Policyprescriptions.org
Policy Prescriptions – Advocates for Evidence-Based Health Policy™
WebEvidence-Informed Health Policy. Posted on March 21, 2023 March 21, 2023 Author Kyle Fischer, MD, MPH 1 Comment. Categories Uncategorized. A Tale of Two Prescriptions. Posted on December 6, 2022 December 7, 2022 Author Emergency Medicine Residents' Association.
Actived: 6 days ago
Gender differences in health costs – Policy Prescriptions
WebDividing personal health care services into the categories of hospital care, clinical services, nursing home care, and prescriptions, the increased spending by women of all ages seems to be the most affected by women’s higher spending on nursing home care. Overall, women, who make up almost 75 percent of those over age 65 who live in skilled
Individual Health Insurance Mandates – Pros & Cons
WebIndividual Health Insurance Mandates – Pros & Cons. Several universal insurance coverage models incorporate an individual mandate which requires every person to obtain health insurance coverage. A main argument for individual mandates centers around the elimination of free-riders who choose to forego private insurance and instead …
A Classic: The RAND Health Insurance Experiment
WebThe RAND Health Insurance Experiment represent the best evidence available to determine the behavior of patients based on cost sharing in health plans. Following the publishing of data from this study, many private insurance companies adopted these cost-sharing strategies. The researchers estimated price elasticities for medical …
Non-financial barriers to care – Policy Prescriptions
Web“The Commonwealth Fund/Harvard University Fellowship in Minority Health Policy is designed to prepare physicians for leadership roles in formulating and promoting health policies and practices that improve the access to high-quality care at the national, state, and /or local levels for the minority, disadvantaged, and most vulnerable
“The arc of the health care universe is long, but it bends toward
WebThe National Health Insurance (NHI) model is what many people think of as a traditional single payer system. Canada runs an NHI model; so does the U.S. Medicare program. The financing is public, but the delivery of services remains private. The NHI model is not “socialized medicine,” per se, rather “social insurance” where a nation
Medicaid Expansion cuts Hospital Closures – Policy Prescriptions
WebHospital closures can adversely impact patient outcomes, particularly for time-sensitive conditions, and hospitals with poor financial performance are more likely to close.Prior evidence has demonstrated the positive effect of Medicaid expansion on hospital financial outcomes because Medicaid revenue from newly insured patients replaces …
The Marketplace vs Medicaid – Policy Prescriptions
WebHowever, States cannot use the Marketplace as a substitute for Medicaid expansion. States that adopted Medicaid expansion showed a higher level of uptake of coverage, as compared to Marketplace coverage alone. Policymakers should recognize the importance of consumer decision-making in the long term impacts of healthcare reform.
Measuring physician performance – Policy Prescriptions
WebSection 10331 of the Affordable Care Act aims to achieve the publication of quality measurement information through the use of a Physician Compare website. Information reported must include assessments of patient health outcomes, risk-adjusted resource use, efficiency, patient experience, and other relevant information deemed …
About Us – Policy Prescriptions
WebPolicy Prescriptions® originated in 2006 with the goal of providing concise reviews of the health policy literature to stakeholders such as clinicians, policy makers, and the lay public. The organization was founded by two physicians whose work for the United States Congress revealed an imminent need to connect decision makers with clinicians as a …
Socioeconomic Impact on Universal Care – Policy Prescriptions
WebPatients of lower socioeconomic status are likely to seek health care for acute/disease-reacting services instead of preventive services despite universal access to health care. Commentary. The solution to health disparities for lower socioeconomic classes is a complex, daunting and urgent task for the nation’s health care community.
The Next Steps to Universal Health Care – Policy Prescriptions
WebHealth insurance, like any other type of insurance, works best whenever the risk is spread across a broad population. The presence of more than six major federal health programs, countless state and local health programs, and dozens of private health insurers partitions the public into smaller and smaller subsets, which makes adequate …
Caring for the Whole Community – Policy Prescriptions
WebOBJECTIVES: To compare health care use and spending of Medicaid enrollees seen at federally qualified health centers versus non-health center settings in a context of significant growth. METHODS: Using fee-for-service Medicaid claims from 13 states in 2009, we compared patients receiving the majority of their primary care in …
The Swiss Health Care System – Policy Prescriptions
WebThe design of the health care system in Switzerland resembles the vision set forth for the American system when President Obama signed the health reform law last month. Prior to it’s own health reforms in the 1990s, the Swiss health system was decentralized and subject to 26 different cantonal (similar to US state) authorities.
Medical Malpractice: Crisis or just another controversy
WebNational trends revealed an overall increase in medical malpractice premiums of $416 annually over the entire 30-year period. Although there has been a more rapid rise in malpractice costs recently (averaging $731 annually between 1996 – 2000), malpractice premiums for all physicians were lower in 2000 ($18,400) than at their peak in 1986
Less is More: HIE Prevents Repeat Tests – Policy Prescriptions
WebHealth information exchange (HIE) may reduce repeat imaging by facilitating provider access to prior images and reports. We sought to determine the effect of an HIE system on the occurrence of repeat imaging. Study Design and Methods We conducted a cohort study of adult patients who consented to participate in a community-based HIE …
The Problem with ACOs & Vulnerable Patients – Policy Prescriptions
WebDespite the rapid expansion of ACOs, a recent Health Affairs article highlighted the unintended consequence of greater ACO uptake by providers serving affluent patients and less participation by providers serving communities with more black residents, higher poverty, and more uninsured or disabled residents. The largest …
Itemized Deduction for Medical Expenses – Policy Prescriptions
WebThe itemized deduction for medical expenses was first introduced in 1942. It allows taxpayers to purchase health care services with pre-tax funds – $65 billion (in contrast, flexible spending accounts and health savings accounts amount for only $25 billion and $1 billion, respectively). Under present conditions, the deduction is available
Paul Ryan’s Medicare Plan – Policy Prescriptions
WebAlso, the age of eligibility for Medicare enrollment would increase from 65 years to 67 years old by the year 2022. In addition, the Ryan proposal would also repeal two aspects of the recent health reform legislation: the Independent Payment Advisory Board (IPAB) and the “doughnut hole” fix. The IPAB would be a senate-approved independent
Incentives for ACOs Outweigh Meaningful Use
WebConcurrently, the and providers to adopt health information technology (IT), while penalizing non-adoption and non-use. Although ACO incentives are not directly tied to health IT adoption, providers participating in ACOs must possess robust health IT structures that support care coordination mechanisms necessary to achieve cost and …
Employer Sponsored Health Insurance (ESHI) – Policy Prescriptions
WebConsumer Directed Health Plans (CDHPs) are high-deductible health plans created to provide enrollees with more options and to encourage value-based decision-making behavior. CDHPs offer lower premiums and higher deductibles compared to traditional health plans and are often used with a Continue Reading …
How the ACA Impacted Emergency Room Visits – Policy …
WebAs a result, about seventeen million previously uninsured Americans gained health insurance in 2014. Many policy makers had predicted that Medicaid expansion would lead to greatly increased use of hospital emergency departments (EDs). We examined the effect of insurance expansion on ED use in 478 hospitals in 36 states during the first year …
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