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Disparities and Inequities in US Health Care: Alive and Sick
This article brings historical perspective to what has become a systemic part of US health care; examines the extent of disparities today as they impact access, quality, and outcomes of care; and considers what can be done within our polarized political environment to eliminate them. It is hoped that this can help to spark dialogue within our discipline on these matters of critical importance. A single-payer national health insurance program, whereby all Americans can access affordable care based on medical need instead of ability to pay, can help to move our current nonsystem toward health equity. This change can bring im...
Source: Famly Medicine - October 11, 2022 Category: Primary Care Authors: John P Geyman Source Type: research

The Patient Protection and Affordable Care Act: Implications for Pediatric Pharmacy Practice (July/August).
Abstract The impact of the Patient Protection and Affordable Care Act on the pediatric health care landscape includes expanded health insurance coverage and health care delivery improvements by increasing implementation of patient-centered medical homes and accountable care organizations. These offer opportunities for pharmacists to assume responsibility for the medication-related needs of pediatric patients through pharmacotherapy selection, medication therapy management performance, and medication reconciliation at each transition of care. Medically complex children with at least 2 chronic disease states may be ...
Source: The Annals of Pharmacotherapy - June 18, 2013 Category: Drugs & Pharmacology Authors: Vallejos X, Benavides S Tags: Ann Pharmacother Source Type: research

The ACA's Pediatric Essential Health Benefit Has Resulted In A State-By-State Patchwork Of Coverage With Exclusions Insurance Coverage
The Affordable Care Act (ACA) establishes essential health benefits as the coverage standard for health plans sold in the individual and small-group markets for all fifty states and the District of Columbia, including the health insurance Marketplaces. "Pediatric services" is one of the required classes of coverage under the ACA. However, other than oral health and vision care, neither the act nor the regulations for implementing it define what these services should be. We investigated how state benchmark plans—the base plan chosen in each state as the standard or benchmark of coverage in that state under ACA rules&m...
Source: Health Affairs - December 8, 2014 Category: Global & Universal Authors: Grace, A. M., Noonan, K. G., Cheng, T. L., Miller, D., Verga, B., Rubin, D., Rosenbaum, S. Tags: Access To Care, Health Reform, Hospitals, Insurance Coverage, Insurance Coverage - Children, Legal/Regulatory Issues, Maternal And Child Health, Physicians, Public Health, Quality Of Care, Health Spending, Affordable Care Act, Demography, Determinants Of Source Type: research

Yes, Mr. President. Health Care is Complicated. And Also Hard.
By ASEEM SHUKLA, MD “Nobody knew that health care could be so complicated,” President Donald Trump told us a few weeks ago.  As the failure of the House Republican  bill shows: Healthcare is hard. The American Healthcare Act failed to clear the House of Representatives despite catering to longstanding conservative demands: rid the ‘individual mandate’ (designed to force able-bodied people to pay insurance so it’s cheaper for sick people), subsidies to individuals, and revamping Medicaid into block grants to states. Even with the claim it could be deficit-neutral, the act failed to win enough moderat...
Source: The Health Care Blog - April 14, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

Largest Fraud Takedown Announced by AG Sessions
On Thursday, July 13, 2017, United States Attorney General Jeff Sessions and Department of Health and Human Services (HHS) Secretary Tom Price, M.D., announced the largest ever health care fraud enforcement action by the Medicare Fraud Strike Force. The action charged 412 defendants across forty-one federal districts for their alleged participation in health care fraud schemes involving $1.3 billion in false billings. The 412 defendants include 115 doctors, nurses, and other licensed professionals. Of the 412 defendants, over 120 of them were charged for their roles in prescribing and distributing opioids and other danger...
Source: Policy and Medicine - July 19, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Influence of social characteristics on the duration of treatment, severity of the disease and social support of patients in a surgical intensive care unit.
CONCLUSION: In addition to the SES, sociodemographic characteristics of the individual patient are associated with the course of treatment in intensive care medicine. The extent of social support by the next of kin depends on intercultural and individual patient characteristics. An increasing size of the town of residence and private health insurance status positively influence intensive care outcomes. In order to evaluate these data, further epidemiological studies in intensive care medicine are necessary. PMID: 29564474 [PubMed - as supplied by publisher]
Source: Der Anaesthesist - March 21, 2018 Category: Anesthesiology Authors: Blecha S, Schlitt HJ, Graf BM, Leitzmann M, Bein T Tags: Anaesthesist Source Type: research

