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See on Scoop.itCardiotoxicity

13WHAM-TV Legalizing Medical Marijuana in NY 13WHAM-TV The cannabidiol (CBD) levels are very high and the THC, which is the psychotropic affects, are very low so the kids aren’t getting high from it they’re truly getting the benefits of the CBDs or…

See on www.13wham.com

See on Scoop.itCardiovascular Disease: PHARMACO-THERAPY

Metformin may trigger B-12 deficiency
Charlotte Observer
Coincidentally, that’s when I started noticing this problem. Could this drug be the cause?

See on www.charlotteobserver.com

See on Scoop.itCardiovascular and vascular imaging

Mast Therapeutics Announces Positive Data In Model Of Heart Failure Wall Street Journal In early 2014, the Company plans to initiate a phase 2, clinical proof of concept study in acute limb ischemia that will evaluate whether MST-188 improves the…

See on online.wsj.com

Minnesota surgeons use MitraClip for the first time to do a heart valve repair without open heart surgery

Reporter: Aviva Lev-Ari, PhD, RN

UPDATED on 7/26/2022

Cardiothoracic surgeons at UC San Francisco performed the first robotically assisted mitral valve prolapse surgery in San Francisco.

Reporter: Aviva Lev-Ari, PhD, RN

https://pharmaceuticalintelligence.com/2022/07/22/cardiothoracic-surgeons-at-uc-san-francisco-performed-the-first-robotically-assisted-mitral-valve-prolapse-surgery-in-san-francisco/

 

See on Scoop.itCardiovascular and vascular imaging

This woman became the first patient in Minnesota to receive a MitraClip for a mitral heart valve repair.

See on medcitynews.com

C-Pulse device designed to help patients with advanced heart failure

Reporter: Aviva Lev-Ari, PhD, RN

 

See on Scoop.itCardiovascular and vascular imaging

A Minnesota medical device company is developing a device to help people with class three and four heart failure without increasing the risk of blood clots.

See on medcitynews.com

See on Scoop.itCardiovascular and vascular imaging

Publication date: January 2014 Source:European Journal of Radiology, Volume 83, Issue 1 Author(s): Takeshi Johkoh , Fumikazu Sakai , Satoshi Noma , Masanori Akira , Kiminori Fujimoto , Takeyuki Watadani , Yukihiko Sugiyama …

See on www.sciencedirect.com

Portion Control as a Strategy in Weight Management to lower the Risk for Cardiovascular Diseases

Reporter: Aviva Lev-Ari, PhD, RN

14 Ways to Cut Portions Without Feeling Hungry

» View Slide Show

14 ways to cut portions without feeling hungry

By Diana Kelly

Published December 31, 2013

  • PORTION_SIZE_640.jpg

To lose weight, you need to burn more calories than you consume, which inevitably means one thing: portion control. But you’re not necessarily doomed to a growling stomach until you reach your goal. “Portion control doesn’t mean you have to eat tiny portions of everything,” says Lisa Young, author of The Portion Teller Plan: The No-Diet Reality Guide to Eating, Cheating, and Losing Weight Permanently. “You don’t want to feel like you’re on a diet, but you have to eat fewer calories.”

Here are 14 easy ways to cut portions, trim calories, and lose fat without counting the minutes until your next meal.

Health.com: 16 Ways to Lose Weight Fast

Start with a glass of H2O

Drink 16 ounces (a big glass) of water before you eat, suggests Dawn Jackson Blatner, author of The Flexitarian Diet. Filling your belly with water will naturally make you less likely to overeat, she says. Plus, some symptoms of dehydration may actually be what’s causing your rumbling belly, so sipping some water before you eat may eliminate your “hunger” altogether.

Wear form-fitting clothes

We’re not suggesting you squeeze into pants that are too tight. However, wearing an outfit with a waistband or perhaps a jacket with buttons can serve as a tool to prompt you to slow down and assess how you feel during your meal, says Young. As your clothing begins to feel a little snugger, it may keep you from going back for seconds.

Add veggie fillers

Bulking up your meals with veggies is one easy way to cut calories while filling you up fast. Spinach, for example, can be used as a sandwich-topper or can add fiber and nutrients to pasta and stir-fries, says Blatner. Other ideas to eat more veggies: swap in mushrooms for half the ground meat in most recipes, make oatmeal more filling with diced apples, and use a whole-wheat pita in place of bread so you can stuff it with more veggies.

