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Psoriasis risk in patients with type 2 diabetes in German primary care practices.
CONCLUSION: T2DM was positively associated with psoriasis in patients treated in German primary care practices. PMID: 27460887 [PubMed - as supplied by publisher]
Source: Primary Care - July 22, 2016 Category: Primary Care Authors: Jacob L, Kostev K Tags: Prim Care Diabetes Source Type: research

Reaching Urban Poor Hypertensive Patients: A Novel Model of Chronic Disease Care Versus a Traditional Fee-for-Service Approach.
CONCLUSION: The CCDM model of care is at least as effective in controlling hypertension as more traditional fee-for-service models caring for the same population. The CCDM model of care to treat hypertension may offer another approach for engaging the urban poor in chronic disease care. PMID: 27506443 [PubMed - as supplied by publisher]
Source: Primary Care - August 8, 2016 Category: Primary Care Authors: Sanders J, Guse CE Tags: J Prim Care Community Health Source Type: research

Out of Sight, Out of Mind: The Implementation and Impact of the Affordable Care Act in U.S. Farmworker Communities.
Abstract Farmworkers are a unique population within rural communities and are often overlooked and undercounted. They face significant disparities in health and health care access compared with the general rural population. One goal of the Patient Protection and Affordable Care Act (ACA) is to increase access to health care and health insurance for the country's most vulnerable and underserved populations. Farmworkers' numerous barriers to health care and health insurance remain, despite the ACA's progress. Apart from anecdotal accounts, we lack the necessary data to assess the ACA's impact on farmworker communiti...
Source: Journal of Health Care for the Poor and Underserved - November 8, 2016 Category: Global & Universal Authors: Guild A, Richards C, Ruiz V Tags: J Health Care Poor Underserved Source Type: research

Barriers to Health Care among Laotian Americans in Middle Tennessee.
We examined barriers to health care among Laotian Americans in a Middle Tennessee community that included a Laotian-speaking practitioner. A Laotian American primary care clinic nurse practitioner surveyed 312 adult Laotian Americans. The dependent variable was whether respondents visited (n = 214, 77.8%) or did not visit (n = 61,22.2%) primary care providers (PCP) in the last year. Chi-square analysis found visiting less likely if respondents were age 18-34 (p < .001), born in U.S. (p < .001), spent less time in U.S. (p = .010), never married (p = .001), lacked health insurance (p < .001), or lacked a...
Source: Journal of Health Care for the Poor and Underserved - November 28, 2017 Category: International Medicine & Public Health Authors: Saenphansiri X, Wyant DK, Wofford LG Tags: J Health Care Poor Underserved Source Type: research

Access to Health Care among Mexican Migrants and Immigrants: A Comparison across Migration Phases.
CONCLUSIONS: Mexican im/migrants face challenges in accessing health services across the migration continuum, especially at post-migration phases. Binational efforts to provide affordable insurance coverage and reduce transportation limitations and incarceration could contribute to improving health care access among Mexican im/migrants. PMID: 29176097 [PubMed - in process]
Source: Journal of Health Care for the Poor and Underserved - November 28, 2017 Category: International Medicine & Public Health Authors: Martinez-Donate AP, Ejebe I, Zhang X, Guendelman S, Lê-Scherban F, Rangel G, Gonzalez-Fagoaga E, Hovell MF, Amuedo-Dorantes C Tags: J Health Care Poor Underserved Source Type: research

Hungarian Managed Care initiatives between 2000 and 2007: regional health outcomes of the Hungarian Care Organizations.
CONCLUSIONS: According to the data of the National Health Insurance Fund, the average savings rate for all CMOs for the fiscal years 1999-2007 was 4.94%. The highest rates of savings were realized in chronic and acute inpatient care and medical devices. In the end of 2008, by which time 14 CMOs had already covered 2.1million people, the programme was discontinued by the government, without a comprehensive evaluation of the experience and outcomes. PMID: 30295225 [PubMed - as supplied by publisher]
Source: Primary Care - October 8, 2018 Category: Primary Care Authors: Móczár C, Rurik I Tags: Prim Health Care Res Dev Source Type: research

Trends in Health-Care Utilization at the End of Life Among Patients With Hematologic Malignancies in a Middle-Income Country: Challenges and Opportunities in Brazil.
This study aimed to identify trends in end-of-life care among patients with HM in Brazil. We conducted a retrospective cohort study (2015-2018) of patients who died with HM, using electronic medical records linked to health insurance databank, to evaluate outcomes consistent with health-care resource utilization at the end of life. Among 111 patients with HM, in the last 30 days of life, we found high rates of emergency department visits (67%, n = 75), intensive care unit admissions (56%, n = 62), acute renal replacement therapy (10%, n = 11), blood transfusions (45%, n = 50), and medical imaging utilization (59%, n = 66)....
Source: The American Journal of Hospice and Palliative Care - February 11, 2019 Category: Palliative Care Authors: Soares LGL, Gomes RV, Japiassu AM Tags: Am J Hosp Palliat Care Source Type: research

Where and How Centenarians Die? The Role of Hospice Care.
Abstract The effect of hospice care on place of death among centenarians remained unexplored. Using data obtained from National Health Insurance Research Database (2002-2010), we compared the differences in place and cause of death between centenarians and noncentenarians. These data were stratified into centenarian (n = 2495) and noncentenarian (n = 820 563) death. Data in place and cause of death and hospice care interventions were retrieved. Poisson regression models were used to evaluate factors associated with the centenarians' place of death. Time series models were used to predict the number of centenarian ...
Source: The American Journal of Hospice and Palliative Care - April 28, 2019 Category: Palliative Care Authors: Chen YC, Hu HY, Fan HY, Kao WS, Chen HY, Huang SJ Tags: Am J Hosp Palliat Care Source Type: research