Nationwide epidemiologic study for pediatric osteomyelitis and septic arthritis in South Korea: A cross-sectional study of national health insurance review and assessment service
Epidemiologic studies of pediatric bone and joint infection have been done mostly by developed Western countries, and such results could be expected to be biased. Therefore, an epidemiologic study to identify the distinct features of an Eastern country would be beneficial to improve their health outcomes and to reduce health care cost. A study was planned to investigate the epidemiology of pediatric osteomyelitis and septic arthritis in South Korea and to find out epidemiologic factors related with the occurrence of surgery. We conducted a cross-sectional study among hospitalized pediatric patients (
Source: Medicine - April 1, 2019 Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research

20 Medical Technology Advances: Medicine In The Future – Part I
Mind-reading exoskeletons, digital tattoos, 3D printed drugs, RFID implants for recreational purposes: mindblowing innovations come to medicine and healthcare almost every single day. We shortlisted some of the greatest ideas and developments that could give us a glimpse into the future of medicine, but we found so many that we had trouble fitting them into one article. Here are the first ten spectacular medical innovations to watch for. 1) Mixed reality opens new ways for medical education Augmented, virtual, and mixed reality are all technologies opening new worlds for the human senses. While the difference between...
Source: The Medical Futurist - October 17, 2019 Category: Information Technology Authors: berci.mesko Tags: Future of Medicine 3d printing artificial food brain-computer interface cyborg digital tattoos drug development exoskeleton gamification google glass health insurance Healthcare Innovation List Medical education medical techn Source Type: blogs

Examining the Implementation of Health-Related Social Need (HRSN) Screenings at a Pediatric Community Health Center
CONCLUSIONS: A high rate of screening indicates feasibility of administering HRSN screenings for pediatric patients in a busy FQHC. More than a third of patients reported one or more social needs, underscoring the importance to identity these needs and the opportunity to offer personalized resources. Comparatively lower rates of screening and potential underreporting among NENS may be indicative of the availability and acceptability of current translation procedures as well as how the tool translates linguistically and culturally. Our experience highlights the need to partner with community organizations and involve patien...
Source: Primary Care - May 6, 2023 Category: Primary Care Authors: Thomas W Gray Laura J Podewils Rasulo M Rasulo Randie P Weiss Margaret M Tomcho Source Type: research

Smoking-Cessation Advice to Patients With Chronic Obstructive Pulmonary Disease The Critical Roles of Health Insurance and Source of Care
Conclusions Having no usual source of care and no health insurance are major barriers to receiving smoking-cessation advice among patients with COPD. The Patient Protection and Affordable Care Act has the potential to increase advice receipt in this high-risk population by expanding health insurance coverage and increasing the number of people with a usual source of care.
Source: American Journal of Preventive Medicine - May 23, 2015 Category: Global & Universal Source Type: research

It ’ s Up to Clinicians, Not the Government or Payers, to Control Health Care Costs
By ANDY ORAM Behind many of the economic and political tensions of our time lurks the growing burden of health care costs. Does that claim sound inflated? Consider: when the public complains of stagnating wages, we can put our finger on health care costs as the monster that gobbles up employee compensation. When economists fret over the future burden of Social Security and Medicare (a cry echoed across the world as populations age), we have to recognize the scourge of increased health care costs. Most of the current debates over the Affordable Care Act–a recurring issue during the presidential campaign–touch ex...
Source: The Health Care Blog - January 25, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs

HELP Committee Holds Hearing on Individual Health Insurance Market
The Senate Health, Education, Labor and Pensions (HELP) Committee recently held the first hearing of several about ways to stabilize premiums and help individuals in the individual insurance market. The Committee heard from five different state insurance commissioners regarding their experiences with the individual insurance marketplaces under the Affordable Care Act (ACA). Most of the testimony focused on the need to fund cost-sharing reduction (CSR) payments, increase flexibility under the ACA’s section 1332 waiver program and establish a federal reinsurance program. There was bipartisan interest in stabili...
Source: Policy and Medicine - September 15, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Access to Preventive Health Care for Cancer Survivors
Conclusions: Although access and preventive care use in cancer survivors is generally equivalent or greater compared to that of other individuals, disparities for uninsured and publicly insured cancer survivors aged 18–64 years suggest that improvements in survivor care are needed.
Source: American Journal of Preventive Medicine - August 20, 2013 Category: Global & Universal Authors: K. Robin Yabroff, Pamela F. Short, Steven Machlin, Emily Dowling, Heather Rozjabek, Chunyu Li, Timothy McNeel, Donatus U. Ekwueme, Katherine S. Virgo Tags: Research Articles Source Type: research