Posts Tagged ‘program

29
Sep
14

McAllen, Texas Saved $20M On Healthcare?! Thanks ObamaCare

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NYT: A Health Care Success Story

IT may have been the most influential magazine article of the past decade. In June of 2009, the doctor and writer Atul Gawande published a piece in The New Yorker called “The Cost Conundrum,” which examined why the small border city of McAllen, Tex., was the most expensive place for health care in the United States. The article became mandatory reading in the White House. President Obama convened an Oval Office meeting to discuss its key finding that the high cost of health care in the country was directly tied to a system that rewarded the overuse of care. Five years later, the situation has changed. Where McAllen once illustrated the problem of American health care, the city is now showing us how the problem can be solved, largely because of the Affordable Care Act that Mr. Obama signed into law in 2010.

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The problem was that doctors in McAllen were responding to reimbursement incentives in the American health care system that rewarded activity rather than value. The more procedures and visits a doctor billed, the more he got paid. The Affordable Care Act was designed to change that. One of its provisions created the Medicare Shared Savings Program, which rewards doctors for keeping their patients healthy. Participation in the program requires primary care doctors to create networks, called accountable care organizations, or A.C.O.s, to better coordinate patient care. These networks are reimbursed for delivering high-quality care below a baseline of historical Medicare costs. In 2012, doctors in McAllen formed the Rio Grande Valley Accountable Care Organization Health Providers, and signed up for this experiment. The early results are in, and they are stunning: From April 2012 to the end of 2013, the Rio Grande Valley A.C.O. saved more than $20 million from its Medicare baseline. These changes didn’t just save money; they also improved patients’ health. From 2012 to 2013, the number of patients achieving control of their diabetes rose 11.8 percentage points. The number receiving vaccinations rose 12.2 percentage points.

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26
Jul
14

He Is ‘My Brother’s Keeper’

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Washington Post: Mr. Obama’s Promising My Brother’s Keeper Initiative

THESE ARE the depressing facts about boys and young men of color: They are more likely to drop out of school, more likely to be in prison, more likely to be unemployed and more likely to die at an earlier age. That minority men are at disproportionate risk throughout their lives has largely been seen as unavoidable. The beauty of President Obama’s public-private initiative to create better futures for them is its refusal to accept these outcomes as inevitable.

My Brother’s Keeper, a five-year, $200 million effort focused on improving opportunities for black and Hispanic youth, was launched in February. It got a boost this week with the announcement of new commitments from the private sector. Equally important is the decision by 60 of the nation’s largest school districts to join the effort by implementing evidence-based strategies to improve outcomes. The country as a whole will gain when males of color are able to realize their potential, rather than ending up on the streets, in jail or in the morgue.

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12
Jul
14

ObamaCare: Saving Lives In So Many Ways

ObamaCares

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Valerie Bauman: Federal Money Adds 24 New Medical Residencies In Washington State’s Most Doctor-Starved Regions

As of this year, 24 new primary care residency spots will have been created in Washington through a five-year federal program dedicated to getting doctors to regions that need it most. The latest influx of federal money is $6.3 million, reported earlier this week, more than the combined $2.55 million that the program provided for Washington residencies between 2011-2013. Each new residency position is the equivalent of a three-year, guaranteed residency spot for one new doctor. It’s never been more important for Washington to grow its pipeline of new doctors, particularly in underserved urban and rural areas. The state’s projected doctor shortage has Washington State University considering opening its own medical school in Spokane.

It is unique because it partners medical residents with community health clinics that typically work with low-income or underserved populations. It benefits the resident by giving a new doctor real world experience, and helps communities by getting more doctors where they are needed most. The program was created in 2010 as part of the Affordable Care Act, and brought the first round of new residency spots to Washington in 2011. Initially, Yakima and Ellensburg received the funding for residents, but as more money has come in through the program, it’s been expanded to Tacoma, Spokane and to the Puyallup Tribal Health Authority.

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19
Jun
14

Chat On!

First Lady Michelle Obama hugs graduate Isiah Guinyard after he was presented with a Student Achievement Award during the DC College Access Program Class of 2014 graduation celebration in Washington, June 19




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