No sooner had we posted an update on the prospects for Medicaid expansion in several states, including the three that passed ballot initiatives in November, than news came of obstacles emerging in Utah.
The state legislature may take one or more of these actions: delay the April start; cover fewer people; add work requirements or other conditions. Continue reading →
The Commonwealth Fund’s Sara R. Collins, Ph.D., vice president for health care coverage and access, walked us through the prospects for Medicaid expansion and the ongoing controversy over work requirements in a recent webcast for AHCJ members. (The recorded webcast and her slides are here.)
Collins noted that the November midterm election changed the odds of expansion in at least six states – the three that approved ballot initiatives on expansion (Utah, Nebraska and Idaho) and three that elected pro-expansion Democratic governors to succeed Republicans (Kansas, Wisconsin and Maine.) Continue reading →
Mary Otto, a Washington, D.C.-based freelancer, is AHCJ's topic leader on oral health and the author of "Teeth: The Story of Beauty, Inequality, and the Struggle for Oral Health in America." She can be reached at email@example.com.
While seven states have received CMS approval of work requirements, Arkansas is the first to put them in effect. The rest are either being challenged in court, or in the implementation phase – or in question as a Democratic governor succeeds a Republican one. Several more states – eight, by my latest count – have requests pending before CMS and that number could grow. Continue reading →
Emily Willingham (@ejwillingham) is AHCJ's core topic leader on the social determinants of health. She is a science journalist whose work has appeared in the Washington Post, San Francisco Chronicle, Wall Street Journal, Scientific American, and Forbes, among others, and co-author of "The Informed Parent: A Science-Based Guide to Your Child's First Four Years."
When it comes to health care disparities and cardiovascular disease (CVD), the divide widens early. A spate of studies published recently illustrates how social factors influence CVD outcomes from our earliest years.
For example, a report published in Pediatrics found that the increased obesity prevalence among U.S. adolescents is happening almost entirely among those in low- and middle-income families. Smoking, diet quality, and physical activity levels also tracked with household socioeconomic status for these children, based on the NHANES data used in the study. The only equal-opportunity metabolic derailment among teens in the United States appears to be prediabetes and diabetes. Risk factors for CVD overall declined for adolescents from 1999 to 2014, but significantly so only for those from high-income households. Continue reading →
Liz Seegert (@lseegert), is AHCJ’s topic editor on aging. Her work has appeared in NextAvenue.com, Journal of Active Aging, Cancer Today, Kaiser Health News, the Connecticut Health I-Team and other outlets. She is a senior fellow at the Center for Health Policy and Media Engagement at George Washington University and co-produces the HealthCetera podcast.
Don Berwick is a former administrator of the Centers for Medicare and Medicaid Services (CMS) under President Obama. Berwick’s long résumé includes leadership positions at the U.S. Preventive Services Task Force, the National Advisory Council of the Agency for Healthcare Research and Quality, the Institute of Medicine’s Governing Council, the IOM’s Global Health Board, and on President Clinton’s Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. He is president emeritus of the Institute for Healthcare Improvement. He also teaches at Harvard Medical School and is on staff at several major Massachusetts hospitals.
Prior to his keynote address on social determinants of health at the recent Institute for Healthcare Improvement conference in Orlando, Fla., Berwick sat with me to talk about some of today’s most pressing health care issues. [This interview has been edited for clarity and length.]Continue reading →