Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Government Programs: Programs and activities sponsored or administered by local, state, or national governments.United StatesHealth Promotion: Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.National Health Programs: Components of a national health care system which administer specific services, e.g., national health insurance.Health Education: Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Managed Care Programs: Health insurance plans intended to reduce unnecessary health care costs through a variety of mechanisms, including: economic incentives for physicians and patients to select less costly forms of care; programs for reviewing the medical necessity of specific services; increased beneficiary cost sharing; controls on inpatient admissions and lengths of stay; the establishment of cost-sharing incentives for outpatient surgery; selective contracting with health care providers; and the intensive management of high-cost health care cases. The programs may be provided in a variety of settings, such as HEALTH MAINTENANCE ORGANIZATIONS and PREFERRED PROVIDER ORGANIZATIONS.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Immunization Programs: Organized services to administer immunization procedures in the prevention of various diseases. The programs are made available over a wide range of sites: schools, hospitals, public health agencies, voluntary health agencies, etc. They are administered to an equally wide range of population groups or on various administrative levels: community, municipal, state, national, international.Curriculum: A course of study offered by an educational institution.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Software: Sequential operating programs and data which instruct the functioning of a digital computer.Foundations: Organizations established by endowments with provision for future maintenance.Quality Improvement: The attainment or process of attaining a new level of performance or quality.International Cooperation: The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.Consumer Participation: Community or individual involvement in the decision-making process.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Internship and Residency: Programs of training in medicine and medical specialties offered by hospitals for graduates of medicine to meet the requirements established by accrediting authorities.Mass Screening: Organized periodic procedures performed on large groups of people for the purpose of detecting disease.Women's Health: The concept covering the physical and mental conditions of women.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.Data Collection: Systematic gathering of data for a particular purpose from various sources, including questionnaires, interviews, observation, existing records, and electronic devices. The process is usually preliminary to statistical analysis of the data.Models, Organizational: Theoretical representations and constructs that describe or explain the structure and hierarchy of relationships and interactions within or between formal organizational entities or informal social groups.Developing Countries: Countries in the process of change with economic growth, that is, an increase in production, per capita consumption, and income. The process of economic growth involves better utilization of natural and human resources, which results in a change in the social, political, and economic structures.Interinstitutional Relations: The interactions between representatives of institutions, agencies, or organizations.Community-Institutional Relations: The interactions between members of a community and representatives of the institutions within that community.Pilot Projects: Small-scale tests of methods and procedures to be used on a larger scale if the pilot study demonstrates that these methods and procedures can work.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Financing, Government: Federal, state, or local government organized methods of financial assistance.World Health: The concept pertaining to the health status of inhabitants of the world.Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Financing, Organized: All organized methods of funding.Leadership: The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.School Health Services: Preventive health services provided for students. It excludes college or university students.Health Plan Implementation: Those actions designed to carry out recommendations pertaining to health plans or programs.Patient Education as Topic: The teaching or training of patients concerning their own health needs.Organizational Objectives: The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Community Networks: Organizations and individuals cooperating together toward a common goal at the local or grassroots level.Fellowships and Scholarships: Stipends or grants-in-aid granted by foundations or institutions to individuals for study.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Schools: Educational institutions.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Mentors: Senior professionals who provide guidance, direction and support to those persons desirous of improvement in academic positions, administrative positions or other career development situations.Organizational Innovation: Introduction of changes which are new to the organization and are created by management.National Institutes of Health (U.S.): An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Inservice Training: On the job training programs for personnel carried out within an institution or agency. It includes orientation programs.Health Care Coalitions: Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Practice Guidelines as Topic: Directions or principles presenting current or future rules of policy for assisting health care practitioners in patient care decisions regarding diagnosis, therapy, or related clinical circumstances. The guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by the convening of expert panels. The guidelines form a basis for the evaluation of all aspects of health care and delivery.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Exercise Therapy: A regimen or plan of physical activities designed and prescribed for specific therapeutic goals. Its purpose is to restore normal musculoskeletal function or to reduce pain caused by diseases or injuries.World Health Organization: A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.Education, Medical, Graduate: Educational programs for medical graduates entering a specialty. They include formal specialty training as well as academic work in the clinical and basic medical sciences, and may lead to board certification or an advanced medical degree.Clinical Competence: The capability to perform acceptably those duties directly related to patient care.Biomedical Research: Research that involves the application of the natural sciences, especially biology and physiology, to medicine.Preventive Health Services: Services designed for HEALTH PROMOTION and prevention of disease.Teaching: The educational process of instructing.Total Quality Management: The application of industrial management practice to systematically maintain and improve organization-wide performance. Effectiveness and success are determined and assessed by quantitative quality measures.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.Healthy People Programs: Healthy People Programs are a set of health objectives to be used by governments, communities, professional organizations, and others to help develop programs to improve health. It builds on initiatives pursued over the past two decades beginning with the 1979 Surgeon General's Report, Healthy People, Healthy People 2000: National Health Promotion and Disease Prevention Objectives, and Healthy People 2010. These established national health objectives and served as the basis for the development of state and community plans. These are administered by the Office of Disease Prevention and Health Promotion (ODPHP). Similar programs are conducted by other national governments.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Organizations, Nonprofit: Organizations which are not operated for a profit and may be supported by endowments or private contributions.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Medicaid: Federal program, created by Public Law 89-97, Title XIX, a 1965 amendment to the Social Security Act, administered by the states, that provides health care benefits to indigent and medically indigent persons.Accreditation: Certification as complying with a standard set by non-governmental organizations, applied for by institutions, programs, and facilities on a voluntary basis.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.State Government: The level of governmental organization and function below that of the national or country-wide government.HIV Infections: Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS).Politics: Activities concerned with governmental policies, functions, etc.Public Health Administration: Management of public health organizations or agencies.Research: Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)Medically Underserved Area: A geographic location which has insufficient health resources (manpower and/or facilities) to meet the medical needs of the resident population.Education, Graduate: Studies beyond the bachelor's degree at an institution having graduate programs for the purpose of preparing for entrance into a specific field, and obtaining a higher degree.CaliforniaFollow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Needle-Exchange Programs: Organized services for exchange of sterile needles and syringes used for injections as a potential means of reducing the transmission of infectious diseases.Education, Medical: Use for general articles concerning medical education.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Research Design: A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.Food Services: Functions, equipment, and facilities concerned with the preparation and distribution of ready-to-eat food.Universities: Educational institutions providing facilities for teaching and research and authorized to grant academic degrees.Information Dissemination: The circulation or wide dispersal of information.Algorithms: A procedure consisting of a sequence of algebraic formulas and/or logical steps to calculate or determine a given task.Federal Government: The level of governmental organization and function at the national or country-wide level.Education, Medical, Continuing: Educational programs designed to inform physicians of recent advances in their field.Capacity Building: Organizational development including enhancement of management structures, processes and procedures, within organizations and among different organizations and sectors to meet present and future needs.Child Health Services: Organized services to provide health care for children.Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Communicable Disease Control: Programs of surveillance designed to prevent the transmission of disease by any means from person to person or from animal to man.Diffusion of Innovation: The broad dissemination of new ideas, procedures, techniques, materials, and devices and the degree to which these are accepted and used.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Research Support as Topic: Financial support of research activities.Rural Population: The inhabitants of rural areas or of small towns classified as rural.State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.Public Policy: A course or method of action selected, usually by a government, from among alternatives to guide and determine present and future decisions.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Staff Development: The process by which the employer promotes staff performance and efficiency consistent with management goals and objectives.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Infant, Newborn: An infant during the first month after birth.Education: Acquisition of knowledge as a result of instruction in a formal course of study.Organizations: Administration and functional structures for the purpose of collectively systematizing activities for a particular goal.Interdisciplinary Communication: Communication, in the sense of cross-fertilization of ideas, involving two or more academic disciplines (such as the disciplines that comprise the cross-disciplinary field of bioethics, including the health and biological sciences, the humanities, and the social sciences and law). Also includes problems in communication stemming from differences in patterns of language usage in different academic or medical disciplines.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Policy Making: The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.Great BritainIncidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.IndiaPublic Health Practice: The activities and endeavors of the public health services in a community on any level.Focus Groups: A method of data collection and a QUALITATIVE RESEARCH tool in which a small group of individuals are brought together and allowed to interact in a discussion of their opinions about topics, issues, or questions.Postmenopause: The physiological period following the MENOPAUSE, the permanent cessation of the menstrual life.Databases, Factual: Extensive collections, reputedly complete, of facts and data garnered from material of a specialized subject area and made available for analysis and application. The collection can be automated by various contemporary methods for retrieval. The concept should be differentiated from DATABASES, BIBLIOGRAPHIC which is restricted to collections of bibliographic references.Disease Management: A broad approach to appropriate coordination of the entire disease treatment process that often involves shifting away from more expensive inpatient and acute care to areas such as preventive medicine, patient counseling and education, and outpatient care. This concept includes implications of appropriate versus inappropriate therapy on the overall cost and clinical outcome of a particular disease. (From Hosp Pharm 1995 Jul;30(7):596)Patient Compliance: Voluntary cooperation of the patient in following a prescribed regimen.Academies and Institutes: Organizations representing specialized fields which are accepted as authoritative; may be non-governmental, university or an independent research organization, e.g., National Academy of Sciences, Brookings Institution, etc.Models, Educational: Theoretical models which propose methods of learning or teaching as a basis or adjunct to changes in attitude or behavior. These educational interventions are usually applied in the fields of health and patient education but are not restricted to patient care.Health Behavior: Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.Regional Medical Programs: Coordination of activities and programs among health care institutions within defined geographic areas for the purpose of improving delivery and quality of medical care to the patients. These programs are mandated under U.S. Public Law 89-239.Patient Care Team: Care of patients by a multidisciplinary team usually organized under the leadership of a physician; each member of the team has specific responsibilities and the whole team contributes to the care of the patient.Government Agencies: Administrative units of government responsible for policy making and management of governmental activities.Training Support: Financial support for training including both student stipends and loans and training grants to institutions.Reimbursement, Incentive: A scheme which provides reimbursement for the health services rendered, generally by an institution, and which provides added financial rewards if certain conditions are met. Such a scheme is intended to promote and reward increased efficiency and cost containment, with better care, or at least without adverse effect on the quality of the care rendered.