Posts Tagged ‘healthcare’

For the first time ever all US counties have been scored and ranked in terms of the overall health of their residents and compiled in the 2010 County Health Rankings. The data will allow health officials to compare the statistics of their county with demographically similar counties. This effort is an attempt to bring comprehensive health data to the local level in order to stimulate action towards improved health. Anyone now can go online to see how their country ranks within their state in regards to a variety of health outcome measures and health factors organized into the broad categories of mortality and morbidity, health behaviors, health care access, socioeconomic factors, and environmental factors. To see where your county ranks, visit www.countyhealthrankings.org.

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A survey recently released by the American Psychiatric Association has found that American workers are hesitant about seeking mental health care for fear of confidentiality issues and possibly losing status at work. Among the 1,129 people surveyed 76% believed their work status would be damaged by seeking treatment for drug addiction, 73% for alcoholism, and 62% for depression, compared with 55% who thought seeking care for diabetes would affect their work status and 54% for heart disease. In total only about 40% of respondents thought their employers were supportive of employees seeking general and mental health care, which sounds counterproductive, especially since research (and logic) shows that people who receive proper health care are healthier and more productive. [HealthDay/Businessweek]

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In an effort to curb healthcare spending, some insurance companies have tried to increase copays for outpatient visits in an effort to decrease the overall rate of visits to the doctor’s office. However, a new study from Brown University published in the Jan. 28 issue of the New England Journal of Medicine is showing that this strategy has some unintended consequences. After looking at some Medicare managed care plans that implemented such copay hikes between 2001 to 2006, the researchers noted an increase in hospital usage. Although these plans had 19.8 fewer annual outpatient visits per enrollee, they consequently had 2.2 additional hospital admissions and 13.4 more inpatient days per 100 enrollees. And as we all know being hospitalized is PRICEY. The authors estimate that by increasing outpatient copays in the short term Medicare plans might save $7,150 per 100 enrollees, but inpatient spending would swell by $24,000 per 100 enrollees in the year after the co-payment increase, thus not really saving any money at all. [via Medline Plus]

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The big news in U.S. health care came early Monday morning (1 am to be exact) as a 60-Senator majority  agreed upon their plan for health care reform. The Senate bill would make health insurance mandatory for almost all citizens of the union, covering nearly 30 million currently uninsured Americans. But, if there is any indication as to whether this most recent bill favors the American individual or the private, for-profit insurance companies all one needs to do is to look towards the ticker. Shares of major U.S. health insurance companies rose Monday, including Aetna, Cigna, Humana, United Health and Wellpoint – all hitting 52-week highs. According to Businessweek, “Investors have been worried for months that a public option would provide unfair competition to private insurers in part because it would receive government financial backing and could set reimbursement at artificially low levels.” But, worry no more since the lobbying efforts of these companies continue to pay off as lawmakers continue to pass bills that put our money into the pockets of insurers rather than spending the majority of it on caring for our health. [via Businessweek]

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As you may know, the latest news in the US health care reform debate is whether private for-profit insurance companies can honestly and competently offer comprehensive health insurance at prices which every American can afford. Senators are working on a proposed bill which will give a federal agency, the Office of Personnel Management, the power to negotiate with insurance companies to offer national health plans similar to those offered to members of Congress. If these plans do not meet criteria set forth to make coverage affordable for all, it would trigger the government to offer a “public option” which will compete with private insurers. But many, including lawmakers, do not support such reform which would replace the public option with a purely private approach. However, if acceptable, affordable and comprehensive coverage existed, does it matter who administers it? Perhaps not, provided that certain measures were in place. Other capitalist countries like Japan, Germany, and Switzerland all mandate that each citizen have health insurance, be it through private insurers, community-based plans, etc. The catch is that insurers cannot make a profit on basic health care or deny anyone based on preexisting conditions. If the government is able to successfully negotiate with insurance companies and also offer some public assistance to pay for premiums, then perhaps this proposal can be a capitalist compromise that will bring forth some much needed social change.

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University of Chicago researchers estimate that over the next 25 years the number of Americans with diagnosed and undiagnosed diabetes will soar from 23.7 million to 44.1 million. Not only that, medical spending related to diabetes care and management will climb from $113 billion to $336 billion annually. Diabetes is a chronic illness which often requires daily medication, insulin, glucose monitoring supplies, lab tests and frequent visits to the doctor. It is also a disease which could be potentially prevented, which is why primary preventative care is so important (and sorely lacking) in the U.S. As the researchers state, “Without significant changes in public or private strategies, this population and cost growth are expected to add a significant strain to an overburdened health care system.” With these new figures, the study will hopefully influence policymakers during this time of uncertainty in the future of U.S. healthcare. [via Medical News Today]

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In the midst of the U.S. healthcare debate comes another reason why everyone of us should have basic health coverage. A new study by Harvard University researchers found that uninsured patients with traumatic injuries (such as car crashes, falls and gunshot wounds) were almost twice as likely to die in the hospital as similarly injured patients with health insurance. Taking into account injury severity, race, gender and age uninsured patients were still 80% more likely to die than those with insurance, including Medicaid. It’s shocking and unclear just why the uninsured fare worse in terms of ER care, since it’s largely assumed – and federally mandated – that all unstable patient receive equal care in ERs. One reason this might occur is that private hospitals can transfer uninsured patients to public hospitals once patients are stable. A transfer could then worsen a patient’s condition by delaying treatment. The findings are based on an analysis of data from the National Trauma Data Bank, which includes more than 900 U.S. hospitals. [via New York Times]

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In the midst of the U.S. healthcare debate, a minor provision appears to be stirring up some controversy. The provision, inserted by Sen. Orrin G. Hatch (R-Utah) with the support of Democratic Sens. John F. Kerry and the late Edward M. Kennedy (both of Massachusetts, home to the Church of Christ, Scientist), would require insurers to consider covering Christian Science prayer treatments as legitimate medical expenses. The church believes that spiritual healing in the form of prayer treatments is an effective alternative to conventional interventions. However, opponents of the measure are concerned that this could open the door for other groups to seek medical legitimacy for practices that lie outside of science. But, there is precedence for this. Namely, the IRS allows the cost of prayer services to be counted as tax-deductible medical expenses. Is this blurring the line between church and state? Should spiritual health and healing be overlooked as an integral part of physical and mental well-being?  [via LA Times]

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California Senator Barbara Boxer has introduced the National Nursing Reform and Patient Advocacy Act. The legislation aims to attract and maintain a sufficient nursing workforce in order to provide quality healthcare for the coming years. The bill would establish specific nurse-to-patient ratios, which would increase patient safety and reduce job burn out. As well, it would provide whistle blower protections to protect the right of nurses to advocate for the safety of patients and report violations of minimum standards of care. Read more about the bill.

Have you ever had an adverse experience that occured as a result of the nursing shortage? Share your comments here.

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General Electric and Intel will be jointly investing 250 million dollars in an effort to develop and market home health technologies to patients with chronic conditions. Their goal is to create products which will help patients and their physicians to manage their conditions from the comfort of their homes. The companies estimate that the market for such products will grow from the current 3 billion US dollars to 7.7 billion by 2021. Some of the issues they hope to tackle include diabetes, sleep apnea, cardiovascular diseases and fall prevention.

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