Cunningham APPAM slides 11 09 15
•
0 likes•388 views
This study examined the effects of California's 2011 Medicaid expansion on inpatient utilization at safety net hospitals. It found that Medicaid admissions increased at safety net hospitals while uninsured admissions decreased. The proportion of admissions that were uninsured also declined significantly. Additionally, the number of preventable admissions decreased more for uninsured patients at safety net hospitals compared to non-safety net hospitals. However, the acuity level of Medicaid patients increased more at safety net hospitals. The changes suggest the Medicaid expansion improved payer mix for safety net hospitals but new Medicaid patients were sicker.
Report
Share
Report
Share
Download to read offline
Recommended
Pent up demand fertig appam
This study examined health care utilization patterns among newly enrolled Medicaid recipients in Minnesota following the 2014 ACA Medicaid expansion. The study found evidence of pent-up demand, as newly enrolled individuals had higher rates of new patient visits during the first 6 months compared to continuously enrolled recipients. However, overall utilization was not higher for new enrollees. Utilization declined over time for new enrollees, suggesting pent-up demand was met initially through preventive and diagnostic care. The findings imply long-term costs of the Medicaid expansion may be lower than expected.
Pent Up Demand
This document summarizes a study examining health care utilization patterns among newly enrolled Medicaid recipients in Minnesota after the Affordable Care Act expansion. The study found some evidence of pent-up demand, as newly enrolled individuals had higher rates of new patient visits in the first 6 months compared to ongoing enrollees. However, overall utilization of most services was not higher for new enrollees. Utilization declined over time for new enrollees, suggesting initial spikes in care may stabilize after initial medical needs are addressed. The findings have implications for understanding long-term costs and access to primary care among newly insured populations.
Minnesota’s accountable communities for health
The document summarizes Minnesota's Accountable Communities for Health (ACH) grant program and lessons from its first year. It provides context on the federal State Innovation Model initiative and Minnesota's Accountable Health Model. It then describes the ACH program, which funds 15 community collaboratives to coordinate care and implement prevention strategies. It outlines ACH experiences and highlights data sources for the state's multi-year evaluation, including interviews that identified accomplishments, barriers, and lessons learned from grantees in the program's first year.
Overview of the MNHA survey, methodology, and evidence of the impact of the a...
The document summarizes findings from the Minnesota Health Access Survey (MNHA) on health insurance coverage in Minnesota from 2001-2015. Key findings include:
- The uninsured rate in Minnesota dropped significantly from 8.2% in 2013 to 4.3% in 2015, mirroring national declines under the Affordable Care Act.
- Gains in coverage occurred across age, income, race/ethnicity groups but inequities remain, with those with lower incomes or non-white races still facing higher uninsurance rates.
- The most common reason for being uninsured in 2015 was that coverage was too expensive.
Minnesota Accountable Health Model Continuum of Accountability Assessment: Ev...
The document discusses Minnesota's Accountable Health Model and its Continuum of Accountability Assessment tool. It provides an overview of the tool, which assesses organizations on their capabilities and functions across 7 categories. It presents preliminary findings from completed assessment tools, including higher and lower average scores. It also compares scores between grant programs and urban vs. rural organizations. Evaluation of the tool will continue to track progress along the continuum over time.
Virtual Care: Key Challenges & Opportunities for Payer Organizations
This document discusses virtual care opportunities and challenges for payer organizations. Virtual care includes telehealth, digital therapeutics, mHealth, and care navigation using audio/video, apps and mobile devices. The COVID-19 pandemic drove growth in virtual care utilization. Payers can leverage virtual care to lower costs, improve quality scores and member experience, and expand access in rural areas. However, payers face challenges regarding regulations, technology, health plans and member concerns. The document recommends strategies for payers including collaborating with providers, defining a clear roadmap, developing new products, focusing on primary care, and investing in digital tools.
Value Labs Case competition 2018 PPT - Campus Finalists
The document provides 15 references to various studies and articles on topics related to corporate wellness programs, healthcare costs, and the use of technology and telemedicine. It also includes a chart on healthcare spending from 1960 to 2016 and definitions of common insurance terminology. In the annexure section, there are additional details on hospital, physician, and prescription drug spending over time.
FMCC 2016 Health Is Primary by Robert Phillips
This document summarizes the goals and strategies of an organization called Family Medicine for America's Health (FMAHealth). FMAHealth aims to strengthen primary care in America through seven core strategies, including ensuring everyone has a primary care provider, achieving the triple aim of better health, better care and lower costs, and moving payment models away from fee-for-service. To achieve these goals, FMAHealth has established six tactic teams focused on areas like practice redesign, workforce, technology, payment models, research and engagement.
Recommended
Pent up demand fertig appam
This study examined health care utilization patterns among newly enrolled Medicaid recipients in Minnesota following the 2014 ACA Medicaid expansion. The study found evidence of pent-up demand, as newly enrolled individuals had higher rates of new patient visits during the first 6 months compared to continuously enrolled recipients. However, overall utilization was not higher for new enrollees. Utilization declined over time for new enrollees, suggesting pent-up demand was met initially through preventive and diagnostic care. The findings imply long-term costs of the Medicaid expansion may be lower than expected.
Pent Up Demand
This document summarizes a study examining health care utilization patterns among newly enrolled Medicaid recipients in Minnesota after the Affordable Care Act expansion. The study found some evidence of pent-up demand, as newly enrolled individuals had higher rates of new patient visits in the first 6 months compared to ongoing enrollees. However, overall utilization of most services was not higher for new enrollees. Utilization declined over time for new enrollees, suggesting initial spikes in care may stabilize after initial medical needs are addressed. The findings have implications for understanding long-term costs and access to primary care among newly insured populations.
Minnesota’s accountable communities for health
The document summarizes Minnesota's Accountable Communities for Health (ACH) grant program and lessons from its first year. It provides context on the federal State Innovation Model initiative and Minnesota's Accountable Health Model. It then describes the ACH program, which funds 15 community collaboratives to coordinate care and implement prevention strategies. It outlines ACH experiences and highlights data sources for the state's multi-year evaluation, including interviews that identified accomplishments, barriers, and lessons learned from grantees in the program's first year.
Overview of the MNHA survey, methodology, and evidence of the impact of the a...
The document summarizes findings from the Minnesota Health Access Survey (MNHA) on health insurance coverage in Minnesota from 2001-2015. Key findings include:
- The uninsured rate in Minnesota dropped significantly from 8.2% in 2013 to 4.3% in 2015, mirroring national declines under the Affordable Care Act.
- Gains in coverage occurred across age, income, race/ethnicity groups but inequities remain, with those with lower incomes or non-white races still facing higher uninsurance rates.
- The most common reason for being uninsured in 2015 was that coverage was too expensive.
Minnesota Accountable Health Model Continuum of Accountability Assessment: Ev...
The document discusses Minnesota's Accountable Health Model and its Continuum of Accountability Assessment tool. It provides an overview of the tool, which assesses organizations on their capabilities and functions across 7 categories. It presents preliminary findings from completed assessment tools, including higher and lower average scores. It also compares scores between grant programs and urban vs. rural organizations. Evaluation of the tool will continue to track progress along the continuum over time.
Virtual Care: Key Challenges & Opportunities for Payer Organizations
This document discusses virtual care opportunities and challenges for payer organizations. Virtual care includes telehealth, digital therapeutics, mHealth, and care navigation using audio/video, apps and mobile devices. The COVID-19 pandemic drove growth in virtual care utilization. Payers can leverage virtual care to lower costs, improve quality scores and member experience, and expand access in rural areas. However, payers face challenges regarding regulations, technology, health plans and member concerns. The document recommends strategies for payers including collaborating with providers, defining a clear roadmap, developing new products, focusing on primary care, and investing in digital tools.
Value Labs Case competition 2018 PPT - Campus Finalists
The document provides 15 references to various studies and articles on topics related to corporate wellness programs, healthcare costs, and the use of technology and telemedicine. It also includes a chart on healthcare spending from 1960 to 2016 and definitions of common insurance terminology. In the annexure section, there are additional details on hospital, physician, and prescription drug spending over time.