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Organizational Case Studies: Descriptions and evaluations of specific health care organizations.Estrogen Replacement Therapy: The use of hormonal agents with estrogen-like activity in postmenopausal or other estrogen-deficient women to alleviate effects of hormone deficiency, such as vasomotor symptoms, DYSPAREUNIA, and progressive development of OSTEOPOROSIS. This may also include the use of progestational agents in combination therapy.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Safety Management: The development of systems to prevent accidents, injuries, and other adverse occurrences in an institutional setting. The concept includes prevention or reduction of adverse events or incidents involving employees, patients, or facilities. Examples include plans to reduce injuries from falls or plans for fire safety to promote a safe institutional environment.New YorkPublic-Private Sector Partnerships: An organizational enterprise between a public sector agency, federal, state or local, and a private sector entity. Skills and assets of each sector are shared to deliver a service or facility for the benefit or use of the general public.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Educational Measurement: The assessing of academic or educational achievement. It includes all aspects of testing and test construction.Faculty: The teaching staff and members of the administrative staff having academic rank in an educational institution.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Health Planning: Planning for needed health and/or welfare services and facilities.Information Systems: Integrated set of files, procedures, and equipment for the storage, manipulation, and retrieval of information.Schools, Medical: Educational institutions for individuals specializing in the field of medicine.Guideline Adherence: Conformity in fulfilling or following official, recognized, or institutional requirements, guidelines, recommendations, protocols, pathways, or other standards.Estrogens, Conjugated (USP): A pharmaceutical preparation containing a mixture of water-soluble, conjugated estrogens derived wholly or in part from URINE of pregnant mares or synthetically from ESTRONE and EQUILIN. It contains a sodium-salt mixture of estrone sulfate (52-62%) and equilin sulfate (22-30%) with a total of the two between 80-88%. Other concomitant conjugates include 17-alpha-dihydroequilin, 17-alpha-estradiol, and 17-beta-dihydroequilin. The potency of the preparation is expressed in terms of an equivalent quantity of sodium estrone sulfate.Organizational Policy: A course or method of action selected, usually by an organization, institution, university, society, etc., from among alternatives to guide and determine present and future decisions and positions on matters of public interest or social concern. It does not include internal policy relating to organization and administration within the corporate body, for which ORGANIZATION AND ADMINISTRATION is available.Family Practice: A medical specialty concerned with the provision of continuing, comprehensive primary health care for the entire family.Internationality: The quality or state of relating to or affecting two or more nations. (After Merriam-Webster Collegiate Dictionary, 10th ed)Counseling: The giving of advice and assistance to individuals with educational or personal problems.Guidelines as Topic: A systematic statement of policy rules or principles. Guidelines may be developed by government agencies at any level, institutions, professional societies, governing boards, or by convening expert panels. The text may be cursive or in outline form but is generally a comprehensive guide to problems and approaches in any field of activity. For guidelines in the field of health care and clinical medicine, PRACTICE GUIDELINES AS TOPIC is available.Needs Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.Exercise: Physical activity which is usually regular and done with the intention of improving or maintaining PHYSICAL FITNESS or HEALTH. Contrast with PHYSICAL EXERTION which is concerned largely with the physiologic and metabolic response to energy expenditure.Costs and Cost Analysis: Absolute, comparative, or differential costs pertaining to services, institutions, resources, etc., or the analysis and study of these costs.Eligibility Determination: Criteria to determine eligibility of patients for medical care programs and services.Social Marketing: Use of marketing principles also used to sell products to consumers to promote ideas, attitudes and behaviors. Design and use of programs seeking to increase the acceptance of a social idea or practice by target groups, not for the benefit of the marketer, but to benefit the target audience and the general society.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Benchmarking: Method of measuring performance against established standards of best practice.Intervention Studies: Epidemiologic investigations designed to test a hypothesized cause-effect relation by modifying the supposed causal factor(s) in the study population.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Personnel Selection: The process of choosing employees for specific types of employment. The concept includes recruitment.United States Dept. of Health and Human Services: A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.Volunteers: Persons who donate their services.Students: Individuals enrolled in a school or formal educational program.Smoking: Inhaling and exhaling the smoke of burning TOBACCO.Poliomyelitis: An acute infectious disease of humans, particularly children, caused by any of three serotypes of human poliovirus (POLIOVIRUS). Usually the infection is limited to the gastrointestinal tract and nasopharynx, and is often asymptomatic. The central nervous system, primarily the spinal cord, may be affected, leading to rapidly progressive paralysis, coarse FASCICULATION and hyporeflexia. Motor neurons are primarily affected. Encephalitis may also occur. The virus replicates in the nervous system, and may cause significant neuronal loss, most notably in the spinal cord. A rare related condition, nonpoliovirus poliomyelitis, may result from infections with nonpoliovirus enteroviruses. (From Adams et al., Principles of Neurology, 6th ed, pp764-5)Cost Savings: Reductions in all or any portion of the costs of providing goods or services. Savings may be incurred by the provider or the consumer.Administrative Personnel: Individuals responsible for the development of policy and supervision of the execution of plans and functional operations.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Self Care: Performance of activities or tasks traditionally performed by professional health care providers. The concept includes care of oneself or one's family and friends.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.User-Computer Interface: The portion of an interactive computer program that issues messages to and receives commands from a user.Occupational Health Services: Health services for employees, usually provided by the employer at the place of work.Societies, Medical: Societies whose membership is limited to physicians.Health Priorities: Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.Primary Prevention: Specific practices for the prevention of disease or mental disorders in susceptible individuals or populations. These include HEALTH PROMOTION, including mental health; protective procedures, such as COMMUNICABLE DISEASE CONTROL; and monitoring and regulation of ENVIRONMENTAL POLLUTANTS. Primary prevention is to be distinguished from SECONDARY PREVENTION and TERTIARY PREVENTION.Social Responsibility: The obligations and accountability assumed in carrying out actions or ideas on behalf of others.Substance Abuse Treatment Centers: Health facilities providing therapy and/or rehabilitation for substance-dependent individuals. Methadone distribution centers are included.Professional Competence: The capability to perform the duties of one's profession generally, or to perform a particular professional task, with skill of an acceptable quality.Centers for Disease Control and Prevention (U.S.): An agency of the UNITED STATES PUBLIC HEALTH SERVICE that conducts and supports programs for the prevention and control of disease and provides consultation and assistance to health departments and other countries.Health Care Costs: The actual costs of providing services related to the delivery of health care, including the costs of procedures, therapies, and medications. It is differentiated from HEALTH EXPENDITURES, which refers to the amount of money paid for the services, and from fees, which refers to the amount charged, regardless of cost.South Africa: A republic in southern Africa, the southernmost part of Africa. It has three capitals: Pretoria (administrative), Cape Town (legislative), and Bloemfontein (judicial). Officially the Republic of South Africa since 1960, it was called the Union of South Africa 1910-1960.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Computer-Assisted Instruction: A self-learning technique, usually online, involving interaction of the student with programmed instructional materials.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Attitude to Health: Public attitudes toward health, disease, and the medical care system.International Agencies: International organizations which provide health-related or other cooperative services.Evidence-Based Practice: A way of providing health care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention, and re-evaluate the outcome for future improvement.Substance-Related Disorders: Disorders related to substance abuse.Computers
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The American journal of managed care 15, 9, 593-601. With Robert Hecht and others 2009. Critical choices in financing the ... Health Policy Initiative, Futures Group, Washington DC. With Wang Weibing and others. 2009. Type 2 diabetes mellitus in China: ... HIV and AIDS programs - how they support health system strengthening. Results for Development Working Paper. Ed., Third world ... and managed training for Bank staff in these areas. He now serves as sector chair for the HNP sector of the 1818 Society for ...
The plan is intended "to provide clarity in federal policies, programs, and actions and includes strategies to align program ... American Journal of Managed Care. 22 (February 2016 2). Rocchio, Betty Jo (2016-10-01). "Achieving Cost Reduction Through Data ... The Strategic Plan includes several key initiatives employing multiple strategies to meet its goals. These include: (1) ... Health care analytics allows for the examination of patterns in various healthcare data in order to determine how clinical care ...
... members and the public by managing key oral health issues on their behalf and by coordinating dental health awareness programs ... CDA is actively involved with lobbying and advocacy initiatives and uses its leadership role to communicate to the public and ... the government the profession's concerns regarding managed dental care. The CDA Seal of Recognition is a symbol of products ... to preserve the integrity of Canada's unique oral health care delivery system The Canadian Dental Association is a nationwide ...
The International Exchange for Health Care Policy and Research program manages and focuses on health issues of a global nature ... The initiative seeks to foster development of a network of long-term care researchers, policy leaders, providers, consumer ... AcademyHealth serves as the HCFO program's National Program Office. Established in 1988 as the successor to RWJ's Program for ... AcademyHealth manages several programs that serve the health services and policy communities. Funded by the Robert Wood Johnson ...
... is an initiative of the Australian Federal Government, managed by the Department of Social Services (Australia). The target ... QCCN contributes to two main programs to help elderly Australians, the "Community Visitors Scheme" and the "100+ Club". The ... Since 1990 Queensland Community Care Network along with a number of other organisations has been funded to manage the Community ... Australia portal Aged care Queensland Community Care Network.. ... Queensland Community Care Network Inc. (QCCN) is a charity ...
This product is designed for the SCHIP initiative. Seniors and People with Disabilities (S/PD) A managed health care product ... 31, 2012: Children's Health Insurance Program (CHIP) A managed health care product for uninsured children not eligible for ... making it the nation's largest provider of health care for public programs. Amerigroup began as AMERICAID Community Care in ... Temporary Assistance for Needy Families (TANF) A Medicaid managed health care product. This product is designed for the TANF ...
Under a program known as the CHAMPUS Reform Initiative (CRI), a contractor provided both health care and administrative-related ... The CRI project was one of the first to introduce managed care features to the CHAMPUS program. Beneficiaries under CRI were ... The Tricare program is managed by the Defense Health Agency (DHA). Before 1 October 2013, it was managed by the Tricare ... This civilian health care program became known as the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) ...
In 1990, the National Committee for Quality Assurance (NCQA) was entrusted to offer accreditation programs for managed care ... Health care professionals are not immune to lawsuits; therefore, health care organizations have taken initiatives to establish ... Under PCMH, care among personal primary care physicians and specialists increased coordination and integration of care for the ... which is a large public reporting program that measures and also reports processes of care and outcomes for various health care ...
"Programs aim to control health-care costs by managing diabetes, other diseases," Houston Chronicle. Carroll, John (2004). "DM ... Care Continuum Alliance. DMAA research initiatives. Retrieved 2008-10-13. Krizner, Ken. Updated disease management guidelines ... Managed Care 1999 Nov;8(11). Abruzzo, Mark D. Despite what you hear, state privacy statutes no threat to DM. Managed Care 2000 ... Care Continuum Alliance. Care Continuum Alliance Launches New Brand for Population Health Improvement Retrieved 2010-09-26 Care ...
