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Blog: Penn LDI
We all agree that we should do what we can to ensure that children thrive. But legislators often lack the will to act on opportunities to do just that. Children from racial minority groups too often bear a higher burden from those failures to act. A proposed expansion of the Child Tax Credit (CTC) — […]
Blog: Penn LDI
The growth of private equity investment in health care is facing sharp scrutiny from investors, regulators, and the public. Some view private equity as a key to transforming the U.S. health system. Others raise concerns that profits for corporate investors will be at the expense of patients' health, workers' safety, and affordability. LDI Senior Fellows […]
Blog: Penn LDI
Heart disease is the nation's leading cause of death, and yet not everyone has access to advanced, innovative cardiac care. A new study by LDI Senior Fellows Guy David, Alon Bergman, and coauthors showed that in areas with greater socioeconomic disadvantage, patients who need aortic valve replacement (AVR) tend to get fewer sophisticated procedures than […]
Blog: Penn LDI
Seeking health care for a Black person is a roll of the dice all the time… We show up in the emergency room because everything else gets dismissed [by our caregivers]… so it gets bad enough that [there's] no other choice until we have to get treated… That's a terrible way to live. – A […]
Blog: Penn LDI
While the U.S. COVID-19 response had room for improvement, it also saw unprecedented uptake of a novel way of promoting health equity: a group of measures known as disadvantage indices. Ultimately adopted by more than half of U.S. states, planners used these indices to inform their vaccine allocation plans. "Importantly, such measures have major potential […]
Blog: Penn LDI
The following excerpt is from an op-ed that first appeared in the Philadelphia Inquirer on February 28th, 2024. My patient — we'll call her Sydney — was a young teenager who had been sick for weeks. We ultimately diagnosed her with an aggressive, rare disorder of the blood vessels that can restrict blood flow and damage vital […]
Blog: Penn LDI
The following excerpt is from an op-ed that first appeared in MedPage Today on February 24th, 2024. If you head to the Florida beaches for spring break, you will notice that the Canadian Maple Leaf is often present among the flags outside hotels and tourist apartments. The benefit to Florida from the annual migration of snowbirds from […]
Blog: Penn LDI
The following excerpt is from an op-ed that first appeared in USA Today on February 18th, 2024. In 2014, Amber Pettis felt nauseous and tired. She went to see her doctor because she thought she had a stomach bug. Instead, she learned she had kidney failure, a life-altering disease requiring long-term dialysis or a kidney transplant to survive. In […]
Blog: Penn LDI
Low-income, older adults, and people with disabilities are eligible for both Medicaid and Medicare. Although it might seem that having double coverage would be helpful, the reality for decades has been the opposite. Having multiple payers creates a fragmented system where no one entity is responsible, or has the financial incentive, to improve care. That […]
Blog: Penn LDI
More than one-quarter of the 1.1 million people with HIV in the U.S. are covered by Medicare. Since the 1990s, the number of patients being treated for HIV on Medicare has tripled, making the traditional Medicare program one of the largest insurers of this patient population and the second largest source of federal financing for […]
Blog: Penn LDI
Pneumonia is one of the leading causes of hospitalization among adults. With the perpetual push toward value-based care and alternative payment models that incentivize providers to improve care and lower costs, pneumonia's prevalence makes it a good candidate for episode‐based care models. As an acute infection, pneumonia may be a more natural fit for episode-based payment […]
Blog: Penn LDI
The number of nurse practitioners (NPs) in the U.S. has grown exponentially in the last several decades. From 2010-2017, the number of NPs available in the U.S. more than doubled, and the Bureau of Labor Statistics now estimates NPs to be the nation's fastest growing occupation over the next decade. NPs are well-positioned to reduce […]
Blog: Penn LDI
After "60 Minutes" interviewed doctors at for-profit hospitals who were pressured to admit patients to increase revenues, David H. Howard at Emory University contacted his colleague, LDI Senior Fellow Guy David, and said: "We have to look into this." Howard and David's new study shows that for-profit hospitals have consistently higher rates of admitting patients […]
Blog: Penn LDI
The following excerpt is from an op-ed that first appeared in The New York Times on November 30, 2023. Nonprofit hospitals have been caught doing some surprising things, given how they are supposed to serve the public good in exchange for being exempt from federal, state and local taxes — exemptions that added up to $28 […]
Blog: Penn LDI
Work requirements in the Medicaid program are a consistently controversial issue. But even as the legality of the policies has been challenged in recent years, research has shown the public generally supports work requirements. Now, a new study by Kristen Underhill of Cornell School of Law, LDI Senior Fellows Atheendar Venkataramani, Kevin Volpp, Kristin Linn, […]