Health.com: 10 Ways Your Personality Affects Your Weight

Dine on dinnerware that helps you lose

The color of your plate may influence how much you eat, according to a 2012 Cornell University study. The researchers discovered that when a plate and the food on it had a low color-contrast (like pasta with Alfredo sauce on a white plate), people at a buffet served themselves 22 percent more than when there was a higher color-contrast (like pasta with red sauce on a white plate or pasta with Alfredo sauce on a red plate). The study conclusions suggest that if you want to eat less, select plates that have a color-contrast to the food you’re eating for dinner. Or if you want to eat more healthy foods, like a bigger salad, eat greens from a large green plate or bowl!

Make carbs the topper instead of the base

Rethink the way you use grains and starches. Take a breakfast parfait, for instance: instead of starting with a granola base, fill your cup with yogurt and then sprinkle just a tiny amount of granola on top for the crunch you crave. Making a stir-fry? Load up your plate with veggies and a serving of lean protein, then add a quarter cup of brown rice.

Set the scene for slower eating

Dim lights and listen to relaxing music to set the tone for a more leisurely meal, suggests Blatner. “Taking your time while eating increases enjoyment and decreases portions,” she says. Remember to chew slowly, put down your fork between bites, and sip water to make your meal last longer.

Health.com: 25 Ways to Cut 500 Calories a Day

Work for your food

Here’s another way to slow down your eating: munch on foods that require shelling, peeling, or individual unwrapping, suggests Blatner. Oranges, edamame, and pistachios in their shells are healthy options.

Don’t eat from the bag or box

When you sit down with a bag of chips, do you really know how many you’re eating? Researchers from Cornell University sought to answer this question in a study and found that people ate 50 percent more chips when they were given no visual cues as to how large a portion should be. So if you buy a bag of pretzels or tin of nuts that contains 10 servings, divide the contents of the container into 10 smaller baggies ahead of time.

Slurp your appetizer

Before you dive into your entrée, have some soup. Though it may seem counterintuitive to add more to your meal, research shows that starting a meal with soup may help you reduce your overall calorie intake. In a 2007 study, people who ate soup before their lunch entrée reduced their total calorie intake by 20 percent. Your best bet: a broth-based soup, preferably with veggies to help you feel full from the natural fiber, says Young. Here are a few healthy soup recipes to get you started.

Take a lap before serving yourself

In a Cornell University study published in PLoS One, researchers observed people at two separate breakfast buffet lines that featured the same seven items: cheesy eggs, potatoes, bacon, cinnamon rolls, low-fat granola, low-fat yogurt, and fruit. One line presented the foods from healthiest to least-healthy, while the other line had the order reversed. Regardless of which line they passed through, more than 75 percent of diners put the first food they saw on their plates; the first three foods they encountered in the buffet made up two-thirds of all the foods they added to their plate. So take a stroll around the buffet or dinner table before you serve yourself, suggests Young.

Drink from a tall glass

It’s okay to have a cocktail with your meal if that’s what you really want, but keep it to one glass and enjoy it slowly, suggests Young. To trick yourself into believing you’re having more, pour your drink into a tall, thin glass. A 2005 study published in the journal BMJ revealed that practiced bartenders who poured what they thought was a shot of alcohol (1.5 ounces) into a short, wide glass poured 20 percent more than when the glass was tall and thin. Add extra ice to your drink to make it look like even more!

Limit mealtime distractions

Turn off the TV and put your smartphone away while you eat. A recent review of studies found that people who watched television during meals tended to consume more than those who ate without any distractions. And for you office dwellers? Consider taking your lunch break away from your desk—in an American Journal of Clinical Nutrition study, people who played computer solitaire while having lunch felt less full at the end, and went on to eat more food later in the day than those who didn’t play the game.

Health.com: Lose 10 Inches in 10 Days

Use smaller serveware and dishes

Turns out that even food experts aren’t so savvy about eyeballing portion sizes. In a Cornell University study, 85 nutrition experts gathered for an ice cream social to celebrate the success of a colleague. They were randomly given either a small or large bowl, or a small serving scoop or large serving scoop. Then, the nutritionists were asked to complete a brief survey while the study researchers secretly weighed their bowls. Those given the larger bowls served themselves 31 percent more without realizing it, while those who used the larger scoop unknowingly served themselves 14.5 percent more. Moral of the story? Dish up your own food with a small utensil onto a small bowl or plate, and chances are you’ll eat less.

End your meal with a new kind of sweet treat

Many people have trained themselves to expect a sweet treat at the end of a meal, says Blatner. Swap in a new, healthier ritual after meals to signal that you’re done eating. She recommends brewing a flavorful decaf tea like peppermint, cinnamon, chocolate, or one of your favorite fruity varieties for low-or-no-calorie sweet-tooth satisfier.