... and child care. OCFS also manages New York's juvenile justice system and supervises county-based juvenile justice programs. In ... Commissioner Carrión earned the most recognition for her initiative to transform the juvenile justice system she inherited, ... and charged it with moving beyond simply regulating child care, to implementing policies and program to improve child care to ... she developed policies and programs to strengthen families and to help them avoid having their children placed in foster care ...
Their Clinical Management Research Program focuses on managing the care of people with ALS in such areas as nutrition, ... The ALS Association's TREAT ALS (Translational Research Advancing Therapy for ALS) initiative combines efficient new drug ... information/referral service Equipment loan programs Augmentative communication device programs Respite programs Programs of ... Each ALS Association chapter offers programs that can include many of the following: Patient education programs Support groups ...
The program was launched January 1, 1994. The state contracted with 12 statewide managed-care organizations that were ... TennCare was started in the early 1990s under Governor Ned McWherter as a health care reform initiative that had the twin goals ... Managed Care and Low-Income Populations: A Case Study of Managed Care in Tennessee; 2006 Update, Prepared by Mathematica Policy ... It was the first state Medicaid program to enroll all Medicaid recipients in managed care. When first implemented, it also ...
... local initiative health plan) would be formed to compete directly for Medi-Cal managed care enrollments with a "commercial plan ... Care's Healthy Kids program for children ages 0-5, funded in partnership with First 5 LA and the Children's Health Initiative ... "2015annualreport". L.A. Care Health Plan. 2015. Retrieved 26 January 2018. Expanding Medi-Cal Managed Care: Reforming the ... Health care "About L.A. Care Health Plan" (PDF). L.A. Care Health Plan. Retrieved 10 September 2013. " ...
... periodically promotes local take-back programs as well as a program called the National Take Back Initiative. Currently, take ... Environ Manage. 38 (5): 853-66. doi:10.1007/s00267-005-0306-z. PMID 16955232. Donn J. (2009). Tons of Released Drugs Taint U.S ... back programs are funded by state or local health departments or are volunteer programs through pharmacies or health care ... "Personal care products" may include cosmetics, fragrances, menstrual care products, lotions, shampoos, soaps, toothpastes, and ...
"The Supreme Court's limitation of managed-care liability," and "What recourse? Liability for managed care decisions and the ... the Institute of Medicine's Committees the Ryan White CARE Act and the Children's Vaccine Initiative, the CIOMS/WHO Steering ... Institute's Division on Regulatory Knowledge and Research Ethics and is Faculty Director of the JD-MPH dual degree program at ... What recourse?-liability for managed care decisions and the Employee Retirement Income Security Act. New England Journal of ...
The nonprofit became the managing partner of The Fistula Care Project, funded by USAID. At the time, it was the largest ... AVSC launched an international postabortion care (PAC) program in 1993 to reduce injury and death among women who undergo ... In 2011, management of the MHTF moved on to the Harvard School of Public Health Women and Health Initiative to continue its ... Since then, the program has been introduced in more than 30 countries. (The organization has never provided abortions.) The ...
The ACC implemented the Responsible Care program in 1988. At least 52 countries have implemented this initiative. It is managed ... Some critics[who?] believe that the Responsible Care program is intended to help the industry avoid regulation by imposing its ... Defenders[who?] of the Responsible Care standard claim the program has improved safety and that its standards are higher than ... Responsible Care Global Initiative Lobby Watch: The Center for Public Integrity ACC profile BisphenolA (another site owned by ...
There is a great disparity in access to health care and public health initiatives between developed nations and developing ... Public health communications programs, vaccination programs and distribution of condoms are examples of common preventive ... managed care and community-based organizations, hospitals and consulting firms among others. Master of Public Health degrees ... The history of public health care clearly shows the global effort to improve health care for all.[citation needed] However, in ...
... health initiative. She is credited with enlisting Republican Mike Huckabee to the program, to help prevent criticism from ... charged with managing communications and outreach strategy for the Patient Protection and Affordable Care Act. In 2011, Cutter ... Ben Frumin (April 22, 2010). "White House Taps Stephanie Cutter To Sell Health Care Reform". TPMDC. Retrieved April 13, 2012. ... "she protected Geithner's fragile reputation and tried to spin unpopular policies like the Troubled Asset Relief Program and the ...
... and other initiatives. The National Program Management Committee and the Program Development and Management teams were ... organized in order to oversee and manage the development of the program and to create the protocols regarding the specific ... and emotional health care in the Philippines from both past and present programs. There are three tiers in the health care ... Several programs and initiatives are pursued in order to strengthen mental health support and to lessen the stigma against ...
Media Services takes care of Social Media and creative content production. Manages all of the strategic communications work ... Brand Dubai is a newly formed initiative which is the creative arm of the GDMO, it has role in beautifying the city through ... "Government of Dubai Media Office launches the International Media Diplomacy Program". GulfNews. Retrieved 2017-12-11. "How the ... Manages all of the internal organization's strategic objectives. An association for journalists and media professionals founded ...
... those who managed to be educated there could receive jobs working for aid agencies such as CARE, WFP, or GTZ that distribute ... CARE has initiated microfinance programs, which are particularly important for encouraging women to start their own businesses ... The initiative was earmarked for three years, with $4.6 million allocated toward its syllabus. It included new classrooms for ... CARE is also working to create more inclusive markets that refugees are able to participate in to profit off of their newly ...
She insists that the health care system rid itself of intentional and inadvertent racism. The managed care organizations entice ... The slave health deficit will continue to negatively impact African Americans unless a well planned legal program is enacted. ... Sickle Cell Screening Initiative, planning/involuntary sterilization, and the excuses that the medical system gave to justify ... Randall states that they are a direct result of slavery and the lack of health care that was provided from the time of slavery ...
This has compromised patient care and created an incredible need for improvement in the emergency care system.[7] ... Another regionalization initiative is the creation of health consortia, which pools the resources of several neighbouring ... The main strategy for strengthening primary healthcare is the Family Health Program, introduced by the municipal health ... of the insurance plans are offered by commercial operators and companies with self-managed plans. ...
Global Initiative for Asthma. . Global strategy for asthma management and prevention. Available at: http://ginasthma.org/2017- ... Oral Corticosteroid Prescribing for Children With Asthma in a Medicaid Managed Care Program. Harold J. Farber, Edwin A. ... Oral Corticosteroid Prescribing for Children With Asthma in a Medicaid Managed Care Program ... Oral Corticosteroid Prescribing for Children With Asthma in a Medicaid Managed Care Program ...
As the US healthcare system moves to better manage care and pay for value, providers of skilled nursing face key strategic ... Increasingly, states are integrating quality initiatives into their Medicaid Managed Care programs, setting requirements for ... Thirty-six states have integrated quality initiatives into their Medicaid Managed Care programs to date. ... Managed Medicaid is growing as well. Managed Medicaid expenditures for long-term care services and supports increased from $5 ...
This page lists publications related to the REACH program, organized by year. ... CDC supports awardee partners that will establish community-based programs and culturally-tailored interventions serving ... Community participation in health initiatives for marginalized populations.External. J Ambul Care Manage 2009. 32(4): 264-270. ... J Ambul Care Manage 2006;29(2):112-24.. Calman, N. S., et al. Separate and unequal care in New York City.External. Journal of ...
Medicaid Managed Care for Dual Eligibles: Case Studies of Programs in Georgia, Minnesota, and Pennsylvania. This report, a ... many recent initiatives and proposals to improve the coordination of their care aimed at both raising the quality of their care ... Medicaid Managed Care for Dual Eligibles: State Profiles. Over half a million duals were enrolled in Medicaid managed care ... presents detailed case studies of the managed care programs that enroll dual eligibles in three states: Georgia, Minnesota and ...
PCCM and PHP Program Changes. Primary Care Case Management (PCCM) Program Changes. Of the 16 states with PCCM programs, three ... Managed Care Initiatives. Implementing Coverage and Payment Initiatives: Results from a 50-State Medicaid Budget Survey for ... Type(s) of Managed Care In Place. Share of Medicaid Population in Different Managed Care Systems. ... Share of Medicaid Population that is covered by different managed care systems. MCO refers to risk-based managed care; PCCM ...
As part of this program, 10 national nonprofit organizations with prevention expertise were funded and matched with specific ... Health Care Manage Rev 2011;36(4):315-26. CrossRef PubMed. * Drake JK, Hutchings JE, Elias CJ. Making evidence work for ... The Active Living by Design national program: community initiatives and lessons learned. Am J Prev Med 2009;37(6, Suppl 2):S313 ... The Society for Public Health Education (SOPHE) developed a training program to assist health care providers in initiating and ...
Harriet Lane Compassionate Care Program. Cynda Hylton Rushton. Read More. Improving the Accuracy of Linear Growth Assessment in ... Initiatives *Academy Jonas Policy Scholars *Academy Jonas Policy Scholar Application. *Choosing Wisely ... Nurse Managed Health Centers. Tine Hansen-Turton &. Joanne Pohl. Read More. On Lok Senior Health Services. ... Patient Centered/Holistic Care. Patient Centered/Holistic Care. Nursing has the answer to the many problems that plague our ...
In Maryland, when a Medicaid managed care program was initiated, Memoranda of Author(s): Burwen, Dale R.,Sylvester, Carol C., ... Understanding the perspectives of each organization can facilitate development of health promotion initiatives that will be of ... Developing a Community Health Promotion Agenda for a Managed Care Organization. Coordination and collaboration between ...
Health Initiatives Program Director, YMCA of San Francisco. ... Managed Care Academy. *Aging in America Conference*General Info ... Join ASA for the third annual Managed Care Academy series of programs. We are excited to offer even more opportunities to learn ... Part 1 of the Managed Care Academy Boot Camp. Monday, March 26 , 9:00 AM-10:30 AM. No fee. Pre-registration is required.. CEU ... ASAs 2018 Managed Care Academy Summit. Thursday, March 29 , 9:00 AM-1:00 PM. No fee. Pre-registration is required. (Includes ...
Moderator: Virginia Rowthorn, Managing Director, Law & Health Care Program; Director, University of Maryland Baltimore Center ... Alexander Plum, Senior Program Coordinator, The Global Health Initiative at Henry Ford Health System, USA ... The impact of Low Dose High Frequency (LDHF) Training Approach on Health Care Provider Capacity to Prevent, Detect and Manage ... Mustapha Hajjou, Senior Program Manager, Promoting the Quality of Medicines Program,U.S. Pharmacopeial Convention (USP), USA ...
