Redefining PPE As Primary Care, Public Health, and Health Equity – The Community PPE Index

Health Populi

” Perhaps Definition 3 in the OED could be updated by a blog published online in the September 25, 2020, issue of Health Affairs, A New “PPE” For A Thriving Community: Public Health, Primary Care, Health Equity. Primary care in the U.S.

What’s Causing Fewer Primary Care Visits in the US?

Health Populi

Americans who have commercial health insurance (say, through an employer or union) are rarely thought to face barriers to receiving health care — in particular, primary care, that front line provider and on-ramp to the health care system. But in a new study published in the Annals of Internal Medicine , commercially-insured adults were found to have visited primary care providers (PCPs) less often, and 1 in 2 had no PCP visits in one year.

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Come Together – A Health Policy Prescription from the Bipartisan Policy Center

Health Populi

Among all Americans, the most popular approach for improving the health care in the U.S. isn’t repealing or replacing the Affordable Care Act or moving to a Medicare-for-All government-provided plan. It would be to improve the current health care system, according to the Bipartisan Policy Center’s research reported in a Bipartisan Rx for America’s Health Care. Addressing employer-sponsored health insurance.

Here's what primary care clinicians say they need to effectively implement telehealth

Healthcare IT News - Telehealth

Primary care providers in New York City, one of the U.S. With patients afraid to seek care in person and social distancing necessitating as little face-to-face contact as possible, many clinicians pivoted to telehealth – some with more success than others.

Health Citizenship in the America. If Not Now, When?

Health Populi

On March 11 th , the World Health Organization called the growing prevalence of the coronavirus a “pandemic.”. My new book, Health Citizenship: How a virus opened hearts and minds , launched this week. This is the call for Health Citizenship for people in America.

Only in America: The Loss of Health Insurance as a Toxic Financial Side Effect of the COVID-19 Pandemic

Health Populi

Census Bureau found that the level of health insurance enrollment fell by 1 million people in 2019 , with about 30 million Americans not covered by health insurance. The coronavirus pandemic has only exacerbated the erosion of the health insured population.

How COVID-19 Is Driving More Deaths of Despair

Health Populi

Health Populi’s Hot Points: What COVID-19 has done is to highlight health disparities and underlying structural flaws in the U.S. health system, the Well Being Trust and Center conclude in the report. The policy prescriptions WBT and the center recommend are to: Get people working, providing training, identifying new opportunities to employ people in unique workforces like COVID-19 tracking and tracing. Integrate mental health with health care.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

Will Vertical Integration Kill the Primary Care Practice?

Health Blawg

Once the federales blocked the health insurance company mega-mergers, it was only a matter of time before alternative approaches to rearranging the three-dimensional chessboard of the healthcare-industrial complex would emerge. The very idea of collapsing four of the five dominant national health care insurance companies into two was therefore a nonstarter. Health insurance, pharmacy and urgent care all under one roof. Health Care Law and Consulting.

A Tale of Two Americas as Told by the 2019 OECD Report on Health

Health Populi

That’s what came to my mind when reading the latest global health report from the OECD, Health at a Glance 2019 , which compares the United States to other nations’ health care outcomes, risk factors, access metrics, and spending. Stalled gains in longevity, with greater burdens of chronic disease and ill mental health, are growing risk factors throughout so many of the wealthiest nations on Earth. health care versus the OECD peer nations.

The Ill Health of Rural Hospitals in Four Charts

Health Populi

hospitals are in poor fiscal health. “The accelerated rate at which rural hospitals are closing continues to unsettle the rural healthcare community and demands a more nuanced investigation into rural hospital performance,” threatening the stability of the rural health safety net, according to the Chartis Center for Rural Health’s latest research. Time to re-imagine as the future of rural health and healthcare.

Telehealth and COVID-19 in the U.S.: A Conversation with Ann Mond Johnson, ATA CEO

Health Populi

The coronavirus spawned another kind of gift to China and the nation’s health citizens: telemedicine, the essay explains. A couple of intriguing examples: Ali Health, part of Alibaba (the e-commerce giant), launched a free online clinic in locked-down Hubei (whose capital is Wuhan) where in five days, 100,000 patients received remote consultations. It is clear that there’s no better use case for digital/tele/virtual health than what is unfolding right now.

Income Inequality is Fostering Mis-Trust, the Edelman 2020 Trust Barometer Observes

Health Populi

Last year, it was the employer who was the most-trusted touch-point in citizens’ lives the world over, I discussed in Health Populi one year ago. Together, these three factors erode workers’ confidence in jobs and their personal household economies and financial health. In health care, these would be our honest-and-ethical front-line workers — nurses, physicians, and pharmacists, the latest Gallup Poll on the question learned (described here in Health Populi).

