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It's not yet known exactly what federal help will be forthcoming to struggling state Medicaid programs, but one thing is clear: Many states are in survival mode and planning for the worst-case scenario.
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Even in good economic times, Medicaid directors have limited resources to do all that recipients, families, providers, legislators and taxpayers expect of them.
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According to a November 2008 report from Washington, DC-based Health Management Associates, targeted, highly customized interventions for people with chronic diseases can be an effective tool for reducing hospital readmissions.
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Medicaid now pays for 26% of total mental health expenditures, and rising costs of these services is a big concern for state Medicaid directors, according to a recent 50-state Medicaid budget survey from the Kaiser Family Foundation's Kaiser Commission on Medicaid and the Uninsured, Headed for a Crunch: An Update on Medicaid Spending, Coverage and Policy Heading into an Economic Downturn.
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Knee and ankle injuries are very common in pediatrics. Sports and recreational activities are frequent sources of injury, hence are sources of typical emergency department (ED) visits. Although sprains and contusions frequently occur, it is critical that the unique aspects of the pediatric skeleton and its associated vulnerability are considered. Imaging and treatment are focused on identification of fractures and associated injuries; correct immobilization and appropriate follow-up, based on the injury, are necessary to maximize the outcome for each injury.
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Drug combinations for hypertension; tenecteplase for out-of-hospital cardiac arrest; CAM most commonly used for back, neck, and arthritis pain; FDA Actions.
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This issue deals with a common but often frustrating and unrewarding condition that confronts primary care physicians: fibromyalgia.