... aged care and sport. Our policies guide our initiatives and programs which deliver activities and services. ... We develop policy to solve problems and manage issues in health, ... shaping, distributing and managing our health and aged care ... We develop policy to solve problems and manage issues in health, aged care and sport. Our policies guide our initiatives and ... promoting best practice health care across a broad range of needs. *ensuring therapeutic goods and medical devices are safe and ...
Cancer Screening Initiatives A blueprint for high-volume, high-quality lung cancer screening that is detecting cancer earlier- ... Some State Medicaid Programs Still Block or Limit Hep C Drugs. By Ed Silverman ... Exacerbations among chronic bronchitis patients treated with maintenance medications from a US managed care population: an ... Identifying and characterizing COPD patients in US managed care. A retrospective, cross-sectional analysis of administrative ...
How Decision-Makers Can Select and Monitor High Quality Programs,1 is designed to assist state Medicaid agencies in evaluating ... This recognition led to initiatives throughout the country to establish organized systems of care. A different vocabulary has ... Elements of Successful Managed Care Medicaid Mental Health Programs. Successful managed Medicaid mental health programs provide ... and consumers of care take a leadership role in developing a process for holding managed care Medicaid programs accountable for ...
The Master of Science in Health Care Quality and Safety program is an executive degree program designed to prepare busy health ... care professionals for leadership roles in the quality and safety areas in hospitals, nursing homes, clinics, and other health ... Degree Program Overview. The Master of Science in Health Care Quality and Safety program is an executive degree program ... Professionals in health care quality and safety manage the strategic and operational aspects of quality operations; establish ...
Managed care stocks are approaching support as investors make sense of a proposed Medicare-for-All bill. Lets explore three ... An underwriters association works to establish and maintain professional standards through advocacy initiatives and program ... Managed care stocks have come under heavy selling pressure since a Medicare-for-All bill was submitted to the House of ... The managed care giant completed a $54 billion acquisition of Express Scripts Holding Co. in December to take advantage of ...
Managing Editor at a preventive health care journal. Public Health Program Coordinator ... Coordinator, Maternal and Child Health Initiatives for a state Department of Public Health ... Health Care Administration and Health Care Providers. Chief Quality Officer for health care organization ... Program Coordinator for career preparation program for non-traditional applicants. Social Work intern at a non-profit focused ...
Local Management Entity/Manage Care Organization Directory Map TBI Waiver. This home and community based Medicaid program is ... Data Initiatives. The TBI Program is engaged in several data initiatives to assist in determining the number of individuals ... TBI State Funded Programming. Based upon legislative appropriation, each Local Management Entity-Managed Care Organization (LME ... Collaborate and Coordinate: Increased collaboration and coordination between primary health care and behavioral health care ...
Health Care Atrius Health reaching back to its managed roots. Provider group bullish on "value-based" care models By Michael ... Schools need to sign up now for fed food program. By Andy Vargas. Initiative provides free breakfast and lunch. See all » ... The idea behind managed care, however, is enjoying a revival as the US health care system struggles to find ways to better ... It harkens to the early days of managed care, when such a system was touted as a way to achieve the double-win of better health ...
Workplace wellness programs can lower health care costs in workers with chronic diseases. However, encouraging workers to adopt ... Workplace wellness programs can significantly lower health care costs by helping workers to better manage chronic diseases. ... which included separate chronic-disease management and healthy-lifestyle initiatives, researchers found that:. * Efforts to ... "The PepsiCo program provides a substantial return for the investment made in helping employees manage chronic illnesses such as ...
Medi-Cal managed care initiative generates unique partnership; PathLab and Alameda alliance for health finalize public-private ... Passages: Arkansass Nursing Home Transition Program Consumer Education Initiatives in Financial and Health Literacy Housing ... Prevention and managed care: opportunities for managed care organizations, purchasers of health care, and public health ... The challenge of managing laboratory information in a managed care environment. Am J Clin Pathol. 1996;105(Suppl 1):S3-S9. ...
Managed Care Reduced Medicaid Readmissions Among Children With Type 1 Diabetes, AJMC Study Finds. 6. Three Experts on Medicare- ... Medicaid Duals Demo to Discuss Lessons Learned from Financial Alignment Initiative. 7. NY State Medicaid Program Invests in ... He is responsible for demonstrating the value of Medicaid managed care to these audiences as well as opening new markets for ... Myers will also provide insight into value-based care initiatives from the perspective of Medicaid Health Plans and why payer- ...
Present and Future of Managed Long-Term Care Paul Saucier, Brian Burwell and Kerstin Gerst Thomson/MEDSTAT and University of ... New York State includes PACE and non-PACE programs within its managed long-term care initiative. ... long-term care benefits were in risk-based managed long-term care programs in 2004.4 This equals a managed care penetration ... services in managed care programs, and Arizona remains the only state that provides all long-term care through managed care. ...
... recaps the top managed care news of the week, and you can now listen to it on our podcast, Managed Care Cast. ... The American Journal of Managed Care,/em,,sup,®,/sup, ... in Managed Care-Judges Strike Down Trump Health Initiatives and ... Understanding Problems With CMS Diabetes Test Strip Bidding Program. April 09, 2019 ... Every week, The American Journal of Managed Care® recaps the top managed care news of the week, and you can now listen to it on ...
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... case management initiatives to manage the process of care and community reintegration; development of life-long follow-up ... programs and management in the community to ensure continued health; the development of purpose-built accommodation in order to ... He managed this achievement through close observation of human behavior. His warmth, witty intelligence, and his humor will be ...
  • Of the 48 states that operate some form of managed care, seven operate both MCOs and a PCCM program while 32 states operate MCOs only and nine states operate PCCM programs only 3 (Figure 3). (kff.org)
  • Wyoming, one of the three states without any managed care (i.e., without either MCOs or a PCCM program), does operate a limited-benefit risk-based prepaid health plan (PHP). (kff.org)
  • Looking at total program enrollment, 2.4 million of Ohio's 2.9 million Medicaid enrollees are covered by one of Ohio's Medicaid MCOs, though that number shrinks to 2.2 million, including the aged, blind and disabled (ABD), covered families and children (CFC) and the expansion population (Group VIII), once the MyCare population is excluded. (communitysolutions.com)
  • Given the increased role MCOs have had in managing these resources, the state's contractual expectations for the plans can be examined to better understand the purpose and intention for this outsourcing. (communitysolutions.com)
  • Post-acute care is on the cusp of some of the greatest changes it has seen in decades, and those operating across this growing sector of healthcare have exciting opportunities - and some interesting challenges to consider - as they chart their future. (forbes.com)
  • This was the clear message this week, as the American Health Care Association and National Center for Assisted Living hosted their first Population Health Management Summit, which brought together post-acute care leaders to explore issues related to quality, value and risk. (forbes.com)
  • Changes that influence post-acute care are pervasive. (forbes.com)
  • Value-based reimbursement is becoming the norm across all public and private payor types, and post-acute care is poised to engaged in more value-based agreements in the months to come. (forbes.com)
  • Acute care incentives are driving post-acute care utilization. (forbes.com)
  • For such claims, OIG will examine the financial or common ownership relationship between the acute-care hospital and the hospice provider. (foley.com)
  • OIG also will examine how Medicare treats reimbursement for similar transfers from the acute care setting to other settings. (foley.com)
  • The study estimated that these top five infections cost $9.9 million to manage at an acute care centre. (bd.com)
  • The number of deaths from the top five infections in the acute care setting amounted to 149 annually. (bd.com)
  • Since the bill made its way into the House, the S&P 500 Managed Health Care subindex (^SP500-35102030) - a benchmark for stocks in the sector - has fallen 9.5% as of March 5, 2019. (investopedia.com)
  • Trading at $236.02, with a market cap of $226.47 billion and yielding 1.49%, UnitedHealth Group stock is down 1.19% YTD, underperforming the Health Care Plans industry average by about 1% as of March 5, 2019. (investopedia.com)
  • https://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.png 0 0 NASHP https://www.nashp.org/wp-content/uploads/2019/06/NASHP-Logo.png NASHP 2009-04-17 13:16:03 2019-10-01 11:56:12 How Safe Is Your Health Care? (nashp.org)
  • In 2019, the Pac-12 Grant Program committed funding to Dr. Angela Lumba-Brown for leading a study, 'The Subtypes of Concussion - Classification and Recovery Trajectories in Pac-12 Student Athletes,' aimed at advancing the science of concussion care and changing how concussions are diagnosed and managed. (stanford.edu)
  • In both FY 2016 and in FY 2017, states continued to take actions to increase enrollment in risk-based managed care, most commonly by enrolling additional eligibility groups. (kff.org)
  • However, two national commercial HMOs, Evercare and AmeriGroup, have multi-state presence and account for a substantial portion of all managed long-term care enrollment. (hhs.gov)
  • Building on the 2006 mandatory enrollment requirement, a hallmark of the Kasich administration's approach to governing Medicaid was utilizing managed care as a cost-containment strategy. (communitysolutions.com)
  • Pregnant women on Medicaid are also more likely than women with private insurance to wait until their last trimester to receive prenatal care or to skip prenatal care altogether, which places them at higher risk of having a baby with birth complications. (deloitte.com)
  • Managed Medicaid expenditures for long-term care services and supports increased from $5 billion in 2008 to $39 billion in 2016. (forbes.com)
  • managed long-term services and supports (MLTSS) is discussed in the long-term services and supports (LTSS) section. (kff.org)
  • PCCM is a managed fee-for-service (FFS) based system in which beneficiaries are enrolled with a primary care provider who is paid a small monthly fee to provide case management services in addition to primary care. (kff.org)
  • New ways of paying for value-based care have changed the landscape for delivering services to older adults and people with disabilities. (asaging.org)
  • This Boot Camp presentation will highlight innovative and successful cross-sector collaborations, and will present lessons learned from the Robert Wood Johnson Foundation-funded study on bridging community-based human services and health care. (asaging.org)
  • Our policies guide our initiatives and programs which deliver activities and services. (health.gov.au)
  • These programs, however, should each strive to provide cost-effective, high-quality mental health services to children and families, to promote optimal health and development and to reduce the family and societal burden of serious emotional and behavioral disturbances. (aacap.org)
  • Claims Data Reviews - The TBI Program is working with the Quality Management Section at the Division of Mental Health, Developmental Disabilities and Substance Abuse Services (DMH/DD/SAS) to determine the number of individuals that have accessed publicly funded services such as physical health, mental health and substance use service systems. (ncdhhs.gov)
  • Institute of Medicine, Committee for the Study of the Future of Public Health Division of Health Care Services The Future of Public Health. (hhs.gov)
  • This policy brief was prepared under contract #HHS-100-97-0019 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the MEDSTAT Group. (hhs.gov)
