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Over the past year, eight states Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia have been working with the National Academy for State Health Policy (NASHP) to develop medical home programs in their Medicaid and Children's Health Insurance Programs.
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Forty-six states are actively building delivery and distribution systems to ensure that programs in chronic disease self-management are readily available to individuals with chronic conditions, especially older adults, says Sue Lachenmayr, MPH, program associate at the Center for Healthy Aging in Washington, DC.
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The argument of some state policymakers, says Michael Sparer, PhD, JD, department chair and professor of health policy and management at Columbia University's Mailman School of Public Health in New York City, is that the federal government is significantly increasing its oversight of the Medicaid program and its demands on state Medicaid officials; "and they believe strongly that that's the wrong way to go."
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Charles Duarte, administrator of Nevada's Division of Health Care Financing and Policy, says that in January 2010, state Gov. Jim Gibbons asked staff members to explore whether the state could drop out of the Medicaid program.
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Many young and healthy uninsured individuals don't see themselves as invincible and in fact are risk-averse, according to a December 2010 study by the Washington, DC-based Center for Studying Health System Change (HSC).
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To date, 240 programs with more than 800,000 participants offering participant-directed services as a delivery option in long-term care services have been located by the research team of Kevin J. Mahoney, a faculty member at the Boston College Graduate School of Social Work and director of the National Resource Center for Participant-Directed Services in Boston
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Did a dentist extract the same patient's tooth twice, or extract teeth the year after they gave the patient upper and lower dentures? These are obvious red flags for fraud, while other types of fraud are less easy to identify, says Ann Page, RN, MPH, director of Health Care Accountability Administration for Washington, DC, Medicaid.
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James L. Reinertsen, MD, received a 2010 John M. Eisenberg Patient Safety and Quality award for individual achievement from The Joint Commission and the National Quality Forum
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At most hospitals, the vast majority of physician orders are still written by hand. That means a lot of hurried squiggles that no one can decipher, and time-wasting phone calls to clarify the order, not to mention the threat to patient safety
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Most hospitals have no documented information about communication events phone calls, pages, texts, voicemails between their nurses, physicians and other clinicians that occur hundreds of times each day.