Slow Food, Slow Medicine: What Italy Can Teach America About Health

Health Populi

In addition, America’s overweight and obesity epidemic results in lost worker productivity, mental health and sleep challenges, and lower quality of life for millions of Americans. Food — healthy, accessible, fairly-priced — is a key social determinant of individual health, wellness, and a public’s ability to pursue happiness. can learn from the food culture, policy and economy of Italy when it comes to health.

Health Care In the COVID-19 Era – PwC Finds Self-Rationing of Care and Meds Especially for Chronic Care

Health Populi

are self-rationing care in the era of COVID-19 by cutting spending on health care visits and prescription drugs. The coronavirus pandemic’s impact on health consumers’ spending varies depending on whether the household is generally a healthy family unit, healthy “enthusiasts,” dealing with a simple or more complex chronic conditions, or managing mental health issues. Patients in the U.S.

Longevity Stalls Around the World And Wealth, More Concentrated

Health Populi

Two separate and new OECD reports, updating health and the global economic outlook, raise two issues that are inter-related: that gains in longevity are stalling, with chronic illnesses and mental ill health affecting more people; and, as wealth grows more concentrated among the wealthy, the economic outlook around most of the world is also slowing. The first chart arrays the x-y data points of life expectancy versus health spending for each of the OECD countries studied.

Telehealth Awareness, Access and Adoption: Updates from J.D. Power, the ATA and FAIR Health

Health Populi

Power,” your mind probably imagines reviews of automotive performance, retail shopping experiences, or perhaps even health insurance plan customer service. Expanding its report-card role in the health ecosystem. Power is that only one in ten Americans have ever used telehealth or virtual health to substitute for an in-person visit to a doctor’s office, hospital, ER or urgent care clinic in the past year. That is, mental health issues.

World Health Day 2019: Let’s Celebrate Food, Climate, Insurance Coverage and Connectivity

Health Populi

Today, 7 April, is World Health Day. With that in mind, I devote this post to three key social determinants of health (SDOH) that are top-of-mind for me these days: food for health, climate change, and universal health coverage. UHC happens to be WHO’s focus for World Health Day 2019. [As As a bonus, I’ll add in a fourth SDOH in the Hot Points for good measure and health-making]. Why a World Health Day?

Prelude to Health 2.0 2019: Thinking Consumers At the Center of Digital Health Transformation

Health Populi

“Digital transformation” is the corporate strategy flavor of the moment across industries, and the health are sector isn’t immune from the trend. As this 13th year of the annual Health 2.0 Conference kicks off this week, I’m focused on finding digital health innovations that engage people — consumers, caregivers, patients, health citizens all. As Health 2.0 This week, Health 2.0 The post Prelude to Health 2.0

How We Spend Versus What We Get: America’s Healthcare Spending Makes for Poor Health

Health Populi

These sobering statistics were published in Health Care Spending in the Untied States and Other High-Income Countries this week in JAMA, the Journal of the American Medical Association. The first chart shows the data on “inputs:” spending on healthcare overall, and split into categories of inpatient care, outpatient care, long-term care, and other categories. Note the last line of that matrix, population with health care coverage: the U.S.

Heart Disease in America: Zip Code Determines Cardiovascular Disease-Destiny

Health Populi

Researchers analyzed data on cardiovascular disease mortality, nonfatal health outcomes, and risk factors by age, sex, and year from 1990 to 2016 for the U.S. The outcome used to measure health by state was cardiovascular disease disability-adjusted life-years, or DALYs (FYI, “DALYs” are a commonly used metric in health economics research). Health Populi’s Hot Points: We know that geography can be destiny when it comes to understanding peoples’ health status.

Food As Medicine: Grocery Stores Expand as Health Destinations While the Federal Government Cuts Food Stamps

Health Populi

There’s something like cognitive dissonance as I prepare my 2020 Health Populi TrendCast of what to expect in the health/care ecosystem in the new year. One of my key pillars for health-making is food-as-medicine, and that opportunity in this moment resonates in this holiday season with Dickens’ “Best of Times, Worst of Times” context-setting that kicks off Great Expectations. It’s clear that people want to engage in health via the food they buy and consume.

The $4 Trillion Health Economy of 2020

Health Populi

In 2020, national health expenditures (NHE) in the United States will exceed $4 trillion to cover 334.5 of health spending per person. Three factors will drive healthcare costs to 2026: prices for medical goods and services, changes in income growth, and shifting enrollment from private health insurance to Medicare — driven by the aging of Boomers. Together, these three categories will comprise just over 80% of health spending in 2020.

Self-Care is Healthcare for Everyday People

Health Populi

Patients are the new healthcare payors, and as such, taking on the role of health consumers. In fact, health and wellness consumers have existed since a person purchased the first toothpaste, aspirin, heating pad, and moisturizing cream at retail. I find all of these, and more, at the Health-Beauty-Wellness Conference convened by GMDC in Orlando this week through the weekend. Throughout, I’m wearing my health consumer-focused lens. This is self-care, healthcare.

