The Medicaid Primary Care Network Program Does Reduce Costs for Medical Services and Improves the Quality of Care

The Medicaid Primary Care Network Program Does Reduce Costs for Medical Services and Improves the Quality of Care PDF Author: Kansas. Department of Social and Rehabilitation Services. Office of Analysis, Planning and Evaluation
Publisher:
ISBN:
Category : Health planning
Languages : en
Pages : 59

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The Medicaid Primary Care Network Program Does Reduce Costs for Medical Services and Improves the Quality of Care

The Medicaid Primary Care Network Program Does Reduce Costs for Medical Services and Improves the Quality of Care PDF Author: Kansas. Department of Social and Rehabilitation Services. Office of Analysis, Planning and Evaluation
Publisher:
ISBN:
Category : Health planning
Languages : en
Pages : 59

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Book Description


Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination PDF Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
ISBN: 030946921X
Category : Medical
Languages : en
Pages : 161

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Book Description
The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Medicaid Hospital Payment

Medicaid Hospital Payment PDF Author: Jennifer Baldwin
Publisher:
ISBN:
Category : Hospitals
Languages : en
Pages : 110

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Book Description


Care Without Coverage

Care Without Coverage PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309083435
Category : Medical
Languages : en
Pages : 213

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Book Description
Many Americans believe that people who lack health insurance somehow get the care they really need. Care Without Coverage examines the real consequences for adults who lack health insurance. The study presents findings in the areas of prevention and screening, cancer, chronic illness, hospital-based care, and general health status. The committee looked at the consequences of being uninsured for people suffering from cancer, diabetes, HIV infection and AIDS, heart and kidney disease, mental illness, traumatic injuries, and heart attacks. It focused on the roughly 30 million-one in seven-working-age Americans without health insurance. This group does not include the population over 65 that is covered by Medicare or the nearly 10 million children who are uninsured in this country. The main findings of the report are that working-age Americans without health insurance are more likely to receive too little medical care and receive it too late; be sicker and die sooner; and receive poorer care when they are in the hospital, even for acute situations like a motor vehicle crash.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133661
Category : Medical
Languages : en
Pages : 528

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Book Description
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Best Care at Lower Cost

Best Care at Lower Cost PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309260736
Category : Medical
Languages : en
Pages : 437

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Book Description
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Medicaid

Medicaid PDF Author:
Publisher: DIANE Publishing
ISBN: 9781568065885
Category :
Languages : en
Pages : 124

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Book Description
Focuses on: states' use of managed care programs; the difficulty states face in implementing certain program components; the effect of the managed care approach on health care access, quality, & cost; & the presence of features that assure the quality of health services & providers' financial stability. Charts, tables & map.

The Future of Nursing 2020-2030

The Future of Nursing 2020-2030 PDF Author: National Academies of Sciences Engineering and Medicine
Publisher:
ISBN: 9780309685061
Category :
Languages : en
Pages :

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Book Description
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

Jonas and Kovner's Health Care Delivery in the United States

Jonas and Kovner's Health Care Delivery in the United States PDF Author: James R. Knickman, PhD
Publisher: Springer Publishing Company
ISBN: 0826173047
Category : Medical
Languages : en
Pages : 549

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Book Description
Newly revised and significantly updated, Jonas and Kovner's Health Care Delivery in the United States, 13th Edition continues to be a highly acclaimed and trusted resource covering all aspects of health care in the United States. This comprehensive textbook contains information on a wide array of topics, including the organization of care, population health, the fundamental challenges of health disparities, health care financing and economics, and health information technology’s role in improving care and protecting privacy. New chapters on public health preparedness and its role in mitigating effects on health and the health system, and the medical and social challenges of caring for older adults provide insight into important, ongoing challenges and what those challenges reflect about our system of care. With an increased emphasis on health disparities, population health, and health equity, this textbook includes a timely focus on how social and behavioral determinants influence health outcomes. Students will gain a deeper understanding of public health systems and their societal role and of the economic perspectives that drive health care managers and the system. Thorough coverage of the rapid changes that are reshaping our system, in addition to an evaluation of our nation’s achievement of health care value, will equip students with the critical knowledge they need to enter this dynamic and complex field. The book also includes cutting-edge, evidence-based information on preventive medicine, innovative approaches to control health care costs, initiatives to achieve high quality and value-based care, and much more from prominent scholars, practitioners, and educators within health care management, public health, population health, health policy, medical care, and nursing. Key Features: New chapters on Public Health Preparedness and Caring for Older Adults Expanded coverage on health disparities and health equity, public health systems and their societal role, and the economic perspectives driving health care managers and the system Careers in Focus sections provide perspectives from a range of career paths in the health sector and how they contribute to the health care workforce Case Exercises and Discussion Questions have been expanded for all chapters Digital access to the entire text, including four supplementary eChapters that provide an engaging visual overview of trends in health care and detail the Affordable Care Ave--including its history and implementation, updates to the law, and changes as a result of the COVID-19 pandemic Purchase includes digital access for use on most mobile devices or computers, and qualified instructors also have access to a full suite of instructor resources

CBO's Analysis of the Major Health Care Legislation Enacted in March 2010

CBO's Analysis of the Major Health Care Legislation Enacted in March 2010 PDF Author: Douglas W. Elmendorf
Publisher: DIANE Publishing
ISBN: 1437983774
Category : Law
Languages : en
Pages : 35

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Book Description
Statement about the CBO's analysis of the Patient Protection and Affordable Care Act and the provisions of the Health Care and Education Reconciliation Act of 2010 ("the Reconciliation Act,") that are related to health care. CBO and the staff of the Joint Comm. on Taxation have provided the Congress with extensive analyses of the legislation both before and after its enactment in March 2010. This statement summarizes the major results of those analyses -- in particular, the projected effects of those laws on the federal budget (over the first 10 years and the subsequent decade), health insurance coverage, Medicare, premiums for health insurance, and labor markets. Charts and tables. This is a print on demand report.