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Articles 31 - 60 of 80
Full-Text Articles in Medicine and Health Sciences
A Health Insurance Exchange: Prototypes And Design Issues, Mark Merlis
A Health Insurance Exchange: Prototypes And Design Issues, Mark Merlis
National Health Policy Forum
Many reform proposals call for the creation of one or more health insurance exchanges, intermediaries that can help individuals or small employers navigate the insurance market. An exchange might be public or private, national, or local. It might serve simply as a clearinghouse for plan information or could play an active role in setting benefit packages, choosing high-quality plans, and negotiating premium rates. This paper begins with a summary of recent experience with insurance exchanges and similar systems. It then reviews basic issues in the design of an exchange.
Underwriting In The Non-Group Health Insurance Market: The Fundamentals, Kathryn Linehan
Underwriting In The Non-Group Health Insurance Market: The Fundamentals, Kathryn Linehan
National Health Policy Forum
Non-group health insurance is coverage that individuals purchase on their own rather than as part of a group. Most states currently permit non-group insurers to underwrite, a process whereby an insurer assesses the health and other characteristics of individuals to determine their likely utilization of health services or risk; insurers then use this assessment to determine whether they will offer coverage and the premium they will charge. Policymakers have identified underwriting and related practices in non-group markets as a target for reform to enable broader access for the currently uninsured. This publication reviews the characteristics of non-group markets and insurers' …
What's Happening: June, 2009, Maine Medical Center
What's Happening: June, 2009, Maine Medical Center
What's Happening
No abstract provided.
Resilience And Renaissance: Efforts To Rebuild A Healthier New Orleans, Michele J. Orza, Jessamyn Taylor
Resilience And Renaissance: Efforts To Rebuild A Healthier New Orleans, Michele J. Orza, Jessamyn Taylor
National Health Policy Forum
The National Health Policy Forum sponsored a site visit to New Orleans, Louisiana, in May 2009 to explore the city's health challenges, which are similar to those faced by other cities but were all greatly exacerbated by Hurricane Katrina and its aftermath. The agenda focused on three themes: primary care and behavioral health services availability and access, public health preparedness, and rebuilding healthier communities. It examined how these themes and others intersect in two distinct communities within New Orleans: the Holy Cross community surrounding the Lower Ninth Ward Center for Sustainable Engagement and Development and the community surrounding the Mary …
The Psychology Of Money: Beyond Behavioral Finance, Cicily Maton, William Martin
The Psychology Of Money: Beyond Behavioral Finance, Cicily Maton, William Martin
Publications – Dreihaus College of Business
Behavioral finance has attracted the attention of both academics and practitioners. This article explores the roots of behavioral finance, psychology, and showns how these principles are actually used in practice.
What's Happening: May, 2009, Maine Medical Center
What's Happening: May, 2009, Maine Medical Center
What's Happening
No abstract provided.
Impact Of Cost Sharing Levels On Adherence To Controller Drugs And Consequent Outcomes Among Asthma Patients, Varun Vaidya
Impact Of Cost Sharing Levels On Adherence To Controller Drugs And Consequent Outcomes Among Asthma Patients, Varun Vaidya
Theses and Dissertations (ETD)
Prescription drug cost sharing is an effective tool to reduce the excessive drug consumption. However, many times it could have a negative impact on the drug utilization especially in case of chronic conditions. Chronic conditions such as asthma require appropriate utilization of controller medication to keep the inflammation and symptoms under control. Literature on asthma drug utilization has consistently reported underuse of controller drugs among asthma patients. The present study attempted to investigate the impact of prescription drug cost sharing levels on the controller adherence among the privately insured asthma population with moderate persistent asthma. The study also analyzed the …
Cost Burden Of The ‘Presenteeism’ Health Outcome In A Diverse Nurse And Pharmacist Workforce: Practice Models And Health Policy Implications, Carol L. Warren
Cost Burden Of The ‘Presenteeism’ Health Outcome In A Diverse Nurse And Pharmacist Workforce: Practice Models And Health Policy Implications, Carol L. Warren
Theses and Dissertations (ETD)
The complex phenomenon of presenteeism is an undesirable health outcome that occurs when employees remain present on-the-job with lowered work productivity caused by personal health conditions. The cost burden of presenteeism in healthcare professionals has been under-explored and the cost burden of presenteeism across racial and ethnic minority employees has been un-explored. Aims of this research were to describe presenteeism and its cost burden among nurses and pharmacists and to determine distinctness of differences across racial/ethnic groups within these professions. In exploring presenteeism, the focus was on recognizing it, characterizing it, and measuring it. In monetizing presenteeism, its costs burden …
The Psychology Of Money: Beyond Behavioral Finance, Cicily Maton, William Marty Martin
The Psychology Of Money: Beyond Behavioral Finance, Cicily Maton, William Marty Martin
William Marty Martin
Behavioral finance has attracted the attention of both academics and practitioners. This article explores the roots of behavioral finance, psychology, and showns how these principles are actually used in practice.
