Alaska Health Policy Review

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authoritative, comprehensive, nonpartisan

Save the Date!

The 29th Annual Alaska Health Summit will take place from January 23rd through January 25th, 2012, at the Hotel Captain Cook in Anchorage, AK.

For updates and full information, please visit:

http://www.alaskapublichealth.org

 

Filed under: Alaska, Of interest

Rising Health Care Costs, Rising Underinsurance

Two studies recently published in Health Affairs point out some major issues facing individuals and families seeking health care.

The first study done by the Commonwealth Fund found that “underinsured” individuals have risen by 80%, meaning that these individuals have to pay out-of-pocket expenses that are 10% or more of their total income. These same people also tend to struggle paying their bills and oftentimes forgo needed healthcare.

The second study highlights why so many individuals spend a large amount of their income on health care and are still considered “underinsured.” Namely, the median income for a family of four with ESI has risen by around 30%, yet spending on health care increased almost proportionately within the same period.

Links can be found here.

Filed under: Insurance related, Of interest

Free to Die – An Opinion Piece by from the New York Times

Paul Krugman’s recent opinion piece in the NY Times touched upon a tricky subject, namely:  the role of moral visions in modern politics.

Wolf Blitzer recently interviewed Ron Paul in a G.O.P. presidential debate, where Paul was asked what should be done if a 30-year-old man, who chose to not purchase health insurance, suddenly needed six months worth of intensive care.

Blitzer: “Should society just let him die?”

The crowd erupted into shouts of “yeah,” indicating, perhaps, that compassion is no longer in vogue for the G.O.P. base. Paul continued by asserting that the theoretical 30-year-old would receive care from some charitable source, perhaps ignoring the fact that indeed a lot of people do die without insurance. Period.

The question itself raises the issue of who can and cannot afford insurance- as it currently stands, a great deal of Americans can’t even afford it in the first place, and it isn’t an option of “who wants” to have insurance.

The entire Krugman piece can be viewed here.

 

Filed under: Insurance related, Of interest

A Team Approach to Care

In the newest “States of Innovation” blog series put together by Community Catalyst and CCF, new strides to help make Medicaid sustainable and accessible are highlighted from Camden, New Jersey:

Camden, New Jersey is one of the nation’s poorest cities and has one of the highest crime rates in the nation. Homelessness, drug trafficking, high unemployment, and sky rocketing health care costs are a fact of life in this city of just 79,000. Between 2002 and 2008, 978 patients made 3,882 visits to emergency departments in the city – a majority of the visits were for preventable conditions that could be treated by a primary care doctor.

In this dire situation a family practice physician, Dr. Jeffrey Brenner, pioneered a successful approach to reducing hospital readmissions and health care costs of the sickest and most vulnerable populations. A recent episode of PBS’s Frontline highlighted Dr. Brenner and his innovative work and praised his initiative as a new model of care. The work of the Camden Coalition of Healthcare Providers, the practice that Dr. Brenner set up, laid the groundwork for the “Garden State” to adopt this model, the Medicaid Accountable Care Organization (ACO) Demonstration Project, which was signed into law by Governor Christie last week.

[Read the rest of the article under the cut or in the original here.]

Read the rest of this entry »

Filed under: Insurance related, Of interest

Raising Medicare’s Eligibility Age Would Increase Overall Health Spending and Shift Costs to Seniors, States, and Employers

By Paul N. Van de Water:

Raising Medicare’s eligibility age from 65 to 67, which the new Joint Select Committee will likely consider this fall as a deficit-reduction measure, would not only fail to constrain health care costs across the economy; it would increase them.

While this proposal would save the federal government money, it would do so by shifting costs to most of the 65- and 66-year-olds who would lose Medicare coverage, to employers that provide health coverage for their retirees, to Medicare beneficiaries, to younger people who buy insurance through the new health insurance exchanges, and to states.

The principal study of the effects of raising the Medicare eligibility age, by the Kaiser Family Foundation, estimates that its increased state and private-sector costs would be twice as large as the net federal savings.  If the proposal were fully in effect in 2014, Kaiser estimates, it would generate $5.7 billion in net federal savings but $11.4 billion in higher health care costs to individuals, employers, and states.

[Excerpted from the Center on Budget and Policy Priorities. Read the full report here.]

Filed under: Of interest

KidsWell Campaign- A new perspective for healthcare reform

KidsWell is a national and state campaign that advocates for health care reform on behalf of children.

The website is designed to help provide support and resources to child health advocates. It includes weekly updates, a searchable database of related information, the ability to track health reform throughout the U.S., and information on opposition activities.

To check out the website, click here.

Filed under: General, Of interest

Barriers and Oppurtunties Related to Licensure: Two Advocacy Oppurtunities Available

“Over the past several legislative sessions, APCA members have been voicing concern both over challenging processes of obtaining licensure in Alaska for some health professionals, and not having adequate reimbursement for some licensed provider types (particularly with regards to behavioral health provider types).”

Excerpted from the Alaska Primary Care Association Legislative Update Vol. 6, Issue 30.

Read the rest of this entry »

Filed under: Of interest

CDC issues ‘zombie apocalypse’ preparedness tips

The Centers for Disease Control has released a disaster preparedness memo in their Public Health Matters Blog geared toward a zombie apocalypse.

The blog entry is tongue-in-cheek, but is geared toward raising community awareness about disaster preparedness. With heightened awareness being given toward disasters, both natural and man-made over the past few years, the notion of preparing for emergencies is not out the realm of reality.

[Read “Social Media: Preparedness 101: Zombie Apocalypse” by the Centers for Disease Control.]

Filed under: Of interest

Dangerous by Design 2011

Solving the Epidemic of Preventable Pedestrian Deaths

The decades-long neglect of pedestrian safety in the design and use of American streets is exacting a heavy toll on our lives. In the last decade, from 2000 through 2009, more than 47,700 pedestrians were killed in the United States, the equivalent of a jumbo jet full of passengers crashing roughly every month. On top of that, more than 688,000 pedestrians were injured over the decade, a number equivalent to a pedestrian being struck by a car or truck every 7 minutes.

Despite the magnitude of these avoidable tragedies, little public attention – and even less in public resources – has been committed to reducing pedestrian deaths and injuries in the United States. On the contrary, transportation agencies typically prioritize speeding traffic over the safety of people on foot or other vulnerable road users.

[Download and read the full national report Dangerous by Design 2011, published by Transportation for America, which explores the numbers, the causes and the solutions for solving this epidemic of preventable deaths.]

Filed under: Of interest

Most uninsured unable to pay hospital bills according to new HHS report

A report released by the U.S. Department of Health and Human Services (HHS) shows that few families without health insurance have the financial assets to pay potential hospital bills.  On average, uninsured families can only afford to pay in full for approximately 12-percent of hospital stays they may experience – and even higher income uninsured families are unable to pay for most potential hospital stays.  Hospital stays for which the uninsured cannot pay in full account for 95-percent of the total amount hospitals bill the uninsured.  Other studies have estimated that the bills for all types of health care that the uninsured cannot pay – the uncompensated cost of care – is up to $73 billion a year, a significant portion of which is shifted into higher costs for Americans with insurance and their employers.

[Continue reading the full report from the U.S. Department of Health and Human Services.]

Filed under: Insurance related, Of interest

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