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American healthcare law changes

James H Stephens, Gerald R Ledlow, Michael V Sach, Julie K Reagan
Healthcare in the United States has been one topic of the debates and discussion in the country for many years. The challenge for affordable, accessible, and quality healthcare for most Americans has been on the agenda of federal and state legislatures. There is probably no other state that has drawn as much individual attention regarding this challenge as the state of Massachusetts. While researching the topic for this article, it was discovered that financial and political perspectives on the success or failure of the healthcare model in Massachusetts vary depending on the aspect of the system being discussed...
April 5, 2017: Hospital Topics
Edward Joseph Timmons
The provision of health care to low-income Americans remains an ongoing policy challenge. In this paper, I examine how important changes to occupational licensing laws for nurse practitioners and physician assistants have affected cost and intensity of health care for Medicaid patients. The results suggest that allowing physician assistants to prescribe controlled substances is associated with a substantial (more than 11%) reduction in the dollar amount of outpatient claims per Medicaid recipient. I find little evidence that expanded scope of practice has affected proxies for care intensity such as total claims and total care days...
February 2017: Health Policy
Theodore Long, Krisda H Chaiyachati, Ali Khan, Trishul Siddharthan, Emily Meyer, Rebecca Brienza
BACKGROUND: Education in health policy and advocacy is recognized as an important component of health professional training. To date, curricula have only been assessed at the medical school level. OBJECTIVE: We sought to address the gap in these curricula for residents and other health professionals in primary care. INNOVATION: We created a health policy and advocacy curriculum for the VA Connecticut Healthcare System, Center of Excellence in Primary Care Education, an interprofessional, ambulatory-based, training program that includes internal medicine residents, nurse practitioner fellows, health psychology fellows, and pharmacy residents...
September 2014: Journal of Graduate Medical Education
Mark R Burge, David S Schade
The Affordable Care Act--"Obamacare"--is the most important federal medical legislation to be enacted since Medicare. Although the goal of the Affordable Care Act is to improve healthcare coverage, access, and quality for all Americans, people with diabetes are especially poised to benefit from the comprehensive reforms included in the act. Signed into law in 2010, this massive legislation will slowly be enacted over the next 10 years. In the making for at least a decade, it will affect every person in the United States, either directly or indirectly...
July 2014: Diabetes Technology & Therapeutics
Ee Tzun Koh, Justina Wei Lynn Tan, Bernard Yu-Hor Thong, Cheng Lay Teh, Tsui Yee Lian, Weng Giap Law, Arul Earnest, Kok Ooi Kong, Tang Ching Lau, Yew Kuang Cheng, Hwee Siew Howe, Wern Hui Yong, Faith Li-Ann Chia, Hiok Hee Chng, Khai Pang Leong
We analyzed the epidemiological changes of rheumatoid arthritis (RA) over three decades using patients from a single center in Singapore. All patients who fulfill the 1987 American College of Rheumatology criteria for RA were invited to enroll in a prospective disease registry. We analyzed the patient demographics, disease manifestation, management and patient-reported outcomes, including quality of life (QoL), in the three categories according to the year of disease onset: before 1989 (group I), 1990-1999 (group II) and after 2000 (group III)...
July 2013: Rheumatology International
Laxmaiah Manchikanti, Joshua A Hirsch
The Patient Protection and Affordable Care Act (the ACA, for short) became law on 23 March 2010. It represents the most significant transformation of the American healthcare system since Medicare and Medicaid. Essentials of ACA include: (1) a mandate for individuals and businesses requiring as a matter of law that nearly every American has an approved level of health insurance or pay a penalty; (2) a system of federal subsidies to completely or partially pay for the now required health insurance for ∼34 million Americans who are currently uninsured-subsidized through Medicaid and Exchanges; (3) extensive new requirements on the health insurance industry and (4) changes in the practice of medicine...