Improving the Affordable Care Act Markets (Part 2)
By JONATHAN HALVORSON In a previous post, I described how some features of the Affordable Care Act, despite the best intentions, have made it harder or even impossible for many plans to compete against dominant players in the individual and small employer markets. This has undermined aspects of the ACA designed to improve competition, like the insurance exchanges, and exacerbated a long term trend toward consolidation and reduced choice, and there is evidence it is resulting in higher costs. I focused on the ACA’s risk adjustment program and its impact on the small group market where the damage has been greatest. T...
Source: The Health Care Blog - October 24, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Obamacare ACA Marketplace Affordable Care Act Health insurance Jonathan Halvorson Risk adjustment Source Type: blogs

Quality Indicators of End-of-Life Care Among Privately Insured People With Cancer in Brazil.
CONCLUSION: Our study suggests that privately insured people with cancer receive poor quality EOL care in Brazil. Further research is needed to assess the impact of improvements in palliative care provision in this population. PMID: 31726853 [PubMed - as supplied by publisher]
Source: The American Journal of Hospice and Palliative Care - November 13, 2019 Category: Palliative Care Authors: Soares LGL, Gomes RV, Palma A, Japiassu AM Tags: Am J Hosp Palliat Care Source Type: research

Vida Health ’ s CEO on Scaling Up in the Highly Competitive Chronic Condition Virtual Care Space
By JESSICA DaMASSA, WTF HEALTH Even before Covid19, virtual care for chronic conditions was a hot and competitive area, with the heat turned up by Livongo Health’s IPO last year and big funding rounds for companies like Omada Health, Virta Health, and One Drop. Another contender in the space, Vida Health, has been best known for taking a “platform” approach to chronic condition management before “platforming out” became the-move-to-make for scaling health tech companies. Their digital health biz actually started out with a “whole health approach” to helping patients manage all their conditions at once, int...
Source: The Health Care Blog - August 4, 2020 Category: Consumer Health News Authors: Zoya Khan Tags: Health Tech Jessica DaMassa WTF Health Chronic conditions covid19 jessica da massa Livongo vida health virta virtual care space Source Type: blogs

Primary care for new vs established Medicaid enrollees.
CONCLUSIONS: The first 6 months of ACA implementation in New Jersey were marked by a surge in Medicaid/CHIP enrollment that extended beyond the ACA target population, greater enrollment retention, and apparent bottlenecks in PC delivery. After the initial surge, new enrollees used PC at rates at least as high as in the pre-ACA period, whereas established enrollees used PC at a declining rate throughout the post-ACA period. PC delivery for new enrollees may have limited the availability of services for some established enrollees. PMID: 33577155 [PubMed - as supplied by publisher]
Source: The American Journal of Managed Care - February 1, 2021 Category: Health Management Authors: DeLia D Tags: Am J Manag Care Source Type: research

Health Care, Meet Gall ’ s Law
By KIM BELLARD I can’t believe I’ve gone this long without knowing about Gall’s Law (thanks to @niquola for tweeting it!).  For those of you similarly unaware, John Gall was a pediatrician who, seemingly in his spare time, wrote Systemantics: How Systems Work and Especially How They Fail in 1975.  His “law,” contained therein, is: Have you ever heard of anything that applied so perfectly to our healthcare system?  As anyone who has been reading my prior articles may know, I’m a big believer in simple.  I’ve advocated that healthcare’s billing and paperwork should be much simpler, th...
Source: The Health Care Blog - August 31, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Gall's Law Health Care Reform Kim Bellard Source Type: blogs

State of Connecticut ’ s New ‘ Episodes-of-Care Health Plan ’ Could Be Key to Scaling Value-Based Care
By JESSICA DaMASSA, WTF HEALTH Signify Health (NYSE: SGFY) has called their approach “Value-Based Care 2.0” and, today, they’ve received an important designation from CMS that could set an exciting precedent for scaling up episodes-of-care, value-based models for the under 65 commercial health insurance market. The plan to receive this important approval as an Advanced Alternative Payment Model (AAPM) is the State of Connecticut’s health plan – a massive plan that covers the State’s 220,000 employees and retirees. To talk about what this first-of-its-kind approval signals for the future of value-based paymen...
Source: The Health Care Blog - October 7, 2021 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Jessica DaMassa WTF Health Connecticut health plan SGFY Signify Health value-based care Source Type: blogs

Dara ’s “Hero Quest”: How About Embracing Universal Health Care in America?
By MIKE MAGEE Joseph Campbell, who died in 1987 at the age 83, was a professor of literature and comparative mythology at Sarah Lawrence College. His famous 1949 book, “The Hero With a Thousand Faces” made the case that, despite varying cultures and religions, the hero’s story of departure, initiation, and return, is remarkably consistent and defines “the hero’s quest.” Bottom line: Refusing the call is a bad idea. George Lucas was a close friend and has said that Star Wars was largely influenced by Campbell’s scholarship. On June 21, 1988, Bill Moyers interviewed Campbell and began with a clip fro...
Source: The Health Care Blog - April 25, 2022 Category: Consumer Health News Authors: matthew holt Tags: Health Policy The Business of Health Care Dara Kharowshaki Mike Magee Prop 22 Travis Kalanick Uber uber Health Source Type: blogs