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State health insurance exchange laws: the first generation. 国家健康保险交易法:第一代。
LDI issue brief Pub Date : 2012-07-25 DOI: 10.13016/JWLB-Q4XJ
S. Rosenbaum, Nancy Lopez, T. Burke, Mark Dorley
{"title":"State health insurance exchange laws: the first generation.","authors":"S. Rosenbaum, Nancy Lopez, T. Burke, Mark Dorley","doi":"10.13016/JWLB-Q4XJ","DOIUrl":"https://doi.org/10.13016/JWLB-Q4XJ","url":null,"abstract":"Health insurance exchanges are the centerpiece of the private health insurance reforms included in the Patient Protection and Affordable Care Act. As of May 2012, 13 states, together with the District of Columbia, had taken legal action to establish exchanges, through legislation or executive order. State implementing laws are essential to the translation of broad federal policies into specific state and market practices. Overall, the laws in the 14 jurisdictions vary, but they tend to show a common approach of according exchanges much flexibility in how they will operate and what standards they will apply to the insurance products sold. In all states, these \"threshold policies\" will be followed by policy decisions, expressed through regulations, guidelines, and health plan contracting and performance standards.","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"70 1","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2012-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78099049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
On the Way to Health. 在通往健康之路上。
LDI issue brief Pub Date : 2012-07-01
David A Asch, Kevin G Volpp
{"title":"On the Way to Health.","authors":"David A Asch,&nbsp;Kevin G Volpp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Information technology (IT) has fundamentally changed the way we work, bank, and communicate. Its impact on health care and health research, however, has been limited by the lack of a comprehensive infrastructure to connect patients, providers, and researchers. As we learn more about how to address the unhealthy behaviors that underlie many chronic conditions, researchers are seeking IT solutions to connect to patients in scalable ways. This Issue Brief describes the development and use of a new web-based IT platform, Way to Health, to deliver and evaluate behavioral interventions to improve health.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"17 9","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30867459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparing treatments for age-related macular degeneration: safety, effectiveness and cost. 比较老年性黄斑变性的治疗方法:安全性、有效性和成本。
LDI issue brief Pub Date : 2012-06-01
Maureen G Maguire
{"title":"Comparing treatments for age-related macular degeneration: safety, effectiveness and cost.","authors":"Maureen G Maguire","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Comparative effectiveness research (CER) has received widespread attention and federal funding because of its potential to inform and improve treatment decisions. Since 2005, patients and their ophthalmologists have faced a dilemma in treating age-related macular degeneration (AMD)--the leading cause of blindness in the United States. Two closely related drugs have produced dramatic improvements in vision; one has been rigorously tested for use in AMD patients, while the other has been rigorously tested for use in cancer patients, but is now widely used to treat AMD. One drug costs 40 times as much as the other. This Issue Brief summarizes a CER study comparing these drugs head-to-head, and provides the most definitive evidence to date about the safety and effectiveness of the two alternatives.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"17 8","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30734759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding and addressing the impact of autism on the family. 理解和处理自闭症对家庭的影响。
LDI issue brief Pub Date : 2012-04-01
David S Mandell
{"title":"Understanding and addressing the impact of autism on the family.","authors":"David S Mandell","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Children and adults with autism spectrum disorders (ASDs) have needs that challenge our systems of care. A new study estimates ASDs cost more than $126 billion each year in the U.S.--an amount that reflects both the costs of providing educational and medical services as well as the costs of not intervening early and effectively enough to prevent lifelong disability. This Issue Brief summarizes the implications of childhood autism for parental employment and earnings, and analyzes whether community-based services can reduce costly, psychiatric hospitalizations of children with ASDs.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"17 7","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30667368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
''Buddy system'' of peer mentors may help control diabetes. 同伴导师的“伙伴系统”可能有助于控制糖尿病。
LDI issue brief Pub Date : 2012-03-01
Judith A Long
{"title":"''Buddy system'' of peer mentors may help control diabetes.","authors":"Judith A Long","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Type 2 diabetes is more prevalent and severe among African Americans. Even within the Veterans Health Administration, which is thought to have minimized barriers in access to care, racial disparities in glucose control and outcomes persist. This Issue Brief summarizes work testing two novel interventions--one-on-one peer mentoring (a \"buddy system\") and financial incentives--designed to help patients with consistently poor diabetes control achieve better results. In this case, a telephone buddy makes a big difference.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"17 6","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30532308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The income divide in health care: how the Affordable Care Act will help restore fairness to the U.S. health system. 医疗保健的收入差距:《平价医疗法案》将如何帮助恢复美国医疗系统的公平性。
