Items tagged with health care:
News & Updates:
On Wednesday, President Trump signed a bill that would enact several reforms designed to expand veterans’ access to private health care; The House Appropriations Committee revealed its $674.6 billion Pentagon spending bill; Shortages of affordable homes in the US continue to drive prices.
Faculty Affiliate Amol Navathe reflects on new research on the future of “bundled payments” and its implications on policy and the cost of care. Through a Medicare mandated program, hospitals were forced to offer knee and hip surgeries as a bundled package whereby the entire procedure and recovery period are thought of as a holistic product. The results indicated a 5% in overall savings for the entire procedure, presenting a promising future for this model of health care administration.
In June of 2016, former Defense Secretary Ashton B. Carter removed one of the final barriers to military service by announcing new rules that would allow transgender individuals to openly serve in the military. Prior to this, transgender people would have been discharged or otherwise separated from the military just for their gender under Department of Defense Instruction (DODI) 6130.03: Medical Standards for Appointment, Enlistment, or Induction in the Military Services. Just one year later, in July 2017, President Donald Trump tweeted that the U.S. “will not accept or allow transgender individuals to serve in any capacity in the U.S. military” because the military “must be focused on decisive and overwhelming victory and cannot be burdened with the tremendous medical costs and disruption that transgenders in the military would entail”.
Governor Scott of Vermont legalized the importation of prescription drugs from Canada, against the wishes of Trump administration;Mortgage applications for the week decline, while housing starts miss expected targets.
Faculty Affiliate Scott Harrington reflects on the future of the Affordable Care ACT and comments, “the situation is full of irony” as it relates to the cost sharing reductions. Insurers that are not receiving reimbursements under that program are forced to raise premiums. That in turn increases the federal budget deficit, because health care insurance subsidies are linked to how high premiums go, he explained.
*Health Insurance Exchanges Enrollee Data (October 1, 2013 - April 19, 2014)
Except where otherwise specified, this data comes from the Kaiser Family Foundation:
- State Marketplace Statistics
- Total Monthly Marketplace Enrollment
- Marketplace Enrollment as a Share of the Potential Marketplace Population
- Marketplace Enrollees by Gender
- Marketplace Enrollees by Age
- Marketplace Enrollees by Metal Level
- Marketplace Enrollees by Financial Assistance Status
- Enrollees in Federally-Facilitated Marketplaces by Race/Ethnicity
- Standalone Dental Marketplace Plan Selection
- State Medicaid Expansion (WSJ)
- State Population Data (Census)
- Licensed Physicians Data (Federation of State Medical Boards)
Agency for Health Research & Quality
The Agency for Healthcare Research and Quality’s (AHRQ) mission is to improve the quality, safety, efficiency, and effectiveness of health care for all Americans. As 1 of 12 agencies within the Department of Health and Human Services, AHRQ supports research that helps people make more informed decisions and improves the quality of health care services.
Research Findings, Data and Statistical Tools, Reports and Publications available through AHRQ:
• Healthcare Cost and Utilization Project (HCUP): Largest all-payer collection of hospital inpatient care statistical information in the United States. Includes a national database and database of states.
• State Snapshots: The State Snapshots provide state-specific health care quality information, including strengths, weaknesses, and opportunities for improvement. The goal is to help state officials and their public- and private-sector partners better understand health care quality and disparities in their state.
• Medical Expenditure Panel Survey (MEPS): Longitudinal, nationally representative survey provides timely, comprehensive information on the health status of Americans, health insurance coverage, and access, use, and cost of health services.
• United States Health Information Knowledgebase: The United States Health Information Knowledgebase (USHIK) is a metadata registry of healthcare-related data standards funded and directed by the Agency for Healthcare Research and Quality (AHRQ) with management support in partnership with the Centers for Medicare & Medicaid Services.
Quick link: http://www.ahrq.gov/research/index.html
CDC: National Center for Health Statistics
The mission of the National Center for Health Statistics (NCHS) is to provide statistical information that will guide actions and policies to improve the health of the American people. As the Nation’s principal health statistics agency, NCHS leads the way with accurate, relevant, and timely data. NCHS Fact Sheet: http://www.cdc.gov/nchs/data/factsheets/factsheet_overview.htm
NCHS produces data on a wide range of health indicators such as:
- Health insurance coverage and its relationship to access and utilization of health care services.
- Prevalence of health conditions such as obesity and overweight, cholesterol, hypertension, HIV status, and smoking among the U.S. population.
- Exposure to environmental chemicals.
- Nutrition and physical activity.
- Growth charts to monitor the development of children.
- Patient safety and quality including adverse effects of medical treatment.
- Injuries and disabilities and their impact on health status and functioning.
- Infant mortality, stillbirths, life expectancy, and teen births.
- Leading causes of death specific to age, race, ethnic and gender groups.
- Practice of medicine in the U.S., evolution of health information technology, changes in roles and practices of health care providers, and use of resources.
- Changes in the health care delivery system, including emergency department use and capacity, increasing use of prescription drugs, and increasing demand for community-based long term care.
Quick link to NCHS home page with links to all data resources: http://www.cdc.gov/nchs/
Quick link to CDC Wonder, online databases which utilize a rich ad-hoc query system for the analysis of public health data: http://wonder.cdc.gov/
Quick link to FastStats, which provides quick access to statistics on topics of public health importance: http://www.cdc.gov/nchs/fastats/
Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS), previously known as the Health Care Financing Administration (HCFA), is a federal agency within the United States Department of Health and Human Services (DHHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the State Children’s Health Insurance Program (SCHIP), and health insurance portability standards. In addition to these programs, CMS has other responsibilities, including the administrative simplification standards from the Health Insurance Portability and Accountability Act of 1996 (HIPAA), quality standards in long-term care facilities (more commonly referred to as nursing homes) through its survey and certification process, and clinical laboratory quality standards under the Clinical Laboratory Improvement Amendments. Source: Wikipedia
Quick link to Research, Statistics, Data & Systems page:
To request access to CMS data:
Quick link to Data Compendium:
The CMS Data Compendium provides key statistics about CMS programs and national health expenditures. The CMS Data Compendium contains historic, current, and projected data on Medicare enrollment and Medicaid recipients, expenditures, and utilization. Data pertaining to budget, administrative and operating costs, individual income, financing, and health care providers and suppliers are also included. National health expenditure data not specific to the Medicare or Medicaid programs are also included. The CMS report was published annually in electronic form and is available for each year from 2002 through 2011. The 2011 version is the last version of this publication. Similar information is available in the Medicare and Medicaid Statistical Supplement and the CMS Statistics, which are both published annually.
Dartmouth Atlas of Health Care
For more than 20 years, the Dartmouth Atlas Project has documented glaring variations in how medical resources are distributed and used in the United States. The project uses Medicare data to provide information and analysis about national, regional, and local markets, as well as hospitals and their affiliated physicians. This research has helped policymakers, the media, health care analysts and others improve their understanding of our health care system and forms the foundation for many of the ongoing efforts to improve health and health systems across America. This web site provides access to all Atlas reports and publications, as well as interactive tools to allow visitors to view specific regions, hospitals, and topics and perform their own comparisons and analyses.
Home page: http://www.dartmouthatlas.org/