Call for 2018 Nexus Award Nominations

The National Center for Interprofessional Practice and Education is now accepting nominations for the 2018 Nexus Award, intended to celebrate exemplary interprofessional practice in the US and those who are thinking and acting differently where education and practice connect in health and health care. The submission deadline is Friday, May 18.

More information may be accessed here

Supreme Court to Consider Trump v. Hawaii

Tomorrow the Supreme Court will hear oral arguments on the Trump administration’s travel ban. Now in its third iteration, the travel ban prevents most immigrants from seven countries from entering the United States. ASAHP and other organizations joined an amicus brief led by the Association of American Medical Colleges that urges the Court to reinstate the injunction against the travel ban.

The amicus brief may be here

Earning An Associate Degree Prior To Transfer For A Bachelor’s Degree

The American Council on Education (ACE) has released a research brief, “The Impact of Earning an Associate Degree Prior to Transfer on Bachelor’s Degree Completion.” It is the third in a series of four that explore outcomes for recent high school graduates who begin their postsecondary education in a community college.

The research brief can be obtained here

Growth In Jobs In Health Sector

According to a report from the Altarum Institute, during the period March 2017 to March 2018, health jobs grew by 1.9% and the health share of total jobs was up slightly to 10.75%. In March of this year, health care added 22,400, which is below the 12-month average of 25,300 new jobs per month. Hospitals added 9,900 jobs in March, higher than the 12-month average of 7,200 while ambulatory settings, such as physician offices added 16,200 new jobs, consistent with the 12-month average of 16,700.

The report can be obtained at https://altarum.org/sites/default/files/uploaded-related-files/SHSS-Labor-Brief_April_2018.pdf.

Physician Supply Demand Projections 2016-2030

The United States could see a shortage of up to 120,000 physicians by 2030, according to new data published today by the Association of American Medical Colleges. A report, “The Complexities of Physician Supply and Demand: Projections from 2016-2030” updates and aligns with estimates conducted in 2015, 2016, and 2017. As the U.S. population grows larger and older, other kinds of health professionals will have role to play in meeting demand

The report can be obtained at https://aamc-black.global.ssl.fastly.net/production/media/filer_public/85/d7/85d7b689-f417-4ef0-97fb-ecc129836829/aamc_2018_workforce_projections_update_april_11_2018.pdf.

IPEC Webinar Featuring Student-led Interprofessional Education

The Interprofessional Education Collaborative (IPEC) holds the third event in its 2018 IPEC Webinar Series aimed at highlighting trends and activities in interprofessional education and practice. Taking place on Thursday, April 26 at 2:00pm ET, “Student-led Programs: Opportunities for IPE” features health professions students Lydia Glick and Alvin Babu who will share remarks on the formation, unique extracurricular activities, challenges, outcomes, and next steps related to their student-led IPE efforts at Jefferson University and New York University. Health professions faculty, students, and clinicians will discover best practices and exemplars that they can use to assist with IPE efforts at their home institutions. This free, dynamic webinar is open to deans, faculty, staff, and students from IPEC member schools, as well as non-members, communities of interest, and practice representatives.

Additional information, including the registration link, for this webinar may be accessed here

Projected Impact Of Medicaid Work Requirements On Beneficiaries And Spending

New community engagement waivers could impact approximately 1.7 million Medicaid beneficiaries in 10 states, about half of the beneficiaries in those states, according to an analysis by PwC’s Health Research Institute (HRI). Section 1115 waivers which require some beneficiaries to work or otherwise engage in some kind of defined activity for a specified number of hours per week or month, are being approved by CMS, which is encouraging states to develop and apply for them. The waivers could lead to reductions in Medicaid populations, with implications for hospitals and health systems serving high proportions of patients covered by Medicaid.

The report can be obtained at https://www.pwc.com/us/en/health-industries/health-research-institute/publications/pdf/pwc-health-research-institute-medicaid-1115-waivers-insight.pdf.

Fostering Collaboration To Support A Culture Of Health

The organization AcademyHealth and the Network for Regional Healthcare Improvement convened five multi-sector teams led by regional health improvement collaboratives (RHICs) and content experts to inform next steps in the teams’ specific community-based collaborative projects. An Issue Brief describes progress over the course of the year.

The Issue Brief can be obtained at http://www.academyhealth.org/sites/default/files/fostering_collaboration_for_culture_of_health_feb2018_0.pdf.

Economic Impact Of Medical Schools And Teaching Hospitals

According to a new report from the Association of American Medical Colleges (AAMC), U.S. medical schools and teaching hospitals represented by the AAMC generated about 3.1% of the U.S. gross domestic product and supported 6.3 million jobs. Many kinds of allied health professionals work in these teaching hospitals.

The report can be obtained at https://www.aamc.org/data/486632/economicimpactreport.html.

Racial, Ethnic, And Gender Disparities In The Health Care Advantage Program

A new report from the Centers for Medicare & Medicaid Services’ Office of Minority Health examines racial, ethnic, and gender differences on 27 clinical quality and eight patient experience measures for beneficiaries with Medicare Advantage health and drug plans in 2015-2016. The data are from the Healthcare Effectiveness Data and Information Set and the Consumer Assessment of Healthcare Providers and Systems survey. 

