insurance
kkrisberg | March 25, 2017Yesterday, House Republicans failed to find enough votes to pass their Affordable Care Act replacement. It was a very good day for the millions of Americans projected to lose their coverage under the GOP plan. But let’s be clear: Obamacare is not safe.
In a last-ditch effort to round up more votes, House Speaker Paul Ryan, R-Wis., proposed an amendment that would have, beginning in 2018, allowed states to determine the kinds of essential health benefits required in insurance plans purchased with tax credits. Under Obama’s health care law, insurance plans sold via the federal health care…
milhayser | November 25, 2015As the U.S. seeks to drive down medical spending, one goal is to eliminate tests and treatments that are ineffective while encouraging price competition among things that work. Passing the buck on to the consumer isn't enough; on The Pump Handle, Liz Borkowski reports that giving patients an incentive to save money on health care causes them to see the doctor less, not "shop smarter." Meanwhile, Orac provides an update on "Choosing Wisely," a program meant to weed out useless procedures by appealing to the prudence of medical specialists instead of patients. In the three years that it has…
kkrisberg | May 29, 2015Another day, another study that finds poverty is linked to adverse and often preventable health outcomes. This time, it’s vision loss.
Last week, the Centers for Disease Control and Prevention published new data finding that poverty is significantly correlated with severe vision loss, which is defined as being blind or having serious difficulties seeing even with glasses. In examining data from the American Community Survey, researchers found that among counties in the top quartile for severe vision loss, more than 55 percent were also in the top quartile for poverty. The South is home to…
kkrisberg | December 23, 2014With the second round of open enrollment now underway, the Affordable Care Act is expected to help narrow racial and ethnic disparities in insurance coverage, a new report finds. However, not all communities are predicted to benefit equally. Because nearly half of the country’s legislatures decided against expanding Medicaid eligibility, black Americans may continue to face difficulties finding quality, affordable health coverage.
This month, the Urban Institute’s Health Policy Center released a new report detailing racial and ethnic differences in insurance rates under the ACA. Using data…
kkrisberg | May 27, 2014Late last year as many Americans purchased affordable health insurance for the first time, others opened their mailboxes to find notification that their coverage had been cancelled. The story erupted across media channels, as President Obama had promised that people could keep their plans, but the overall issue was presented with little perspective. Thankfully, a new study offers something that’s become seemingly rare these days: context.
Published in May in the journal Health Affairs, the study examined the stability of the nonemployer-based insurance market in the years before the…
kkrisberg | May 15, 2014$569 million. That’s how much revenue community health centers will miss out on because their state legislators decided not to expand Medicaid eligibility. The loss means that many community health centers will continue to struggle to serve all those in need, others will have to cut back on services and some could be forced to shut down altogether.
“In some ways, it’s status quo,” Peter Shin told me. “But for many of them, it’s a bleak status quo.”
Shin co-authored a recent report on the impact of the Affordable Care Act (ACA) on uninsured patients at community health centers, zeroing in on…
kkrisberg | February 7, 2014Higher insurance rates don’t mean people stop seeking care at publically funded health centers, found a recent study of family planning clinics in Massachusetts. The findings speak to serious concerns within public health circles that policy-makers may point to higher insurance rates as a justification to cut critical public health funding.
Published in the Jan. 24 issue of Morbidity and Mortality Weekly Report, the study examines trends among uninsured patients seeking care at Massachusetts health centers that receive Title X Family Planning Program funds. (The federal Title X program…
kkrisberg | July 26, 2013With immigration at the forefront of national debate, Jim Stimpson decided it was time to do a little more digging.
"There's a lot of rhetoric around immigrants' use of public services in general and health care specifically, and I thought with impending federal immigration reform it would be useful to have some sort of contribution about the facts of unauthorized immigrants' use of health services in the United States," said Stimpson, a professor within the University of Nebraska's School of Public Health and director of the university's Center for Health Policy.
So together with colleagues…
lborkowski | May 31, 2013by Kim Krisberg
In the United States, getting better often comes with an unfortunate and devastating side effect: financial bankruptcy. In fact, a 2009 study in five states found that between 2001 and 2007, medical-related bankruptcies rose by nearly 50 percent. And for those diagnosed with cancer, the risk is even worse.
As if a cancer diagnosis wasn't scary enough, a group of researchers recently calculated that cancer patients are more than two-and-a-half times more likely to go bankrupt than people without cancer. And younger cancer patients faced bankruptcy rates of two to five times…
denialism | February 25, 2013Steven Brill's extensive piece in Time has generated a good discussion once again on why Americans pay so much more for health care than other countries, and while I agree with most of his critiques, he seems to have gotten overly hung-up on the hospital chargemaster.
Readers of this blog know I've also discussed reform in health care, the diverse sources of excess cost including price gouging on pharmaceuticals, defensive medicine, expensive end-of-life care, the high cost of primary care in the ER etc, and both Brill and I appear to have relied on the same sources of data in the McKinsey…
lborkowski | September 7, 2012by Kim Krisberg
Another study, another support beam in the argument that access to insurance coverage matters — a lot.
In a study published this month in the journal Health Affairs, researchers took a look at rates of amenable mortality deaths — in other words, deaths that shouldn't happen in the presence of timely and effective care — between the United States, France, Germany and the United Kingdom. Their conclusion? The U.S. — home to the world's highest rate of health care spending — is lagging behind.
Between 1999 and 2007, amenable mortality rates among men fell by 18.5 percent in the U…
sastyk | May 21, 2012The always-thoughtful Kurt Cobb has a great piece on the intersection between the hydrofracking boom and the mortgage mess:
One fact ought to tell you all you need to know about the risks faced by homeowners signing leases for natural gas drilling on their property: Wells Fargo & Company, both the largest home mortgage lender in the United States and a major lender to the country's second largest producer of natural gas, Chesapeake Energy Corp., refuses to make home loans for properties encumbered with natural gas drilling leases.
This salient fact comes from an article (PDF) written for…
sastyk | May 21, 2012These fragments I have shored against my ruins. - T. S. Eliot
The national news trucks hit my neighborhood last fall, as some of you will remember. When Tropical Storm Irene caused severe flooding and destruction in surrounding communities, and particularly to many of my neighbor's farms, we were briefly in the news. Then, as is normal for any community that has experienced disaster, came waves of volunteerism and assistance, and then a gradual diminishing of attention and interest, and the slow, long process of reclamation and rebuilding. As spring came around, the houses in the village…
grrlscientist | August 17, 2008tags: book review, economic insecurity, politics, social programs, insurance, poverty, employment, education, housing
What ever happened to the American Dream? Well, if you are like me, you will admit that your pursuit of the American Dream is like chasing after a mythical horse that disappeared out the barn door literally decades ago. For example, even though I did everything right -- staying out of trouble, staying out of debt, avoiding all chemical and behavioral addictions, postponing pleasure by working hard and sacrificing so I could earn a top-notch education doing something I love and…