Posts Tagged ‘agencies’
GOP Governors Deny The Poor Health Care
In Opposing Obamacare’s Medicaid Expansion
RUSTON, La. — With no health insurance and not enough money for a doctor, Laura Johnson is long accustomed to treating her ailments with a self-written prescription: home remedies, prayer and denial.
Occupy Healthcare is a movement to influence and impact the future of healthcare, as well as an online community to discuss healthcare reform issues. Recently they invited me to submit my perspectives, and below is what I sent.
Occupy Health Care – a proposal from Wayne Caswell, Modern Health Talk
Historically, the biggest impact in health outcomes has come from public health initiatives such as clean water, sewage systems, and immunization programs. But that success is minimized by a “sick care” system that is profoundly broken, with perverse incentives to view patients as customers, treat symptoms, and pay practitioners for each test, drug and procedure.
ACA is meant to fix that, with more emphasis on positive outcomes and overall health & wellness, both to minimize the need for medical care in the first place and thus reduce costs, and to maintain a healthy and productive workforce that contributes to a vibrant economy. ACA is a good start, but there’s still more work to be done, and it won’t come from private industry or the insurance model, because natural incentives prevent it.
I believe that the key to health reform is getting the incentives right, and that means getting private insurance companies out of BASIC health care entirely. Their profit motive gives them an incentive to increase costs, knowing that higher costs = more insurance customers paying higher premiums. What I propose instead is a hybrid public/private model that capitalizes on contrasting incentives, eliminates the need for health insurance, and saves over $1 trillion per year.
Source: Newswise (6/26/2012) — Nursing homes do not have to be inevitable destinations for frail older adults. Many—even those with long-term health problems—can remain at home and be independent. All it takes is a little help to change “disability” to “capability”.
A handyman with a few nails to fix a wobbly bannister can make the difference between staying at home and a nursing home stay. Visits from a nurse or occupational therapist can help simplify a bewildering medication regimen or improve the ability to get around the house and neighborhood. Simple, inexpensive steps may change the equation for thousands of seniors, but in reality, services like these are rarely available for many at greatest need—the poorest and sickest older adults receiving Medicare and Medicaid.
CAPABLE, short for “Community Aging in Place, Advancing Better Living for Elders,” and a $4 million Health Care Innovation Award from the U.S. Department of Health and Human Services Center for Medicare and Medicaid Services, is about to change that reality. Read the rest of this entry »
How can healthcare systems encourage patients to take greater ownership of their health so they live longer? That was the question posed to a Linkedin discussion group that generated some interesting responses. I initially weighed in with:
Public Health and Social Programs
We don’t often think of clean running water, indoor toilets, sanitation systems, and school vaccinations as having profound effects on the health of our citizens, but they have. So too would programs that address poverty, unemployment, and the widening income gap. That’s why next on my list is access to nutritious food, exercise opportunities, and full-time employment, which translates into access to health insurance.
Others said consumers would need support from various health care organizations and suggested several initiatives designed to move from medical response systems to health, wellness and prevention systems. Read the rest of this entry »
Here is full text of an article by by by Jodi G. Daniel / JD MPH, Director of the Office of Policy and Planning at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the Office of the National Coordinator for Health Information Technology (ONC) asks me to remove it, I will surely do so.
NPR host Michele Norris explores housing options for America’s aging population in her interview with Jon Pynoos, a professor of gerontology policy and planning at USC. (Listen to the broadcast or read the transcript HERE.)
Pynoos describes the high costs of nursing homes and assisted living facilities and the insurance options that pay for them, including Medicare & Medicaid. He then promotes aging-in-place at home as a much lower-cost option, but most homes were designed for people who aren’t old. He calls them Peter Pan homes. They have stairs, inaccessible bathrooms, and inadequate lighting, and they lack many of the safety features that would help people avoid falls.
“I won’t grow up. I don’t want to go to school.
Just to learn to be a parrot, And recite a silly rule.”
To help you assess your home and make modifications, contact a certified aging in place specialist (CAPS) or, if you’re in Central Texas, click HERE to learn about our own assessment services.
Here is full text of an article by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health at the U.S. Department of Health & Human Services. It is provided with full attribution and a link to the original article but without copyright concerns, because I believe it’s important enough to be promoted widely and don’t expect any complaints. If, however, the ONC asks me to remove it, I will surely do so.
Helping Consumers Be Partners in Their Own Health
by Lygeia Ricciardi, Senior Policy Advisor for Consumer e-Health
We at the Office of the National Coordinator for Health Information Technology (ONC) know that patients are asking themselves, “How do I manage my health information?” We are working to bring the U.S. health care system into the 21st century through technology to address that concern. We understand that it’s not all about health care providers and hospitals—it’s also about you: the patient, the individual, the person who should be the focus of the health care system.
Home health care can avoid higher costs of institutional care in a nursing home or assisted living facility, but making space may be an issue. Fortunately, there are many options. You can give grandma the spare bedroom, convert a garage into living space, remodel the home, or add a small cottage on your property.
That last option is the idea behind MEDCottage, a charming modular home that serves as a “mini-medical facility.” It’s designed like a deluxe trailer for the elderly, but it doesn’t look like a trailer. I like the idea of relying on experts to integrate various systems, where the combined value is greater than the sum benefits of each part.
Julie Rovner posted this article on the NPR Health blog, but she didn’t include my reader comments, so I’m summarizing key points here and adding my comments afterwards.
- The good news – Health costs rose 7.3% last year, which was the slowest rate in more than a decade but still nearly 5 times faster than the Consumer Price Index.
- The bad news – Since 2002, the annual health care cost for American families has more than doubled from about $9,000 to over $19,000.
So what’s driving the increases? It’s not Obama Care, the new federal health law.