FMCC 2016 Health Is Primary by Robert Phillips
This document summarizes the goals and strategies of an organization called Family Medicine for America's Health (FMAHealth). FMAHealth aims to strengthen primary care in America through seven core strategies, including ensuring everyone has a primary care provider, achieving the triple aim of better health, better care and lower costs, and moving payment models away from fee-for-service. To achieve these goals, FMAHealth has established six tactic teams focused on areas like practice redesign, workforce, technology, payment models, research and engagement.
Adding complexity to an already difficult task: Monitoring the impact of the ...
The document summarizes research comparing estimates of Medicaid enrollment in 2013 and 2014 from the American Community Survey (ACS) and Centers for Medicare and Medicaid Services (CMS) administrative data. The research finds that states with the largest increases in Medicaid enrollment according to CMS also tended to have the largest differences between ACS and CMS estimates, with ACS generally reporting lower enrollment. This suggests the ACS may overstate uninsurance rates where Medicaid enrollment increased substantially. However, misreported coverage likely represents shifts between coverage types rather than uninsurance. Future research should analyze additional years of data and link administrative and survey sources to better understand reporting errors.
Physicians and Medicare
The document discusses Medicare payments to physicians. It provides estimates of the 10-year cost to repeal the Sustainable Growth Rate (SGR) formula and prevent cuts to physician fees, ranging from $115 billion to $138 billion depending on whether fees are only maintained at current levels or increased. It also notes that Congress has overridden the scheduled SGR fee cuts 15 times since 2003. Additionally, it presents data showing that most Medicare beneficiaries report having a usual source of care, being able to get timely appointments, and not foregoing care at rates higher than privately insured adults. The majority of office-based physicians accept new Medicare patients across all states.
FMCC 2016 Teaching Health Centers Plenary by Winston Liaw
1) The current medical education system trains physicians in hospital settings despite most patient care occurring in outpatient settings, and hospital-based training does not encourage primary care careers.
2) Data shows a shortage of primary care physicians, especially in rural areas, and that the percentage of residents entering primary care fields has grown more slowly than other specialties in recent years.
3) Teaching health centers, which are community-based clinics that operate primary care residency programs, help address these issues by training physicians where most patient care occurs and in underserved areas, thus helping produce more primary care physicians for shortage regions.
The changing demographics of the uninsured in MN and the nation
The document analyzes changes in the demographics of the uninsured in Minnesota and nationally between 2013 and 2014 following coverage expansions under the Affordable Care Act. It finds that uninsured rates declined significantly in both Minnesota and all 50 states. While the characteristics of the uninsured remained largely the same, the uninsured population is now more likely to be Hispanic, non-citizens, and Spanish speakers in both Minnesota and nationally. The uninsured are also less likely to be children in Minnesota and very low income or Asian nationally. Continued outreach efforts are needed to enroll groups with historically high uninsurance rates.
OpenNotes: Transparent Clinicians' Notes for Health & Illness
OpenNotes began as a research project that studied the effects of allowing patients access to their primary care doctors' visit notes. The study found that patients who read their notes felt more engaged in their care, better understood their conditions, and were better prepared for visits. Doctors had initial concerns about increased workload, but found little real impact. After one year, 99% of patients and the majority of doctors wanted to continue open notes access. The research demonstrated that open notes can help patients manage their health more effectively with little negative impact. The open notes movement has now expanded beyond primary care and many organizations are adopting the practice.
HIT Products Evaluation
The document evaluates and compares three personal health record (PHR) products: Google Health, HealthFrame, and WebMD. It describes the purpose of PHRs in allowing individuals to collect, track, and share their health information with providers online. The general PHR model and objectives are outlined. Each product is then analyzed based on cost, ease of use, stability, functions, compatibility, development, and technical support. Google Health is free but lacks partnerships and import/export capabilities. HealthFrame charges fees but offers appointment reminders and graphs. WebMD is also free but has limited import options and categories.
Health 3.0 Pyramid
The document outlines a strategy for transforming healthcare delivery and financing through a Health 3.0 model. Key elements include integrating pharmacy services into primary care, using health information exchanges and care coordination, implementing value-based payment models, promoting self care and wellness programs, creating a transparent medical marketplace, and addressing social determinants of health. The overall aim is to develop an accessible, affordable, and high-quality healthcare system.
Connecting Patients, Providers and Payers John Halamka Keynote
The document discusses goals and strategies for connecting patients, providers, and payers through healthcare IT and analytics. It outlines core objectives for physicians and hospitals that focus on clinical documentation, decision support, care coordination and exchange. It also describes various approaches to analytics using expert queries, self-service tools, repeatable reports and outsourced clinical repositories. The final sections discuss providing universal access to personal health records and required PHR functionality, as well as utilizing various decision support service providers.
Fitting Square Pegs Into Round Holes: Linking Medicaid and Current Population...
This document summarizes a study comparing Medicaid enrollment data from the Medicaid Statistical Information System (MSIS) to survey data from the Current Population Survey (CPS) to understand discrepancies between the two data sources. The study found the CPS significantly undercounted Medicaid enrollment compared to MSIS data. Measurement error in the CPS, particularly issues with question design and sample coverage, appear to contribute most to the undercount. Further analysis is still needed to fully understand and address the differences between the data sources.
Infographic: A Day in the Life of Infection Preventionists
A look at a day in the life of a hospital Infection Preventionist (IP). As IPs' roles expand, their hectic day includes making rounds on the hospital floor, enforcing procedures, educating staff, providing proactive counsel...and sometimes spending 5+ hours/day collecting and reporting data to federal health agencies.
.
Healthcare Industry Taxonomy for the Population Health Era
See https://www.linkedin.com/pulse/population-health-investments-catastrophically-misaligned-dave-chase for background on taxonomy
Created for The Future Health Ecosystem Today by Cascadia Capital and Dave Chase
Insights Webinar - Patient Payments
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Evolving Care Team Models and Strategies to Assess Provider Satisfaction
This document provides information about a continuing education webinar on evolving care team models during the COVID-19 pandemic and strategies to assess provider satisfaction. It includes an overview of the webinar topics, presenters from Community Health Center who will discuss their experiences with different care teams, and information on accessing recordings of previous webinars. The webinar aims to discuss lessons learned on communication, understanding staff needs, and strategies used by various care teams to support provider satisfaction during the challenges of the pandemic.
The Quality of Health Information on the Web: a Case for Regulation?
This document discusses the quality of health information online and the need for regulation. It introduces the Health On the Net Foundation (HON), a non-profit organization that has developed a code of conduct (HONcode) to certify trustworthy health websites. HON maintains a database of over 7,200 certified sites in over 100 countries that adhere to principles like attributing sources, respecting privacy, and distinguishing advertising. The certification process involves a self-evaluation, review, and placement of a HONcode seal. HON also works to advance access to quality health information and collaborates with other organizations towards this goal.
MACRA Ready - Martin
MACRA consolidates existing Medicare quality programs and establishes two pathways for physicians: MIPS and APMs. MIPS assesses performance in four categories (quality, cost, improvement activities, advancing care information) and adjusts payments up or down based on a composite score. It allows physicians to ease into reporting over multiple years. APMs provide an alternative for physicians meeting thresholds in qualifying models, exempting them from MIPS and providing bonus payments through 2024. MACRA aims to shift Medicare payments from volume to value over time through 2026.
2010 03-02 shared savings model - marillac and st. mary's hospital
This document describes a shared savings model between Marillac Clinic and St. Mary's Hospital in Grand Junction, Colorado. It outlines their similar missions and independent governance structures. It also details how Marillac Clinic serves as a medical home for uninsured residents, providing comprehensive primary care services. St. Mary's Hospital financially supports Marillac and they work to coordinate care for uninsured patients through clinical, operational, and financial alignment. This collaboration has led to reductions in emergency room and inpatient utilization and costs for their shared patient population.
Towards a learning health system
The document discusses the Query Health initiative, which aims to establish standards and services for distributed population queries of clinical records to enable a national "learning health system." It describes some pilots that are launching this summer and fall to test querying data from various sources like public health departments and the FDA to understand population health metrics and drug safety. The document advocates that implementing distributed population queries following common standards can improve using health IT to benefit patients and populations by aggregating and analyzing vast health data in real-time.
