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Health Affairs

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https://www.readbyqxmd.com/read/27913569/national-health-spending-faster-growth-in-2015-as-coverage-expands-and-utilization-increases
#1
Anne B Martin, Micah Hartman, Benjamin Washington, Aaron Catlin
Total nominal US health care spending increased 5.8 percent and reached $3.2 trillion in 2015. On a per person basis, spending on health care increased 5.0 percent, reaching $9,990. The share of gross domestic product devoted to health care spending was 17.8 percent in 2015, up from 17.4 percent in 2014. Coverage expansions that began in 2014 as a result of the Affordable Care Act continued to affect health spending growth in 2015. In that year, the faster growth in total health care spending was primarily due to accelerated growth in spending for private health insurance (growth of 7...
December 2, 2016: Health Affairs
https://www.readbyqxmd.com/read/27856648/in-new-survey-of-eleven-countries-us-adults-still-struggle-with-access-to-and-affordability-of-health-care
#2
Robin Osborn, David Squires, Michelle M Doty, Dana O Sarnak, Eric C Schneider
Surveys of patients' experiences with health care services can reveal how well a country's health system is meeting the needs of its population. Using data from a 2016 survey conducted in eleven countries-Australia, Canada, France, Germany, the Netherlands, New Zealand, Norway, Sweden, Switzerland, the United Kingdom, and the United States-we found that US adults reported poor health and well-being and were the most likely to experience material hardship. The United States trailed other countries in making health care affordable and ranked poorly on providing timely access to medical care (except specialist care)...
November 16, 2016: Health Affairs
https://www.readbyqxmd.com/read/27784722/employer-sponsored-insurance-offers-largely-stable-in-2014-following-aca-implementation
#3
Jean Abraham, Anne B Royalty, Coleman Drake
Affordable Care Act provisions implemented in 2014 could have influenced employers' decisions to offer health insurance. Using data for 2014 from the Medical Expenditure Panel Survey-Insurance Component, we found little change in employer-sponsored health insurance offerings: More than 95 percent of employers either continued offering coverage or continued not offering it between 2013 and 2014. Fewer than 3.5 percent of employers dropped coverage, and 1.1 percent added coverage.
October 26, 2016: Health Affairs
https://www.readbyqxmd.com/read/27733424/modeling-the-economic-burden-of-adult-vaccine-preventable-diseases-in-the-united-states
#4
Sachiko Ozawa, Allison Portnoy, Hiwote Getaneh, Samantha Clark, Maria Knoll, David Bishai, H Keri Yang, Pallavi D Patwardhan
Vaccines save thousands of lives in the United States every year, but many adults remain unvaccinated. Low rates of vaccine uptake lead to costs to individuals and society in terms of deaths and disabilities, which are avoidable, and they create economic losses from doctor visits, hospitalizations, and lost income. To identify the magnitude of this problem, we calculated the current economic burden that is attributable to vaccine-preventable diseases among US adults. We estimated the total remaining economic burden at approximately $9 billion (plausibility range: $4...
October 12, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834263/statement-of-ownership-circulation
#5
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834262/spending-on-health-care-close-to-death
#6
LETTER
Francesca Nisticò, Walter De Alfieri, Paolo Piacentini
No abstract text is available yet for this article.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834261/readmission-rates-the-authors-reply
#7
LETTER
Susannah M Bernheim, Harlan M Krumholz, Zhenqiu Lin
No abstract text is available yet for this article.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834260/socioeconomic-status-and-readmission-rates
#8
LETTER
Atul Grover
No abstract text is available yet for this article.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834259/medication-adherence-the-authors-reply
#9
LETTER
Jalpa A Doshi, Kevin G Volpp
No abstract text is available yet for this article.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834258/prescription-renewals-and-medication-adherence
#10
LETTER
Christine Sinsky, Becca Moran
No abstract text is available yet for this article.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834257/book-marks
#11
(no author information available yet)
No abstract text is available yet for this article.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834256/foundations-invest-in-environmental-health
#12
Kathryn Sessions, Karla Fortunato, Philip R S Johnson, Amy Panek
Nearly one in four deaths globally are due to environmental hazards such as air and water pollution, according to the World Health Organization. However, knowledge about how the environment affects health and health equity outcomes has not been well integrated into decisions that shape the conditions in which people live, work, and play. To address this challenge, US foundations have invested millions of dollars to make it easier to incorporate environmental health information into decisions ranging from family purchases and governmental policy making to business, medical, and other professional practices...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834255/intoxicated-homeless-and-in-need-of-a-place-to-land
#13
Otis Warren
A patient with alcoholism cycles in and out of the emergency department as his providers grapple with an outdated system of care.
