Health Care Reform and Disparities

Health Care Reform and Disparities
Author: Toni P. Miles
Publisher: Bloomsbury Publishing USA
Total Pages: 238
Release: 2012-06-06
Genre: Health & Fitness
ISBN: 0313397694

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This book exposes and examines how Medicare, Medicaid, and private health insurance plans combined with widespread business practices and fraud create inequity—the root cause of our dysfunctional health care system, and the reason for the rising cost of health care for all Americans. In Health Care Reform and Disparities: History, Hype, and Hope, prolific author Toni P. Miles, MD, PhD, uniquely expands the usual discussion of health disparities by including and emphasizing the voice and perspective of the consumer, and by featuring policy, media, and financing data. Highlighting the subjective experience humanizes the effects of bureaucratic inequity and inefficiency, while examining the facts and figures spotlights real-world opportunities for moving away from operating on a discrimination basis and refocusing on quality of care. The first chapter outlines the larger historical context of the health care crisis before subsequent sections describe individual aspects of the health care system—and each one's role in creating or exacerbating disparities. Health care issues specific to demographic groups such as young adults are addressed. This work is an accessible, eye-opening resource for educators, students, and policy makers, as well as anyone wanting to find up-to-date details on the policies and regulations evolving from the Affordable Care Act.

Healthcare Disparities at the Crossroads with Healthcare Reform

Healthcare Disparities at the Crossroads with Healthcare Reform
Author: Richard Allen Williams
Publisher: Springer Science & Business Media
Total Pages: 464
Release: 2011-03-23
Genre: Medical
ISBN: 144197136X

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Building upon the success of Dr. Williams's widely influential book Eliminating Healthcare Disparities in America: Beyond the IOM Report, this new volume takes a fresh and timely look at the state of healthcare reform and the progress and problems we face in the pursuit of healthcare equality. This book focuses on how the elimination of disparities can be accomplished through targeted efforts made within the context of reform. Comprising the combined efforts of the nation's best health policy analysts, researchers, key opinion leaders and clinicians, this book addresses both current and impending legislation and future movements in healthcare. With the knowledge that the problem of disparities extends beyond the present political arena into the larger scope of all aspects of healthcare delivery, the authors provide critical analysis of the causation of disparities, insightful examples of what has worked, and a striking call to action with implementable strategies for advancing equality.

Health Care Reform and American Politics

Health Care Reform and American Politics
Author: Lawrence R. Jacobs
Publisher: Oxford University Press
Total Pages: 479
Release: 2012-09-04
Genre: Political Science
ISBN: 0199976155

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The Patient Protection and Affordable Care Act signed by President Obama in March 2010 is a landmark in U.S. social legislation, and the Supreme Court's recent decision upholding the Act has ensured that it will remain the law of the land. The new law extends health insurance to nearly all Americans, fulfilling a century-long quest and bringing the United States to parity with other industrial nations. Affordable Care aims to control rapidly rising health care costs and promises to make the United States more equal, reversing four decades of rising disparities between the very rich and everyone else. Millions of people of modest means will gain new benefits and protections from insurance company abuses - and the tab will be paid by privileged corporations and the very rich. How did such a bold reform effort pass in a polity wracked by partisan divisions and intense lobbying by special interests? What does Affordable Care mean-and what comes next? In this updated edition of Health Care Reform and American Politics: What Everyone Needs to Know®, Lawrence R. Jacobs and Theda Skocpol-two of the nation's leading experts on politics and health care policy-provide a concise and accessible overview. They explain the political battles of 2009 and 2010, highlighting White House strategies, the deals Democrats cut with interest groups, and the impact of agitation by Tea Partiers and progressives. Jacobs and Skocpol spell out what the new law can do for everyday Americans, what it will cost, and who will pay. In a new section, they also analyze the impact the Supreme Court ruling that upheld the law. Above all, they explain what comes next, as critical yet often behind-the-scenes battles rage over implementing reform nationally and in the fifty states. Affordable Care still faces challenges at the state level despite the Court ruling. But, like Social Security and Medicare, it could also gain strength and popularity as the majority of Americans learn what it can do for them. What Everyone Needs to Know® is a registered trademark of Oxford University Press.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

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In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Addressing Disparities in Health and Healthcare

Addressing Disparities in Health and Healthcare
Author: United States. Congress. House. Committee on Ways and Means. Subcommittee on Health
Publisher:
Total Pages: 136
Release: 2009
Genre: Medical
ISBN:

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Health-Care Utilization as a Proxy in Disability Determination

Health-Care Utilization as a Proxy in Disability Determination
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 161
Release: 2018-04-02
Genre: Medical
ISBN: 030946921X

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The Social Security Administration (SSA) administers two programs that provide benefits based on disability: the Social Security Disability Insurance (SSDI) program and the Supplemental Security Income (SSI) program. This report analyzes health care utilizations as they relate to impairment severity and SSA's definition of disability. Health Care Utilization as a Proxy in Disability Determination identifies types of utilizations that might be good proxies for "listing-level" severity; that is, what represents an impairment, or combination of impairments, that are severe enough to prevent a person from doing any gainful activity, regardless of age, education, or work experience.

