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Health Affairs

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https://www.readbyqxmd.com/read/29337593/active-december-caps-historic-year-for-reform
#1
Timothy Stoltzfus Jost
The month brought the repeal of the individual mandate's penalties, but also 2018 enrollment numbers rivaling those of 2017.
January 16, 2018: Health Affairs
https://www.readbyqxmd.com/read/29211503/national-health-care-spending-in-2016-spending-and-enrollment-growth-slow-after-initial-coverage-expansions
#2
Micah Hartman, Anne B Martin, Nathan Espinosa, Aaron Catlin, The National Health Expenditure Accounts Team
Total nominal US health care spending increased 4.3 percent and reached $3.3 trillion in 2016. Per capita spending on health care increased by $354, reaching $10,348. The share of gross domestic product devoted to health care spending was 17.9 percent in 2016, up from 17.7 percent in 2015. Health spending growth decelerated in 2016 following faster growth in 2014 and 2015 associated with coverage expansions under the Affordable Care Act (ACA) and strong retail prescription drug spending growth. In 2016 the slowdown was broadly based, as spending for the largest categories by payer and by service decelerated...
December 6, 2017: Health Affairs
https://www.readbyqxmd.com/read/29140737/older-americans-were-sicker-and-faced-more-financial-barriers-to-health-care-than-counterparts-in-other-countries
#3
Robin Osborn, Michelle M Doty, Donald Moulds, Dana O Sarnak, Arnav Shah
High-income countries are grappling with the challenge of caring for aging populations, many of whose members have chronic illnesses and declining capacity to manage activities of daily living. The 2017 Commonwealth Fund International Health Policy Survey of Older Adults in eleven countries showed that US seniors were sicker than their counterparts in other countries and, despite universal coverage under Medicare, faced more financial barriers to health care. The survey's findings also highlight economic hardship and mental health problems that may affect older adults' health, use of care, and outcomes...
November 15, 2017: Health Affairs
https://www.readbyqxmd.com/read/29309235/in-rural-towns-immigrant-doctors-fill-a-critical-need
#4
Yasmin Sokkar Harker
Immigrant doctors have helped fill physician shortages for years. In the current political climate, are they welcome?
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309234/the-san-francisco-cancer-initiative-a-community-effort-to-reduce-the-population-burden-of-cancer
#5
Robert A Hiatt, Amanda Sibley, Laura Fejerman, Stanton Glantz, Tung Nguyen, Rena Pasick, Nynikka Palmer, Arnold Perkins, Michael B Potter, Ma Somsouk, Roberto A Vargas, Laura J van 't Veer, Alan Ashworth
The great potential for reducing the cancer burden and cancer disparities through prevention and early detection is unrealized at the population level. A new community-based coalition, the San Francisco Cancer Initiative (SF CAN), focuses on the city and county of San Francisco, where cancer is the leading cause of death. SF CAN is an integrated, cross-sector collaboration launched in November 2016. It brings together the San Francisco Department of Public Health; the University of California, San Francisco; major health systems; and community coalitions to exert collective impact...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309233/health-departments-with-a-commitment-to-health-equity-a-more-skilled-workforce-and-higher-quality-collaborations
#6
Karishma S Furtado, Carol Brownson, Zarina Fershteyn, Marti Macchi, Amy Eyler, Cheryl Valko, Ross C Brownson
Health equity is a public health priority, yet little is known about commitment to health equity in health departments, especially among practitioners whose work addresses chronic disease prevention. Their work places them at the forefront of battling the top contributors to disparities in morbidity and mortality. A random sample of 537 chronic disease practitioners working in state health departments was surveyed on health equity commitments, partnerships, and needed skills. A small percentage of respondents (2 percent) worked primarily on health equity, and a larger group (9 percent) included health equity as one of their multiple work areas...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309232/opioid-prescription-rates-and-child-removals-evidence-from-florida
#7
Troy Quast, Eric A Storch, Svetlana Yampolskaya
A critical aspect of the opioid epidemic is its effect on the ability of opioid-dependent parents to care for their children. In this article we investigate the association between the rate of removals of children from their homes and the opioid prescription rate in Florida counties during 2012-15. We performed a panel data analysis of opioid prescriptions that also controlled for the prescription rates of benzodiazepines and stimulants and for other risk factors for child removal. We found that a one-standard-deviation increase in the opioid prescription rate was associated with a 32 percent increase in the removal rate for parental neglect...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309231/medication-synchronization-programs-improve-adherence-to-cardiovascular-medications-and-health-care-use
