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Management: Health Insurance

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U.S. Unveils Health Care Web Site and Call Center
The Obama administration announced new steps to expand coverage and inform consumers about their options under the federal health care law on Monday.    
Source: NYT Health - June 25, 2013 Category: Consumer Health News Authors: By ROBERT PEAR Tags: Sebelius, Kathleen Medicaid Patient Protection and Affordable Care Act (2010) Health Insurance and Managed Care Humana Inc HUM NYSE Source Type: news

New Laws and Rising Costs Create a Surge of Supersizing Hospitals
After holding steady through much of the 2000s, deal-making has picked up in health care, raising concerns about the power of large hospital systems.    
Source: NYT Health - August 12, 2013 Category: Consumer Health News Authors: By JULIE CRESWELL and REED ABELSON Tags: Tenet Healthcare Corporation THC NYSE Vanguard Health Systems Inc VHS NYSE HCA Holdings Inc HCA NYSE Health Management Associates Inc HMA NYSE Health Insurance and Managed Care Hospitals Catholic Health East Mergers, Acquisitions and Divesti Source Type: news

Knowledge of Health Insurance Terminology and Details Among the Uninsured
We examined 51 uninsured adults’ health insurance knowledge and preferences through semistructured qualitative interviews. Our sample was predominantly low-income and African American. Most had little or no experience with health insurance terminology. Those with limited health literacy skills understood less than those with higher health literacy. Many confused related insurance concepts. Non-health contexts (e.g., car insurance) aided understanding. Premiums, fixed costs, and specific coverage were rated very important to insurance decisions. Our study was one of the first to examine uninsured individuals’ he...
Source: Medical Care Research and Review - January 5, 2014 Category: Health Management Authors: Politi, M. C., Kaphingst, K. A., Kreuter, M., Shacham, E., Lovell, M. C., McBride, T. Tags: Data and Trends Source Type: research

Behavioral Health Parity and the Affordable Care Act.
Abstract Prior to the passage of the Mental Health Parity and Addiction Equity Act (MHPAEA) and the ACA, about 49 million Americans were uninsured. Among those with employer sponsored health insurance, 2% had coverage that entirely excluded mental health benefits and 7% had coverage that entirely excluded substance use benefits. The rates of non-coverage for mental and substance use disorder care in the individual health insurance markets are considerably higher. Private health insurance generally limits the extent of these benefits. The combination of MHPEA and ACA extended overall health insurance coverage to mo...
Source: Journal of Social Work in Disability and Rehabilitation - January 31, 2014 Category: Disability Authors: Frank RG, Beronio K, Glied SA Tags: J Soc Work Disabil Rehabil Source Type: research

Today show and Kalydeco
I can't believe that no one has posted this yet!!! If you haven't seen this today....you need to take a minute and watch it!! This is a story about how siblings that have the same Dr, same CF genes, and same health insurance got two totally different responses to their Kalydeco request!! http://www.today.com/news/man-battles-health-insurer-drug-could-save-his-life-6C10636133 This is an amazing story!!! I guess we were on the right end of the russian roulette!! Scary!!!
Source: Cystic Fibrosis CFTR Modulation and Gene Therapy Forum - July 16, 2013 Category: Respiratory Medicine Authors: JENNYC Tags: CFTR Modulation and Gene Therapy Talk Source Type: forums

Implementing the Affordable Care Act: The Promise and Limits of Health Care Reform
The Obama administration has confronted a formidable array of obstacles in implementing the Affordable Care Act (ACA). The ACA has overcome those obstacles to substantially expand access to health insurance, though significant problems with its approach have emerged. What does the ACA's performance to date tell us about the possibilities and limits of health care reform in the United States? I identify key challenges in ACA implementation—the inherently disruptive nature of reform, partisan polarization, the limits of "near universal" coverage, complexity, and divided public opinion—and analyze how these issues...
Source: Journal of Health Politics, Policy and Law - August 8, 2016 Category: Health Management Authors: Oberlander, J. Tags: Health Policy & Education, Political Science, General, Public Policy Health Care Reform at the State and National Level Source Type: research

Furosemide use and acute risk of hip fracture in older people: A nationwide case –control study in Taiwan
ConclusionsCurrent use of furosemide is associated with a 30% increased odds of hip fracture in older people in Taiwan. Geriatr Gerontol Int 2017; ••: ••–••.
Source: Geriatrics and Gerontology International - July 14, 2017 Category: Geriatrics Authors: Shih ‐Wei Lai, Kao‐Chi Cheng, Cheng‐Li Lin, Kuan‐Fu Liao Tags: Original Article: Social Research, Planning and Practice Source Type: research

