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As biomedical technology progresses, the medical practitioner is presented with rapidly changing multiple options to diagnose acute disease states.
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Child abuse is common and frequently presents to the emergency department (ED). Sometimes the presentation is subtle and masked by vague histories and nonspecific physical findings.
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Passport Health Plan, a Medicaid-only plan operating in 16 counties around Louisville, KY, has saved the state $191 million in its eight years of operation. The program provides a combination of health management, case management, and utilization management for complex, high-cost, at-risk members.
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The number of uninsured Americans rose by 6 million between 2000 and 2004, primarily because of a drop in employer coverage.
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The fifth State Coverage Initiatives' State of the States report,
summarizing state activities to expand health coverage through the past year, found that 2005 was "unfortunately, not much different from that of last year. Times still are difficult for states and for coverage in general. ..."
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In the wake of the devastating 2005 hurricanes, some analysts have suggested New York's Disaster Relief Medicaid plan that was used after the 9/11 attacks be used as a model for other large-scale disasters. But while that program worked very well, United Hospital Fund of New York president James Tallon tells State Health Watch he isn't sure there are sufficient parallels to make it worthwhile.