The Children's Health Insurance Program (Chip): The Fundamentals, Jennifer Ryan
The Children's Health Insurance Program (Chip): The Fundamentals, Jennifer Ryan
National Health Policy Forum
This background paper provides a brief overview of the fundamental elements of the Children’s Health Insurance Program (CHIP). CHIP, which served more than 7 million children in federal fiscal year 2008, is a jointly funded federal-state partnership that was originally enacted in 1997 as a complement to the Medicaid program. CHIP is designed to provide health insurance coverage for children in families who earn too much to qualify for Medicaid but cannot afford to purchase private insurance coverage. The program was reauthorized in the Children’s Health Insurance Program Reauthorization Act (CHIPRA) of 2009, which included several changes and additions to …
Show Me The Money: The Implications Of Schedule H, Eileen Salinsky
Show Me The Money: The Implications Of Schedule H, Eileen Salinsky
National Health Policy Forum
Responding to policymakers' concerns, the Internal Revenue Service (IRS) implemented significant new hospital community benefit reporting under Schedule H of its revised Form 990, the return used by tax-exempt organizations. This issue brief considers the policy implications of the quantitative and qualitative information that hospitals are now mandated to report through Schedule H, including the costs associated with charity care, bad debt, and the unreimbursed costs of Medicaid and Medicare. The paper examines unresolved issues related to the new reporting requirements, such as controversies regarding the scope of Schedule H, and considers the potential for these reports to influence IRS …
Schedule H: New Community Benefit Reporting Requirements For Hospitals, Eileen Salinsky
Schedule H: New Community Benefit Reporting Requirements For Hospitals, Eileen Salinsky
National Health Policy Forum
In recent years, some policymakers have questioned whether not-for-profit hospitals benefit the communities they serve at a level commensurate with the tax exemptions they receive as charitable organizations. This background paper reviews the new community benefit reporting requirements hospitals will face in 2009 under Schedule H of the Internal Revenue Service's revised Form 990 (the return used by organizations exempt from federal income tax). The paper provides a descriptive summary of the quantitative and qualitative information to be reported on Schedule H, such as charity care, bad debt, and the unreimbursed costs of Medicaid and Medicare.
Coordinating Care For People With Multiple Chronic Conditions: The Guided Care Model And Other Innovative Approaches, Judith D. Moore, Carol O'Shaughnessy
Coordinating Care For People With Multiple Chronic Conditions: The Guided Care Model And Other Innovative Approaches, Judith D. Moore, Carol O'Shaughnessy
National Health Policy Forum
The Forum sponsored two site visits to explore the Johns Hopkins University's research and demonstration program on Guided Care, in April and August 2009. Guided Care is a patient-centered medical home model that uses an interdisciplinary approach to coordinating health care for older people with multiple chronic conditions. Guided Care nurses located in primary care practices work with Medicare patients on a long-term basis, coordinate their care among various providers, provide transitional care, and assist patients with self-management skills. Site visit participants learned about the complexities of caring for frail Medicare patients, some of whom see multiple physicians and other …
The Medicaid Drug Rebate Program, Christie Provost Peters
The Medicaid Drug Rebate Program, Christie Provost Peters
National Health Policy Forum
The Medicaid Drug Rebate Program helps lower Medicaid spending on outpatient prescription drugs by ensuring states receive discounts similar to those provided to private purchasers. Based on manufacturer reported pricing data, Medicaid drug rebates generate significant revenue for the states (and the federal government) that helps offset Medicaid prescription drug expenditures. This publication describes the Medicaid Drug Rebate Program and reviews how it works.
