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Navigating Recovery: Health Care Financing and Delivery Systems in Puerto Rico and U.S. Virgin Islands
Henry J. Kaiser Family Foundation. 12/20/2017 This 10-page issue brief identifies key issues and short and long-term options for recovery from Hurricane Maria in Puerto Rico and the U.S. Virgin Islands drawn from research and from a November 30, 2017, roundtable discussion with individuals representing a variety of perspectives on Medicaid policy, health insurance and care delivery systems, and disaster recovery. It discusses health challenges, and how Puerto Rico suffered from poor health infrastructure, declining health care workforce, and health indicators that lagged behind those in the rest of the United States. (PDF)
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - December 20, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news
Changes in characteristics and long-term mortality of intensive care unit admissions from 2003 to 2010: a study from nationwide population-based cohort
Conclusions: The patients admitted to the ICU were older age and higher severity of illness. However, there was a decrease hazard ratio by temporal trend.
Source: European Respiratory Journal - November 19, 2018 Category: Respiratory Medicine Authors: Kim, D. J., Heo, J., Jeong, J. H., Kim, Y. J., Lee, S.-J., Kim, W. J., Han, S.-S., Hong, Y. Tags: Acute Critical Care Source Type: research
The Interprofessional Care Access Network (I-CAN): achieving client health outcomes by addressing social determinants in the community.
Authors: Bradley KJ, Wros P, Bookman N, Mathews LR, Voss H, Ostrogorsky TL, LaForge K
Abstract
Four health professions schools at an academic health science university and a partner state university collaborated to develop the Interprofessional Care Access Network (I-CAN), a model of healthcare delivery and interprofessional education that addresses the Triple Aims for vulnerable populations in three underserved neighborhoods. Program goals were achieved through community-based partnerships and the development of a health-care workforce prepared for competent practice in emerging models of care. In the first three ...
Source: Journal of Interprofessional Care - December 28, 2018 Category: Health Management Tags: J Interprof Care Source Type: research
Private Health Insurance Organizations Shouldn ’t Dictate Quality of Care
By LYNLY JEANLOUIS
Health insurance companies are standing
in the way of many patients receiving affordable, quality healthcare. Insurance
companies have been denying patient claims for medical care, all while increasing
monthly premiums for most Americans. Many of the nation’s largest healthcare payers
are private “for-profit” companies that are focused on generating profits
through the healthcare system. Through a rigorous approval/denial system, health
insurance companies can dictate the type care patients receive. In some cases,
this has resulted in patients foregoing life-saving treatments or procedures. &nbs...
Source: The Health Care Blog - May 7, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Health insurance Lynly Jeanlouis private health insurance Quality improvement Quality of care Source Type: blogs
Patient Worries as a Central Feature of their Health Care Experiences
By JOHN JAMES, ROBERT R. SCULLY, CASEY QUINLAN, BILL ADAMS, HELEN HASKELL, and POPPY ARFORD
Political forces trying to shape and reshape American healthcare without hearing the voice of patients provided the rationale for this work. Our experiences as patients, caregivers, and users of media sources cause us to worry. The Patient Council of the Right Care Alliance developed 6 questions to form a national survey of Americans to guide policy makers. The questions and our rationale were as follows:
1) Finding a doctor I can trust. Trust in our doctors is not as high as it once was. There are stories of serious patient a...
Source: The Health Care Blog - February 6, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Policy Patients Research Patient Council of the Right Care Alliance Patient Experience Source Type: blogs
American Primary Care and My Soviet Era Class Trip: Sensing the Inevitable Collapse of a Top Down Bureaucracy
By HANS DUVEFELT, MD
Swedish Healthcare seemed competent but a bit uninspired and rigid to me but my medical school class trip to the Soviet Union showed me a healthcare system and a culture I could never have fully imagined in a country that had the brain power and resources to have already landed space probes on Mars and Venus by the time my classmates and I arrived in Moscow in the cold winter of 1977.
The first time we sat down for breakfast at two big tables in the restaurant of the big Россия hotel near the Red Square, our two male waiters asked if we wanted coffee or tea and people started stat...
Source: The Health Care Blog - February 26, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Medical Practice Primary Care American healthcare Hans Duvefelt Source Type: blogs
Temporal trend and survival impact of infection source among patients with sepsis: a nationwide study.
CONCLUSION: The temporal trends of sepsis incidence and mortality varied among different sources of sepsis, with lower respiratory tract being the highest burden among patients with sepsis. Furthermore, sources of sepsis and the presence of co-infection are independent predictors of mortality. Our results support source-specific preventive and treatment strategies for future sepsis management.
PMID: 32389104 [PubMed - in process]
Source: Critical Care and Resuscitation - May 12, 2020 Category: Intensive Care Tags: Crit Care Resusc Source Type: research
Value-based care – no progress since 1997?