This article originally appeared on Health.com.

http://www.health.com/health/gallery/thumbnails/0,,20769037,00.html

SOURCE

http://www.foxnews.com/health/2013/12/31/14-ways-to-cut-portions-without-feeling-hungry/

Sanford Imagenetics: A new Clinical Genomic Medicine Initiative – $125 million donation was provided by Philanthropist Denny Sanford

Reporter: Aviva Lev-Ari, PhD, RN

Sanford Health Plans Nationwide Genomic Medicine Program, Reaps $125M Gift

January 07, 2014

NEW YORK (GenomeWeb News) – Sanford Health, a South Dakota-based non-profit health system, said today it will use a $125 million gift to establish a new clinical genomic medicine initiative called Sanford Imagenetics that will stretch across multiple US regions.

The new program will integrate genetic testing in primary care for adult patients with a research program that seeks to define which markers are most successful, Sanford Health said.

Sanford Clinic President Dan Blue said in a statement that Sanford Health will “take a national lead role in using existing genetic markers and incorporating future discoveries for internists to individualize care for patients with cancer, diabetes, hypertension, coronary artery disease, and other conditions.”

“We will also study the outcomes to evaluate the efficacy of this approach as well as in-depth bioinformatics research focused on the practical clinical interpretation of the complicated biological data,” added Gene Hoyme, president of Sanford Research.

Beginning later this year, Sanford Imagenetics will offer patients the opportunity to take genetic tests and undergo genetic counseling, and physicians will use their patients’ genetic information to prescribe medications and dosage, and to determine which treatments to use, such as statins or blood thinners.

Sanford Health said it will have dedicated facilities “in all major markets” to implement the new program, including spaces to house the internal medicine practice, genetic counselors, medical geneticists, research, education, and lab services. Sanford Health also said it is the largest rural non-profit healthcare system in the country, with 39 hospitals, 140 clinics, and 1,360 physicians located in 126 communities in nine states.

To launch the initiative, Sanford Health said it has already started recruiting internal medicine and genetics staff to support the Imagenetics program, and it has developed partnerships with Augustana College and the University of South Dakota to develop academic programs to train doctors, scientists, and nurses in genomic medicine.

The $125 million donation was provided by philanthropist Denny Sanford, who has already given nearly half a billion dollars to Sanford Health.

 

Patient Protection and Affordable Care Act Featured at RAND

Reporter: Aviva Lev-Ari, PhD, RN

Below the reader will find a compilation of all the articles related to Affordable Care Act Featured at RAND

The Patient Protection and Affordable Care Act (ACA)—the sweeping health care reform sometimes known as “Obamacare”—was enacted in 2010. The law aims to expand access to health coverage for uninsured Americans.

The ACA does this through several provisions: an individual mandate requiring adults to have health insurance or pay a fine; an employer mandate requiring firms with 50 or more employees to offer coverage or pay a fine; a requirement that each state establish a health insurance exchange or accept a federally established exchange in which individuals and small businesses can buy coverage; an expansion of Medicaid eligibility to cover greater numbers of lower-income people. (A 2012Supreme Court decision held that states could not be required to expand Medicaid, thus leaving expansion up to the states.)

In addition, the ACA makes changes to Medicare intended to cut costs, shore up the program’s fiscal solvency, and improve delivery of care.

What’s Next for the ACA

With most of the ACA’s provisions taking full effect in 2014, the complex process of implementing the law is underway across the country. RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing decisionmakers at many levels: federal and state governments, employers, families, and individuals.Our recent work has examined the likely impact of the ACA in four key policy areas:

Patient Protection and Affordable Care Act
Through a number of provisions — such as individual and employer mandates, health insurance exchanges, and the expansion of Medicaid — the Patient Protection and Affordable Care Act (ACA) aims to expand access to health care for uninsured Americans. RAND has examined implementation challenges, cost and coverage implications, Medicaid expansion, state health insurance exchanges, and reforms to both care delivery and payment.

Featured at RAND

The RAND Health Reform Opinion Study

group opinionsThe RAND Health Reform Opinion Study tracks public opinion of the Affordable Care Act by surveying the same people over time. This allows us to observe true changes in public opinion, rather than changes based on who was surveyed randomly.

The Affordable Care Act: Four Key Policy Areas

Obama signing the ACAWith the complex process of implementing the ACA underway, RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing federal and state governments, employers, families, and individuals.