CMS-Proposed Antibiotic Stewardship Rules: What You Need to Know
This document summarizes a presentation on proposed CMS rules for antibiotic stewardship programs. It discusses the growing problem of antibiotic resistance and inappropriate antibiotic prescribing. It provides background on the presenter and outlines CDC core elements for antibiotic stewardship. The presentation reviews results from antibiotic stewardship programs, including reductions in C. difficile infections and antibiotic costs. It argues that antibiotic stewardship programs improve patient outcomes and safety while reducing costs.
Weitzman ECHO: Challenges in Addressing the Evolving Opioid Crisis During COV...
The document discusses the challenges of addressing the evolving opioid crisis during the COVID-19 pandemic. It summarizes key COVID-19 case statistics in the US. It then outlines challenges like increased relapses from deteriorating care due to telehealth limitations, loss of in-person support groups, and decreased access to higher levels of care. Regulatory hurdles have also made inductions more difficult. Patients have faced issues like isolation, loss of income, and delayed social services. Responses have included reinstating some toxicology screens, in-person nursing visits, and targeted outreach. A case study highlights delays in residential treatment placement due to limited bed availability during the pandemic.
Medicaid Managed Care
An increasing number of states are expanding managed care. This webinar provides a straightforward overview and history of the Medicaid Managed Care program and how it applies to physicians, practices, and patients.
Healthcare update 2013
The document discusses several key issues facing the US healthcare system including rising costs, demographic changes, and quality challenges. It notes that US healthcare costs and spending per capita are the highest in the world. Major drivers of rising costs include high prices, administrative overhead, and high utilization of technology. The Affordable Care Act aims to expand coverage, improve access and quality, and control costs. It establishes insurance exchanges, expands Medicaid, includes an individual mandate, and reforms payments to shift to quality-based systems. Implementation is ongoing from 2010 to 2014 and beyond to transform delivery systems and promote primary care, prevention, and coordinated care models.
Capital budget proposals.docx
The document discusses Venice Family Clinic (VFC), a non-profit community health center. It provides:
- Comprehensive medical, dental, and behavioral health services to low-income individuals, including the homeless.
- Services through 12 locations and over 1,300 volunteers.
- Growth between 2017-2018, as shown by an increase in its current ratio and total assets.
- Receives most funding from insurance reimbursements, grants, and government programs like Medicaid.
- Uses mobile units and technology to improve access and quality of care for at-risk populations.
More Related Content
What's hot
Adding complexity to an already difficult task: Monitoring the impact of the ...
The document summarizes research comparing estimates of Medicaid enrollment in 2013 and 2014 from the American Community Survey (ACS) and Centers for Medicare and Medicaid Services (CMS) administrative data. The research finds that states with the largest increases in Medicaid enrollment according to CMS also tended to have the largest differences between ACS and CMS estimates, with ACS generally reporting lower enrollment. This suggests the ACS may overstate uninsurance rates where Medicaid enrollment increased substantially. However, misreported coverage likely represents shifts between coverage types rather than uninsurance. Future research should analyze additional years of data and link administrative and survey sources to better understand reporting errors.
Physicians and Medicare
The document discusses Medicare payments to physicians. It provides estimates of the 10-year cost to repeal the Sustainable Growth Rate (SGR) formula and prevent cuts to physician fees, ranging from $115 billion to $138 billion depending on whether fees are only maintained at current levels or increased. It also notes that Congress has overridden the scheduled SGR fee cuts 15 times since 2003. Additionally, it presents data showing that most Medicare beneficiaries report having a usual source of care, being able to get timely appointments, and not foregoing care at rates higher than privately insured adults. The majority of office-based physicians accept new Medicare patients across all states.
FMCC 2016 Teaching Health Centers Plenary by Winston Liaw
1) The current medical education system trains physicians in hospital settings despite most patient care occurring in outpatient settings, and hospital-based training does not encourage primary care careers.
2) Data shows a shortage of primary care physicians, especially in rural areas, and that the percentage of residents entering primary care fields has grown more slowly than other specialties in recent years.
3) Teaching health centers, which are community-based clinics that operate primary care residency programs, help address these issues by training physicians where most patient care occurs and in underserved areas, thus helping produce more primary care physicians for shortage regions.
The changing demographics of the uninsured in MN and the nation
The document analyzes changes in the demographics of the uninsured in Minnesota and nationally between 2013 and 2014 following coverage expansions under the Affordable Care Act. It finds that uninsured rates declined significantly in both Minnesota and all 50 states. While the characteristics of the uninsured remained largely the same, the uninsured population is now more likely to be Hispanic, non-citizens, and Spanish speakers in both Minnesota and nationally. The uninsured are also less likely to be children in Minnesota and very low income or Asian nationally. Continued outreach efforts are needed to enroll groups with historically high uninsurance rates.
OpenNotes: Transparent Clinicians' Notes for Health & Illness
OpenNotes began as a research project that studied the effects of allowing patients access to their primary care doctors' visit notes. The study found that patients who read their notes felt more engaged in their care, better understood their conditions, and were better prepared for visits. Doctors had initial concerns about increased workload, but found little real impact. After one year, 99% of patients and the majority of doctors wanted to continue open notes access. The research demonstrated that open notes can help patients manage their health more effectively with little negative impact. The open notes movement has now expanded beyond primary care and many organizations are adopting the practice.
HIT Products Evaluation
The document evaluates and compares three personal health record (PHR) products: Google Health, HealthFrame, and WebMD. It describes the purpose of PHRs in allowing individuals to collect, track, and share their health information with providers online. The general PHR model and objectives are outlined. Each product is then analyzed based on cost, ease of use, stability, functions, compatibility, development, and technical support. Google Health is free but lacks partnerships and import/export capabilities. HealthFrame charges fees but offers appointment reminders and graphs. WebMD is also free but has limited import options and categories.
Health 3.0 Pyramid
The document outlines a strategy for transforming healthcare delivery and financing through a Health 3.0 model. Key elements include integrating pharmacy services into primary care, using health information exchanges and care coordination, implementing value-based payment models, promoting self care and wellness programs, creating a transparent medical marketplace, and addressing social determinants of health. The overall aim is to develop an accessible, affordable, and high-quality healthcare system.
Connecting Patients, Providers and Payers John Halamka Keynote
The document discusses goals and strategies for connecting patients, providers, and payers through healthcare IT and analytics. It outlines core objectives for physicians and hospitals that focus on clinical documentation, decision support, care coordination and exchange. It also describes various approaches to analytics using expert queries, self-service tools, repeatable reports and outsourced clinical repositories. The final sections discuss providing universal access to personal health records and required PHR functionality, as well as utilizing various decision support service providers.
Fitting Square Pegs Into Round Holes: Linking Medicaid and Current Population...
This document summarizes a study comparing Medicaid enrollment data from the Medicaid Statistical Information System (MSIS) to survey data from the Current Population Survey (CPS) to understand discrepancies between the two data sources. The study found the CPS significantly undercounted Medicaid enrollment compared to MSIS data. Measurement error in the CPS, particularly issues with question design and sample coverage, appear to contribute most to the undercount. Further analysis is still needed to fully understand and address the differences between the data sources.
Infographic: A Day in the Life of Infection Preventionists
A look at a day in the life of a hospital Infection Preventionist (IP). As IPs' roles expand, their hectic day includes making rounds on the hospital floor, enforcing procedures, educating staff, providing proactive counsel...and sometimes spending 5+ hours/day collecting and reporting data to federal health agencies.
.
Healthcare Industry Taxonomy for the Population Health Era
See https://www.linkedin.com/pulse/population-health-investments-catastrophically-misaligned-dave-chase for background on taxonomy
Created for The Future Health Ecosystem Today by Cascadia Capital and Dave Chase
Insights Webinar - Patient Payments
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Evolving Care Team Models and Strategies to Assess Provider Satisfaction
This document provides information about a continuing education webinar on evolving care team models during the COVID-19 pandemic and strategies to assess provider satisfaction. It includes an overview of the webinar topics, presenters from Community Health Center who will discuss their experiences with different care teams, and information on accessing recordings of previous webinars. The webinar aims to discuss lessons learned on communication, understanding staff needs, and strategies used by various care teams to support provider satisfaction during the challenges of the pandemic.
