Prevalence of Showerhead Bacteria Correlates With Prevalence of NTM Lung Infections
A study published in the journal mBio has found a correlation between regions where mycobacteria are most prevalent in showerhead biofilm and regions where nontuberous mycobacterial (NTM) lung infections are the most prevalent, providing more evidence about the important role played by showerheads in transmission of NTM lung infections in the United States and Europe.
Community Health Centers Serving More People Now Than Before the ACA
Community health centers are serving millions more people than they did before the passage of the Affordable Care Act, and the number of uninsured people they serve has declined only slightly, according to a new study.
Patient-Centered Medical Homes May Improve Diabetes Care
Patient-centered medical homes may improve the performance of process measures of care for patients with type 2 diabetes, including glycated hemoglobin tests, cholesterol tests, foot examination, dilated eye examination, flu vaccination, and adherence to oral hypoglycemic agents during 1 year of follow-up.
US Economic Burden Attributable to Adult Vaccine-Preventable Diseases Estimated at $9 Billion
Low rates of vaccination among US adults result in preventable diseases and costs to individuals and society in terms of deaths, disabilities, and economic losses from hospitalizations, lost income, and physician visits.
Physician Practices in Rural Areas Being Acquired by Hospitals at Dramatic Rate
Within the past 3 years, hospital employment and hospital ownership of physician practices has increased in both urban and rural areas, but growth in the number of rural practices owned by hospitals has significantly outpaced that in the urban setting.
Nearly 12 Million People Are Uninsured but Eligible for ACA Financial Help
A total of 27 million Americans under the age of 65 remain uninsured, and 43% of them are eligible for financial assistance through the Affordable Care Act either by enrolling in Medicaid or through subsidies for purchasing coverage.
Are 30-Day Hospital Readmissions Really a Good Measure of Quality?
Instead of the 30-day hospital readmission indicator used by CMS to rate hospital quality and levy penalties for excessive unplanned readmissions, shorter intervals of 7 days or fewer are more accurate measures, according to a new study.
Quality of Outpatient Care Has Not Improved in Past Decade
The quality of outpatient care for adults has not improved during the past decade, and in some important areas has worsened, according to a new study published in JAMA Internal Medicine by David M. Levine, MD, of Brigham & Women’s Hospital in Boston, and colleagues.
Commercial ACOs Are Larger, More Efficient Than ACOs With Public Payer Contracts
The number of accountable care organizations (ACOs) has grown rapidly over the last 4 years, with more than 800 ACOs now covering an estimated 28 million Americans. A study found that commercial ACOs were significantly larger and more integrated with hospitals and had lower benchmark expenditures and high quality scores compared with noncommercial ACOs.
Preparing for What's Needed for an Aging Population
Despite awareness of a rapidly increasing size and proportion of older persons in the United States, the nation is not investing sufficiently in keeping people healthy late in life, and significant deficiencies are predicted in our capacity to deliver the medical, public health, and support services needed for the future frail and ill older population.
Freestanding Children's Hospitals Face Large Financial Losses for Medicaid Patients
Freestanding children’s hospitals had the largest financial losses for pediatric inpatients covered by Medicaid, and may be unable to offset reductions in federal Disproportionate Share Hospital payments because of the expansion of health insurance coverage under the Affordable Care Act.
High-Doses of Antidepressants Less Risky on Heart Than Initially Thought
High doses of the antidepressants citalopram (Celexa) and escitalopram (Cipralex, Lexapro) do not appear to carry greater risk of sudden cardiac death than comparable doses of other selective serotonin reuptake inhibitors, according to a new study.
Most Americans Support Price Controls for Prescription Drug Costs, Poll Finds
A large majorities of Americans favor a wide range of policy changes to curb prescription drug costs, including those that give government a greater role in negotiating or limiting drug prices, according to the latest Kaiser Family Foundation Health Tracking Poll.
Payment Tied to Patient Experience Improvement Benefits Hospitals Serving Minority Patients
Although hospitals in Medicare’s Value-Based Purchasing program already receive patient experience points based on achievement, improvement, and consistency, placing more emphasis on improvement points could benefit hospitals serving minority patients
Insured Patients Paying Substantial Out-of-Pocket Costs for Inpatient Care
Cost sharing for hospitalizations among nonelderly adults increased 37% between 2009 and 2013, more than the rate of medical inflation, according to a review of national hospital claims from 3 major commercial insurance plans.
Sustained Economic Hardship May Affect Cognitive Function at Middle Age
Persistent low income in young adulthood and middle age may raise the risk for worse cognitive function by age 50, according to a study of more than 3300 adults who were followed for more than 2 decades. In addition, the study suggested that poverty and perceived hardship may be important contributors to premature aging among disadvantaged populations.
Lack of Medicaid Expansion in 19 States Led to Poorer Access to Care in Rural Areas
States’ decisions not to expand Medicaid appears to be affecting the financial stability of rural hospitals in the United States more than in hospitals in urban areas, according to a study in Health Affairs.
Supporting Population Health and Reducing Health Inequalities
Two Viewpoint articles JAMA highlight continuing healthcare deficiencies and inequalities in the United States and present a call to action for bold new strategies to direct resources toward improvements in support of population health.