Difficult Choices In Total Compensation: Balancing Health Care Costs And Wage Increases, Jennifer Dose
Difficult Choices In Total Compensation: Balancing Health Care Costs And Wage Increases, Jennifer Dose
Business Educator Scholarship
This article describes an experiential exercise suitable for undergraduate or master’s-level students. The goals of the exercise are for students to correctly apply health insurance concepts such as premium, deductible, co-pay, and coinsurance; to understand and explain the dilemma facing organizations in an environment of increasing health care costs and limited compensation budgets; to discern and apply the concerns of employees with varying demographic profiles to health care cost sharing; and to develop competency in calculating health care costs at the organizational level. Students receive a scenario in which they act as an employee representative and are asked to provide …
Over-Utilization Of Advanced Imaging In The Hospital Setting: An Educational Approach To Reduce Unnecessary Inpatient Studies, Guillermo Madero, J. Platnick, L. Voutsinas, R. Wetz, S. Buchbinder
Over-Utilization Of Advanced Imaging In The Hospital Setting: An Educational Approach To Reduce Unnecessary Inpatient Studies, Guillermo Madero, J. Platnick, L. Voutsinas, R. Wetz, S. Buchbinder
Internal Medicine
By several measures, health care spending continues to rise, forcing businesses and families to cut back on operations and household expenses. In 2008, health care spending in the United States reached $2.4 trillion dollars, and is projected to reach $3.1 trillion in 2012.During the past decades, there has been a steady increase in the utilization of expensive inpatient imaging studies, with an overall increase in health care costs. In particular, advanced imaging includes CT, MRI and Nuclear Medicine, used for the diagnosis and management of hospitalized patients. The reasons for unnecessary imaging examinations include indirect financial benefit to physicians, medico-legal …
What's Happening: April, 2009, Maine Medical Center
What's Happening: April, 2009, Maine Medical Center
What's Happening
No abstract provided.
Prevention Of Mother-To-Child Transmission (Pmtct) Of Hiv In The Sub-Saharan Africa Region With A Focus On Uganda, Emily K. Franks
Prevention Of Mother-To-Child Transmission (Pmtct) Of Hiv In The Sub-Saharan Africa Region With A Focus On Uganda, Emily K. Franks
Senior Honors Theses
With the rise of the HIV/AIDS epidemic in the past thirty years, people of all ages, infants to elderly alike, all over the world, suffer from its adverse effects. Even an unborn baby in-utero can contract this virulent infection by means of mother-to-child transmission (MTCT) (Sweeney, 2005). Infants and children diseased in this way comprise 90% of the estimated 800,000 new cases of HIV in children seen each year, but the region hit hardest, however, is Sub-Saharan Africa, with the country of Uganda historically having the highest incident rate for a time (Stringer, E.M., et al. 2008). Therefore, the purpose …
Health Care-Associated Infections: Is There An End In Sight?, Lisa Sprague
Health Care-Associated Infections: Is There An End In Sight?, Lisa Sprague
National Health Policy Forum
Health care–associated infections (HAIs) have emerged as a significant concern in policy as well as clinical circles. An HAI is an infection acquired during treatment for another condition. Some of the HAI-causing bacteria have become drug-resistant; methicillin-resistant Staphylococcus aureus, or MRSA, is a familiar example. Tied to perhaps 100,000 deaths and $20 billion in health care costs each year, HAIs have given rise to state laws, legislative proposals at the federal level, public-private initiatives, and work at the hospital system and individual hospital level. However, much remains to be done. This issue brief reviews the prevalence of HAIs and the …
Or Practice—Efficient Short-Term Allocation And Reallocation Of Patients To Floors Of A Hospital During Demand Surges, Steven M. Thompson, Manuel Nunez, Robert Garfinkel, Matthew D. Dean
Or Practice—Efficient Short-Term Allocation And Reallocation Of Patients To Floors Of A Hospital During Demand Surges, Steven M. Thompson, Manuel Nunez, Robert Garfinkel, Matthew D. Dean
Management Faculty Publications
Many hospitals face the problem of insufficient capacity to meet demand for inpatient beds, especially during demand surges. This results in quality degradation of patient care due to large delays from admission time to the hospital until arrival at a floor. In addition, there is loss of revenue because of the inability to provide service to potential patients. A solution to the problem is to proactively transfer patients between floors in anticipation of a demand surge. Optimal reallocation poses an extraordinarily complex problem that can be modeled as a finite-horizon Markov decision process. Based on the optimization model, a decision-support …
What's Happening: March, 2009, Maine Medical Center
What's Happening: March, 2009, Maine Medical Center
What's Happening
No abstract provided.
