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Issue brief (George Washington University. National Health Policy Forum : 2005)最新文献

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Shrinking inpatient psychiatric capacity: cause for celebration or concern? 住院精神病患者能力的萎缩:值得庆祝还是担忧?
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2007-08-01
Eileen Salinsky, Christopher Loftis
{"title":"Shrinking inpatient psychiatric capacity: cause for celebration or concern?","authors":"Eileen Salinsky,&nbsp;Christopher Loftis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This issue brief examines reported capacity constraints in inpatient psychiatric services and describes how these services fit within the continuum of care for mental health treatment. The paper summarizes the type and range of acute care services used to intervene in mental health crises, including both traditional hospital-based services and alternative crisis interventions, such as mobile response teams. It reviews historical trends in the supply of inpatient psychiatric beds and explores the anticipated influence of prospective payment for inpatient psychiatric services under Medicare. The paper also considers other forces that may affect the need for and supply of acute mental health services, including key factors that could improve the quality and efficiency of inpatient psychiatric care.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 823","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2007-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26873286","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
Trading places: Real Choice Systems Change grants and the movement to community-based long-term care supports. 交易场所:真正的选择系统改变赠款和运动，以社区为基础的长期护理支持。
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2007-05-30
Cynthia Shirk
{"title":"Trading places: Real Choice Systems Change grants and the movement to community-based long-term care supports.","authors":"Cynthia Shirk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Real Choice Systems Change grant program was created to help states transform their long-term care service systems from ones that rely on institutions to ones that are more community-based. The grants are intended to help states develop the infrastructure needed for seniors and individuals with disabilities to live in integrated community settings. This issue brief provides information about Systems Change grants and the kinds of activities state Medicaid agencies have undertaken to transform their institutionally based systems. In addition, this paper reports on some of the qualitative and quantitative responses to the changes. This brief also raises critical policy questions related to public spending for long-term care in different settings that might be considered in tandem with future grant funding decisions.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 822","pages":"1-21"},"PeriodicalIF":0.0,"publicationDate":"2007-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26754941","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
What have you done for me lately? Assessing hospital community benefit. 你最近为我做了什么?评估医院社区效益。
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2007-04-19
Eileen Salinsky
{"title":"What have you done for me lately? Assessing hospital community benefit.","authors":"Eileen Salinsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This issue brief reviews key aspects of the ongoing policy debate related to not-for-profit hospitals, the advantages they derive from tax exemption, and the benefits they provide to communities served. It provides a historical context for how federal standards for assessing hospitals' tax-exempt status have evolved and describes recent activities to explore additional policy changes. Legislative and regulatory actions at the state and local level are also examined. Evidence on the performance of not-for-profit hospitals in comparison to their for-profit competitors on measures of cost, quality, and access is summarized, and perspectives on the need to preserve a not-for-profit presence in health care are explored. Efforts to develop standardized metrics for measuring community benefit are described, and alternative conventions for reporting charity care contributions are discussed.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 821","pages":"1-19"},"PeriodicalIF":0.0,"publicationDate":"2007-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26760511","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
Personal health records: the people's choice? 个人健康记录:人民的选择?
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2006-11-30
Lisa Sprague
{"title":"Personal health records: the people's choice?","authors":"Lisa Sprague","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Information technology (IT), especially in the form of an electronic health record (EHR), is touted by many as a key component of meaningful improvement in health care delivery and outcomes. A personal health record (PHR) may be an element of an EHR or a stand-alone record. Proponents of PHRs see them as tools that will improve consumers' ability to manage their care and will also enlist consumers as advocates for widespread health IT adoption. This issue brief explores what a PHR is, the extent of demand for it, issues that need to be resolved before such records can be expected to proliferate, and public-private efforts to promote them.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 820","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2006-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26423509","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
EPSDT: Medicaid's critical but controversial benefits program for children. EPSDT:医疗补助的关键但有争议的儿童福利计划。
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2006-11-20
Christie Provost Peters
{"title":"EPSDT: Medicaid's critical but controversial benefits program for children.","authors":"Christie Provost Peters","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) program under Medicaid provides the most comprehensive set of health benefits for children and adolescents in the public or private sector. A cornerstone of early childhood preventive and treatment services in the nation's health care \"safety net,\" the EPSDT program serves nearly 30 million low-income children, including children with disabilities and special needs. Over the years, states have expressed frustration with the administrative burdens of EPSDT requirements. Rising Medicaid costs have put all Medicaid benefits, including the EPSDT program, in the budgetary crosshairs. This issue brief reviews the fundamental characteristics of the EPSDT program and highlights some of the challenges it has faced over they ears. This paper also describes some of the changes proposed to preserve access to comprehensive care while controlling costs and encouraging administrative simplification and flexibility.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 819","pages":"1-24"},"PeriodicalIF":0.0,"publicationDate":"2006-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26412740","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