  • A decade ago, managed long-term care appeared poised for dramatic growth, but despite significant activity in a handful of states, today only 2.3% of persons using public long-term care services are receiving those services in managed care programs, and Arizona remains the only state that provides all long-term care through managed care. (hhs.gov)
  • Studies of managed long-term care programs have been largely positive, finding high consumer satisfaction levels, lower utilization of institutional services and increased access to home- and community-based services. (hhs.gov)
  • In 2003, about 3.1 million older persons and persons with physical disabilities received Medicaid-financed longterm care services ( Table 1 ). (hhs.gov)
  • 1 Just over half (55%) were in nursing homes and the remainder received services in community-based settings, either through the Medicaid home and community-based waiver services program or through a state Medicaid plan benefit, such as personal care services. (hhs.gov)
  • Using proprietary technology solutions, the company provides outsourced sales, marketing and contact services for national and regional health plans, operates exchanges for individual consumers and employer-based group retirees, and manages lead generation in the Medicare industry. (wikipedia.org)
  • Mark Greenberg is a Senior Fellow at the Migration Policy Institute in Washington, D.C. His work focuses on immigration issues affecting children and families and implications of immigration enforcement and policy for health and human services programs and agencies. (nashp.org)
  • The agency shall purchase goods and services for Medicaid recipients in the most cost-effective manner consistent with the delivery of quality medical care. (flsenate.gov)
  • To ensure that medical services are effectively utilized, the agency may, in any case, require a confirmation or second physician's opinion of the correct diagnosis for purposes of authorizing future services under the Medicaid program. (flsenate.gov)
  • This section does not restrict access to emergency services or poststabilization care services as defined in 42 C.F.R. part 438.114. (flsenate.gov)
  • The agency shall maximize the use of prepaid per capita and prepaid aggregate fixed-sum basis services when appropriate and other alternative service delivery and reimbursement methodologies, including competitive bidding pursuant to s. 287.057 , designed to facilitate the cost-effective purchase of a case-managed continuum of care. (flsenate.gov)
  • The agency may competitively bid single-source-provider contracts if procurement of goods or services results in demonstrated cost savings to the state without limiting access to care. (flsenate.gov)
  • managed care A US system in which non-medical administrators such as insurance companies control and limit the provision of medical procedures and medications and allied services. (findings.org.uk)
  • To address these challenges, the Committee on Oral Health Access to Services recommended the development of a core set of oral health competencies and curricula for nondental health care professionals to enhance their role in oral health promotion and disease prevention [ 3 ]. (hindawi.com)
  • Continuous and integrated health care services in rural areas. (rrh.org.au)
  • Rygh E, Hjortdahl P. Continuous and integrated health care services in rural areas. (rrh.org.au)
  • It's the total dollar cost of all services in the delivery of care, including what is paid by the insurers plus what's paid by the patient. (3m.com)
  • 3M has several tools that help payers and their providers measure and manage total cost of care, such as 3M℠ Informed Analytics Platform, 3M℠ Provider Performance Management Program, 3M℠ Network Manager and 3M℠ Risk Optimization Services. (3m.com)
  • Integrated health services delivery is an approach to strengthen people-centered health systems through the promotion of the delivery of quality services across the patient health journey, designed according to the multidimensional needs of the population and the individual and delivered by a coordinated multidisciplinary team of providers working across settings and levels of care. (snagajob.com)
  • The market-based approach is supposed to spur more efficient management of resources, since excess services are controlled and financing is directed toward providers of presumably higher quality care. (multinationalmonitor.org)
  • CMS proposes to allow payment for services for individuals with short-term stays of no more than 15 days in an institution for mental disease, and to clarify the "in lieu of" standard, which provides Sponsors with the flexibility to furnish care in alternative settings that meet an enrollee's needs. (lexology.com)
  • The rates for each of these services are developed by the state agency in charge of the Medicaid program and those rates only have to be sufficient to ensure the state is meeting its obligation relative to the agreement it has with the federal government to draw down federal funds. (communitysolutions.com)
  • National Nurse-Managed Health Clinic Week recognizes the capacity of nurse-led clinics to provide accessible, high-quality and affordable health services to patients who would not otherwise have access to care. (businesswire.com)
  • Working directly with not-for-profit health system Presbyterian Healthcare Services in Albuquerque, N.M., the Santa Clara, Calif.-based company spent more than a year creating Connected Care, a custom health plan for its 3,500 Rio Rancho employees and their dependents. (shrm.org)
  • All of the Presbyterian practicesuse team-oriented primary care to provide free preventive services and same-day, 24/7 access. (shrm.org)
  • IRFs provide rehabilitation services for patients who require a hospital-level of care to improve their ability to function. (foley.com)
  • Harvard Pilgrim Health Care is a leader in the provision of managed health care services. (amcp.org)
  • Our mission is to improve the quality and value of health care for the people and the communities we serve, to be consistently recognized as a leading health services company in each of our markets. (amcp.org)
  • The state is already improving services and controlling costs by reducing complexity, and creating a managed care pilot. (policymattersohio.org)
  • the cost of health care is by offering incentives to states to provide services in the most cost effective way possible: at home or in the community. (policymattersohio.org)
  • These incentive dollars can boost health care spending in neighborhoods, creating new jobs as well as expanding needed services. (policymattersohio.org)
  • The ACA offers incentives to encourage more cost-effective home care services for people who need help with dressing, bathing, chores, preparing meals, or other activities of daily living. (policymattersohio.org)
  • A study of state expenditures on long-term care and services between 1995 and 2005 found that states with broad access to home and community-based services realized cost savings in the long term as they shifted from institutionalized settings (nursing homes) to home care services, although there was a short-term increase in costs during the shift. (policymattersohio.org)
  • The only two mandated benefits for long-term care under the Medicaid program are institutional care and home health services for those not eligible for nursing home (institutional) care. (policymattersohio.org)
  • This initiative, coupled with a Medicaid proposal that would give block grants to the states for managing health care services for indigent persons, faced an uncertain fate in Congress. (encyclopedia.com)
  • a) An entity that provides no prepaid health care services other than Medicaid services under contract with the agency and which is owned and operated by a county, county health department, or county-owned and operated hospital to provide health care services on a prepaid or fixed-sum basis to recipients, which entity may provide such prepaid services either directly or through arrangements with other providers. (flsenate.gov)
  • Each fall, the Department of Health and Human Services Office of Inspector General (OIG) publishes its Work Plan for the upcoming fiscal year to summarize new and ongoing OIG reviews and initiatives. (bricker.com)
  • In this review, the OIG will determine whether payments for chronic care management services (non-face-to-face services provided to Medicare beneficiaries who have multiple significant chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation or functional decline where the significant chronic conditions are expected to last at least 12 months or until the death of the patient) were in accordance with Medicare requirements. (bricker.com)
  • The site, a 119-acre healthcare village, called River Place, already includes a medical office building that houses numerous physician specialties: an urgent care center and outpatient imaging, lab and physical and occupational therapy services. (mckesson.com)
  • The company's service line benefits health care purchasers by delivering a cost effective approach to advancing patient care and controlling utilization through the provision of patient-friendly, face-to-face personal pharmacist services. (bio-medicine.org)
  • The Behavioral Health Analyst (Program Specialist VI) leads and performs complex behavioral health managed care utilization review oversight and consultation related to the authorization of behavioral health services within Texas Medicaid. (simplyhired.com)
  • Dr. Kellermann has served as principal investigator or co-investigator on several research grants, including federally funded studies of handgun-related violence and injury, emergency cardiac care, and the use of emergency room services. (nap.edu)
  • The Better Start for Children with Disability initiative was implemented on 1 July 2011 across the Department of Health and Ageing, and the Department of Families, Housing, Community Services and Indigenous Affairs. (health.gov.au)
  • Increased monitoring of medical costs and greater recognition of limited public resources are raising difficult questions about supporting care for children and youth who require long-term health and education services. (nap.edu)
  • Many families and health care professionals are concerned, for example, that managed care programs 1 in both the public and private sectors will decrease access to certain subspecialty and supportive services and undermine recent efforts to develop community-based systems of care for these children and their families. (nap.edu)
  • However, growth in private sector-and Medicaid-financed managed care programs may have negative consequences for the delivery of services to this group of children. (nap.edu)
  • In response to interest in identifying strategies with potential for enhancing the provision of quality services by managed care programs for children and youth who have special health care needs, the Institute of Medicine (IOM) convened an invitational workshop on December 12, 1994. (nap.edu)
  • By 1995, these services had become the fastest growing component of health care spending in the United States, according to the Visiting Nurse Service of New York. (rwjf.org)
  • According to the national program director, Penny Hollander Feldman, PhD, at the Visiting Nurse Service of New York, the program substantially contributed to current knowledge about spending on home and community-based services and options for expanding managed long-term care and assisted living. (rwjf.org)
  • The majority of Medicaid beneficiaries needing long-term supports and services (LTSS) are in unmanaged, fee-for-service programs, including many individuals in institutions versus home- and community-based options. (chcs.org)
  • The Managed LTSS Path (AZ, GA, NJ, NV, OK, PA, VA, WA) - States are seeking to better manage the full array of intensive supports and services required by beneficiaries with long-term care needs. (chcs.org)
  • With increased adoption of Direct secure messaging standards and initiatives such as BlueButton+, patients may be more likely to access their health information, and have some control over the movement of information among providers who are not yet connected through HIE services. (rti.org)
  • The Division of Care and Treatment Services is responsible for allocating state and federal funding for mental health services, in addition to high-level planning, management, and oversight of these services in the state. (wisconsin.gov)
  • Learn about major community-based initiatives managed by the Wisconsin Department of Health Services. (wisconsin.gov)
  • Please use this online search tool managed by the Substance Abuse and Mental Health Services Administration to find community-based treatment providers. (wisconsin.gov)
  • This new fetal therapy program is the next step in the evolution of our care at Northside and to enhancing the services we already provide to our mothers and babies," said Dr. Kevin Gomez, Northside Hospital Center for Perinatal Medicine and Georgia Perinatal Consultants. (northside.com)
