Capturing The Patient Experience

An essay from the Rand Corporation discusses how researchers have developed a more effective and reliable way for patients to provide narrative feedback about the care they receive. When the right questions are asked, patients' answers can help health care providers better understand the patient experience and learn how they could improve. 

The essay can be obtained at https://www.rand.org/blog/rand-review/2019/05/a-new-way-to-capture-the-patient-experience.html.

Adult Usage Of The Internet

Despite ongoing government and social service programs to encourage internet adoption in underserved areas, according to the Pew Research Center seniors are much more likely than younger adults to not go online. Among individuals ages 65 and older, 27% still do not use the Internet, compared with fewer than 10% of adults under the age of 65. Non-adoption also is linked to other demographic variables, such as educational attainment, household income, and community type. 

The findings can be obtained at https://www.pewresearch.org/fact-tank/2019/04/22/some-americans-dont-use-the-internet-who-are-they/?utm_campaign=2019-05-01+Rundown&utm_medium=email&utm_source=Pew.

Key Design Components And Considerations For Establishing A Single-Payer Health Care System

A report issued today by the Congressional Budget Office (CBO) describes the primary features of single-payer systems and discusses some design considerations and choices that policymakers will face in developing proposals for establishing such a system in the US. 

The report can be obtained at https://www.cbo.gov/system/files/2019-05/55150-singlepayer.pdf.

Medicaid Insurers’ Plans In The ACA Marketplace

A new brief from the Urban Institute examines Affordable Care Act (ACA) marketplace participation by insurers that participated in Medicaid, but not in private insurance markets prior to the ACA. The focus is on the potential hurdles for increased participation from Medicaid insurers. 

The brief can be obtained at https://www.urban.org/sites/default/files/publication/100175/why_dont_more_medicaid_insurers_sell_plans_in_aca_marketplaces_0.pdf.

 

Post-Secondary Undergraduate Population: Student Income And Demographics

A report from the Congressional Research Service (CRS) analyzes (1) how the income distribution of the undergraduate population has changed over time; (2) the relationship between student income and certain student demographics, such as race and dependency status; and (3) how the income distribution of the undergraduate population compares with that of the population of individuals who do not have a post-secondary degree. 

The report can be obtained at https://fas.org/sgp/crs/misc/R45686.pdf.

Underlying Causes Of Surprise Medical Bills

High health costs are of great concern to patients. A related worry is the possibility of receiving an unexpected medical bill. A new report from the Commonwealth Fund examines why consumers receive them and what this phenomenon reveals about how health care is different from other goods and services.  

The report can be obtained at https://www.commonwealthfund.org/blog/2019/underlying-causes-surprise-medical-bills.

 

Complexities Of Physician Supply And Demand: Projections 2017-2032

A new report from the Association of American Medical Colleges (AAMC) shows that the physician shortage remains real and significant, with shortfalls in both primary and specialty care. 

The report can be obtained at https://aamc-black.global.ssl.fastly.net/production/media/filer_public/31/13/3113ee5c-a038-4c16-89af-294a69826650/2019_update_-_the_complexities_of_physician_supply_and_demand_-_projections_from_2017-2032.pdf.

CMS Agenda To Re-think Rural Health And Unleash Medical Innovation

The Trump Administration on April 23 proposed changes that build on the progress made over the last two years and further the agency’s priority to transform the healthcare delivery system through competition and innovation while providing patients with better value and results. The proposed rule would update Medicare payment policies for hospitals under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) for fiscal year 2020 and advances two key CMS priorities, “Rethinking Rural Health” and “Unleashing Innovation,” by proposing historic changes to the way Medicare pays hospitals. 

A fact sheet on the proposed rule can be obtained at: https://www.cms.gov/newsroom/fact-sheets/fiscal-year-fy-2020-medicare-hospital-inpatient-prospective-payment-system-ipps-and-long-term-acute.

Trends Shaping The U.S. And World 2019

From the rise of Generation Z to an ever-changing U.S. electorate,  demographic shifts are changing the U.S. and the world at large. Six major shifts are described in a report from the Pew research Center. 

The report can be obtained at https://www.pewresearch.org/fact-tank/2019/04/11/6-demographic-trends-shaping-the-u-s-and-the-world-in-2019/?utm_campaign=2019-04-17+Rundown+(first+story+in+subject+line)&utm_medium=email&utm_source=Pew.

 

CMS announces five new value based models in primary care

Yesterday, HHS Secretary Alex Azar unveiled his new  “Primary Cares Initiative”, which will test five new value based payment models in primary care focused on paying for health and outcomes rather than fee for service. HHS hopes this initiative will transform primary care to deliver better value for patients throughout the healthcare system.

Read more here.

Artificial Intelligence & Technology Are Changing Healthcare

Deloitte Center for Health Solutions released a report that detailed how technology, such as artificial intelligence, will continue to have a profound effect on the clinical, business, and administrative sides of healthcare. These changes require employers and clinics to re-envision the future of work.

Read more here and view the full report here.

Challenges Of Living With A Disability

Findings from a recent Health Care in America survey show that in addition to the challenge of affording the health care and social supports they need, Americans with disabilities also contend with roadblocks when seeking care. Changes both large and small can help make our health care system more responsive.

Survey results can be obtained at http://features.commonwealthfund.org/health-care-in-america?_ga=2.19437432.1955350527.1549291293-991394867.1549291293.

Investing In Student Mental Health

A new brief from the American Council on Education finds investing time and resources in student mental health makes good academic and economic sense for colleges, universities, and society at large. The paper uses empirical evidence from college student populations and examples from college presidents to examine how higher education leadership can advocate for and invest in student mental health.  

The brief can be obtained at https://www.acenet.edu/news-room/Documents/Investing-in-Student-Mental-Health.pdf.

Insider Recap on DoED Neg Reg Session on State Authorization

Please find a link to a helpful recap of the discussions surrounding State Authorization in the Department of Education’s recent federal negotiated rulemaking session. The author, Russ Poulin, is a Senior Director at WCET who has been closely following State Authorization issues for years and served as a member of this rulemaking panel.  

The panel recommended the continuation of the current state reciprocity agreement (SARA) structure and Poulin provides helpful insights into these negotiations.

Register for IPEC's Health Communications & Technology Webinar

Join the Interprofessional Education Collaborative (IPEC) for this week’s free webinar on best practices and innovative technologies for interprofessional education (IPE). The 2017 and 2018 United States Public Health Service–IPEC Award honorable mention recipients for the category of health communications and technology will be on hand to discuss the key takeaways from their IPE projects.

For additional information and to register for this webinar, click here.

State Higher Education Finance (SHEF) Report Released by SHEEO

The State Higher Education Finance (SHEF) Report examines the trends, context, and consequences of state higher education funding decisions. For 16 years, the State Higher Education Executive Officers Association (SHEEO) has produced this annual report to broaden understanding and enable analysis of state-level and national funding and enrollment trends over time.

Read more in this week’s ASAHP Update.