The Quality of Health Information on the Web: a Case for Regulation?
This document discusses the quality of health information online and the need for regulation. It introduces the Health On the Net Foundation (HON), a non-profit organization that has developed a code of conduct (HONcode) to certify trustworthy health websites. HON maintains a database of over 7,200 certified sites in over 100 countries that adhere to principles like attributing sources, respecting privacy, and distinguishing advertising. The certification process involves a self-evaluation, review, and placement of a HONcode seal. HON also works to advance access to quality health information and collaborates with other organizations towards this goal.
MACRA Ready - Martin
MACRA consolidates existing Medicare quality programs and establishes two pathways for physicians: MIPS and APMs. MIPS assesses performance in four categories (quality, cost, improvement activities, advancing care information) and adjusts payments up or down based on a composite score. It allows physicians to ease into reporting over multiple years. APMs provide an alternative for physicians meeting thresholds in qualifying models, exempting them from MIPS and providing bonus payments through 2024. MACRA aims to shift Medicare payments from volume to value over time through 2026.
2010 03-02 shared savings model - marillac and st. mary's hospital
This document describes a shared savings model between Marillac Clinic and St. Mary's Hospital in Grand Junction, Colorado. It outlines their similar missions and independent governance structures. It also details how Marillac Clinic serves as a medical home for uninsured residents, providing comprehensive primary care services. St. Mary's Hospital financially supports Marillac and they work to coordinate care for uninsured patients through clinical, operational, and financial alignment. This collaboration has led to reductions in emergency room and inpatient utilization and costs for their shared patient population.
Towards a learning health system
The document discusses the Query Health initiative, which aims to establish standards and services for distributed population queries of clinical records to enable a national "learning health system." It describes some pilots that are launching this summer and fall to test querying data from various sources like public health departments and the FDA to understand population health metrics and drug safety. The document advocates that implementing distributed population queries following common standards can improve using health IT to benefit patients and populations by aggregating and analyzing vast health data in real-time.
CMS-Proposed Antibiotic Stewardship Rules: What You Need to Know
This document summarizes a presentation on proposed CMS rules for antibiotic stewardship programs. It discusses the growing problem of antibiotic resistance and inappropriate antibiotic prescribing. It provides background on the presenter and outlines CDC core elements for antibiotic stewardship. The presentation reviews results from antibiotic stewardship programs, including reductions in C. difficile infections and antibiotic costs. It argues that antibiotic stewardship programs improve patient outcomes and safety while reducing costs.
Weitzman ECHO: Challenges in Addressing the Evolving Opioid Crisis During COV...
The document discusses the challenges of addressing the evolving opioid crisis during the COVID-19 pandemic. It summarizes key COVID-19 case statistics in the US. It then outlines challenges like increased relapses from deteriorating care due to telehealth limitations, loss of in-person support groups, and decreased access to higher levels of care. Regulatory hurdles have also made inductions more difficult. Patients have faced issues like isolation, loss of income, and delayed social services. Responses have included reinstating some toxicology screens, in-person nursing visits, and targeted outreach. A case study highlights delays in residential treatment placement due to limited bed availability during the pandemic.
Medicaid Managed Care
An increasing number of states are expanding managed care. This webinar provides a straightforward overview and history of the Medicaid Managed Care program and how it applies to physicians, practices, and patients.
What's hot (20)
Adding complexity to an already difficult task: Monitoring the impact of the ...
Adding complexity to an already difficult task: Monitoring the impact of the ...
FMCC 2016 Teaching Health Centers Plenary by Winston Liaw
FMCC 2016 Teaching Health Centers Plenary by Winston Liaw
The changing demographics of the uninsured in MN and the nation
The changing demographics of the uninsured in MN and the nation
OpenNotes: Transparent Clinicians' Notes for Health & Illness
OpenNotes: Transparent Clinicians' Notes for Health & Illness
Connecting Patients, Providers and Payers John Halamka Keynote
Connecting Patients, Providers and Payers John Halamka Keynote
Fitting Square Pegs Into Round Holes: Linking Medicaid and Current Population...
Fitting Square Pegs Into Round Holes: Linking Medicaid and Current Population...
Infographic: A Day in the Life of Infection Preventionists
Infographic: A Day in the Life of Infection Preventionists
Healthcare Industry Taxonomy for the Population Health Era
Healthcare Industry Taxonomy for the Population Health Era
Evolving Care Team Models and Strategies to Assess Provider Satisfaction
Evolving Care Team Models and Strategies to Assess Provider Satisfaction
The Quality of Health Information on the Web: a Case for Regulation?
The Quality of Health Information on the Web: a Case for Regulation?
2010 03-02 shared savings model - marillac and st. mary's hospital
2010 03-02 shared savings model - marillac and st. mary's hospital
CMS-Proposed Antibiotic Stewardship Rules: What You Need to Know
CMS-Proposed Antibiotic Stewardship Rules: What You Need to Know
Weitzman ECHO: Challenges in Addressing the Evolving Opioid Crisis During COV...
Weitzman ECHO: Challenges in Addressing the Evolving Opioid Crisis During COV...
Similar to Cunningham APPAM slides 11 09 15
Healthcare update 2013
The document discusses several key issues facing the US healthcare system including rising costs, demographic changes, and quality challenges. It notes that US healthcare costs and spending per capita are the highest in the world. Major drivers of rising costs include high prices, administrative overhead, and high utilization of technology. The Affordable Care Act aims to expand coverage, improve access and quality, and control costs. It establishes insurance exchanges, expands Medicaid, includes an individual mandate, and reforms payments to shift to quality-based systems. Implementation is ongoing from 2010 to 2014 and beyond to transform delivery systems and promote primary care, prevention, and coordinated care models.
Capital budget proposals.docx
The document discusses Venice Family Clinic (VFC), a non-profit community health center. It provides:
- Comprehensive medical, dental, and behavioral health services to low-income individuals, including the homeless.
- Services through 12 locations and over 1,300 volunteers.
- Growth between 2017-2018, as shown by an increase in its current ratio and total assets.
- Receives most funding from insurance reimbursements, grants, and government programs like Medicaid.
- Uses mobile units and technology to improve access and quality of care for at-risk populations.
Reply1Tracey Cash 1 postsRe Topic 6 DQ 1Topic 6 DQ .docx
Reply1
Tracey Cash
1 posts
Re: Topic 6 DQ 1
Topic 6 DQ 1
Hospitals around the world were impacted by the Covid-19 pandemic. Early during the pandemic is was not clear how health care utilization and spending would change. Most expected health cost to increase during the pandemic but surprisingly statistics show that health care use and spending decreased dramatically in 2020 due to cancellations of elective care to increase hospital capacity and social distancing to help reduce the spread of Covid-19. The drop in health spending in 2020 reflects a decrease in utilization for non-Covid medical care. (Cox et al., 2021)
As the health care industry maneuvered through the pandemic it became evident that the quality of nursing would be changed forever. Health care professionals had to make daily changes in the way they cared for Covid-19 patients. This in turned changed the quality of care. Health care professionals were forced to change their daily routines in how they cared for patients due to the limited supplies of personal protective equipment. Limiting bedside care to minimize possible nurse exposure to the virus.
Although burnout in the health care professional began long before the Covid-19 pandemic, health care leaders will learn from the past and work toward implementing change, so it does not continue. Challenges that nurses have faced during and after the Covid-19 pandemic are burnout, compassion fatigue, depression, and post-traumatic stress disorder. With the already acknowledged shortage of nurses across the nation the psychological issues if not addressed will lead to nurses finding new careers. The clinical aspect of the health care industry continues to be deeply affected by this.
My change project interventions will have a direct impact on the financial, quality, and clinical aspect of the health care industry.
The health care industry cannot function without nurses and their knowledge and specialties. Each department of the hospital requires nurses to have special knowledge for the department to run smoothly and care for patients. Elective surgeries generate millions of dollars to a hospital therefore nurses and other health care professionals are needed to provide care and generate this type on income.
As the health care industry makes strides to return to a “new normal” nurses will be able to conduct bedside care with less fear of being exposed to Covid-19.