By MATTHEW HOLT
Humana is out with a report saying that its Medicare Advantage members who are covered by value-based care (VBC) arrangements do better and cost less than either their Medicare Advantage members who aren’t or people in regular Medicare FFS. To us wonks this is motherhood, apple pie, etc, particularly as proportionately Humana is the insurer that relies the most on Medicare Advantage for its business and has one of the larger publicity machines behind its innovation group. Not to mention Humana has decent slugs of ownership of at-home doctors group Heal and the now publiciy-traded capitated medical ...
Source: The Health Care Blog - October 12, 2020 Category: Consumer Health News Authors: matthew holt Tags: Health Policy Value-Based Care Humana Matthew Holt Source Type: blogs
Social determinants of trauma care: Associations of race, insurance status, and place on opioid prescriptions, postdischarge referrals, and mortality
The objective of this study was to evaluate the unique contributions of race, health insurance, community distress, and rurality/urbanicity on trauma outcomes after carefully controlling for specific injury-related risk factors.
METHODS
All adult (age, ≥18 years) trauma patients admitted to a single Level I trauma center with a statewide, largely rural, catchment area from January 2010 to December 2020 were retrospectively reviewed. Primary outcomes were mortality, rehabilitation referral, and receipt of opioids in the emergency department. Demographic, socioeconomic, and injury characteristics as well as indicato...
Source: The Journal of Trauma: Injury, Infection, and Critical Care - May 1, 2022 Category: Orthopaedics Tags: INDEPENDENT SUBMISSION Source Type: research
WVU Medicine launches Peak Health to help communities lead healthier and fuller lives
WVU Medicine is taking bold steps toward improving health outcomes in West Virginia, western Virginia, and the surrounding areas with the 2021 launch of Peak Health, a health insurer and health insurance services company headquartered in Morgantown with the mission of making health care more accessible, understandable and collaborative. “What you typically see across the country are insurance companies and providers at odds with one another. They have people on either side arguing over claims…
Source: bizjournals.com Health Care:Physician Practices headlines - June 12, 2023 Category: American Health Authors: WVU Medicine Source Type: news
THCB 20th Birthday Classic: Value-based care – no progress since 1997?
As the 20th Birthday rolls on I thought I’d bring out a more recent piece first published in October 2020, albeit one that relies heavily on 25 year old data to make a point. This is some evidence to back up Jeff Goldsmith’s comment on the original that for all the talk “ ‘Value based” payment is a religious movement, not a business trend’ ” By the way, Humana updated these numbers last year and there’s been basically no change — Matthew Holt
By MATTHEW HOLT
Humana is out with a report saying that its Medicare Advantage members who are covered by value-based care (VBC) ar...
Source: The Health Care Blog - August 24, 2023 Category: Consumer Health News Authors: matthew holt Tags: The Business of Health Care Capitation Humana Medicare Advantage VBC Source Type: blogs
The New Old Age Blog: Ideas of Federal Panel on Long-Term Care Don’t Cover Costs
The federal Commission on Long-Term Care issued new recommendations on Friday, but stopped short of endorsing any new program to help families pay for services.
Source: NYT Health - September 14, 2013 Category: Consumer Health News Authors: By JUDITH GRAHAM Tags: home health care Long-Term Care Insurance Elderly Health Insurance and Managed Care Medicine and Health Disabilities Source Type: news
The New Old Age Blog: Ideas of Federal Panel on Long-Term Care Don’t Include Costs
The federal Commission on Long-Term Care issued new recommendations on Friday, but stopped short of endorsing any new program to help families pay for services.
Source: NYT Health - September 14, 2013 Category: Consumer Health News Authors: By JUDITH GRAHAM Tags: home health care Long-Term Care Insurance Elderly Health Insurance and Managed Care Medicine and Health Disabilities Source Type: news
Health Care Industry Cybersecurity Task Force Fourth In-Person Meeting
U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. 04/11/2017 This Web page provides information about the Health Care Industry Cybersecurity Task Force Fourth In-Person Meeting on December 15, 2016. The open session featured speakers from America ' s Health Insurance Plans, Healthcare Information and Management Systems Society, and a representative from the Office of the National Coordinator for Health Information Technology Federal Advisory Committee. The Task Force has continued its examination of medical devices, and identified and categorized cyber risks to t...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - May 16, 2017 Category: International Medicine & Public Health Authors: The U.S. National Library of Medicine Source Type: news
On Medicine: Can Doctors Choose Between Saving Lives and Saving a Fortune?
Physicians grapple with the extraordinary cost of medical care in America.
Source: NYT Health - April 3, 2018 Category: Consumer Health News Authors: SIDDHARTHA MUKHERJEE Tags: Health Insurance and Managed Care Medicine and Health Drugs (Pharmaceuticals) United States Europe Source Type: news