All Items (123)

Fotolia_52964211_Subscription_Monthly_XXLThe latest data from the RAND Health Reform Opinion Study indicates that positive opinion of the ACA continues to increase. The overall favorable rating is now as high as it was in late September, prior to the opening of the health insurance exchanges.

BLOG

RAND Health Reform Opinion Study Update: Positive Opinion on ACA Grows, Negative Opinion Stabilizes— Dec 23, 2013

President Barack Obama and First Lady Michelle Obama discuss the Affordable Care Act with mothersLast week we introduced the RAND Health Reform Opinion Study, a new way to measure public opinion of the Affordable Care Act. Negative opinion about the ACA seems to be stabilizing, while positive opinion is increasing. Those undecided about the ACA are decreasing.

COMMENTARY

A New Way to Measure Public Opinion of Health Reform — Dec 18, 2013

Obama healthcare law supporters rally during the third and final day of legal arguments over the Patient Protection and Affordable Care Act at the Supreme Court in Washington, March 28, 2012Whether the public will begin to settle on an overall positive or negative perception of the Affordable Care Act (ACA) is very much an open question. But understanding how opinion of the law evolves over time could offer valuable insight into Americans’ appetite both for the ACA and for health reform more broadly.

RESEARCH BRIEF

Will the Affordable Care Act Make Health Care More Affordable? — Dec 11, 2013

Fotolia_48436515_Subscription_Monthly_XLFor most lower-income people who obtain coverage as a result of the Affordable Care Act, health care spending will fall. But spending by some newly insured higher-income people will increase because they will be now paying insurance premiums.

COMMENTARY

Is There Really a Physician Shortage? — Dec 5, 2013

Fotolia_51436665_Subscription_Monthly_XLLarge coverage expansions under the ACA have reignited concerns about physician shortages. These estimates result from models that forecast future supply and demand for physicians based on past trends and current practice. While useful exercises, they do not necessarily imply that intervening to boost physician supply would be worth the investment.

PERIODICAL

Ramifications of Health Reform — Nov 26, 2013

doctor listens to a heartbeat of a 5-year-old patient 2014 will be an important year for the Patient Protection and Affordable Care Act. Health insurance exchanges will offer people new ways to buy insurance. Medicaid will expand in many states. And people without “minimum essential coverage” may have to pay a fee.

COMMENTARY

Employer-Provided Health Insurance: Why Does It Persist, and Will It Continue after 2014? — Nov 25, 2013

health insurance claim form, pen, calculatorAs the ACA is implemented, policy makers should be attuned to potential inefficiencies and inequities created by a system with different regulatory and tax rules for small employers, large employers, and individual health plans. Attempts to equalize the playing field may be difficult.

COMMENTARY

Can the Affordable Care Act Help Asthma Sufferers Breathe Easier? — Nov 20, 2013

Fotolia_52973064_Subscription_Monthly_XLACA reforms can potentially address barriers that get in the way of individuals with asthma getting the care they need. At the population level, the law has the potential to improve outcomes and efficiency and equity of services for chronic conditions such as asthma for which cost-effective preventive treatments exist.

COMMENTARY

Four Questions on Canceled Insurance Policy Fix — Nov 14, 2013

U.S. President Barack Obama talks about the Affordable Care Act in the Brady Press Briefing Room at the White House in Washington, November 14, 2013David Mastio, Forum editor at USA TODAY, asked RAND’s Christine Eibner four questions about President Obama’s plan to fix the problem with people getting their insurance canceled.

BLOG

The Future of the Health Care Workforce: RAND Researchers Well Represented in Health Affairs Special Issue— Nov 7, 2013

Fotolia_52420884_Subscription_Monthly_XXLIn “Redesigning the Health Care Workforce,” a new special issue of the journal Health Affairs, RAND researchers contribute to several timely examinations of challenges, opportunities, and potential solutions relating to the future of health care staffing in the U.S. and abroad.

COMMENTARY

Quick Takes: Health Literacy and ACA Enrollment — Nov 7, 2013

Fotolia_44089855_Subscription_Monthly_XXLThe Affordable Care Act (ACA) expands coverage to millions of Americans. But the newly eligible may face challenges enrolling if they lack understanding of how the health care system itself works. Laurie Martin explains the role of health literacy in determining how successful the ACA will be in providing coverage for America’s uninsured.