With support from administration my change project will have an impact on the mental health of health care professionals that have treated Covid-19 patients. With mental health support, telemedicine evaluations, and Chaplains on call for counsel and prayer psychological issues will be reduced, reducing burnout, stress, depression, compassion fatigue, and post-traumatic stress disorder.
By offering health care professionals psychological support will indirectly affect overall hospital production, income, and patient satisfaction.
Refe.
Reducing Readmissions and Length of Stay
The goal of this webinar is to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
원격 의료 산업의 글로벌 동향 및 주요 이슈
This document discusses telemedicine and remote patient monitoring in the United States. It provides an overview of the growth and policies around telemedicine in the US. It specifically highlights Teladoc as the largest and first telemedicine company to have an IPO. Teladoc provides virtual visits via internet, phone or video chat and aims to provide care within 10 minutes. It has over 6,000 business customers and 11.5 million members. The document summarizes Teladoc's business model, revenue sources, and recent acquisition of HealthiestYou.
MetroHealth presentation
The document provides context on MetroHealth, a public safety-net hospital in Cuyahoga County. It describes MetroHealth's mission of providing accessible healthcare to all, its role as a major provider for the uninsured and Medicaid patients in the county, and the financial challenges it faces due to its large burden of uncompensated care and reductions in government funding. The document outlines MetroHealth's actions to strengthen its finances through operational and strategic transformations, but notes ongoing challenges including an aging infrastructure and uncertainties surrounding healthcare reform.
JACM-D-13-00014proof
This study assessed health care costs and utilization among union members from 2008-2010, comparing those who received primary care from providers participating in a public health initiative (PCIP) versus non-participating providers. Members accessing PCIP providers saw a 16% decrease in hospitalizations for chronic conditions, whereas non-PCIP members saw a 15% increase. PCIP access was associated with lower inpatient utilization and costs. Specialty care increased more for PCIP members with diabetes and hypertension. Overall, the results suggest population health initiatives incorporating electronic health records can reduce health care costs by decreasing hospitalizations for better chronic disease management.
Virginia medicaid
This document provides a summary of Virginia's Medicaid program and the status of health care reform efforts in the state. It outlines Virginia's Medicaid eligibility levels, enrollment trends, expenditures, and service delivery structure. It then discusses the state's goals for Medicaid reform, including implementing the Affordable Care Act expansion and establishing a more efficient, coordinated system. The document reviews the progress and estimated savings of Virginia's multi-phase Medicaid reform plan, including initiatives involving the dual eligible population, program integrity, and behavioral health services.
VHHA
Virginia hospitals face serious financial challenges that threaten their ability to continue serving their communities. Rising costs of caring for an aging population combined with inadequate Medicare and Medicaid reimbursement have led to annual funding shortfalls approaching $1 billion for Virginia hospitals. This has resulted in one-third of Virginia's acute care hospitals operating in the red. If these challenges are not addressed, further hospital closures and service reductions are possible. A public awareness campaign called "Virginia Hospitals: Our Lifeline" aims to educate lawmakers and the public about these issues facing local hospitals.
Primary Care Physician (PCP)
This document discusses the importance of primary care physicians (PCPs) and the benefits they provide. PCPs, such as family doctors and internists, serve as a patient's main point of contact for medical care and help coordinate specialist visits if needed. They focus on preventative care through annual checkups and screenings. Having a PCP is required by many insurance plans and helps catch health issues early. It is more cost effective to see a PCP for routine care than to use emergency services.
DQ 3-2Integrated health care delivery systems (IDS) was develope.docx
DQ 3-2
Integrated health care delivery systems (IDS) was developed to initiate excellence health care access and quality of care to entire populations and community by collaborating and coordinating diverse healthcare professionals. Main driving force of IDS is patient centered care by using resources such as collaborating care from physicians and allied health care professionals to construct continuum of care, to deliver care in the most cost-effective way, utilize trained and competent providers by utilizing evidenced -based practice and combine innovation such as EHR (Electronic Health Records) system and team work to produce improved healthcare system.
Excellence in care is attainable by incorporating allied healthcare professional, as high quality care is possible when coordination is unified and covers all areas of responsibilities. For an example-combining resources and coordination of care by involving physicians, dietitian, physical therapy or occupational therapy to work with patient diagnosed with obesity by promoting teamwork approach and ultimately delivering endurance in care and utilizing various resources.
Barriers to IDS can be a huge block in delivering quality care. Among many one limitation is physicians not participating in integrated healthcare system, which disconnect physicians from team based approached by deterring continuous quality improvement (essentialhospitals.org, n.d). This is because, system such as EHR or new innovative quality assurance programs are time consuming and overwhelming, thus decline in physicians support in IDS programs. By implementing user friendly system approach, enforcing focused based care and accepting the necessity of evidenced based practice can improve these barriers. Hence, increasing clinical expertise to produce better service and quality of care in integrated delivery system.
Essentialhospitls.org (n.d). Retrieved from: http://essentialhospitals.org/wp-content/uploads/2013/12/Integrated-Health-Care-Literature-Review-Webpost-8-22-13-CB.pdf
Dq 3-1
1.
In the US, there is not one type of health care system but rather a subset of systems, some of them catering to specific populations. These subsystems include managed care, military, and vulnerable populations. Managed care is a health care delivery system that seeks to achieve efficiency by integrating the basic functions of health care delivery, employs mechanisms to control utilization of medical services, and determines the price at which the services are purchased and how much the providers get paid, military health care system is available free of charge to active duty military personnel and covers preventative and treatment services that are provided by salaried health care personnel and this system combines public health with medical services, and vulnerable population subsystem offers comprehensive medical and enabling services targeted to the needs of vulnerable populations and government health insurance programs provide.
Physician Expectations and Primary Care Shortages: Evidence from the Affordab...
This paper is the first installment in my undergraduate thesis on physician expectations and their effect on primary care shortages in the United States. Over following semesters I will be strengthening my research with econometric models and further analysis. Updates will follow as completed.
Reducing Hospital Readmissions and Length of Stay in Advanced Illness Patients
The goal of this webinar was to discuss hospital readmissions in today’s ever-changing healthcare environment and how hospice can have an impact
Reducing Readmissions and Length of Stay
The goal of this webinar was to help healthcare professionals improve care coordination for patients with advanced illness and to reduce hospital readmissions and length of stay (LOS).
Care Beyond Walls and Wires: Using Remote Monitoring to Enhance Patient Care
About half of all adults in the US—117 million people—have one or more chronic health conditions, and the number is on the rise.1
In order to address this growing challenge, the Care Beyond Walls and Wires (CBWW) program was created to increase access to care and improve outcomes for patients suffering from chronic disease.
A collaboration between Qualcomm® Wireless Reach™, Northern Arizona Healthcare (NAH), Qualcomm Life, Inc., and Entra Health Systems, CBWW began as a congestive heart failure remote monitoring program.
Started in 2011, CBWW utilizes 3G/4G mobile broadband with connected home-use medical devices to enable nursing care coordinators to remotely monitor patients. As of 2017 the program is expanding to cover more patients with other chronic or high-risk conditions such as sepsis (blood poisoning from infection). The program aims to extend the delivery of care beyond the walls of hospitals by giving patients the tools to stay connected to providers – anytime, anywhere.
Healthcare Quality by DHHS
This document discusses healthcare quality initiatives at the U.S. Department of Health and Human Services (HHS) related to reducing hospital-acquired infections and improving patient safety. It outlines the Partnership for Patients program which aims to reduce preventable hospital conditions by 40% and readmissions by 20% by 2013. It also describes HHS efforts to prevent healthcare-associated infections through state reporting requirements, research funding, and linking Medicare payments to quality measures.