A Last Push for Obamacare Sign-ups — and Worries About Who Got Hurt
Blacks and Hispanics saw the biggest gains under the Affordable Care Act. They ’ re also likely to be most affected by cuts to this year ’ s enrollment period, which ended Friday.
Source: NYT Health - December 15, 2017 Category: Consumer Health News Authors: KATE ZERNIKE and ROBERT PEAR Tags: Health Insurance and Managed Care Patient Protection and Affordable Care Act (2010) Blacks Hispanic-Americans Source Type: news

Can Amazon and Friends Handle Health Care? There ’ s Reason for Doubt
Experts suggest we should temper expectations about the venture, which also involves JPMorgan Chase and Berkshire Hathaway.
Source: NYT Health - January 31, 2018 Category: Consumer Health News Authors: MARGOT SANGER-KATZ and REED ABELSON Tags: Health Insurance and Managed Care Amazon.com Inc Berkshire Hathaway Inc JPMorgan Chase & Company Labor and Jobs Medicine and Health Source Type: news

IJERPH, Vol. 15, Pages 2648: The Association between Migraine and Types of Sleep Disorder
Conclusion: This study provides evidence that migraine is associated with sleep disorders, especially insomnia. Based on these findings, healthcare professionals and policy makers have to reconsider the present level of insurance coverage for sleep medicine, recognize the risk of sleep-related diseases and educate patients about the need for appropriate care.
Source: International Journal of Environmental Research and Public Health - November 26, 2018 Category: Environmental Health Authors: Seung Ju Kim Kyu-Tae Han Suk-Yong Jang Ki-Bong Yoo Sun Jung Kim Tags: Article Source Type: research

ASMBS Position Statement on Weight Bias and Stigma
The following position statement is issued by the American Society for Metabolic and Bariatric Surgery in response to numerous inquiries made to the Society by patients, physicians, Society members, hospitals, health insurance payers, the media, and others, regarding weight bias, stigma, discrimination, and health disparities based on weight. In this statement, a summary of current, published, peer-reviewed scientific evidence and expert opinion is presented. The intent of issuing such a statement is to provide available objective information about these topics.
Source: Surgery for Obesity and Related Diseases - May 8, 2019 Category: Surgery Authors: Dan Eisenberg, Sabrena Noria, Brandon Grover, Kasey Goodpaster, Ann M. Rogers, American Society for Metabolic and Bariatric Surgery Clinical Issues Committee Tags: Controversies in Bariatric Surgery Source Type: research

Obamacare ’s About to Get a Lot More Affordable. These Maps Show How.
For this year and next, the stimulus bill boosts subsidies for nearly all those buying their own coverage, making insurance free for more people and giving higher-income people discounts for the first time.
Source: NYT - March 11, 2021 Category: American Health Authors: Kevin Quealy and Margot Sanger-Katz Tags: Health Insurance and Managed Care Content Type: Service Patient Protection and Affordable Care Act (2010) Prices (Fares, Fees and Rates) Source Type: news

Financing of health services for undocumented immigrants in Iran: common challenges and potential solutions
Iran is host to one of the largest urban refugee populations worldwide, about two million of whom are undocumented immigrants (UIs). UIs are not eligible to enroll in the Iranian health insurance scheme and ha...
Source: Globalization and Health - April 18, 2023 Category: International Medicine & Public Health Authors: Manal Etemadi, Saeed Shahabi, Kamran Bagheri Lankarani and Seyed Taghi Heydari Tags: Research Source Type: research

South Africa: Origins of Opposition to NHI Are Rooted in Bigger Problems of Trust and Competence
[Daily Maverick] A legitimate concern about the proposed National Health Insurance is the almost complete lack of trust in the state-government-elite axis to manage effectively anything more than rinsing a tumbler. The rest is simply ideological and disingenuous.
Source: AllAfrica News: Health and Medicine - June 15, 2023 Category: African Health Tags: Health and Medicine South Africa Southern Africa Source Type: news

Abstract B77: Shared decision-making and mammography screening: A national sample
Current breast cancer screening guidelines promote the use of shared decision-making (SDM) between patients and providers. Given the mandate of the Affordable Care Act to use SDM in clinical practice, it is imperative to develop an understanding of its impact on quality of care in the United States (US), especially for minority populations with poor cancer outcomes. The aim of this study is to examine the impact of two key elements of shared decision making on the use of mammogram screening: Patient-reported choice and patient-provider communication.Data was obtained from the National Cancer Institute's Health Information ...
Source: Cancer Epidemiology Biomarkers and Prevention - November 13, 2014 Category: Cancer & Oncology Authors: Gunn, C. M., Soley-Bori, M., Battaglia, T. A. Tags: Screening and Early Detection: Poster Presentations - Proffered Abstracts Source Type: research