LDI issue brief Pub Date : 2012-02-01 DOI: 10.13016/LBST-VGWW
S. Collins, R. Robertson, Tracy Garber, M. Doty
{"title":"The income divide in health care: how the Affordable Care Act will help restore fairness to the U.S. health system.","authors":"S. Collins, R. Robertson, Tracy Garber, M. Doty","doi":"10.13016/LBST-VGWW","DOIUrl":"https://doi.org/10.13016/LBST-VGWW","url":null,"abstract":"The new Commonwealth Fund Health Insurance Tracking Survey of U.S.Adults finds nearly three of five adults in families earning less than 133 percent of the federal poverty level were uninsured for a time in 2011; two of five were uninsured for one or more years. Low- and moderate-income adults who were uninsured during the year were much less likely to have a regular source of health care than people in the same income range who were insured all year. In addition, uninsured lower-income adults were more likely than insured adults in the same income group to cite factors other than medical emergencies as reasons for going to the emergency room. These included needing a prescription drug, not having a regular doctor, or saying that other places cost too much. The Affordable Care Act will substantially narrow these inequities through an extensive set of affordable coverage options starting in 2014.","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"13 1","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84497595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 15
Designing health insurance exchanges: key decisions. 设计健康保险交易:关键决策。
LDI issue brief Pub Date : 2012-02-01
Amanda Starc, Jonathan T Kolstad
{"title":"Designing health insurance exchanges: key decisions.","authors":"Amanda Starc,&nbsp;Jonathan T Kolstad","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A cornerstone of health care reform is the establishment of state-level insurance exchanges where individuals and small businesses can purchase health insurance in an online marketplace. States are required to develop an exchange by 2014, or participate in a federal one. The exchanges will help people without employer-sponsored insurance find and choose a health plan to meet their needs. This Issue Brief reviews the experience of Massachusetts in developing a health insurance exchange and offers policymakers guidance on key features and likely consumer responses.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"17 5","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2012-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30532307","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Managed care. 管理式医疗。
LDI issue brief Pub Date : 2012-01-01 DOI: 10.1007/springerreference_300952
J. Karberg
{"title":"Managed care.","authors":"J. Karberg","doi":"10.1007/springerreference_300952","DOIUrl":"https://doi.org/10.1007/springerreference_300952","url":null,"abstract":"","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"52 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2012-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88331036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How the newly insured use health services: a lesson for the U.S. from Medicare. 新参保者如何使用医疗服务:医疗保险给美国的一个教训。
LDI issue brief Pub Date : 2011-12-01
Daniel Polsky
{"title":"How the newly insured use health services: a lesson for the U.S. from Medicare.","authors":"Daniel Polsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Congressional Budget Office estimates that about 32 million previously uninsured people will gain coverage by 2016, when health care reforms are fully implemented. But will these newly insured people use the health care system in the same ways as others? Is insurance enough to change patterns of use? The example of Medicare may provide some insight. This Issue Brief summarizes research that investigates how health care use and patterns change among the uninsured and insured once they gain Medicare coverage at age 65.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"17 4","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2011-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30484550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The quality of emergency medical services. 紧急医疗服务的质量。
LDI issue brief Pub Date : 2011-11-01
Guy David, Scott E Harrington
{"title":"The quality of emergency medical services.","authors":"Guy David, Scott E Harrington","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Although Emergency Medical Services (EMS) is a crucial part of the health care system, there is relatively little research on the quality of those services. EMS agencies often measure their performance using criteria such as response time or total prehospital time. But larger scale studies that cross counties and providers are rare. This Issue Brief summarizes two studies that use comprehensive, longitudinal data from one state to assess the demographic, geographic, and professional factors that affect EMS performance.</p>","PeriodicalId":85087,"journal":{"name":"LDI issue brief","volume":"17 3","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2011-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30484544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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