Patient Protection & Affordable Care Act
Health Care reform, and its impact on non-profit health care organizations, as well as its direct impact on Yale-New Haven Hospital
Patient protection & affordable care act
Health reform and its impact on non-profit healthcare organization, as well as its direct impact on Yale-New Haven
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010Harm Reduction Coalition
A presentation by Laura Hanen (NASTAD) and Rachel McLean (California Department of Public Health) on what health care reform means for harm reduction and drug user health. Presented at the Harm Reduction Coalition's 8th National Conference, November 18-21, 2010 in Austin, Texas.Presentation to Trinity Presbyterian Church
Georgians for a Healthy Future advocates for expanding access to healthcare in Georgia. The Affordable Care Act has reduced the uninsured rate, but Georgia did not expand Medicaid so a coverage gap remains for low-income adults. Expanding Medicaid could improve access for over 400,000 Georgians currently ineligible for subsidies.
Similar to Cunningham APPAM slides 11 09 15 (20)
Reply1Tracey Cash 1 postsRe Topic 6 DQ 1Topic 6 DQ .docx
Reply1Tracey Cash 1 postsRe Topic 6 DQ 1Topic 6 DQ .docx
DQ 3-2Integrated health care delivery systems (IDS) was develope.docx
DQ 3-2Integrated health care delivery systems (IDS) was develope.docx
Physician Expectations and Primary Care Shortages: Evidence from the Affordab...
Physician Expectations and Primary Care Shortages: Evidence from the Affordab...
Reducing Hospital Readmissions and Length of Stay in Advanced Illness Patients
Reducing Hospital Readmissions and Length of Stay in Advanced Illness Patients
Care Beyond Walls and Wires: Using Remote Monitoring to Enhance Patient Care
Care Beyond Walls and Wires: Using Remote Monitoring to Enhance Patient Care
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010
Health Care Reform and Harm Reduction: Laura Hanen, Rachel McLean - HRC 2010
More from soder145
Trends and Disparities in Children's Health Insurance: New Data and the Impli...
This document summarizes key findings from an analysis of trends in children's health insurance coverage between 2016 and 2017. Some key points:
- The uninsured rate among children in the U.S. increased from 4.7% in 2016 to 5% in 2017, reversing over a decade of decline. This represented nearly 270,000 additional uninsured children.
- The increase was driven by a decline in public coverage, particularly Medicaid. Uninsurance rose across most demographic groups.
- There was considerable variation between states, from a low of 1.4% uninsured in Vermont to a high of 10.7% in Texas.
- States with low uninsurance typically had high rates of employer-sponsored insurance or
Exploring Disparities Using New and Updated MEasures on SHADAC's State Health...
Slides from webinar webinar introducing two new measures of health outcomes and social determinants of health on SHADAC’s State Health Compare—Unhealthy Days and Unaffordable Rents. This presentation, hosted by SHADAC researchers Brett Fried and Robert Hest, examine these new measures and highlight how the estimates can be used to explore disparities between states and among sub-populations.
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
Presentation by SHADAC Senior Research Fellow Emily Zylla at the 2018 Association for Public Policy Analysis & Management (APPAM) Fall Research Meeting in Washington, DC.
Modeling State-based Reinsurance: One Option for Stabilization of the Individ...
This document summarizes research on modeling state-based reinsurance programs to stabilize individual health insurance markets. Key findings include:
- An estimated $60 billion is spent annually in the individual market, with 2.5% of enrollees accounting for 48.8% of expenditures.
- State reinsurance programs with varying parameters could reduce insurer costs by $6-14 billion nationally per year.
- Estimated reinsurance costs for four states range from $300,000 to $1.8 billion depending on the attachment point and coinsurance rate.
- Federal transitional reinsurance and proposed legislation allocated $10 billion annually, consistent with these estimates.
2017 Health Insurance Coverage Estimates: SHADAC Webinar Featuring U.S. Censu...
Join us for an overview of the 2017 health insurance coverage estimates from two key, large-scale federal data sources: The American Community Survey (ACS) and the Current Population Survey (CPS).
This webinar will examine the new estimates with technical insight from experts at the U.S. Census Bureau, which administers both the ACS and CPS, and from SHADAC researchers.
Attendees will learn about:
The new 2017 national and state coverage estimates
When to use which estimates from which survey
How to access the estimates via Census reports and American FactFinder
How to access state-level estimates from the ACS using SHADAC tables
SHADAC researchers and Census experts will answer questions from attendees after the presentation.
Exploring the New State-Level Opioid Data On SHADAC's State Health Compare
Between 2000 and 2016, the annual number of drug overdose deaths in the United States more than tripled, from 17,500 to 63,500, and most of these deaths involved opioids. Despite widespread increases in overdose death rates from natural and semi-synthetic opioids, synthetic opioids, and heroin, individual states’ death rates varied widely. For example, in 2016, Nebraska’s rate of 1.2 deaths per 100,000 people was the lowest in the U.S. for natural and semi-synthetic opioids, while West Virginia’s rate (the highest) was more than 15 times larger, at 18.5 deaths. These deaths are the most glaring indication of the growing crisis of opioid abuse and addiction that has been spreading unevenly throughout the country over the past two decades.
On this SHADAC webinar, Research Fellow Colin Planalp will examine the United States opioid epidemic at the state level, analyzing trends in overdose deaths from heroin and other opioids, such as prescription painkillers. Using data available through SHADAC’s State Health Compare, he will look at which states have the highest rates of opioid-related deaths and which have experienced the largest increases in death rates.
Mr. Planalp will be joined by SHADAC Research Fellow Robert Hest, who will discuss the data on opioid-related overdose deaths from the U.S. Centers from Disease Control and Prevention (CDC) that are available on SHADAC’s State Health Compare. He will also discuss State Health Compare data from the U.S. Drug Enforcement Administration (DEA) on sales of common prescription opioid painkillers. Mr. Hest will show users how to access and use the data for state-level analyses.
Ibd intersectionality
This document summarizes research on the intersection of structural risk factors and insurance-based discrimination on healthcare access inequities. The study analyzed data on over 3,800 non-elderly adults in Minnesota to examine how experiences of insurance-based discrimination vary across gender, race, income and insurance status, both independently and combined. It also assessed how the synergistic effects of structural risk factors and reported discrimination influence access to a usual source of care and confidence in getting needed healthcare services. The results show that structural factors like race, income and insurance status combine to produce greater reported discrimination, which then interacts with those factors to further reduce healthcare access. The implications are that reducing inequities requires attention to the convergence of these structural barriers
Who gets it right
This study analyzed characteristics associated with accurate reports of health insurance coverage in census surveys. It found that reporting of public insurance was most accurate among low-income, less educated individuals who likely needed care. Reporting varied by specific public program, with family characteristics impacting Medicaid accuracy and respondent characteristics impacting MinnesotaCare accuracy. Private insurance reporting in the ACS was more accurate among advantaged groups, while the CPS saw greater accuracy among older respondents with long-term coverage. The results provide insight into survey design, editing, and using survey data for policy analysis by identifying who reports coverage most reliably.
Mn ltss projection model
- The document presents preliminary results from the Minnesota Long-Term Services and Supports Projection Model (MN-LPM), which projects LTSS utilization and costs for Minnesota's Medicaid elderly population through 2030.
- In 2015, over 54,000 Minnesotans received LTSS through Medicaid, costing $991 million total. The model projects these numbers will double by 2030, with LTSS costs reaching $1.7 billion as HCBS use grows significantly faster than nursing home use.
- The model uses Minnesota-specific data on the characteristics of elderly residents and current LTSS spending patterns to generate projections. It is intended to help evaluate potential policy changes that could impact future LTSS needs and costs in
Modeling financial eligibility, ltss
Modeling Financial Eligibility for Medicaid Payment of LTSS
1) Medicaid long-term services and expenditures (LTSS) are a large and growing part of state budgets. States may restrict LTSS eligibility rules to control costs.
2) The researchers modeled LTSS eligibility rules to understand their impact and potential consequences of restricting access.
3) The model found that restricting income eligibility rules had a larger impact on reducing the number of eligible individuals than restricting asset rules. This is because income rules are more broadly applied and generous under current policies.
Poster, advancements in care coordination mn sim
The document summarizes findings from an evaluation of Minnesota's State Innovation Model (SIM) Initiative. It finds that Minnesota's SIM investments increased organizations' capacity for coordinated care in several ways:
1) It strengthened relationships and knowledge sharing between organizations.
2) It improved some care coordination processes like assessing social needs and accessing data.
3) It expanded access to health information exchange capabilities needed to coordinate care across settings.