March 2012: Journal of Neurointerventional Surgery
Patricia A Hickey, Kimberlee Gauvreau, Kathy Jenkins, Jacqueline Fawcett, Laura Hayman
OBJECTIVE: The objective of the study was to examine the impact of staffing ratios on risk-adjusted outcomes for pediatric cardiac surgery programs in California and relative to other states combined. BACKGROUND: California performs 20% of the nation's pediatric cardiac surgery and is the only state with a nurse ratio law. Understanding the imposition of mandated ratios on pediatric outcomes is necessary to inform the debate about nurse staffing. DATA SOURCES: Patient variables were extracted from the Healthcare Cost and Utilization Project Kids' Inpatient Database...
May 2011: Journal of Nursing Administration
Elena Conis
In the decade following hepatitis B vaccine's 1981 approval, U.S. health officials issued evolving guidelines on who should receive the vaccine: first, gay men, injection drug users, and healthcare workers; later, hepatitis B-positive women's children; and later still, all newborns. States laws that mandated the vaccine for all children were quietly accepted in the 1990s; in the 2000s, however, popular anti-vaccine sentiment targeted the shot as an emblem of immunization policy excesses. Shifting attitudes toward the vaccine in this period were informed by hepatitis B's changing popular image, legible in textual and visual representations of the infection from the 1980s through the 1990s...
June 2011: Journal of Medical Humanities
Silvia Yee, Mary Lou Breslin
People with various disabilities encounter numerous physical and programmatic barriers to receiving health care of equal quality and effectiveness as that received by people without disabilities. Litigation and settlement negotiations under such federal laws as the Americans with Disabilities Act of 1990 have resulted in the removal of access barriers in specific instances, but have not yet resulted in the kind of systemic change needed in the health care delivery system. This article analyses some of the factors that make accessible health care so difficult to achieve...
October 2010: Disability and Health Journal
Cynthia C Gadbury-Amyot, Colleen M Brickle
Today there is a heightened awareness to address access issues and unmet oral needs. The current private practice system of delivering oral health care is failing many Americans. Healthcare advocates and policy makers are taking a greater interest in addressing access problems and have begun to explore new approaches to eliminate oral health care disparities. One solution is the introduction of a new member of the dental team, which is creating a power paradigm shift within the dental profession. As the Advanced Dental Hygiene Practitioner (ADHP) becomes a reality it will be necessary to advocate for change in state dental practice acts to allow this new provider access to populations that are currently unserved or underserved...
2010: Journal of Dental Hygiene: JDH
William H Pitsenberger
The cost of healthcare, and consequently of health insurance, continues to increase dramatically. A growing chorus calls for replacing the fundamental method by which people purchase insurance today--through their employers--with a system of individually acquired insurance. This article argues that changing how Americans purchase health insurance could change the dynamics between insurers and healthcare providers in a way that could favorably impact costs, primarily through reliance on highly limited provider networks...
July 2008: Journal of Health & Life Sciences Law
Katherine Gottlieb
Southcentral Foundation (SCF) is an Alaska Native 501(c) (3) non-profit healthcare organization established in 1982 by the Cook Inlet Region, Inc. (CIRI), which is one of thirteen Alaska Native regional corporations created by Congress in 1971 under the terms of the Alaska Native Claims Settlement Act. CIRI established SCF to improve the health and social conditions of Alaska Native people, enhance culture, and empower individuals and families to take charge of their lives. SCF is totally customer-owned and managed by the tribal authority of CIRI...
April 2007: Alaska Medicine
Katherine Gottlieb
Southcentral Foundation (SCF) is an Alaska Native 501(c)(3) non-profit healthcare organization established in 1982 by the Cook Inlet Region, Inc. (CIRI), which is one of thirteen Alaska Native regional corporations created by Congress in 1971 under the terms of the Alaska Native Claims Settlement Act. CIRI established SCF to improve the health and social conditions of Alaska Native people, enhance culture, and empower individuals and families to take charge of their lives. SCF is totally customer-owned and managed by the tribal authority of CIRI...
2007: Alaska Medicine
Deborah E Bender, Bonnie Overman, Martha S Arnold
Imparting the requirements of healthcare workforce legislation to students is only one aspect of preparing undergraduate healthcare management students to be effective managers. On first review, the Americans with Disabilities Act (ADA) appears quite straightforward. The Act applies to any employer with 15 or more employees and covers a full range of employment practices. What the law does not address are the skills in empathy and decision-making that are needed for effective implementation of the law. In this article, the authors describe an experiential learning model that was designed to teach healthcare management majors, (soon-to-be healthcare managers), not only the provisions of the ADA law but also skills in empathy and critical decision-making...