The report can be obtained at https://www.cms.gov/About-CMS/Agency-Information/OMH/Downloads/2018-National-Level-Results-by-Race-Ethnicity-and-Gender.pdf.

Burden Of Diseases/Injuries/Risk Factors Among U.S. States

An article that appeared in today’s issue of the Journal of the American Medical Association describes a study involving examination of 333 causes and 84 risk factors, demonstrating that health in the U.S. improved from 1990 to 2016, although the drivers of mortality and morbidity have changed in some states, with specific risk factors such as drug use disorders, high body mass index (BMI), and alcohol use disorders being associated with adverse outcomes. In five states, the probability of death between ages 20 and 55 years has increased more than 10% between 1990 and 2016.

The article is available for free from the journal.

2018 Health Insurance Exchange Enrollment Data

The Centers for Medicare & Medicaid Services (CMS) has released the Final Enrollment Report for the 2018 Health Insurance Exchanges showing approximately 11.8 million consumers selected or were automatically re-enrolled in an Exchange plan in the 50 states, plus DC. The amount includes 8.7 million consumers in the 39 states using Healthcare.gov and 3 million consumers in State-based Exchanges.

More information can be obtained at https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2018-Press-releases-items/2018-04-03.html.

Transitioning The U.S. National Vital Statistics System Into the 21st Century

The National Vital Statistics System makes it possible to track indicators of health status for the population at the national, state, and local levels, including disparities by age, sex, race and ethnicity, and detailed geography. The data are invaluable for identifying populations at risk, program planning, and developing initiatives to target health disparities. Anew report updates previous histories to reflect developments and changes over the past two decades that have been extraordinary and far-reaching.

The report can be obtained at https://www.cdc.gov/nchs/data/series/sr_01/sr01_062.pdf.

Geographic Distribution Of Student Debt

According to a report from the Urban Institute, little attention has been given to the geographic distribution of student loans and how it relates to cost of attending college in a state. The states where the largest shares of college students have student debt are in the Midwest and the Northeast. The Western region of the country has the lowest share of college students with student loans. The share of the college-going population with student loans in a state is positively associated with the average cost of attending a public four-year institution.

The report can be obtained at https://www.urban.org/sites/default/files/publication/97751/where_is_student_debt_highest_0.pdf.

Improving Population Health

To reduce health care spending overall and have a healthier population, communities have to spend smarter. They need to incentivize the health care and non-health care sectors to integrate social services and identify innovative funding and financing models to support this integration and contribute to population health improvements. Since all health is local, regional collaboratives can have important roles to play in addressing this challenge. A brief from AcademyHealth describes these potential roles.

The brief can be obtained at http://www.academyhealth.org/sites/default/files/regional_collaboratives_financing_pop_health_feb2018.pdf.

Rankings Of U.S. Healthiest Communities

The U.S. News Healthiest Communities rankings measure crucial health-related components of society with the aim of empowering citizens, health care leaders and officials to make decisions about policies and practices that can improve health outcomes for all. Guided by a pioneering framework developed by a committee appointed to advise the U.S. Department of Health and Human Services, the project scores nearly 3,000 counties on approximately 80 indicators across 10 categories that drive health outcomes. 

The rankings can be obtained at https://www.usnews.com/news/healthiest-communities/rankings.

Medicaid And CHIP Enrollment Increases 2013-2018

Approximately 16.4 million individuals enrolled in Medicaid or the Children’s Health Insurance Program between October 1, 2013 and January 31, 2018, increasing total enrollment in the programs by 29% since the start of the first open enrollment period for the Health Insurance Marketplace, according to a report that was released by the Centers for Medicare & Medicaid Services. More than 72.9 million beneficiaries were enrolled in Medicaid or CHIP in those states as of January 31, with Medicaid expansion states showing a 38% increase and non-expansion states showing a 12% increase. The Health Insurance Marketplace concluded its fifth open enrollment period in mid-December 2018.

The report can be obtained at file:///C:/Users/Owner/AppData/Local/Temp/Temp1_january-2018-enrollment-data.zip/January%202018%20Enrollment%20Report.pdf.

 

Who Struggles Most To Repay Student Loans?

More than 40 million Americans hold student loans. During the past decade, the amount of outstanding debt from federal student loans jumped from more than $500 billion to over $1.3 trillion, surpassing all categories of household debt other than mortgages. A panel discussion arranged by the Pew Charitable Trusts discussed which borrowers might be at risk for delinquency and default.

More information can be obtained at http://www.pewtrusts.org/en/research-and-analysis/analysis/2018/03/20/who-struggles-most-to-repay-student-loans?hd&utm_campaign=2018-03-28+PNN&utm_medium=email&utm_source=Pew.

State Higher Education Finance

For the first time in U.S. history, more than half of all states relied more heavily on tuition dollars to fund their public systems of higher education than on government appropriations, despite increased state and local support for public colleges and universities, according to the State Higher Education Finance (SHEF) FY 2017 report, a comprehensive, nonpartisan analysis of educational appropriations, tuition revenue, and enrollment trends in all 50 states, released by the State Higher Education Executive Officers Association (SHEEO).

The report can be obtained at http://www.sheeo.org/sites/default/files/SHEF_FY2017.pdf.