Poster, section 1115 waivers
- Structured interviews were conducted with 33 current and former state agency and health plan staff across 4 states to understand challenges implementing Section 1115 Medicaid expansion waiver programs.
- Key challenges included the significant administrative resources and coordination required across entities, educating enrollees, and reconciling complex program rules across systems.
- While waiver programs allowed for innovative policy testing, the administrative complexity was substantial and ongoing. Implementation involved major efforts to develop new IT systems and operational protocols within tight timelines.
Modeling state based reinsurance
1. The document analyzes the potential impact and costs of state-based reinsurance programs using data from 2012-2015.
2. It estimates that reinsurance subsidies could range from $6.4 billion to $16 billion annually depending on the attachment point and coinsurance rate.
3. Reinsurance costs are estimated to range from close to $300,000 in Illinois to $2 billion in California under sample programs with an 80/20 coinsurance split.
Comparing Health Insurance Measurement Error (CHIME) in the ACS & CPS
This document summarizes a study that compared survey responses about health insurance from the American Community Survey (ACS) and Current Population Survey (CPS) to actual administrative insurance records to assess accuracy. The study found that both surveys produced reasonably accurate aggregated estimates but that some types of coverage, like direct purchase plans, were less accurately reported. Specifically:
- Both surveys had high sensitivity in detecting those with any insurance but the ACS performed better for direct purchase plans.
- The predictive power of reported coverage types varied, with direct purchase again less accurately predicted than employer-sponsored coverage.
- Prevalence estimates based on surveys were generally within a few percentage points of administrative records, though CPS estimates were less accurate for
Who Gets It Right? Characteristics Associated with Accurate Reporting of Heal...
This document summarizes a study examining factors associated with accurate reporting of health insurance coverage type. The study used survey data matched to enrollment records from a health plan. It found:
1) Reporting accuracy was highest for those with employer-sponsored insurance and lowest for those with direct purchase or Medicaid coverage.
2) Among those with direct purchase insurance, reporting accuracy was higher for those who were white, non-Hispanic, fully employed, and from higher income households.
3) For Medicaid enrollees, reporting accuracy was higher for those who were unemployed, from lower income and education households.
Medicaid vs. Marketplace Coverage for Near-Poor Adults: Impact on Out-of-Pock...
1) The document analyzes the impact of state Medicaid expansion decisions on out-of-pocket health expenses and insurance coverage for low-income adults making 100-138% of the federal poverty level.
2) It finds that Medicaid expansion was associated with lower total out-of-pocket spending (a reduction of $353), lower premium spending (a reduction of $118), and lower medical spending (a reduction of $235) compared to non-expansion states.
3) Medicaid expansion also increased Medicaid coverage by 11.1 percentage points and decreased the uninsured rate by 4.5 percentage points for this low-income group relative to non-expansion states.
The Impact of Medicaid Expansion on Employer Provision of Health Insurance
- The study examines the impact of Medicaid expansion under the ACA on employer-sponsored health insurance (ESI) offers, out-of-pocket premiums, and eligibility using data from 2010-2015.
- The results show Medicaid expansion decreased worker eligibility for ESI offers by 4 percentage points but had no effect on ESI offers or out-of-pocket premiums. There was also no differential effect for low-wage establishments.
- The authors note the short-term effects may differ from long-term effects, and ongoing uncertainty could impact employer behavior and outcomes over time as more states expand Medicaid.
Physician Participation in Medi-Cal: Is Supply Meeting Demand?
This document summarizes a webinar presentation on physician participation in California's Medicaid program, Medi-Cal. The presentation was given by Janet Coffman from UCSF and Alan McKay from the Central California Alliance for Health.
Key findings from Coffman's presentation include: California physicians are less likely to accept new Medi-Cal patients than patients with private insurance or Medicare; acceptance rates vary by specialty, practice type, and region; and the most common reasons physicians limit Medi-Cal patients are delays in payment and administrative hassles.
McKay discussed the Alliance's efforts to expand Medi-Cal provider capacity after expansion, including grant programs for recruitment, equipment, practice coaching,
Shadac acs cps-webinar 2016-final_sept21
The document summarizes key information from a webinar about 2015 health insurance coverage estimates from the American Community Survey (ACS) and Current Population Survey (CPS). It provides an overview of the surveys' methodologies, measures of health insurance coverage, changes in insurance rates from 2013 to 2015, and resources for accessing public data from the ACS and CPS. New products for analyzing health insurance coverage from both surveys were also announced.
2014 SAHIE: Overview with Census Experts
The document summarizes a webinar presented by experts from the U.S. Census Bureau on the Small Area Health Insurance Estimates (SAHIE). SAHIE provides county-level estimates of health insurance coverage across various demographic groups. The webinar discussed the 2014 SAHIE release, which incorporated more up-to-date Medicaid data and showed substantial changes in insurance rates from 2013 to 2014. The webinar also reviewed the data sources and methodology used to produce the SAHIE estimates.
More from soder145 (20)
Trends and Disparities in Children's Health Insurance: New Data and the Impli...
Trends and Disparities in Children's Health Insurance: New Data and the Impli...
Exploring Disparities Using New and Updated MEasures on SHADAC's State Health...
Exploring Disparities Using New and Updated MEasures on SHADAC's State Health...
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
Leveraging 1332 State Innovation Waivers to Stabilize Individual Health Insur...
Modeling State-based Reinsurance: One Option for Stabilization of the Individ...
Modeling State-based Reinsurance: One Option for Stabilization of the Individ...
2017 Health Insurance Coverage Estimates: SHADAC Webinar Featuring U.S. Censu...
2017 Health Insurance Coverage Estimates: SHADAC Webinar Featuring U.S. Censu...
Exploring the New State-Level Opioid Data On SHADAC's State Health Compare
Exploring the New State-Level Opioid Data On SHADAC's State Health Compare
Comparing Health Insurance Measurement Error (CHIME) in the ACS & CPS
Comparing Health Insurance Measurement Error (CHIME) in the ACS & CPS
Who Gets It Right? Characteristics Associated with Accurate Reporting of Heal...
Who Gets It Right? Characteristics Associated with Accurate Reporting of Heal...
Medicaid vs. Marketplace Coverage for Near-Poor Adults: Impact on Out-of-Pock...
Medicaid vs. Marketplace Coverage for Near-Poor Adults: Impact on Out-of-Pock...
The Impact of Medicaid Expansion on Employer Provision of Health Insurance
The Impact of Medicaid Expansion on Employer Provision of Health Insurance
Physician Participation in Medi-Cal: Is Supply Meeting Demand?
Physician Participation in Medi-Cal: Is Supply Meeting Demand?
Recently uploaded
KEY Points of Leicester travel clinic In London doc.docx
In order to protect visitors' safety and wellbeing, Travel Clinic Leicester offers a wide range of travel-related health treatments, including individualized counseling and vaccines. Our team of medical experts specializes in getting people ready for international travel, with a particular emphasis on vaccines and health consultations to prevent travel-related illnesses. We provide a range of travel-related services, such as health concerns unique to a trip, prevention of malaria, and travel-related medical supplies. Our clinic is dedicated to providing top-notch care, keeping abreast of the most recent recommendations for vaccinations and travel health precautions. The goal of Travel Clinic Leicester is to keep you safe and well-rested no matter what kind of travel you choose—business, pleasure, or adventure.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...rightmanforbloodline
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - 34.PrudentRx: A Resource for Patient Education and Engagement
PrudentRx enhances healthcare by educating patients and ensuring effective medication management in a complex, evolving landscape.
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...The Lifesciences Magazine
Deep Leg Vein Thrombosis occurs when a blood clot forms in one or more of the deep veins in the legs. These clots can impede blood flow, leading to severe complications.LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
This webinar helps clinicians understand the unique healthcare needs of the LGBTQ+ community, primarily in relation to end-of-life care. Topics include social and cultural background and challenges, healthcare disparities, advanced care planning, and strategies for reaching the community and improving quality of care.
