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Medical Homes Improve Outcomes for Underserved

by Megan Douglas, JD in NEW Reviews

Healthcare finance and delivery policies are shifting from volume to value, placing the burden on physicians, hospitals,  and administrators to identify and implement models [...]


Quality of Care

Continuity of Care

Health care costs

  • Source: Eric Schmuttenmaer (Flickr/CC)

    Disparities due to Pre-existing Conditions

    Despite attempts to improve access to care via the implementation of the Affordable Care Act, disparities in health outcomes continue to persist. This study examines some of the causes of racial disparities between blacks and whites; it further attempts to understand and isolate the individual effects of pre-operative risk factors. Selected subjects were black Medicare patients who underwent general surgery procedures and were matched with white controls within 6 states and within 838 [...]
  • Source: Families USA (All Rights Reserved)

    Decreasing Disparities in Health Coverage

    Implemented in 2010, the Affordable Care Act (ACA)’s major coverage expansion was designed to improve the accessibility and affordability of health insurance. Although the ACA’s coverage expansion should decrease disparities in health care coverage among racial and ethnic minorities, both immigration status and an individual’s state of residency have proved to be the greatest hindrance to reducing disparities. Specifically, undocumented immigrants and individuals living in states where [...]
  • Source: CDC

    ER visits unchanged after ACA

    The Affordable Care Act was supposed to expand coverage to the uninsured and many politicians claimed this would result in lower use of “expensive emergency rooms” for treatment of patients’ acute complaints. This presumption runs counter to several facts. First, that only one-fifth of patients visit the ER due to problems such as their doctor’s office being closed or lack of other providers. The vast majority goes to the ER because they (or any other prudent layperson) think they are [...]
  • Source: Kevin Schraer (Flickr/CC)

    Docs Earn More with ACA, if State Participates

    The Affordable Care Act is paying doctors more through Medicaid expansion. Payments to physicians for hospital stays increased by $3.38 (4.2%) per day. About half of the higher payments were due to better payer mix. This means that uninsured patients stayed for 66% fewer hospital days in 2014 than 2013; these patient-days were replaced with insured patients (mostly Medicaid). The other half of the physician payment boost came from all types of insurers paying more for services in 2014, which [...]
  • Source: Shawn Campbell (Flickr/CC)

    Medicaid is a financial boon for hospitals

    One of the primary goals of the Affordable Care Act was to extend coverage broadly across the population: to the sick and uninsurable, to the healthy, and to the poor. A major mechanism to accomplish this was the ACA’s Medicaid expansion which provided states with a >90% federal match to open eligibility to any resident earning <138% federal poverty level. Subsequently, the Supreme Court made Medicaid expansion optional. Source: Shawn Campbell (Flickr/CC) Now six years after the ACA’s [...]
  • Source: Chris Potter (Flickr/CC/

    Higher drug spending lowers other costs

    Medicaid expansion has dramatically increased the number of Americans with health insurance. However, many have raised concerns over the costs to federal, state, and local government. It is estimated that the 2013 Medicaid expansion cost a total of $449 billion. Given the sizable price tag, policymakers have proposed structural changes to Medicaid pharmaceutical benefits aimed at containing costs. Source: Chris Potter (Flickr/CC/ One recent study examined Medicaid claims data [...]
  • Source: Army Medicine (Flickr/CC)

    Why Physician Assistants don’t do Primary Care

    As increasing proportions of the population now have coverage under the Affordable Care Act, the primary care physician shortage has become increasingly concerning. Concepts such as team-based care and value-based performance require comprehensive services and management of patient outcomes. Physician assistants (PAs) are suggested as one of many solutions to the shortages. The authors of a recent paper exposed the differences in demand and supply for primary care versus specialty positions for [...]

Health IT

Public Health

Lessons from Abroad

A Policy Prescription for 2016

Affordable Care Act

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    Lawsuit aims to kill subsidy

    May 5, 2014 // 0 Comments

    As an income-less medical student, I would be one of the 7.1 million people who have signed up for Obamacare this year—except I live in Texas, one of the 21 states that [...]
  • Source: Kaiser Family Foundation
    Recently, a group of physicians renewed their call for a single-payer system to replace the current hodgepodge of programs comprising the United States healthcare [...]
  • No Picture

    Will Value Based Purchasing Work?

    June 18, 2012 // 1 Comment

    The Premier Pay-for-Performance Demonstration project in Medicare shows a tapering trend of quality improvement both for participating and non-participating hospitals. [...]
  • No Picture
    The Physicians for a National Health Program (PNHP) recently sent a letter to the Obama administration protesting the “grossly inadequate, skimpy, spartan [...]
  • Source: Alastair Rae (Flickr/CC)

    Is sex safer?

    January 12, 2015 // 0 Comments

    Emergency contraception (EC) is a safe, moderately effective option to prevent an unintended pregnancy. It is one of the FDA-approved, family planning options that health [...]
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    Will primary care fail us?

    July 1, 2013 // 1 Comment

    The Affordable Care Act’s Medicaid expansion is set to take place in just over half of the states. Additional private insurance expansions using health insurance exchanges [...]