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To date, 240 programs with more than 800,000 participants offering participant-directed services as a delivery option in long-term care services have been located by the research team of Kevin J. Mahoney, a faculty member at the Boston College Graduate School of Social Work and director of the National Resource Center for Participant-Directed Services in Boston
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Many young and healthy uninsured individuals don't see themselves as invincible and in fact are risk-averse, according to a December 2010 study by the Washington, DC-based Center for Studying Health System Change (HSC).
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Charles Duarte, administrator of Nevada's Division of Health Care Financing and Policy, says that in January 2010, state Gov. Jim Gibbons asked staff members to explore whether the state could drop out of the Medicaid program.
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The argument of some state policymakers, says Michael Sparer, PhD, JD, department chair and professor of health policy and management at Columbia University's Mailman School of Public Health in New York City, is that the federal government is significantly increasing its oversight of the Medicaid program and its demands on state Medicaid officials; "and they believe strongly that that's the wrong way to go."
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Forty-six states are actively building delivery and distribution systems to ensure that programs in chronic disease self-management are readily available to individuals with chronic conditions, especially older adults, says Sue Lachenmayr, MPH, program associate at the Center for Healthy Aging in Washington, DC.
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Over the past year, eight states Alabama, Iowa, Kansas, Maryland, Montana, Nebraska, Texas, and Virginia have been working with the National Academy for State Health Policy (NASHP) to develop medical home programs in their Medicaid and Children's Health Insurance Programs.
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An innovative pilot program in Massachusetts will soon be implemented, with the goal of improving the care of children with asthma, reports David Polakoff, MD, chief medical officer of MassHealth, the Massachusetts Medicaid program. "We hope to implement this as soon as possible," he says. "This is an idea that has been kicking around for awhile; it has been tried in some small-scale pilots."
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Healthy eating is a good target area for education, because people are confused about what healthy eating means, contends Andrea Giancoli, MPH, RD, an American Dietetic Association spokesperson who lives in Southern California.
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To improve access to health care in Logan County, IL, the Healthy Communities Partnership was formed 13 years ago. The mission statement of the partners is "to improve the health and quality of life for people in the communities we serve." This is accomplished in many ways, but almost always, education is a key component.
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UnitedHealthcare's post-acute transition program has reduced the average length of stay in skilled nursing facilities by three to five days, depending on the market, for members in the program.
