Filtered By:
Management: Budgets
This page shows you your search results in order of date. This is page number 13.
Order by Relevance | Date
Total 414 results found since Jan 2013.
What Standing Rock Teaches Us About Environmental Racism And Justice
Access to clean, safe, and affordable drinking water is not just a concern of developing countries but of communities in our own backyard. The Standing Rock Sioux Tribe in North and South Dakota, for instance, relies on Lake Oahe, a 231-mile reservoir along the Missouri River, as its primary water source. In July 2016, the US Army Corps of Engineers approved the construction of the Dakota Access Pipeline (DAPL), a 1,172-mile duct that will carry crude oil from North Dakota to Illinois when completed, which will run underneath the Missouri River less than a mile north of the Standing Rock Sioux Reservation, including throug...
Source: Health Affairs Blog - April 17, 2017 Category: Health Management Authors: Ramon Jacobs-Shaw Tags: Featured Health Equity Population Health Public Health Quality Clean Water Rule Dakota Access Pipeline DAPL enironmental racism environmental equity Environmental Health Environmental Protection Agency Native Americans Standing R Source Type: blogs
Why President Trump Should Use Foreign Aid For Health To Make America Great
The Trump administration recently proposed to make major cuts to US foreign assistance, including the $10.3 billion a year that the federal government spends to advance global health through the National Institutes of Health (NIH), the Centers for Disease Control and Prevention, the US Agency for International Development (USAID), and the United Nations.
As practitioners with more than 60 years of combined experience, we believe that the Trump administration is making a terrible mistake. Investing in global health is essential to the safety, security, and future prosperity of the United States, in addition to being a highl...
Source: Health Affairs Blog - April 17, 2017 Category: Health Management Authors: Robert Hecht and Sten Vermund Tags: Costs and Spending Featured Global Health Policy Population Health Public Health epidemics foreign aid humanitarian aid infectious diseases PEPFAR US foreign assistance Source Type: blogs
Yes, Mr. President. Health Care is Complicated. And Also Hard.
By ASEEM SHUKLA, MD
“Nobody knew that health care could be so complicated,” President Donald Trump told us a few weeks ago. As the failure of the House Republican bill shows: Healthcare is hard.
The American Healthcare Act failed to clear the House of Representatives despite catering to longstanding conservative demands: rid the ‘individual mandate’ (designed to force able-bodied people to pay insurance so it’s cheaper for sick people), subsidies to individuals, and revamping Medicaid into block grants to states.
Even with the claim it could be deficit-neutral, the act failed to win enough moderat...
Source: The Health Care Blog - April 14, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
Medicaid Work Requirements: Who ’s At Risk?
While the American Health Care Act (AHCA) has collapsed, adding work requirements to Medicaid continues as a key theme in conservative health reform efforts. Department of Health and Human Services Secretary Tom Price and Centers for Medicare and Medicaid Services (CMS) Administrator Seema Verma sent a letter to state governors offering greater flexibility in approving Medicaid Section 1115 waivers, including those with work-related proposals. Four states, Indiana, Arizona, Kentucky, and Pennsylvania, have submitted waivers to CMS to add work requirements to Medicaid. In his rejection of a Medicaid expansion bill that was ...
Source: Health Affairs Blog - April 12, 2017 Category: Health Management Authors: Leighton Ku and Erin Brantley Tags: Following the ACA Insurance and Coverage Medicaid and CHIP American Health Care Act employment health status medicaid work requirement Section 1115 Waivers Seema Verma tom price work requirements Source Type: blogs
Value Frameworks For Rare Diseases: Should They Be Different?
The US health care system is increasingly focusing on value as a basis for reimbursement of pharmacotherapies and devices, and as a result the use of “value frameworks” for measuring and comparing treatment value has grown in recent years. However, the therapies assessed by most frameworks frequently apply to modest-to-large disease populations, rather than the smaller populations affected by rare diseases, where the factors driving value may differ.
Rare diseases are different from diseases affecting larger populations in several fundamental ways. In the United States, a rare disease is defined as one that affects few...