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024. Includes 7 categories: Policy Makers, Academic Innovation Centers, Digital Health Providers, Healthcare Providers, Payers / Insurance, Device Companies, Life Science Companies, Innovation Accelerators. Developed by the Michigan-Israel Business Accelerator
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in Cardiology
Dr. David Greene, founder and CEO of R3 Stem Cell, is at the forefront of groundbreaking research in the field of cardiology, focusing on the transformative potential of stem cell therapy. His latest work emphasizes innovative approaches to treating heart disease, aiming to repair damaged heart tissue and improve heart function through the use of advanced stem cell techniques. This research promises not only to enhance the quality of life for patients with chronic heart conditions but also to pave the way for new, more effective treatments. Dr. Greene's work is notable for its focus on safety, efficacy, and the potential to significantly reduce the need for invasive surgeries and long-term medication, positioning stem cell therapy as a key player in the future of cardiac care.
Rate Controlled Drug Delivery Systems.pdf
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
Feeding plate for a newborn with Cleft Palate.pptx
A feeding plate is a prosthetic device used for newborns with a cleft palate to assist in feeding and improve nutrition intake. From a prosthodontic perspective, this plate acts as a barrier between the oral and nasal cavities, facilitating effective sucking and swallowing by providing a more normal anatomical structure. It helps to prevent milk from entering the nasal passage, thereby reducing the risk of aspiration and enhancing the infant's ability to feed efficiently. The feeding plate also aids in the development of the oral muscles and can contribute to better growth and weight gain. Its custom fabrication and proper fitting by a prosthodontist are crucial for ensuring comfort and functionality, as well as for minimizing potential complications. Early intervention with a feeding plate can significantly improve the quality of life for both the infant and the parents.
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
Christina Spears, breast cancer genetic counselor at the Ohio State University Comprehensive Cancer Center, joined us for the MBC Support Group for Black Women to discuss the importance of genetic testing in communities of color and answer pressing questions.
INFECTION OF THE BRAIN -ENCEPHALITIS ( PPT)
Neurological system includes brain and spinal cord. It plays an important role in functioning of our body. Encephalitis is the inflammation of the brain. Causes include viral infections, infections from insect bites or an autoimmune reaction that affects the brain. It can be life-threatening or cause long-term complications. Treatment varies, but most people require hospitalization so they can receive intensive treatment, including life support.
Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
The South Beach Coffee Java Diet is a variation of the popular South Beach Diet, which was developed by cardiologist Dr. Arthur Agatston. The original South Beach Diet focuses on consuming lean proteins, healthy fats, and low-glycemic index carbohydrates. The South Beach Coffee Java Diet adds the element of coffee, specifically caffeine, to enhance weight loss and improve energy levels.
Luxurious Spa In Ajman Chandrima Massage Center
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Professional Secrecy: Forensic Medicine Lecture
Professional Secrecy: Forensic Medicine Lecture , Medical jurisprudence
Recently uploaded (20)
KEY Points of Leicester travel clinic In London doc.docx
KEY Points of Leicester travel clinic In London doc.docx
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...
TEST BANK FOR Health Assessment in Nursing 7th Edition by Weber Chapters 1 - ...
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx: A Resource for Patient Education and Engagement
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
Deep Leg Vein Thrombosis (DVT): Meaning, Causes, Symptoms, Treatment, and Mor...
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
LGBTQ+ Adults: Unique Opportunities and Inclusive Approaches to Care
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Michigan HealthTech Market Map 2024 with Policy Makers, Academic Innovation C...
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in Cardiology
Dr. David Greene R3 stem cell Breakthroughs: Stem Cell Therapy in Cardiology
Feeding plate for a newborn with Cleft Palate.pptx
Feeding plate for a newborn with Cleft Palate.pptx
Bringing AI into a Mid-Sized Company: A structured Approach
Bringing AI into a Mid-Sized Company: A structured Approach
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
MBC Support Group for Black Women – Insights in Genetic Testing.pdf
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
Can coffee help me lose weight? Yes, 25,422 users in the USA use it for that ...
Cunningham APPAM slides 11 09 15
- 1. The Effects of Early Medicaid Expansions in California on Inpatient Utilization of Safety Net Hospitals Peter Cunningham, Ph.D. Department of Health Behavior and Policy Virginia Commonwealth University
- 2. Acknowledgements Co-authors: Lindsay M. Sabik, Ph.D., Ali Bonakdar, PharmD, M.P.H., Virginia Commonwealth University Funded by the Robert Wood Johnson Foundation, State Health Access Reform Evaluation initiative
- 3. What is the Effect of Expanding Medicaid on Inpatient Utilization at Safety Net Hospitals? Improves payer mix -- Medicaid admissions increase, while uninsured admissions decrease Reduces the proportion of inpatient admissions that are “preventable” Possible “cherry-picking” of healthier Medicaid patients by non-safety net hospitals
- 4. California’s “Bridge to Reform” Expanded coverage through the Low Income Health Program (LIHP) beginning in July, 2011 Eligibility for adults up to 200% of poverty, but eligibility varied across counties 700,000 persons enrolled in LIHP by end of 2013
- 5. Importance for Safety Net Hospitals Pending reductions in Medicaid DSH assume increase in insured patients, fewer uninsured patients that require subsidized care Newly insured patients will have more options to get care at non-safety net hospitals Payment and delivery system reforms changing patterns of care utilization at hospitals
- 6. Research strategy Examine changes in inpatient utilization in California between 2010 and 2013 Compare changes to three neighboring states that did not expand coverage (AZ, NV, WA) Compare changes at safety net hospitals to changes at non-safety net hospitals
- 7. Data Healthcare Cost and Utilization Project (HCUP) State Inpatient Databases Inpatient Data from California Office of Statewide Health Planning and Development American Hospital Association Annual Survey
- 8. Key Methods Safety net hospitals defined as those with either “high market share” of uninsured patients or “high burden” of uninsured. Include only hospitals in metropolitan areas Employed difference-in-differences analysis Compare the “pre-LIHP” period (before July 1, 2011) to: • First post-implementation period (7/1/11 to 9/30/12) • Second post-implementation period (10/1/12 to 12/31/13)
- 9. Medicaid Inpatient Admissions at Safety Net Hospitals 607 527 612 454 0 100 200 300 400 500 600 700 California Comparison states Quarterlyadmissions Pre-LIHP Post-LIHP
- 10. Uninsured Inpatient Admissions at Safety Net Hospitals 187 170176 218 0 50 100 150 200 250 California Comparison states Quarterlyadmissions Pre-LIHP Post-LIHP
- 11. Quarterly inpatient admissions 52 53 [VALUE]* 83* 75* [VALUE]* -100 -80 -60 -40 -20 0 20 40 60 80 100 SAFETY NET HOSPITALS NON-SAFETY NET HOSPITALS Quarterlyadmissions Change in second post-implementation period relative to comparison states All Medicaid Uninsured *Change from pre-LIHP period is statistically significant at .05 level
- 12. Percent of admissions that are uninsured 10.2 3.7 9.1* [VALUE]* [VALUE]* [VALUE]* 0 2 4 6 8 10 12 SAFETY NET HOSPITALS NON-SAFETY NET HOSPITALS Percentofadmissionsuninsured Change in second post-implementation period relative to comparison states Pre-LIHP Post-LIHP 1 Post-LIHP 2 *Change from Pre-LIHP period is statistically significant at .05 level
- 13. Quarterly preventable admissions -6 -3 13 [VALUE]* [VALUE]* -18* -30 -20 -10 0 10 20 30 40 SAFETY NET HOSPITALS NON-SAFETY NET HOSPITALS Quarterlypreventableadmissions Change in second post-implementation period relative to comparison states All Medicaid Uninsured *Change from pre-LIHP period is statistically significant at .05 level
- 14. Other Key Findings Acuity level of Medicaid admissions increased, while acuity of uninsured decreased. Acuity level of Medicaid admissions increased more at safety net hospitals Preventable admissions for uninsured patients decreased to a greater extent at safety net hospitals So far, no evidence that residual uninsured becoming increasingly concentrated at safety net hospitals
- 15. Policy implications Will change in payer mix be enough to offset potential loss of Medicaid DSH funds? How will payment and delivery reforms affect key assumptions about reducing public subsidies to safety net hospitals? Will Medicaid payment levels be sufficient for Medicaid patients that have higher acuity?