Healthcare Could Your Organization Save Money With Complementary And Alternative Medicine?, William Martin, Hugh Long
Healthcare Could Your Organization Save Money With Complementary And Alternative Medicine?, William Martin, Hugh Long
Publications – Dreihaus College of Business
Some evidence suggests complementary and alternative medicine could reduce costs and improve efficiency while increasing patient satisfaction.
Initial Research And Evaluation Concepts For Public Health Pbrns, Glen Mays
Initial Research And Evaluation Concepts For Public Health Pbrns, Glen Mays
Glen Mays
Initial research and evaluation activities of the Public Health PBRN Program are intended to provide a descriptive characterization of networks during their early stages of development. This descriptive ‘network analysis’ will provide a baseline for tracking changes in network structure and function over time. The information generated through these activities is intended to be useful for a variety of audiences, including current grantees and others interested in developing or expanding public health PBRNs, as well as policy and practice stakeholders interested in using the evidence and insight to be produced through PBRNs.
What's Happening: February, 2009, Maine Medical Center
What's Happening: February, 2009, Maine Medical Center
What's Happening
No abstract provided.
Healthcare Could Your Organization Save Money With Complementary And Alternative Medicine?, William Martin, Hugh Long
Healthcare Could Your Organization Save Money With Complementary And Alternative Medicine?, William Martin, Hugh Long
William Marty Martin
Some evidence suggests complementary and alternative medicine could reduce costs and improve efficiency while increasing patient satisfaction.
Reauthorizing Schip: A Summary Of Selected Issues, Jennifer Ryan, Cynthia Shirk
Reauthorizing Schip: A Summary Of Selected Issues, Jennifer Ryan, Cynthia Shirk
National Health Policy Forum
This document provides a brief overview of some of the policy and programmatic issues that were addressed in legislation to reau¬thorize the State Children’s Health Insurance Program (Title XXI of the Social Security Act) during the summer and fall of 2007. This overview provides a background for understanding the elements for a second round of reauthorization that will likely be debated in the early days of the 111th Congress. The paper reviews several of the key issues under discussion and summarizes some of the related provisions in the reauthorization bills that were considered in 2007.
Uncompensated Care Cost: A Pilot Study Using Hospitals In A Texas County, Alberto Coustasse, Andrea L. Lorden, Vishal Nemarugommula, Karan P. Singh
Uncompensated Care Cost: A Pilot Study Using Hospitals In A Texas County, Alberto Coustasse, Andrea L. Lorden, Vishal Nemarugommula, Karan P. Singh
Management Faculty Research
The financial ramifications of uncompensated care cost (UCC) on the healthcare industry have been difficult to quantify. With the lack of a standardized definition of uncompensated care and the need to account for the uninsured, indigent, and immigrant populations, the authors identified $190 million of UCC from Southwestern border hospitals for emergency room treatment of undocumented immigrants and $934 million of uncompensated care charges for 23 hospitals in a Texas county, which translated to $353 million of UCC. Although lawmakers passed the Medicare Prescription Drug Improvement and Modernization Act (2003) to address the growing imbalance, the shortfall of funds highlights …
A Generic Approach To Computer-Based Clinical Practice Guideling Management Using The Eca Rule Paradigm And Active Databases, Bing Wu, Kudakwashe Dube
A Generic Approach To Computer-Based Clinical Practice Guideling Management Using The Eca Rule Paradigm And Active Databases, Bing Wu, Kudakwashe Dube
Articles
The increasing demand for reduced cost and improved quality of service in healthcare has prompted the call for better management of medical knowledge. The main emphasis has been on knowledge that is acquired through experience and medical research and then formalised into Clinical Practice Guidelines (CPGs). This paper presents a generic approach to CPG information and knowledge management that uses the Event-Condition-Action (ECA) rule paradigm and active databases within a unified management framework. The paper focuses on an approach for facilitating the use and management of CPGs by clinicians through delivering the CPGs at the point-of-care by a computerised mechanism.
Children's Mercy Hospital Annual Report 2008, Children's Mercy Hospital
Children's Mercy Hospital Annual Report 2008, Children's Mercy Hospital
Children's Mercy Annual Reports
Annual report for The Children's Mercy Hospital in Kansas City MO, a pediatric medical center.
Start-Up Activities For Public Health Pbrns, Glen Mays
Start-Up Activities For Public Health Pbrns, Glen Mays
Glen Mays
Launching a successful public health practice-based research network requires a planned approach to developing the necessary infrastructure, relationships, and scientific direction.