#8
Alexis A Krumme, Robert J Glynn, Sebastian Schneeweiss, Joshua J Gagne, J Samantha Dougherty, Gregory Brill, Niteesh K Choudhry
Medication synchronization programs based in pharmacies simplify the refill process by enabling patients to pick up all of their medications on a single visit. This can be especially important for improving medication adherence in patients with complex chronic diseases. We evaluated the impact of two synchronization programs on adherence, cardiovascular events, and resource use among Medicare beneficiaries treated between 2011 and 2014 for two or more chronic conditions-at least one of which was hypertension, hyperlipidemia, or diabetes...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309230/cross-sector-service-use-among-high-health-care-utilizers-in-minnesota-after-medicaid-expansion
#9
Katherine Diaz Vickery, Peter Bodurtha, Tyler N A Winkelman, Courtney Hougham, Ross Owen, Mark S Legler, Erik Erickson, Matthew M Davis
Childless adults in the Medicaid expansion population have complex social and behavioral needs. This study compared the cross-sector involvement of Medicaid expansion enrollees who were high health care utilizers to that of other expansion enrollees in Hennepin County, Minnesota. We examined forty-six months of annualized utilization and cost data for expansion-eligible residents with at least twelve months of enrollment (N = 70,134) across health care, housing, criminal justice, and human service sectors...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309229/evaluating-community-based-health-improvement-programs
#10
Carrie E Fry, Sayeh S Nikpay, Erika Leslie, Melinda B Buntin
Increasingly, public and private resources are being dedicated to community-based health improvement programs. But evaluations of these programs typically rely on data about process and a pre-post study design without a comparison community. To better determine the association between the implementation of community-based health improvement programs and county-level health outcomes, we used publicly available data for the period 2002-06 to create a propensity-weighted set of controls for conducting multiple regression analyses...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309228/culture-of-health-medicare-and-more
#11
Alan R Weil
No abstract text is available yet for this article.
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309227/quality-of-end-of-life-care-is-higher-in-the-va-compared-to-care-paid-for-by-traditional-medicare
#12
Risha Gidwani-Marszowski, Jack Needleman, Vincent Mor, Katherine Faricy-Anderson, Derek B Boothroyd, Gary Hsin, Todd H Wagner, Karl A Lorenz, Manali I Patel, Vilija R Joyce, Samantha S Murrell, Kavitha Ramchandran, Steven M Asch
Congressional and Veterans Affairs (VA) leaders have recommended the VA become more of a purchaser than a provider of health care. Fee-for-service Medicare provides an example of how purchased care differs from the VA's directly provided care. Using established indicators of overly intensive end-of-life care, we compared the quality of care provided through the two systems to veterans dying of cancer in fiscal years 2010-14. The Medicare-reliant veterans were significantly more likely to receive high-intensity care, in the form of chemotherapy, hospital stays, admission to the intensive care unit, more days spent in the hospital, and death in the hospital...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309226/cross-sectoral-partnerships-by-area-agencies-on-aging-associations-with-health-care-use-and-spending
#13
Amanda L Brewster, Suzanne Kunkel, Jane Straker, Leslie A Curry
Area Agencies on Aging (AAAs)-which coordinate social services for older adults in communities across the US-regularly address social determinants of health, sometimes in partnership with other social services and health care organizations. Using data from a 2013 national survey of these agencies, we examined whether their partnership activities were associated with 2014 levels of avoidable health care use and spending for older adults in counties served by each AAA. Multivariate regression models adjusted for agency characteristics, county demographic characteristics, and health care supply factors...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309225/using-federal-funds-to-buy-obamacare-for-native-americans
#14
Jessica Bylander
In Alaska and other states, tribes are experimenting with programs that provide private health insurance to members for free.
