05:42:24Z <<<

For more information on Whois status codes, please visit https://www.icann.org/resources/pages/epp-status-codes-2014-06-16-en

For more information on Whois status codes, please visit https://icann.org/epp

Access to Public Interest Registry WHOIS information is provided to assist persons in determining the contents of a domain name registration record in the Public Interest Registry registry database. The data in this record is provided by Public Interest Registry for informational purposes only, and Public Interest Registry does not guarantee its accuracy. This service is intended only for query-based access. You agree that you will use this data only for lawful purposes and that, under no circumstances will you use this data to (a) allow, enable, or otherwise support the transmission by e-mail, telephone, or facsimile of mass unsolicited, commercial advertising or solicitations to entities other than the data recipient's own existing customers; or (b) enable high volume, automated, electronic processes that send queries or data to the systems of Registry Operator, a Registrar, or Afilias except as reasonably necessary to register domain names or modify existing registrations. All rights reserved. Public Interest Registry reserves the right to modify these terms at any time. By submitting this query, you agree to abide by this policy.

The Registrar of Record identified in this output may have an RDDS service that can be queried for additional information on how to contact the Registrant, Admin, or Tech contact of the queried domain name.
View Raw Whois

Nameservers

Name IP Address
ns1-02.azure-dns.com 13.107.236.2
ns2-02.azure-dns.net 150.171.21.2
ns3-02.azure-dns.org 204.14.183.2
ns4-02.azure-dns.info 208.84.5.2
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