Behavioral Health Side-Effects in the COVID Era

Health Populi

“This surge of people experiencing acute behavioral health problems…has the potential to further impact the healthcare system for years to come,” a report from McKinsey expects looking at the hidden costs of COVID-19’s impact on U.S. health care.

340 organizations tell Congress to make telehealth permanent

Henry Kotula

New report finds the growth of telemedicine visits has plateaued and accounts for a relatively small percentage of rebounding ambulatory care. Congress quickly waived statutory barriers to allow for expanded access to telehealth at the beginning of the COVID-19 pandemic, providing federal agencies with the flexibility to allow healthcare providers to deliver care virtually. [link].

The 2020 Social Determinants of Health: Connectivity, Art, Air and Love

Health Populi

the health/care ecosystem warmly embraced social determinants of health as a concept in 2019. A few of the mainstreaming-of-SDoH signposts in 2019 were: Cigna studying and focusing in on loneliness as a health and wellness risk factor. UPMC launching a social impact program focusing on SDoH, among other projects investing in social factors that bolster public health. I covered this in depth in this Health Populi post earlier this year. Across the U.S.,

How The Rapid Shift To Telehealth Leaves Many Community Health Centers Behind During The COVID-19 Pandemic

Henry Kotula

The COVID-19 pandemic has transformed the landscape of ambulatory care with rapid shifts to telehealth. Community health centers (CHCs), which serve more than 28 million low-income and disproportionately uninsured patients in rural and underserved urban areas of the United States, have not fared as well since ambulatory visits have disappeared , resulting in furloughs, layoffs , and more than 1,900 temporary site closures throughout the country. [link].

Honor Your Doctor – It’s National Doctors Day Today (and EveryDay)

Health Populi

But every day, we must honor physicians for bolstering the health and wellness of our fellow Americans, our beloved families and friends, and our selves. There are physician shortages for both primary care and certain specialty areas like surgery, psychiatry geriatrics and…infectious disease. with larger concentrations of older patients lacking sufficient expertise and bandwidth to care for the special and multi-pronged needs for which geriatrics-trained clinicians prepped.

Medical Costs Are Consuming Americans’ Financial Health

Health Populi

Spending on medical care costs crowded out other household spending for millions of Americans in 2018, based on The U.S. Healthcare Cost Crisis , a survey from West Health and Gallup. One in three Americans overall are concerned they won’t be able to pay for health care services or prescription drugs: that includes 35% of people who are insured, and 63% of those who do not have insurance. health care system for themselves and their families; but 38% of U.S.

Digital Health As A Basic Human Need – the Dentsu Digital Society Index 2019

Health Populi

Psychological needs: While digital tech can enhance users’ sense and control of health and well-being, only 38% of people believe this need is met. Younger people score lower on psychological needs, the outcome of being a digital native and negative impacts on mental health and well-being among younger citizens. This is why I so often repeat that broadband connectivity is a social determinant of health.

Rationing Care in America: Cost Implications Getting to Universal Health Coverage

Health Populi

That percentage of people who delay medical cost based on the expense has remained stable since 2006: between 29 and 31 percent of Americans have self-rationed care due to cost for over a decade. Underneath this statistic, it’s important to compare the payor mix of patients delaying care: nearly one-third of people with private, commercial insurance delayed care by 2018; 22% of people enrolled in Medicaid or Medicare put off care.

Having Health Insurance Is A Social Determinant of Health

Health Populi

Health insurance was on the collective minds of American voters in the 2018 midterm elections. Health care, broadly defined, drove many people to the polls voting with feet and ballots to protect their access to a health plan covering a pre-existing condition or to protest the cost of expensive prescription drugs. These were the two top health care issues among voters in late 2018, a Kaiser Family Foundation poll at the time assessed.

In 2020, PwC Expects Consumers to Grow DIY Healthcare Muscles As Medical Prices Increase

Health Populi

The new year will see a “looming tsunami” of high prices in healthcare, regulation trumping health reform, more business deals reshaping the health/care industry landscape, and patients growing do-it-yourself care muscles, according to Top health industry issues of 2020: Will digital start to show an ROI from the PwC Health Research Institute. adults will likely vote on the basis of health care policies or paradigms.

Bowing to physician pressure, CMS delays visit code changes

Henry Kotula

At the top of our list: CMS significantly expanded telemedicine coverage, and will now reimburse for telemedicine and telephone visits for brief check-ins, evaluation of patient-submitted images or remote monitoring data, as well as more comprehensive and preventive care visits. We will be continuing to make our way through the details of the rule, and sharing our thoughts on its impact for doctors and health systems.