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309224/community-benefit-spending-by-tax-exempt-hospitals-changed-little-after-aca
#15
Gary J Young, Stephen Flaherty, E David Zepeda, Simone Rauscher Singh, Geri Rosen Cramer
Provisions of the Affordable Care Act (ACA) encouraged tax-exempt hospitals to invest broadly in community health benefits. Four years after the ACA's enactment, hospitals had increased their average spending for all community benefits by 0.5 percentage point, from 7.6 percent of their operating expenses in 2010 to 8.1 percent in 2014.
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309223/medicare-advantage-ratings-and-voluntary-disenrollment-among-patients-with-end-stage-renal-disease
#16
Qijuan Li, Amal N Trivedi, Omar Galarraga, Michael E Chernew, Daniel E Weiner, Vincent Mor
Populations with intensive health care needs and high care costs may be attracted to insurance plans that have high quality ratings, but patients may be likely to disenroll from a plan if their care needs are not met. We assessed the association between publicly reported Medicare Advantage plan star ratings and voluntary disenrollment of incident dialysis patients in the following year over the period 2007-13. We found that Medicare Advantage (MA) plans with lower star ratings had significantly higher rates of disenrollment by incident dialysis patients in the following year...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309221/child-mortality-in-the-us-and-19-oecd-comparator-nations-a-50-year-time-trend-analysis
#17
Ashish P Thakrar, Alexandra D Forrest, Mitchell G Maltenfort, Christopher B Forrest
The United States has poorer child health outcomes than other wealthy nations despite greater per capita spending on health care for children. To better understand this phenomenon, we examined mortality trends for the US and nineteen comparator nations in the Organization for Economic Cooperation and Development for children ages 0-19 from 1961 to 2010 using publicly available data. While child mortality progressively declined across all countries, mortality in the US has been higher than in peer nations since the 1980s...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309220/multisector-partnerships-need-further-development-to-fulfill-aspirations-for-transforming-regional-health-and-well-being
#18
Beth Siegel, Jane Erickson, Bobby Milstein, Katy Evans Pritchard
Regional multisector partnerships involving stakeholders in areas such as public health, health care, education, housing, and others are growing in number. These partnerships are pursuing increasingly comprehensive strategies to transform health and well-being in their communities. Most analyses of these groups rely on self-reports and case studies. These have led many in the field to form optimistic expectations about how well prepared the groups are to lead transformative efforts-that is, how "mature" they are...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309219/understanding-the-relationship-between-medicaid-expansions-and-hospital-closures
#19
Richard C Lindrooth, Marcelo C Perraillon, Rose Y Hardy, Gregory J Tung
Decisions by states about whether to expand Medicaid under the Affordable Care Act (ACA) have implications for hospitals' financial health. We hypothesized that Medicaid expansion of eligibility for childless adults prevents hospital closures because increased Medicaid coverage for previously uninsured people reduces uncompensated care expenditures and strengthens hospitals' financial position. We tested this hypothesis using data for the period 2008-16 on hospital closures and financial performance. We found that the ACA's Medicaid expansion was associated with improved hospital financial performance and substantially lower likelihoods of closure, especially in rural markets and counties with large numbers of uninsured adults before Medicaid expansion...
January 2018: Health Affairs
https://www.readbyqxmd.com/read/29309218/funders-support-projects-on-social-determinants-of-health
#20
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Health Affairs
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