author:"Miles Meline" | Pollux - Fachinformationsdienst Politikwissenschaft

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Blogbeitrag#3122. April 2024

Future Bundled Payment Models Need To Engage Physician Group Practices

The following first appeared in Health Affairs Forefront on April 4th, 2024. The Centers for Medicare and Medicaid Services (CMS) remains committed to episode-based payment models as part of its multidimensional strategy to advance accountable care. Its most recent bundled payment program, Bundled Payments for Care Improvement (BPCI) Advanced, has been extended through 2025. In 2023, CMS announced plans to develop a new […]

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Blogbeitrag#3219. April 2024

Medicaid's New Policy Boosts Street Medicine in the U.S

Christopher Allen was ready for a fresh start. On an unseasonably warm afternoon in March, Allen, in his early 30s, walked to the 6800 block of Woodland Avenue in Southwest Philadelphia, where a Mobile Overdose Surge Response Bus from Prevention Point Philadelphia, a nonprofit public health agency, was parked. In an almost street-fair-like atmosphere, snacks, […]

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Blogbeitrag#334. April 2024

Doctors, Nurses, and Managers Received Wage Hikes After Medicaid Expansion While Lower-Paid Workers Did Not

The Affordable Care Act's Medicaid expansion has been instrumental in improving health outcomes for those who gained coverage and for boosting the finances of providers across multiple U.S. health care sectors. However, the extent to which Medicaid expansion affects economic outcomes among health care workers, especially lower-income workers, is not well understood. These questions are […]

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Blogbeitrag#3425. März 2024

Why the Child Tax Credit is Really About Improving Poor Children's Health, a Pediatrician Says

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) — […]

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Blogbeitrag#3521. März 2024

Chart of the Day: What's All This Brouhaha? Today's Private Equity Purchases of Physician Practices Look Much Like the Past

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 […]

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Blogbeitrag#3613. März 2024

Do Wealth and Poverty Affect Access to Less-Invasive Cardiac Surgery?

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 […]

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Blogbeitrag#378. März 2024

Black Patients Feel Dismissed and Skeptical After Their Experiences in the ED

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 […]

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Blogbeitrag#387. März 2024

How Tools That Measure People's Disadvantage Can Improve Health and Policymaking

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 […]

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Blogbeitrag#3928. Februar 2024

This Doctor Spends Hours Talking to Insurers. Her Patients Suffer The Most

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 […]

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Blogbeitrag#4026. Februar 2024

FDA Boosted Florida's Drug Import Plan From Canada, But the Canadians and Big Pharma Probably Won't Play Along

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 […]

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Blogbeitrag#4119. Februar 2024

Kidney Dialysis at Home Should Be Far Easier to Get, So Why Don't We?

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 […]

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Blogbeitrag#4213. Februar 2024

People on Both Medicare and Medicaid Should Get Better Care, But They Don't

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 […]

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Blogbeitrag#431. Februar 2024

People With HIV on Medicare have Surprisingly Large Gaps in Treatment

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 […]

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Blogbeitrag#4420. Dezember 2023

A Complicated Payment Landscape: Concurrent Health Conditions Pose a Challenge to Bundled Payments

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 […]

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Blogbeitrag#4519. Dezember 2023

Black Nurse Practitioners Lead the Fight Against Health Inequities, but Not Without Consequences

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 […]

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