  • Melissa Sisson, Northside's director of women's services, said this latest initiative is an important expansion of a highly regarded perinatal program. (northside.com)
  • David K. Kelley, M.D., Chief Medical Officer at the Office of Medical Assistance Programs, Pennsylvania Department of Human Services, closed day one at The OPEN MINDS Technology & Informatics Institute with some great illustrations of how data can shape policy in his session, Leveraging The Power Of Analytics To Shape Medicaid Policy & Practices For Complex Consumers: The Experience of Pennsylvania's Medicaid Program . (openminds.com)
  • 3 On top of the social, medical, and financial hardships incurred by families whose babies are born with health problems, the cost to society is significant as well: By one estimate, the minimum annual cost of each preterm birth is $51,600, which includes medical care, maternal delivery costs, early intervention services, and special education services. (deloitte.com)
  • Within the 200-page notice are several critical provisions that clarify the rights Medicaid enrollees have in seeking the family planning services to which they are legally entitled and the obligations that states and managed care plans have in ensuring that these services are provided. (guttmacher.org)
  • Medicaid, the joint federal-state program that funds health care services for low-income Americans, is vitally important to the provision of publicly funded family planning services and supplies in the United States. (guttmacher.org)
  • Family planning is one of the few services that federal law mandates all state Medicaid programs to cover, creating a legal entitlement to "family planning services and supplies" for Medicaid recipients, including sexually active teenagers. (guttmacher.org)
  • This transition has been accomplished largely by individual states obtaining waivers from the Health Care Financing Administration (HCFA), the arm of the Department of Health and Human Services that administers Medicaid on the federal level, to make modifications that would otherwise not be allowed under the federal statute. (guttmacher.org)
  • Requiring recipients to enroll in managed care plans is a prime example of a state initiative requiring a waiver, because it violates a fundamental tenant of the statute, the guarantee that Medicaid enrollees are entitled to seek services from the provider of their choice. (guttmacher.org)
  • The program offers extensive services, rooted in the belief that increased benefits and attention early on will help prevent costly medical issues later. (ahip.org)
  • PCMHI integrates mental health staff into each patient aligned care team (PACT), allowing care teams to provide services for depression, anxiety, post-traumatic stress disorder (PTSD), and substance use without needing a separate consult. (va.gov)
  • But even though no fundamental reforms went through at the federal level, states are still planning strategies for the new fiscal year to improve the safety-net health insurance program on their own, from boosting long-term services and better coordinating care to fighting back against the deadly opioid epidemic. (bna.com)
  • Conducted by state, county, and city health departments and one university medical center, these projects will determine whether Medicare payment for influenza immunization increases vaccine coverage and reduces morbidity, mortality, and demand for health-care services. (cdc.gov)
  • Although most analysts believe that the proposed bill has little chance of passing a Republican-controlled Senate, investors have been quick to offload shares in managed care stocks over fears that both parties may feel pressure to act on cutting health care costs ahead of 2020 election. (investopedia.com)
  • McKesson's Better Health 2020 strategy is designed to help providers maximize technology, reduce costs, improve quality and performance, coordinate care and manage complex payment models. (mckesson.com)
  • For example, in BDO USA's Candid Conversations on Elder Care , 63 percent of healthcare companies said the greatest opportunities for tech disruptors to improve elder care by 2020 were in home health. (bdo.com)
  • Just 12 percent of U.S. providers say they're planning to invest in the Programs of All-Inclusive Care for the Elderly (PACE) by 2020 to prepare for the growing aging population. (bdo.com)
  • In FY 2016, a total of 17 states implemented new or expanded quality initiatives, and 17 states plan to do so in FY 2017. (kff.org)
  • The OIG's Work Plan sets forth its initiatives and priorities for the 2017 federal fiscal year (FFY), which the OIG will pursue through audits, investigations, inspections, industry guidance (including advisory opinions) and enforcement actions (including actions to impose civil monetary penalties, assessments and administrative sanctions, such as exclusions). (bricker.com)
  • States always have had latitude to engage in payment and delivery reforms through several waiver programs. (lexology.com)
  • Since 1981, states have used authority under Section 1915(c) of the Social Security Act to request a waiver of certain federal Medicaid requirements (including state-wide program coverage) to establish home and community-based programs to serve people who need institutional levels of care. (policymattersohio.org)
  • States may, of course, continue to operate their waiver programs, which are not governed by the new regulation. (guttmacher.org)
  • Under the section 1115 waiver program, Wisconsin has expanded eligibility levels for custodial parents of eligible children with net family incomes, and the uninsured spouses of such parents, up to 200 percent of the FPL. (statecoverage.org)
  • OCSs were less commonly prescribed to patients whose primary care provider was a board-certified pediatrician compared with other types of primary care providers. (aappublications.org)
  • One of the important contributions of the systems of care perspective is that it has allowed families to join with mental health providers as equal partners in creating innovative service systems that can be responsive to the needs of children, families, and communities. (aacap.org)
  • It is thus imperative that the purchasers, providers, and consumers of care take a leadership role in developing a process for holding managed care Medicaid programs accountable for the quality of the care that they provide. (aacap.org)
  • After years of soaring health care costs, there is growing interest in moving away from the fee-for-service model that has long dominated care, where providers are paid for each patient interaction or procedure. (commonwealthmagazine.org)
  • The trend now is toward giving health providers a set budget to care for patients over the course of a year. (commonwealthmagazine.org)
  • They drive up the price, and that puts just extraordinary pressure on value-based care providers like Atrius Health, where we're trying to find ways to economize," said Strongwater, who has suggested the possible need for stronger state regulation of hospital prices. (commonwealthmagazine.org)
  • Several factors have contributed to the slow growth of managed long-term care, including complex program design choices (including payment methodology), relatively long planning and start-up periods, resistance of long-term care providers and advocates, difficult state-federal policy issues, the need for a substantial population base, limited interest among potential suppliers, and inadequate state infrastructure in an era of government downsizing. (hhs.gov)
  • The delivery of evidence-based care is safe, easily accessible, and affordable, with each patient having a personal physician or provider who leads a team to ensure that care is coordinated across specialties and providers. (diabetesjournals.org)
  • 3M™ Healthcare Transformation Suite helps healthcare payers implement and manage value-based care and population health programs collaboratively with providers. (3m.com)
  • By understanding where and how costs are incurred, providers can spot opportunities to shift care to more appropriate settings. (3m.com)
  • Participating healthcare providers demonstrate their commitment through involvement in educational and quality improvement actions, having quality improvement programs with governing board and/or senior leadership oversight, using evidence-based practices, analyzing performance data and sharing success stories. (hanys.org)
  • Some sort of bundled payment approach essentially gives a fixed amount of money to all providers involved in a patient's care and tells them to divvy it up. (managedcaremag.com)
  • and (iii) initiation of the Delivery System Reform Incentive Payment (DSRIP) program, which dedicates approximately $30 billion across seven states, with payments linked to providers' attainment of performance metrics and milestones correlated with delivery system reform. (lexology.com)
  • Nurse practitioners who serve as the primary care providers in the nurse-managed health clinics are now the face of primary care in our country," said Amy Barton, Chairman of the Board at the NNCC. (businesswire.com)
  • The incentive program provides incentive payments CMS has published a Registration User Guide for Medicaid Eligible Smiles Foundation the following ADA awards to Medicaid providers for the adoption and meaningful usein of 2008: certified EHR Professionals that has step-by-step instructions for registering. (issuu.com)
  • Greatest Percentage New Members: a gain of 111 new dentist Represents Dentists who register with CMS willmembers receive an(those e-mail inviting them to Hilton helping dentists and other health care providers sign upoffor newDentist incentive dentists who are 1-9 years out of school). (issuu.com)
  • Talk Providers must be enrolled in Texas Medicaid before participating in the Let's Another of theelectronic commitment to the growth of our is the TDA Externship Program, which builds student awareness Dentists example who establish health record systems thatAssociation meet Outgoing President's message program.toEnrolled providers use the login information provided of organized dentistry. (issuu.com)
  • With one of the largest health care practices in the state and in the country, we empower health care providers with legal strategies to help them deliver high-quality, effective care. (bricker.com)
  • With one of the largest health care practices in Ohio and the nation, we address the wide range of critical legal needs facing today's health care systems and providers. (bricker.com)
  • Legal and regulatory challenges are a reality for today's health care providers. (bricker.com)
  • Primary Health Care Providers are Asthma Champions when they deliver an accurate diagnosis, help patients manage their asthma - including monitoring the use of appropriate medications, and talk with their patients about getting vaccinated to help them stay healthy. (burlingtonfreepress.com)
  • As a Pharmacist and Executive Director of the Vermont Pharmacists Association, I work to link providers, pharmacists and patients in receiving the best asthma care available. (burlingtonfreepress.com)
  • For U.S. seniors, tech will be key to keeping them in contact with their loved ones, and tools like telemedicine can keep them in more regular contact with their doctors or care providers. (bdo.com)
  • This is largely because of changing patient expectations, and more emphasis placed on providers having end-of-life care conversations with their patients. (bdo.com)
  • This freedom to customize care has led to new conversations between patients and providers about what matters most to them. (bdo.com)
  • DSRIP programs reward providers with incentive payments for achieving process and outcome metrics related to the implementation of DSRIP improvement projects. (nashp.org)
  • DSRIP-like" programs, which do not require projects, reward providers for meeting performance improvement milestones. (nashp.org)
  • California's Medicaid expansion enabled local providers to increase capacity, which may explain the improvements on some measures of care quality and reductions in potentially avoidable hospitalizations, emergency department visits, and readmissions. (commonwealthfund.org)
  • Could health plans exit the program without disrupting members and providers? (ahip.org)
  • Health care providers have traditionally been educated about the importance of getting rest and avoiding strenuous activity when ill. (aannet.org)
  • Your assigned Institutional PNC specializes in initiatives, programs, regulations and claim processing concerns most relevant to facility providers. (bcbsil.com)
  • NCAI's major goals include increasing public- and private-sector collaboration and involvement in improving the immunization status of adults through information and education programs for providers and consumers. (cdc.gov)