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834254/integrating-social-and-medical-data-to-improve-population-health-opportunities-and-barriers
#14
Laura Gottlieb, Rachel Tobey, Jeremy Cantor, Danielle Hessler, Nancy E Adler
Recent efforts in medical settings to identify social determinants of health have focused primarily on screening for the purpose of improving care for individual patients and getting standardized data into electronic health records (EHRs). Relatively little attention has been given to processes needed to extract data on social determinants of health out of medical records with adequate validity and efficiency to facilitate analysis across individual encounters to inform population health efforts relevant to the health care sector...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834253/housing-transportation-and-food-how-acos-seek-to-improve-population-health-by-addressing-nonmedical-needs-of-patients
#15
Taressa Fraze, Valerie A Lewis, Hector P Rodriguez, Elliott S Fisher
Addressing nonmedical needs-such as the need for housing-is critical to advancing population health, improving the quality of care, and lowering the costs of care. Accountable care organizations (ACOs) are well positioned to address these needs. We used qualitative interviews with ACO leaders and site visits to examine how these organizations addressed the nonmedical needs of their patients, and the extent to which they did so. We developed a typology of medical and social services integration among ACOs that disentangles service and organizational integration...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834252/growth-in-snap-retailers-was-associated-with-increased-client-enrollment-in-georgia-during-the-great-recession
#16
Jerry Shannon, Sarah Shannon, Grace Bagwell Adams, Jung Sun Lee
Policies to improve food accessibility in underserved areas often use direct financial incentives to attract new food retailers. Our analysis of data on the Supplemental Nutrition Assistance Program (SNAP) in Georgia before and after the Great Recession suggests that increased program enrollment improves access to food for SNAP beneficiaries by acting as an indirect subsidy to retailers. We divided food stores into four categories: large, midsize, small, and specialty retailers. Between 2008 and 2011 the number of SNAP enrollees increased by 87 percent, and between 2007 and 2014 the number of SNAP retailers in Georgia increased by 82 percent, primarily because of growth in the number of authorized small retailers...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834251/housing-affordability-and-children-s-cognitive-achievement
#17
Sandra Newman, C Scott Holupka
Housing cost burden-the fraction of income spent on housing-is the most prevalent housing problem affecting the healthy development of millions of low- and moderate-income children. By affecting disposable income, a high burden affects parents' expenditures on both necessities for and enrichment of their children, as well as investments in their children. Reducing those expenditures and investments, in turn, can affect children's development, including their cognitive skills and physical, social, and emotional health...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834250/cohesive-neighborhoods-where-social-expectations-are-shared-may-have-positive-impact-on-adolescent-mental-health
#18
Louis Donnelly, Sara McLanahan, Jeanne Brooks-Gunn, Irwin Garfinkel, Brandon G Wagner, Wade C Jacobsen, Sarah Gold, Lauren Gaydosh
Adolescent mental health problems are associated with poor health and well-being in adulthood. We used data from a cohort of 2,264 children born in large US cities in 1998-2000 to examine whether neighborhood collective efficacy (a combination of social cohesion and control) is associated with improvements in adolescent mental health. We found that children who grew up in neighborhoods with high collective efficacy experienced fewer depressive and anxiety symptoms during adolescence than similar children from neighborhoods with low collective efficacy...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834249/population-well-being-measures-help-explain-geographic-disparities-in-life-expectancy-at-the-county-level
#19
Anita Arora, Erica Spatz, Jeph Herrin, Carley Riley, Brita Roy, Kenneth Kell, Carter Coberley, Elizabeth Rula, Harlan M Krumholz
Geographic disparities in life expectancy are substantial and not fully explained by differences in race and socioeconomic status. To develop policies that address these inequalities, it is essential to identify other factors that account for this variation. In this study we investigated whether population well-being-a comprehensive measure of physical, mental, and social health-helps explain geographic variation in life expectancy. At the county level, we found that for every 1-standard-deviation (4.2-point) increase in the well-being score, life expectancy was 1...
November 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27834248/the-risks-of-using-workplace-wellness-programs-to-foster-a-culture-of-health
#20
Kristin M Madison
In many respects, employers are well positioned to take a leading role in helping create a culture of health. Employers have access to many programs that could be beneficial to their employees' health. The potential for financial gains related to health improvement may motivate employers to offer these programs, and if the gains are realized, they may help finance the programs. At the same time, employers' involvement in such programs may create substantial risks. Enthusiasm about the financial and health gains that wellness programs might yield coexists with concerns about health costs shouldered by employees, the possibility of employment discrimination, and the potential for employers' invasion of employees' privacy...
November 1, 2016: Health Affairs
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