Source: Health Affairs Blog - April 12, 2017 Category: Health Management Authors: Anupam Jena and Darius Lakdawalla Tags: Costs and Spending Drugs and Medical Innovation Quality Orphan Drug Act Precision Medicine rare disease treatment treatment value value frameworks Source Type: blogs
Precision Medicine Is Our Best Hope In The Fight Against Cancer
In the fight against cancer, precision medicine is one of the most promising tools and the logical outcome of current healthcare trends. As start-ups offering personalized healthcare solutions multiply like mushrooms after rain, governments and regulatory agencies have to give appropriate responses in regulating the grass-root healthcare jungle. Here is my analysis about the potential and dilemmas about precision medicine.
Precision medicine is the logical outcome of modern healthcare
There is one phrase, which is not part of the Hippocratic Oath, but everyone in medicine knows it. Primum non nocere, meaning “first do n...
Source: The Medical Futurist - March 30, 2017 Category: Information Technology Authors: nora Tags: Future of Medicine Genomics Healthcare Design Personalized Medicine AI cancer cancer research chemotherapy digital gc4 genetics Genome Innovation oncology precision medicine targeted treatment technology Source Type: blogs
Did Medical Darwinism Doom the GOP Health Plan?
By MICHAEL L. MILLENSON
“We are now contemplating, Heaven save the mark, a bill that would tax the well for the benefit of the ill.”
Although the quote reads like it could be part of the Republican repeal-and-replace assault against the Affordable Care Act (ACA), it’s actually from a 1949 editorial in The New York State Journal of Medicine denouncing health insurance itself.
Indeed, the attacks on the ACA seem to have revived a survival-of-the-fittest attitude most of us thought had vanished in America long ago. Yet, again and again, there it was in plain sight, as when House Speaker Paul Ryan (R-WI) declared: “T...
Source: The Health Care Blog - March 29, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized AHCA Darwin Millenson Ryan Source Type: blogs
Conservatives Are Using The American Health Care Act To Restrict Private Insurance From Covering Abortion
Earlier this month, House Republicans introduced their first draft of legislation to repeal and replace large portions of the Affordable Care Act (ACA). While they found themselves divided on a wide range of important issues, from the ACA’s Medicaid expansion and subsidies in the form of tax credits, in one area they were united. The new legislation, titled the American Health Care Act (AHCA), includes language barring federal money from being used to support any private insurance plan that covers abortion. These efforts are an extension of a long-term campaign to isolate abortion from the rest of the health care system ...
Source: Health Affairs Blog - March 21, 2017 Category: Health Management Authors: Adam Sonfield Tags: Following the ACA Insurance and Coverage Medicaid and CHIP Abortion abortion coverage ACA repeal and replace Women's Health Source Type: blogs
A Doctor ’ s Dilemma: A Case of Two Right Answers
By ABRAAR KARAN, MD
Imagine you are a doctor running a clinic in a primarily lower-income neighborhood, where many of your patients are recent immigrants from different parts of the world. You are granted a fixed annual budget of $100,000 through your local public health department, and it is unlikely that you can obtain additional funding later in the year. Traditionally, you have used your entire budget for the past several years, which usually lasts from January until December. This allows you to care for all of the few thousand patients who come to you for treatment throughout the year.
One day in January, a frightened...
Source: The Health Care Blog - March 17, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
How Trump Can Kill the Cancer In Obamacare Without Congress
By BRIAN JOONDEPH, MD
Cancer is a devious and devastating disease. All it takes are a few bad cells to grow uncontrollably, first destroying organs, then an entire person. It can also lie dormant for years after supposedly being cured, then at some moment awaken from its remission slumber to resume its search-and-destroy mission. Even if cancer is controlled, it can still leave its victim in a weakened or debilitated condition, a shadow of its former robust self.
What if the Affordable Care Act, affectionately known as Obamacare, was unintentionally infected with cancer back in 2010 when it was voted into law? What if the ...