  • Susan negotiates numerous contracts on behalf of her clients and works with providers to ensure they are appropriately licensed, certified, and enrolled in government programs. (morganlewis.com)
  • She works with provider-sponsored health plans, as well as providers, to manage the complexities of integrated health networks and the unique issues associated with delivery reform initiatives involving providers and health plans in integrated corporate networks. (morganlewis.com)
  • As of July 2016, all states except three - Alaska, Connecticut and Wyoming- had in place some form of managed care. (kff.org)
  • In 2016, the state will launch an initiative to encourage coordinated care for consumers with serious persistent mental illness (SPMI) and substance use disorder (SUD). (openminds.com)
  • Pediatric Antipsychotic Medication Use Strategy - Another Pennsylvania Medicaid initiative for 2016 involves assuring the appropriate use of pediatric prescriptions, particularly antipsychotic medications. (openminds.com)
  • In turn, the proposals are representative of a growing set of tools beyond the traditional waivers that the federal government is using to encourage states to deliver value-based reforms to their Medicaid programs. (lexology.com)
  • But efforts to change the program could continue through Section 1115 state waivers under consideration, which would add in beneficiary cost-sharing and work requirements, or future proposals. (bna.com)
  • Tufts Health Plan is one of only two plans in Massachusetts that now participate in the ambitious demonstration project known as One Care - jointly administered by CMS and MassHealth, the state's Medicaid program. (ahip.org)
  • Examining the variance of costs across the continuum of care is important for understanding where and how health care costs distribute. (brookings.edu)
  • The REACH program focuses on reducing chronic disease for specific racial and ethnic groups in urban, rural, and tribal communities with high disease burden. (cdc.gov)
  • The portion of the U.S. population with a chronic disease is forecast to increase from 47 percent in 2010 to 49.2 percent in 2030, putting a further strain on health care budgets," says the survey "Pharmaceutical Key Trends 2011 Overview" by Datamonitor, a business information and analysis company. (managedcaremag.com)
  • Social Determinants of Health Associated with HBV Testing and Access to Care among Foreign-born Persons Residing in the United States: 2009 - 2012. (cdc.gov)
  • Improving Access to Healthy Foods for Asian Americans, Native Hawaiians, and Pacific Islanders: Lessons Learned from the STRIVE Program. (cdc.gov)
  • Medicaid coverage substantially improves access to health care and lessens the financial burden of medical care for low-income seniors, but the program currently reaches only half of all poor Medicare beneficiaries. (kff.org)
  • Nurses can play a significant role in improving the quality of oral health including access to care with appropriate education and training. (hindawi.com)
  • With adequate education and training in oral health, the nurse workforce has the potential to have a major impact on improving access and quality of oral health care. (hindawi.com)
  • This index reflects characteristics of rural and remote general practices and the communities they serve, including their access to secondary care facilities, to centres of decision- making and to professional education and support. (rrh.org.au)
  • She has been a champion of managed care reform and health care access issues. (cthealthpolicy.org)
  • More than half of the U.S. population (52 percent) has access to these emerging medical care delivery systems, according to a 2013 analysis by management consulting company Oliver Wyman Group in New York City. (shrm.org)
  • Thisup innovative program, createdincentive in 2007,payments offers studentsincentive the opportunity gain insight into will the different components federal standards can earn to $63,750 in Medicaid MK's Board Notes by TMHP to access the incentive program portal. (issuu.com)
  • Just as importantly, our partnership with McKesson provides us with the expertise and access to the capabilities we'll need as we coordinate care in the community and enter into complex payment models under accountable care. (mckesson.com)
  • He has studied access to medical care for his entire professional career of 30 years. (nap.edu)
  • A child is eligible to access the disability initiative if he/she has a treatment and management plan provided by a specialist, consultant physician or general practitioner before the child's 13th birthday. (health.gov.au)
  • In a previous position with Abbott that began in 2000, Rob was the Director for Global Care Initiatives where he established and managed the Abbott Access and Determine HIV Testing Donation programs and helped develop Abbott's Step Forward program, an initiative that assists children orphaned by HIV and AIDS in developing nations. (northwestern.edu)
  • Under the Abbott Access program the antiretroviral drugs developed and marketed by Abbott were provided, at no profit, as part of a second-line therapy to treat people living with HIV/AIDS in Africa and Least Developed Countries. (northwestern.edu)
  • Medical homes and community health teams are Asthma Champions when they help patients access all the resources available to help better manage their asthma, including specialty care. (burlingtonfreepress.com)
  • For most of this century, government and community institutions have made substantial contributions that enhance access to health care for this population of children. (nap.edu)
  • Advantages of telemedicine are indisputable, particularly with regard of its potential to increase access to health care service overcoming geographical barriers. (elsevier.es)
  • This provides rural Veterans equitable standards of behavioral health care, such as same day access. (va.gov)
  • The state seamlessly integrates state-only funded programs into the overall program to assure access. (statecoverage.org)
  • The release of the data is part of FDA's new data sharing initiative, openFDA , which is designed to make it easier for developers, researchers and the public to access data collected by FDA. (mondaq.com)
  • As treatment strategies for HIV/AIDS undergo rapid change, states struggle with the dual challenges of providing quality health care and containing costs. (nashp.org)
  • The North Carolina Crisis Solutions Initiative focuses on identifying and implementing the best known strategies for crisis care while reducing avoidable visits to emergency departments and involvement with the criminal justice system for individuals in behavioral health crises. (ncdhhs.gov)
  • 4 Federal and state agencies have sought to reduce the risk of harm associated with the use of methadone for pain, and many state Medicaid programs have implemented strategies to help achieve this goal. (pewtrusts.org)
  • Medicaid programs in Massachusetts, Oregon, Washington, and West Virginia are among those that have successfully implemented these strategies to more safely prescribe methadone for pain and minimize risks to patients who use the drug. (pewtrusts.org)
  • Goals of this work are to lead to targeted management strategies to effect better care. (stanford.edu)
  • The initiative emphasized policy, systems, and environmental change and provided state and community funding to implement evidence-based interventions for tobacco use control and obesity prevention. (cdc.gov)
  • This document, a companion piece to the Academy's publication, Best Principles for Managed Care Medicaid RFPs: How Decision-Makers Can Select and Monitor High Quality Programs , 1 is designed to assist state Medicaid agencies in evaluating whether managed Medicaid contractors are offering effective programs that adhere to the principles articulated in the agency's original request for proposal (RFP). (aacap.org)
  • It is hoped that families, clinicians, and other community advocates for children may find this document useful when giving state Medicaid agencies feedback as to how well their managed care programs are performing. (aacap.org)
  • Savings notwithstanding, the budget predictability that comes with capitated payments is appealing to state policymakers as growing numbers of long-term care consumers place increasing pressure on Medicaid budgets. (hhs.gov)
  • The federal-state program covers low-income people, from newborns to elderly nursing home residents, from special-needs kids to young adults caught in the opioid epidemic. (nbcdfw.com)
  • The Project publishes regular policymaker issue briefs, conducts research on CT health policy needs, hosts issue briefings at the Capitol and webinars with health care experts, publishes CT Health Notes, an electronic newsletter of timely health care issues in CT, and the CT Health Notes Blog with updates on state health policy. (cthealthpolicy.org)
  • Through her professional life she became well acquainted with the health care system in the State of Connecticut. (cthealthpolicy.org)
  • Students should be aware of additional state-specific information for online programs . (jhsph.edu)
  • The Medicaid program was enacted in 1965 as Title XIX of the Social Security Act with funding streams derived from both federal and state governments. (aappublications.org)
  • There are a significant number of new projects related to state Medicaid programs, as well as an emphasis on fraud and abuse reviews. (foley.com)
  • The Unified Long Term Care System Advisory group recommended authorization be included in the current state budget, and it was, but the application has not been submitted. (policymattersohio.org)
  • The act eliminated some federal welfare programs, placed permanent ceilings on the amount of federal funding for welfare, and gave each state a block grant of money to help run its own welfare programs. (encyclopedia.com)
  • Accurately interprets complex state and federal laws, regulations, and rules related to the program. (simplyhired.com)
  • In New York state, the quality of health for PACE beneficiaries is about twice as high as that of other managed long-term care participants. (bdo.com)
  • This TA initiative is a continuation of CHCS' Profiles of State Innovation Roadmaps . (chcs.org)
  • Made possible by The SCAN Foundation, this set of national environmental scans published in December 2010 chronicled emerging state innovations and best practices for improving publicly financed long-term care programs. (chcs.org)
  • The team is responsible for program assessment functions, including gathering and analyzing data in support of a specific program and monitoring compliance with state and federal regulations. (ncdhhs.gov)
  • Know of a state initiative we should include? (nashp.org)
  • However, even if we continue to reduce the growth of health care costs and improve overall value, demographic trends and constrained state and local budgets will drive health and retirement spending toward an even larger share of the economy. (brookings.edu)
  • Based on the current state of health care legislation, the Congressional Budget Office (CBO) estimates that the cost of the Medicare program will be approximately 6.4 trillion dollars from 2013-2022. (brookings.edu)
  • OneCare, like other state programs in the CMS Medicare-Medicaid Financial Alignment Initiative, is a groundbreaking demonstration that proves managed care can deliver real value to dually eligible members. (ahip.org)
  • Stay ahead of developments in federal and state health care law, regulation and transactions with timely, expert news and analysis. (bna.com)
  • State Medicaid directors say they have been held back amid deep health-care uncertainty in recent months. (bna.com)
  • In 1988, the State of Hawaii Department of Health, assisted by HCFA and CDC, implemented a Pneumococcal Disease Initiative. (cdc.gov)
  • Despite the high expenditures for diabetes care, very few patients with diabetes are at goal for evidence based recommendations, with only 7% of patients at goal for A1C, blood pressure, and LDL cholesterol ( 4 ). (diabetesjournals.org)
  • Total cost of care is the sum of all medical expenditures for a patient or group of individuals. (3m.com)
  • There are promising signs that federal programs and policies, as well as aggressive private sector activities, have helped to curb cost growth in Medicare and overall health expenditures. (brookings.edu)
  • Compare baseline characteristics, health care resource utilization (HCRU), and associated costs of COPD patients treated with add-on roflumilast with those of other combination medications. (managedcaremag.com)
  • The Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines recommended that long-acting formulations of β2-agonist (LABA) and long-acting muscarinic antagonists (LAMA), alone or with an inhaled corticosteroid (ICS), be used for patients with high risk of exacerbation. (managedcaremag.com)