Reducing Child Health Disparities with Health Policies

Reducing Child Health Disparities with Health Policies
Author: Rosa M. Avila
Publisher:
Total Pages: 83
Release: 2018
Genre:
ISBN:

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Understanding whether healthcare policies can narrow and eliminate racial/ethnic disparities in health care access and utilization is an important public health issue. This dissertation examines whether two reforms, the Massachusetts (MA) health care reform law (Chapter 58) and the Patient Protection and Affordable Care Act (ACA), reduced racial/ethnic-related disparities in health care access and utilization between Hispanic and NH-white children. The first aim of this study examined the long-term effects of the MA health reform on disparities in insurance access, utilization of care, and health status among Hispanic children compared to non-Hispanic white children. The second and third aims examined the short-term effects of the ACA on disparities among Hispanic children compared to non-Hispanic white children. The second aim evaluated the impact of the ACA on insurance access and utilization of health care, and the third aim examined ACA impacts on financial burden due to medical costs experienced by the child’s family. Data from the National Survey of Children’s Health and the National Health Interview Survey were evaluated before and after implementation of the MA health reform (aim 1) and the ACA insurance expansion in 2014 (aims 2 & 3). The study subjects were children ages 0 to 17 years old. The impact of insurance expansion through health reform on disparities was evaluated using a triple-difference (difference-in-difference-in-difference, or DDD) analysis, which controlled for events not captured by the covariates that can affect the outcomes. Each aim utilized a nonequivalent pretest/posttest comparison group study design. For the first aim, children living in Massachusetts were the intervention group, and children living in surrounding states (Rhode Island, New Hampshire, and Connecticut) were in the comparison group. For the second and third aim, the intervention group includes children who were not eligible for Medicaid/CHIP before reform and whose family income was

Healthcare Reform in America

Healthcare Reform in America
Author: Jennie Jacobs Kronenfeld
Publisher: Bloomsbury Publishing USA
Total Pages: 369
Release: 2015-04-14
Genre: Health & Fitness
ISBN: 1610699661

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This valuable handbook makes the U.S. health care system understandable, reviews the Affordable Care Act (ACA) or "Obamacare," describes past health care reform efforts, and covers the important organizations and people involved in U.S. health care reform. Why does the United States produce poorer outcomes for Americans in terms of health care than most other developed countries that spend a lower percentage of their Gross Domestic Product (GDP) on health care? Should health insurance be private or should it be managed by the government? The second edition of Healthcare Reform in America: A Reference Handbook addresses these complex and difficult questions and many more in its thorough treatment of one of the most controversial issues in contemporary American discourse. The work provides a broad introduction to the history and key issues in the development and reform of the U.S. health care system. It then addresses the recent passage of the Affordable Care Act and the myriad of significant expected changes due to the Act, thereby providing readers with information essential to understanding the current issues regarding health care reform. This work serves as a valuable resource to high school and college students as well as to general readers wanting to learn about the history and current focus of health care reform in the United States.

Health Care Reform Simplified

Health Care Reform Simplified
Author: David Parks
Publisher: Apress
Total Pages: 182
Release: 2012-12-22
Genre: Business & Economics
ISBN: 1430248971

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Health Care Reform Simplified: What Professionals in Medicine, Government, Insurance, and Business Need to Know describes the Patient Protection and Affordable Care Act of 2010. Now that the U.S. Supreme Court has upheld the individual mandate and other key parts of the law—what must busy healthcare professionals, insurance industry professionals, business and HR managers, and policymakers do? First, read this book. It translates the law’s complex language into terms that are easy to understand, explaining what the new law does, when its provisions take effect, and how to implement it. This brand-new second edition also updates all the provisions and explains the myriad ways the ACA is already being put into practice. Health Care Reform Simplified, Second Edition, outlines the financial impact of the law and how it affects businesses, insurers, hospitals and doctors, and state and local governments. Most important, this book gives consumers and employers critical information for making informed choices about new options for private and public health insurance coverage. It also describes how the law interacts with Medicare and Medicaid. Finally, it looks at the potential roadblocks—political, judicial, and economic—that may yet derail some of the provisions. But with more than half of the Act's provisions in force already, and the Supreme Court's landmark decision upholding the law, there is no time to lose in understanding how the legislation affects you whether you are a consumer or deliverer of health care in the U.S. This book: Explains health reform in easy-to-understand terms Shows how the law is playing out in the real world Explains the ways the law or parts of it yet may be repealed by the 2012 election and the implications for readers Provides HR professionals and managers options for covering employees while explaining costs and benefits Details the impact on medical professionals and insurers and steps they must take now to comply with the law Shows policymakers the way forward now that legal challenges have abated This edition, completely updated to incorporate the newest regulations and the practices that have been put into place in various states, will prove an indispensable guide for those implementing the law, as well as those receiving health care, in the coming years.

A Doctor's Prescription for Health Care Reform

A Doctor's Prescription for Health Care Reform
Author: Rahn Kennedy Bailey MD Dfapa
Publisher: WestBow Press
Total Pages: 129
Release: 2013-06
Genre: Medical
ISBN: 1449787495

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The National Medical Association has championed efforts in eliminating health care disparities and stigma, while promoting reform since its inception. As a physician and educator, I know that information on these subjects is vital for today's medical school students to have at their fingertips. I believe this book can help make the entire medical community more responsive to these concerns. Cedric Bright, MD Assistant Dean of Admissions Director of Special Programs University of North Carolina School of Medicine Immediate Past NMA President, 2011 This book goes a long way to exposing the stigmas and misconceptions about ethnic minorities and other diverse groups that leads to poor health outcomes. Dr. Bailey is uniquely qualified to define the problems inherent in our health care system that perpetuates these stereotypes and to propose solutions. Dr. Bailey starts a conversation that America must finish if everyone is to get quality health care. Michael LeNoir, MD CEO, Ethnic Health America Network Director, Bay Area Multicultural Clinical Research & Prevention Center Incoming NMA President, 2013