Health Professional Shortage Areas: Problems Remain with Primary Care Shortage Area Designation System PDF Download
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Author:
Publisher: DIANE Publishing
ISBN: 9781422311431
Category :
Languages : en
Pages : 66
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Book Description
Author:
Publisher: DIANE Publishing
ISBN: 9781422311431
Category :
Languages : en
Pages : 66
Get Book Here
Book Description
Author:
Publisher: Nova Publishers
ISBN: 9781604564099
Category : Health & Fitness
Languages : en
Pages : 94
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Book Description
This book identifies over 5,500 HPSAs designated throughout the United States as of September 2005; multiple federal programs relied on these designations to allocate resources or provide benefits. We estimated that slightly more than half of the HPSAs were designated for geographic areas or population groups, and these geographic and population-group HPSAs were located in all 50 states and the District of Columbia. Facility HPSAs, which accounted for slightly less than half of the total number of HPSAs, were also located in every state and the District of Columbia. In fiscal year 2005, more than 30 federal programs-including programs administered by HRSA, CMS, and federal agencies outside of HHS-relied on HPSA designations and, in some cases, HPSA scores, to allocate resources or provide benefits. These included NHSC programs that award scholarships or educational loan repayment to students and health professionals in exchange for a commitment to practice in HPSAs for at least 2 years. Other programs relying on HPSA designations to allocate resources or provide benefits included programs that pay physicians bonus payments for services provided to Medicare beneficiaries in geographic HPSAs and programs that waive certain requirements for foreign physicians if they agree to practice in HPSAs or other underserved areas of the United States. The use of the HPSA designation by numerous federal programs to allocate resources or provide benefits is an incentive for obtaining and retaining a HPSA designation.
Author: National Institutes of Health (U.S.)
Publisher:
ISBN:
Category : Public health
Languages : en
Pages : 20
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Book Description
Author: United States Government Accountability Office
Publisher: Createspace Independent Publishing Platform
ISBN: 9781976357343
Category :
Languages : en
Pages : 66
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Book Description
To identify areas facing shortages of health care providers, HHS relies on its health professional shortage area (HPSA) designation system. HHS designates geographic, population-group, and facility HPSAs. HHS also gives each HPSA a score to rank its need for providers relative to other HPSAs. The Health Care Safety Net Amendments of 2002 required GAO to report on the HPSA designation system. GAO reviewed (1) the number and location of HPSAs and federal programs that use HPSA designations to allocate resources or provide benefits, (2) available research on HPSA designation criteria and methodology, and (3) the impact of a 2002 provision that automatically designates federally qualified health centers and certain rural health clinics as facility HPSAs. GAO obtained and analyzed HHS's data on primary care HPSA designations as of September 2005 and January 2006 and identified reports on HPSA criteria and methodology through a literature search of peer-reviewed journals and other reports published since 1995.
Author: Ezra Rosser
Publisher: Cambridge University Press
ISBN: 1108475736
Category : Law
Languages : en
Pages : 273
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Book Description
An overview of the role played by federalism in anti-poverty policy and in poverty law.
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309257980
Category : Medical
Languages : en
Pages : 262
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Book Description
Medicare, the world's single largest health insurance program, covers more than 47 million Americans. Although it is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. In July 2010, the Department of Health and Human Services, which oversees Medicare, commissioned the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. The first report examined the data sources and methods used to adjust payments, and recommended a number of changes. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency applies the first report's recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners. This report also offers recommendations to improve access to efficient and appropriate levels of care. Geographic Adjustment in Medicare Payment - Phase II:Implications for Access, Quality, and Efficiency expresses the importance of ensuring the availability of a sufficient health care workforce to serve all beneficiaries, regardless of where they live.
Author: National Academies of Sciences, Engineering, and Medicine
Publisher:
ISBN: 9780309685108
Category :
Languages : en
Pages : 448
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Book Description
High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs.
