Two new studies highlight the heavy impact that state decisions not to expand Medicaid under the federal healthcare reform law will have on low-income Americans and community health centers that serve them.
Across the country, about 5.2 million low-income uninsured adults across the country will remain uninsured in 2014 because they fall into a coverage gap in the 25 states that so far have not expanded Medicaid to adults with incomes up to 138% of the federal poverty level, according to a new report from the Kaiser Family Foundation.
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PhRMA has sued to block implementation of a rule that lets providers in the 340B drug discount program buy orphan drugs at reduced prices if the drugs are used to treat non-orphan conditions.
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Keehan
Ascension Health, Bon Secours Health System, the American Hospital Association, the Catholic Health Association and the Federation of American Hospitals are among more than 900 organizations, providers and businesses helping Americans learn about the healthcare reform law and sign up for health insurance coverage, HHS announced one day before open enrollment begins on the law's health insurance exchanges.
Called “Champions for Coverage,” these volunteers—which include faith-based organizations, community health centers and bloggers—will use digital and print materials from the CMS to educate people about their options in the state health insurance exchanges that were created by the Patient Protection and Affordable Care Act. Open enrollment on the exchanges will last from October through March, and those who enroll by Dec. 15 will have coverage starting on Jan. 1, 2014.
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Here's a sobering thought: Nearly 40% of all children in the U.S. are eligible for the Children's Health Insurance Program, which provides automatic healthcare coverage for the poor. That means 4 in 10 kids in the U.S. are growing up in poverty or near-poverty.
Here's another sobering thought. Not every kid who is eligible gets coverage through the entitlement program. Their parents must apply for CHIP/Medicaid and many don't.
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Most of the people who come to the emergency room with gunshot wounds have no insurance, and if they're admitted as inpatients, hospitals will spend an average of $23,500 caring for them, according to a new study of gun trauma and healthcare costs.
But the study from the Urban Institute found that gunshot victims' uninsured status may affect their care. “Uninsured victims of firearm assaults appear to have different treatment when they arrive at the ED. Their ED visits are the most expensive, they are admitted for inpatient care less often, and their treatment, once admitted, appears to be less intensive,” the study says. “The numbers indicate that some hospitals may be making treatment decisions based on the insurance status of the patient rather than the patient's condition.”
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A study found no evidence that primary-care physicians spend less time with safety net patients and the uninsured than with privately insured patients, countering longstanding assumptions that doctors give less attention to Medicaid and uninsured patients.
The study in the September issue of the journal Health Affairs looked at the amount of time physicians spent with patients and found no significant differences between those with private insurance and patients with Medicaid or those uninsured.
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The benefits of expanding Medicaid coverage to homeless and chronically ill adults under healthcare reform may seem obvious. But enrolling this population and providing them with healthcare services will not be easily achieved, a survey published in Health Affairs shows.
The survey, which included more than 700 homeless adults enrolled in a housing and healthcare effort between 2004 and 2009, found adults reported “serious physical and mental health conditions, suggesting that chronically homeless adults have a wide variety of health needs that require a broad range of health services.”
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The not-for-profit group responsible for educating Americans about the healthcare reform law's coverage options provided a status check of its efforts on Monday, but remained vague about how much it is spending on the massive endeavor.
Throughout 2014, Enroll America will spend “tens of millions” of dollars on the “Get Covered” campaign that it launched in late June, Anne Filipic, the group's president, told reporters in a phone call.
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The Obama administration's recent decision to delay the 2010 healthcare reform law's employer mandate by a year is estimated to increase the law's net cost to the federal government by $12 billion over 10 years, the nonpartisan Congressional Budget Office and Joint Committee on Taxation announced Tuesday. A relatively modest cost increase was predicted when the mandate delay was announced.
House Budget Committee Chairman Paul Ryan (R-Wis.) had requested that the CBO and JCT assess the effects of the July decision to postpone for one year the law's provision that employers provide insurance to their workers or else pay a penalty. In a six-page report, the CBO noted that its May 2013 baseline projections had estimated the Patient Protection and Affordable Care Act's insurance provisions would cost the federal government about $1.36 billion between 2014 and 2023. After the Treasury department's recent announcement, the CBO recalculated those projections and now estimates the insurance coverage measures in the law will cost the federal government about $1.375 billion over that same 10-year period.
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Veteran investigative journalist Kurt Eichenwald has an important and scathing commentary in the new issue of Vanity Fair on the issue of how new state restrictions in Texas and other states on centers providing abortion and other women's health services are likely to affect diagnosis and treatment of breast cancer patients.
What prompted Eichenwald to write the piece was that his wife, Theresa, a physician, recently was diagnosed with the disease, just a few weeks after discovering a breast lump. Eichenwald contrasts his wife's speedy diagnosis and treatment with the long delays faced by low-income and uninsured women associated with greater likelihood of death. He names and blames anti-abortion lawmakers in his home state of Texas for passing legislation that will shut down a number of centers where low-income and uninsured women receive screening and referrals for breast cancer.
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Veteran investigative journalist Kurt Eichenwald has an important and scathing commentary in the new issue of Vanity Fair on the issue of how new state restrictions in Texas and other states on centers providing abortion and other women's health services are likely to affect diagnosis and treatment of breast cancer patients.
What prompted Eichenwald to write the piece was that his wife, Theresa, a physician, recently was diagnosed with the disease, just a few weeks after discovering a breast lump. Eichenwald contrasts his wife's speedy diagnosis and treatment with the long delays faced by low-income and uninsured women associated with greater likelihood of death. He names and blames anti-abortion lawmakers in his home state of Texas for passing legislation that will shut down a number of centers where low-income and uninsured women receive screening and referrals for breast cancer.
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