Updating Medicare's physician fees: the sustainable growth rate methodology. 更新医疗保险的医生费用:可持续增长率方法。
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2006-11-10
Laura A Dummit
{"title":"Updating Medicare's physician fees: the sustainable growth rate methodology.","authors":"Laura A Dummit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Medicare's method to annually update the fees it pays physicians has been under fire for some time--specifically, since the method determined that physician fees should be reduced rather than increased. The update method, called the sustainable growth rate (SGR), was implemented to control the growth in Medicare physician spending. Yet Congress, in response to physician concerns about beneficiary access to care, has acted to avert physician fee cuts since 2003. Although this signals dissatisfaction with the SGR methodology, there is yet to be a widely accepted physician fee update proposal that balances federal budgetary realities with the need to ensure beneficiary access. And the cost of changing the update method continues to mount, adding to the difficulties of developing a solution that meets the needs of all stakeholders. This issue brief describes the SGR methodology, the reasons why projected physician fee updates are negative, and some options that have been proposed to remedy the current situation. This issue brief is the second of two related papers on physician spending and Medicare's sustainable growth rate methodology. The companion paper was published on October 9, 2006 (see Issue Brief 815, available at www.nhpf.org/pdfs_ib/IB815_PhysicianSpending_10-09-06.pdf).</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 818","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2006-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26369162","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 nuts and bolts of PDPs. pdp的具体细节。
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2006-11-08
Mary Ellen Stahlman
{"title":"The nuts and bolts of PDPs.","authors":"Mary Ellen Stahlman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This issue brief provides an overview of Medicare prescription drug plans (PDPs), with a focus on fundamentals such as enrollment, premiums, formularies, cost sharing, prices, payment, cost management, and appeals and grievance processes. It also highlights major changes to the PDP landscape between 2006 and 2007.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 817","pages":"1-18"},"PeriodicalIF":0.0,"publicationDate":"2006-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26359828","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
Updating the WIC food packages: it's about time. 更新WIC食品包装:是时候了。
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2006-11-02
Jessamy Taylor
{"title":"Updating the WIC food packages: it's about time.","authors":"Jessamy Taylor","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This issue brief reviews key revisions to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program proposed by the USDA, which are based substantially on recommendations by the Institute of Medicine. Should the changes become regulation, they will be the most significant revision of the WIC food packages in over 25 years. This brief describes the changes, the impetus for their consideration, and possible implementation issues from the perspectives of vendors, state and local WIC agencies, and participants.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 816","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2006-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26350863","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
Medicare physician payments and spending. 医疗保险医生的支付和支出。
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2006-10-09
Laura A Dummit
{"title":"Medicare physician payments and spending.","authors":"Laura A Dummit","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Medicare program's physician payment method is intended to control spending while ensuring beneficiary access to physician services, but there are signs that it may not be working. The physician's role in the health care delivery system as the primary source of information and treatment options, together with growing demand for services and the imperfect state of knowledge about appropriate service use, challenge Medicare's ability to achieve these two goals. This issue brief describes the history of physician spending and the contribution of escalating service use and intensity of services to the rise in Medicare outlays, setting the stage for further discussion about the use of the Medicare payment system to control spending and ensure access.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 815","pages":"1-13"},"PeriodicalIF":0.0,"publicationDate":"2006-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26307640","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
Effects of food marketing to kids: I'm lovin' it? 食品营销对孩子的影响:我喜欢它?
Issue brief (George Washington University. National Health Policy Forum : 2005) Pub Date : 2006-08-15
Eileen Salinsky
{"title":"Effects of food marketing to kids: I'm lovin' it?","authors":"Eileen Salinsky","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This issue brief reviews key findings and recommendations from the Institute of Medicine study on food marketing and its effects on childhood obesity. The brief describes the childhood obesity epidemic, discusses key trends associated with rising childhood obesity rates, and considers the relative role of marketing practices on diet and obesity within the broader context of complex contributory factors. The brief also summarizes the current legal framework for regulating marketing directed at children;discusses voluntary, self-regulatory mechanisms; and highlights proposals to re-orient marketing practices to combat childhood obesity.</p>","PeriodicalId":87188,"journal":{"name":"Issue brief (George Washington University. National Health Policy Forum : 2005)","volume":" 814","pages":"1-16"},"PeriodicalIF":0.0,"publicationDate":"2006-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"26211127","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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