2005: Journal of Health Administration Education
Carol Davis
The need for better health care in South America is mirrored by the need for more, and better trained, nurses. Yet in many countries, nurses continue to have poor pay and conditions, as well as low status. Average monthly salaries in South America are in the range of 225 pounds to 281 pounds. While nurses typically work a 45-hour week, many moonlight to boost their income. Nursing remains largely unregulated except for laws which cover all healthcare staff. Low salaries are a major incentive for nurses to emigrate or leave the profession altogether...
January 18, 2006: Nursing Standard
Richard F Edlich, Mary Anne Hudson, Ralph M Buschbacher, Kathryne L Winters, L D Britt, Mary Jude Cox, Daniel G Becker, Joseph K McLaughlin, K Dean Gubler, Thomas S P Zomerschoe, Mary F Latimer, Robert D Zura, Nona S Paulsen, William B Long, Barbara M Brodie, Susan Berenson, Scott E Langenburg, Lise Borel, Danielle B Jenson, Dillon E Chang, W Randolph Chitwood, Thomas H Roberts, Mara J Martin, Anna Miller, Charles L Werner, Peyton T Taylor, Jeanette Lancaster, Marina S Kurian, Jerry L Falwell, Reverend Jerry Falwell
The purpose of this report is to describe a crisis in healthcare, disabling back injuries in US healthcare workers. In addition, outlined is the proven solution of safe, mechanized, patient lifting, which has been shown to prevent these injuries. A "Safe Patient Handling--No Manual Lift" policy must be immediately instituted throughout this country. Such a policy is essential to halt hazardous manual patient lifting, which promotes needless disability and loss of healthcare workers, pain and risk of severe injury to patients, and tremendous waste of financial resources to employers and workers' compensation insurance carriers...
2005: Journal of Long-term Effects of Medical Implants
Robert W Putsch, Linda Pololi
The authors argue that the American healthcare system has developed in a fashion that permits and may support ongoing, widespread inequities based on poverty, race, gender, and ethnicity. Institutional structures also contribute to this problem. Analysis is based on (1) discussions of a group of experts convened by the Office of Minority Health, US Department of Health and Human Services at a conference to address healthcare disparities; and (2) review of documentation and scientific literature focused on health, health-related news, language, healthcare financing, and the law...
September 2004: American Journal of Managed Care
Mark H Goran, Erin E Fuller
Practicing law in the healthcare field is a daunting task due to the highly-regulated nature of the field and the increasing scrutiny of the conduct of industry providers, payors, and vendors. Attorneys must provide difficult opinions regarding matters with civil, criminal, and reimbursement implications and often are asked to represent multiple parties in healthcare-related settings. This article discusses some legal ethics issues for the healthcare practitioner and touches on some of the recent changes to the Model Rules of Professional Conduct, which were adopted by the American Bar Association's House of Delegates at its mid-February 2002 meeting...
2002: Journal of Health Law
Jeffrey P Fusile, George S Arges, Lee B Barrett
This is the fourth installment in a series of group discussions by top executives on key issues in healthcare today. Modern Healthcare and PricewaterhouseCoopers present Straight Talk. This session tackles the Health Insurance Portability and Accountability Act of 1996, or HIPAA, and where providers are today in the compliance process and where they need to go. The discussion was held on June 4, 2002 at Modern Healthcare's Chicago headquarters. The moderator was Jeffrey P. Fusile, Healthcare Consulting Partner with PricewaterhouseCoopers, Atlanta...
June 24, 2002: Modern Healthcare
(no author information available yet)
The American Gastroenterological Association (AGA) standards for office-based gastrointestinal endoscopy were written in response to market changes in physician reimbursements for many endoscopic procedures that will continue to drive their performance into unregulated physician offices. The AGA believes that patient safety is best protected if these standards are adopted by sites that also comply with state/federal laws for licensure or are certified as an ASC and/or are accredited by a nationally recognized accreditation program (e...
August 2001: Gastroenterology
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