  • A different vocabulary has evolved along with the systems of care, which broadens the traditional doctor-patient context by adding new perspectives, including those of patients and families as 'consumers' of care, and the child-serving agencies as 'stakeholders' in the system of care. (aacap.org)
  • THERE'S A BACK to the future feel to some of the changes taking place in US health care, and Atrius Health, which provides care to some 740,000 patients, is a leading player in that effort in Massachusetts. (commonwealthmagazine.org)
  • Among other moves, Atrius signed a seven-year agreement earlier this year with Blue Cross Blue Shield of Massachusetts to care for 65,000 patients covered by the insurer under a global payment budget. (commonwealthmagazine.org)
  • 2 Travel RN-Homehealth Nurse - Travel Home Health Nurse is needed in Joplin, MO, Skill Required Joplin, MO, USA Home health care nurses change dressings on wounds, and observe how well patients can perform certain tasks that may be hampered by a condition or by having surgery. (healthcarehiring.com)
  • And the forecast is not good for patients, although it is good for the health care industry. (managedcaremag.com)
  • and patients get better care. (managedcaremag.com)
  • Our success in caring for patients can be attributed to our mission, our not-for-profit structure, and our people. (snagajob.com)
  • This position is responsible for setting a strategic vision and overseeing the day-to-day operations of a new integrated care delivery model providing comprehensive care management for high needs patients. (snagajob.com)
  • This program will help these patients stay on the right track with their medications," she added. (bio-medicine.org)
  • Most HMOs now have programs to manage and track their asthmatic patients. (managedcaremag.com)
  • Making our patients aware of the most appropriate and affordable care is important. (burlingtonfreepress.com)
  • CMS is recognizing the inefficiencies and ineffective care offered on Medicare patients with chronic conditions that "ping-pong" in/out of the hospital and ERs. (slideshare.net)
  • The future of elder care puts patients at the center and is focused on maximizing independence and quality of life. (bdo.com)
  • We believe PACE, and models like it, are the future of elder care-maximizing independence and offering flexible care options that can be customized to patients' individual needs. (bdo.com)
  • Applications that allow patients to use these data can enable them to more actively participate in their own health care decisions and manage conditions. (rti.org)
  • Of that, the cost of the resistant infections was $2.1 million, and the incremental cost of resistance (i.e. the additional cost to manage these patients because of resistance) was $1.1 million. (bd.com)
  • While some of these costs are unavoidable, many of them stem from patients foregoing necessary care. (ahip.org)
  • Two-thirds of under-65 dually-eligible patients suffer from a mental health disability, which leaves them wary of the health care system or unable to get to regular appointments. (ahip.org)
  • High levels of opt-outs have resulted from patients not understanding what One Care is, not wanting to change doctors, or simply not being interested. (ahip.org)
  • I favor allowing patients recourse if they are denied appropriate health care by their HMOs. (latimes.com)
  • Don't neglect to advise patients with cancer to get physical activity and exercise during and after treatment to manage fatigue and other symptoms. (aannet.org)
  • Cost studies have been more mixed, with no clear consensus emerging as to whether managed long-term care saves money for public purchasers. (hhs.gov)
  • The Medicare Chartbook includes data and background information critical to understanding the Medicare program and the challenges it faces in keeping up with the rising costs of health care and in ensuring the program s future financial security. (kff.org)
  • In addition, in spite of the efficacy shown in randomized, placebo-controlled trials, little is known about the impact of roflumilast use on health care resource utilization and costs relative to other COPD treatments in a real-world setting. (managedcaremag.com)
  • Unfortunately, current efforts to contain costs increase the risk of compromises in the quality of care. (aacap.org)
  • The health insurer's share price has fallen away on above-average volume in recent trading sessions as traders digest the impact of possible government measures to curb health care costs. (investopedia.com)
  • Workplace wellness programs can significantly lower health care costs by helping workers to better manage chronic diseases. (shrm.org)
  • Efforts to help employees manage chronic illnesses saved $3.78 in health care costs for every $1 invested in the effort. (shrm.org)
  • People who participated in the lifestyle-management program reported a small reduction in absenteeism, but there was no significant effect on health care costs. (shrm.org)
  • While workplace wellness programs have the potential to reduce health risks and cut health care spending, employers and policymakers should not take for granted that the lifestyle-management components of the programs can reduce costs or lead to savings overall," Mattke said. (shrm.org)
  • As health care costs have kept climbing, employers cut back on coverage, and Medicaid passed Medicare as the nation's largest public insurance program. (nbcdfw.com)
  • More than 12 million Americans suffer from it, and treatment accounts for 1 percent ($6.1 billion) of America's sky-high health care costs. (managedcaremag.com)
  • While there are many costs associated with purchasing and administering vaccines, there are ways for pediatric offices to manage these costs in order to cover overhead. (aap.org)
  • There may be ways to manage the costs of vaccine administration. (aap.org)
  • 4 In health care costs alone, preterm babies cost, on average, 10 times more than full-term babies during the first year ($38,438 vs. $3,953 in 2012). (deloitte.com)
  • 6 As a result, Medicaid budgets are disproportionately impacted by the health care costs associated with preterm births. (deloitte.com)
  • Chairman Murray, Ranking Member Sessions, and members of the Committee, thank you for the opportunity to offer my thoughts on the recent progress made in containing health care costs and the challenges that still lie ahead. (brookings.edu)
  • Our nation has struggled with the burden of our health care costs and spending, approximately 18% of our GDP and rising, which has eroded wage growth, diminished our ability to invest in our children's education, and challenged our global competitiveness. (brookings.edu)
  • Health care costs have dramatically escalated over time, though the rate of that growth has slowed in recent years. (brookings.edu)
  • The Institute of Medicine (IOM) estimates that almost 30 percent of these costs, or 765 billion dollars, are attributable to wasteful spending in poor care delivery, excessive administrative costs, unnecessarily high prices, and fraud. (brookings.edu)
  • Also, weighing on the performance were financing costs since July 2008 for the acquisition of an initial 25% stake in Alcon, the world leader in eye care, from Nestlé S.A. Basic earnings per share (EPS) advanced 22% to USD 2.93 on fewer outstanding shares. (drugs.com)
  • The managed care giant completed a $54 billion acquisition of Express Scripts Holding Co. in December to take advantage of synergies by managing both medical and drug benefits. (investopedia.com)
  • The agency shall determine instances in which allowing Medicaid beneficiaries to purchase durable medical equipment and other goods is less expensive to the Medicaid program than long-term rental of the equipment or goods. (flsenate.gov)
  • Aspects of care that do not require in-depth medical training can be delegated to nonphysician members of the health care team through standing orders ( 15 ). (diabetesjournals.org)
  • WASHINGTON--( BUSINESS WIRE )--There are more than 250 nurse-managed health clinics throughout the nation that serve as the medical home for more than three million people in underserved rural and urban settings. (businesswire.com)
  • Employees can choose from 11 medical practices managed by Presbyterian, including Intel's onsite clinic, or they can go out of network. (shrm.org)
  • Following the 1930s, federal programs were established that provided additional welfare benefits, including medical care (medicaid), public housing, food stamps, and Supplemental Security Income (SSI). (encyclopedia.com)
  • Defenders of public welfare benefits acknowledged that the system was imperfect, noting the financial disincentives associated with taking a low-paying job and losing the array of benefits, especially medical care. (encyclopedia.com)
  • Tackling antimicrobial resistance needs governments and other players to be 'all in', and you can't be 'all in' unless you recognize the economic implications of AMR," says Dr. Andrew Morris, MD, SM(Epi), FRCPC, Medical Director, Antimicrobial Stewardship Program, Sinai Health System/University Health Network. (bd.com)
  • BD is one of the largest global medical technology companies in the world and is advancing the world of health by improving medical discovery, diagnostics and the delivery of care. (bd.com)
  • Jackson: I am committed to reforming the managed care system, which places more emphasis on cost-cutting than on providing quality medical care. (latimes.com)
  • Managed Care Programs" is a descriptor in the National Library of Medicine's controlled vocabulary thesaurus, MeSH (Medical Subject Headings) . (umassmed.edu)
  • Represents the nation's major pediatric trade association in efforts to reauthorize the children's graduate medical education program and support Medicaid and other children's hospital initiatives. (morganlewis.com)
  • Recent analysis funded by the Medicaid program found antipsychotic medication use four times higher for youth ages 6-18 in foster care (22%) than other children in Medicaid (5%), and there is an indication that 56% of pediatric use is not approved. (openminds.com)
  • One of the many barriers to quality oral healthcare includes a lack of attention to oral health by nondental health care professionals (e.g., nurses, pharmacists, physicians, physician assistants) [ 1 - 3 ]. (hindawi.com)
  • The student will be precepted by a Registered Pharmacist and will participate in multidisciplinary teams that include Physicians, Pharmacists, program consultants and business analysts. (amcp.org)
  • Mitchum: I support creation of a consumer "bill of rights," which would ensure second opinions, a fair and swift appeals process for denied care and a requirement that decisions regarding care be made by licensed physicians and not administrators. (latimes.com)
  • The Rebalancing Path (NJ, NV, OK, PA, RI, SD, VA) - States worked to rebalance their LTSS system away from institutional care toward home and community settings that maximize independence and are preferred by most beneficiaries. (chcs.org)
  • BDO's New Perspectives on Elderly Care reveals that ways elder care stakeholders are preserving seniors' independence varies by country. (bdo.com)
  • There are over 3 million licensed registered nurses including approximately 140,000 nurse practitioners (NP) in the US health care workforce [ 5 ]. (hindawi.com)
  • The Asthma Action Plan is an easy-to-understand sheet that helps a child's teachers, coaches, school nurses, day-care staff, babysitters and other caregivers know how to help control asthma, prevent an asthma attack, and what to do in an emergency. (burlingtonfreepress.com)
  • In addition, the GOP would phase out added financing that Obama's law provided as an incentive for states to expand the program and cover more low-income adults. (nbcdfw.com)
  • As states plan and implement health care reform and the private sector pursues major restructuring in health care delivery, new issues of concern are emerging regarding whether this population of children will be given opportunities to reach their full potential as adults. (nap.edu)
  • During the first phase, the approximately 7,000 adults currently enrolled in the GAMP program (see below) will be enrolled in the BadgerCare Core plan on January 1, 2009. (statecoverage.org)
  • Immunization programs have markedly reduced the incidence of vaccine-preventable diseases in children, but many adults remain susceptible because they are inadequately immunized (Tables 1 and 2). (cdc.gov)
  • Despite these challenges, managed long-term care is popular in states where it is established and is likely to grow in the future. (hhs.gov)
  • Worked with policy-makers and long-term care opinion leaders to identify relevant long-term-care research issues and understand how to communicate research results in ways that are responsive to their needs through meetings and publications. (rwjf.org)
  • Tim led the development of Montana s modularity replacement strategy that resulted in the Modularity Blueprint for the replacement of the remaining legacy components supporting the Montana Healthcare Programs. (nashp.org)