Author: United States. Congress. House. Committee on the Judiciary
Publisher:
ISBN:
Category : Admission of nonimmigrants
Languages : en
Pages : 30
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Book Description
Author: Greg Siskind
Publisher:
ISBN: 9780997083347
Category :
Languages : en
Pages : 392
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Book Description
Now in its second edition, author Greg Siskind has teamed up with his colleague, Elissa Taub, to bring you the most up-to-date information regarding immigration for foreign physicians. Physician immigration is perhaps the most complicated area of U.S. immigration law, but The Physician Immigration Handbook, 2nd Edition, simplifies that process in a way that is easy to follow and understand. The Handbook explains what foreign physicians need to know to apply for graduate medical training at American teaching hospitals in the United States and how they can remain in the United States to pursue their careers. "The better you understand how the physician immigration system works, the more likely you will make career choices that will work from an immigration standpoint, and the more likely you will provide your lawyer with the necessary information and documentation to get you the results you are seeking." -Greg Siskind, author, The Physician Immigration Handbook The Physician Immigration Handbook follows the typical American journey for the international medical graduate (IMG). First, the Handbook reviews the application process through which physicians receive ECFMG certification, eventually leading to admittance to U.S. graduate medical training programs. Then it discusses the two major immigration pathways open to IMGs who want to come to the United States for graduate medical training: the J-1 visa and the H-1B visa. The Handbook walks the IMG through training to post-training work, then on to permanent residency (the "green card" process) and ultimately to U.S. citizenship. It even delves into employment issues, such as layoffs, mergers, and acquisitions, while also discussing special benefits available to foreign physicians in the U.S. military. The Physician Immigration Handbook was written as a guide for IMGs, recruiters, human resource professionals, and even government officials who need to know how the U.S. immigration system works and the special rules applied to physicians within that framework. The Handbook includes 25 chapters in an easy-to-follow, question-and-answer format: --Qualifying for Graduate Medical Training in the United States --The J-1 and the H-1B Visas --Seeking a Visitor Visa to Pursue Graduate Medical Training --J-1 Visas for Graduate Medical Training --The J-1 Home-Residency Requirement --Conrad 30 Waivers --'Public Interest' Waivers --Hardship and Persecution Waivers --J-2 Status for Family Members of a J-1 Exchange Visitor --The H-1B Visa Process --Cap-Exemption Strategies for the H-1B Visa --H-4 Family Members Accompanying an H-1B Visa Holder --Consular Processing of Nonimmigrant Visas --Lawful Permanent Residency --Obtaining Permanent Residency Through PERM Labor Certification --National Interest Waivers --Other Paths to Achieving Permanent Residency --Military Accessions Vital to the National Interest --Obtaining U.S. Citizenship --The Impact of Employment Termination --The Impact of Mergers and Acquisitions --Immigration and the Locum Tenens --The Role of Physician Recruiters --Special Issues Affecting Canadian Physicians --Hiring an Immigration Attorney The Handbook also includes numerous helpful appendices and charts, plus sample questionnaires: Resources and Websites of Interest; Physician Licensing Requirements by State; Physician National Interest Waiver Chart; Preliminary Immigration Questionnaires for Physicians and Physician Employers; J-1 Interested Government Agency Physician Waiver Flowchart; Flowchart for Physicians on Training H-1Bs; Conrad 30 State Chart
Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309166616
Category : Medical
Languages : en
Pages : 429
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Book Description
The United States is rapidly transforming into one of the most racially and ethnically diverse nations in the world. Groups commonly referred to as minorities-including Asian Americans, Pacific Islanders, African Americans, Hispanics, American Indians, and Alaska Natives-are the fastest growing segments of the population and emerging as the nation's majority. Despite the rapid growth of racial and ethnic minority groups, their representation among the nation's health professionals has grown only modestly in the past 25 years. This alarming disparity has prompted the recent creation of initiatives to increase diversity in health professions. In the Nation's Compelling Interest considers the benefits of greater racial and ethnic diversity, and identifies institutional and policy-level mechanisms to garner broad support among health professions leaders, community members, and other key stakeholders to implement these strategies. Assessing the potential benefits of greater racial and ethnic diversity among health professionals will improve the access to and quality of healthcare for all Americans.
