One of the problems with the fee-for-service payment system is that it’s a flawed method of payment for sick patients but it may be ever more flawed as a method of payment for those who are healthy. This point is one Katy B. Kozhimannil, Ph.D., made recently in an article for the American Journal of Managed Care.
An associate professor in the Division of Health Policy and Management at the University of Minnesota School of Public Health, Kozhimannil wrote that payment models should compensate teams of physicians, midwives, nurses and other providers for delivering evidence-based services during pregnancy, childbirth and the postpartum period. These payment systems also should be based on the health risks of the mother and baby, she added. Continue reading
The first lady of New York will keynote AHCJ’s Urban Health Journalism Workshop in October. Chirlane McCray, the founder of comprehensive mental health plan ThriveNYC, as well as the wife of Mayor Bill de Blasio, will talk about addressing behavioral health issues in the city.
She also spearheads the Cities Thrive Coalition of mayors, with representation from more than 150 cities from all 50 states, advocating for a more integrated and better-funded behavioral health system. Continue reading
Photo: Courtesy of the San Diego Union TribuneTent “cities” have swelled in southern California, creating crowded and unsanitary conditions.
Cases of infectious diseases such as hepatitis A, B and C, sexually transmitted diseases (STDs) and human immunodeficiency virus (HIV) have surged as the opioid epidemic has worsened over the past several years, two public health officials said during a Aug. 23 webcast for AHCJ members.
The increasing number of infectious disease cases are likely due to infected needle injections, unprotected sex, homelessness, lack of access to medical care and other socioeconomic challenges associated with people who have physical addictions to drugs and opioids.
Roughly 38 million low-income adults across the United States rely upon Medicaid for a broad range of health care benefits. But not all of them can count on obtaining even the most basic dental services.
While children are entitled to dental care under Medicaid, dental benefits for adults are only considered an option. Under federal law, each state determines the scope of its adult dental coverage. Continue reading
Food insecurity — lack of consistent access to enough food for an active, healthy life — is a serious and growing problem among the older adult population. About eight to 10 million people over age 65 struggle to find, pay for, prepare, or consume a nutritious, varied, balanced diet.
It’s a challenge that is expected to worsen as our population ages and socioeconomic disparities increase. Continue reading