Source: The Health Care Blog - March 13, 2017 Category: Consumer Health News Authors: John Irvine Tags: Uncategorized Source Type: blogs
The American Health Care Act And Medicaid: Changing A Half-Century Federal-State Partnership
Based on page length alone, it is evident that Medicaid is a focal point of the American Health Care Act, released on March 6. Although its fate is uncertain, the bill provides a clear sense of where the Affordable Care Act repeal and replace strategy is heading. Where Medicaid is concerned, what has been discussed for years has now become real: using ACA repeal/replace as the vehicle for a wholesale restructuring of the very financial foundation of the Medicaid program as it has existed over an unparalleled, half-century federal/state partnership.
As expected, the House bill essentially eliminates the enhanced funding lev...
Source: Health Affairs Blog - March 10, 2017 Category: Health Management Authors: Sara Rosenbaum Tags: Featured Medicaid and CHIP ACA repeal and replace Planned Parenthood Source Type: blogs
More about Virtue Sweetener
Because I wanted a benign and healthy way for followers of the Wheat Belly lifestyle to recreate dishes such as chocolate chip cookies, cheesecake, and pies with none of the health problems of grains or sugars, I helped Wheat-Free Market develop its Virtue Sweetener product.
Yes, you could do without such sweeteners. But I learned long ago when I introduced Wheat Belly concepts to patients in my cardiology practice that having options while entertaining friends, during holidays, and pleasing kids was important for staying on course on this lifestyle. Before I understood how to use such natural sweeteners, patients would ...
Source: Wheat Belly Blog - March 10, 2017 Category: Cardiology Authors: Dr. Davis Tags: Wheat Belly Lifestyle diabetes erythritol gluten grains Inflammation insulin keto low-carb monk fruit natural virtue sweetener Source Type: blogs
ACA Repeal Would Mean Massive Cuts To Public Health, Leaving Cities And States At Risk
When the Affordable Care Act (ACA) was passed a little over six years ago, it brought with it the promise of health insurance for all Americans. It also sought to begin to shift the paradigm for health care in this country, emphasizing value over volume, and recognizing the importance of prevention coupled with appropriate access to care.
By now, it is well known that repealing the ACA could leave nearly 20 million Americans uninsured and simultaneously result in millions of job losses across the country. An associated cost that has been less discussed, but no less relevant, is what repeal could mean for the nation’s alr...
Source: Health Affairs Blog - March 7, 2017 Category: Health Management Authors: Chrissie Juliano Tags: Costs and Spending Following the ACA Public Health Big Cities Health Coalition Community Health Prevention and Public Health Fund. Source Type: blogs
R & D Costs For Pharmaceutical Companies Do Not Explain Elevated US Drug Prices
That pharmaceutical companies charge much more for their drugs in the United States than they do in other Western countries has contributed to public and political distrust of their pricing practices. When these higher US prices (which are sometimes cited as being two to five times the prices in Europe) are challenged, the pharmaceutical industry often explains that the higher prices they charge in the US provide them with the funds they need to conduct their high-risk research.
This claim—that premiums earned from charging US patients and taxpayers more for medications than other Western countries funds companies’...
Source: Health Affairs Blog - March 7, 2017 Category: Health Management Authors: Nancy Yu, Zachary Helms and Peter Bach Tags: Costs and Spending Drugs and Medical Innovation Payment Policy Big Pharma drug pricing Source Type: blogs
Invisible High-Risk Pools: How Congress Can Lower Premiums And Deal With Pre-Existing Conditions
As Congress and the Trump administration move forward with plans to repeal and replace the Affordable Care Act (ACA), they are looking for proven state-led reforms that maintain access for those with pre-existing conditions in the current exchange market while also lowering premiums for everyone buying insurance in the individual market.
Maine faced similar challenges in 2011 as it sought to unwind failed experiments that pushed its market into a long-term death spiral. But by creating an invisible high-risk pool and relaxing its premium rating bands, Maine policymakers were able to cut premiums in half while still guarant...
Source: Health Affairs Blog - March 2, 2017 Category: Health Management Authors: Joel Allumbaugh, Tarren Bragdon and Josh Archambault Tags: Following the ACA Health Policy Lab Insurance and Coverage ACA repeal and replace high-risk pools pre-existing conditions Source Type: blogs
