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Faced with a growing number of uninsured patients and rapidly escalating costs for treating them, Brackenridge Hospital in Austin, TX, created a case management program for the uninsured that has resulted in shorter lengths of stays (LOS), fewer readmissions, and less utilization of the emergency department (ED) by patients being managed.
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Higher patient copays and increasing numbers of people who are working but not insured have made the management of self-pay accounts a more crucial issue than ever for most of the nations hospitals.
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In September 1999, INTEGRIS Health asked 10 employees from their two Oklahoma City hospitals, INTEGRIS Southwest Medical Center (ISMC) and INTEGRIS Baptist Medical Center (IBMC), to redesign certain elements of admitting, case management, medical records, and billing practices.
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Communication between hospitals and the primary care providers in the community is essential in managing the care of the uninsured, asserts Diana Resnik, vice president of community care for Seton Healthcare Network in Austin, TX.
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Antiretroviral treatment soon will be available to millions more people in sub-Saharan Africa and other developing nations, and international HIV experts fear theyll see increased risk behaviors when the drugs become commonplace.
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The Mother-to-Child-Transmission (MTCT)-Plus initiative was developed in response to the expansion of programs for preventing HIV transmission between mothers and children with the added feature of providing ongoing antiretroviral treatment to mothers.
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With the waning of the publicity hoopla over international support for providing antiretrovirals to sub-Saharan Africa and other developing regions, the actual work of bringing antiretroviral medications to millions of people has begun, and experts say it shows both great promise and great challenges.
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Mental illnesses have had a great impact on the AIDS epidemic, and new research shows that providing psychiatric treatment to HIV-infected patients who have a psychiatric comorbidity will produce better treatment outcomes, a researcher says.
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While the HIV epidemic has shifted toward poor, rural Southern areas, the funding mechanism behind the AIDS Drug Assistance Program (ADAP) favors the populated, urban states where the epidemic first erupted 25 years ago, southern AIDS advocates say.