COMMENTARY

Quick Takes: The Math of Medicaid Expansion — Oct 21, 2013

blonde boy getting checkupExpanding Medicaid under the Affordable Care Act (ACA) is both contentious and complicated. RAND mathematician Carter Price has been using the COMPARE model to help those making decisions understand what their choices mean for their budgets and population health.

COMMENTARY

Medicaid Access for the Formerly Incarcerated Under the ACA: Helping the Oft-Forgotten — Oct 3, 2013

male patient wearing white shirt talking to psychiatristAmerica’s prison population tends to be sicker than the general population. While Medicaid eligibility under the ACA offers an historic opportunity, enrolling the formerly incarcerated into the health exchanges or Medicaid will be neither simple nor straightforward.

COMMENTARY

Understanding the Affordable Care Act — Oct 2, 2013

Fotolia_54387258_Subscription_Monthly_XLOne of the chief aims of the Affordable Care Act (ACA) is the expansion of insurance coverage to individuals who at present either cannot afford it or choose not to purchase it. Unfortunately, many Americans lack the financial literacy needed to navigate the numerous and complex options thrust upon them by the ACA.

COMMENTARY

Will the Affordable Care Act Make Health Care More Affordable? — Oct 1, 2013

Fotolia_49599013_Subscription_Monthly_XXLOut-of-pocket spending on health care will decrease for both the newly insured as well as for those changing their source of insurance. These decreases will be largest for those who would otherwise be uninsured.

BLOG

Ask Me Anything: Carter Price on the Affordable Care Act — Oct 1, 2013

Fotolia_56040470_Subscription_Monthly_XLAs of October 1, many Americans can now shop for health insurance through state exchanges created as part of the Affordable Care Act (ACA)—the sweeping health care reform often referred to as “Obamacare.” To provide some insight into the ACA, RAND’s Carter Price hosted an “Ask Me Anything” session on Reddit today.

NEWS RELEASE

Affordable Care Act Will Reduce Out-of-Pocket Medical Spending for Many Americans — Oct 1, 2013

The Affordable Care Act will have a varied impact on health spending by individuals and families, depending primarily on their income and whether they would have been uninsured in 2016 without the program.

REPORT

Affordable Care Act Will Reduce Out-of-Pocket Medical Spending for Many Americans — Oct 1, 2013

a middle aged woman checking out at a medical reception counterThe Affordable Care Act will have a varied impact on health spending by individuals and families, depending primarily on their income and whether they would have been uninsured in 2016 without the program.

Patient Protection and Affordable Care Act

Through a number of provisions — such as individual and employer mandates, health insurance exchanges, and the expansion of Medicaid — the Patient Protection and Affordable Care Act (ACA) aims to expand access to health care for uninsured Americans. RAND has examined implementation challenges, cost and coverage implications, Medicaid expansion, state health insurance exchanges, and reforms to both care delivery and payment.

Featured at RAND

The RAND Health Reform Opinion Study

group opinionsThe RAND Health Reform Opinion Study tracks public opinion of the Affordable Care Act by surveying the same people over time. This allows us to observe true changes in public opinion, rather than changes based on who was surveyed randomly.

The Affordable Care Act: Four Key Policy Areas

Obama signing the ACAWith the complex process of implementing the ACA underway, RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing federal and state governments, employers, families, and individuals.

All Items (123)

Will ACA Implementation Lead to a Spike in Demand for Care? — Sep 26, 2013

Fotolia_48335019_Subscription_Monthly_XXLThe growing number of Americans newly-insured under the ACA will undoubtedly lead to a surge in demand for care, whether through Medicaid or insurance exchanges. But, if predictions hold, the increase won’t be as dramatic as some may fear, writes David I. Auerbach.

COMMENTARY

Data Points: Why Delay of the Employer Mandate May Not Actually Mean That Much — Aug 29, 2013

health insurance policy and reading glassesThe bottom line is that the employer mandate does not provide a large inducement for firms to change their health insurance offerings, but it does raise a substantial amount of money to pay for the ACA’s coverage provisions over time.

REPORT

No Widespread Increase in Cost of Individual Health Insurance Policies Under Affordable Care Act— Aug 29, 2013

calculator, pills, and stethoscopeAn analysis of 10 states and the United States overall predicts that there will be no widespread premium increase in the individual health insurance market under the ACA. However, the cost of policies will vary among states and will be influenced by individual factors such as a person’s age and whether they smoke.

NEWS RELEASE

No Widespread Increase in Cost of Individual Health Insurance Policies Under Affordable Care Act— Aug 29, 2013

An analysis of 10 states and the United States overall predicts that there will be no widespread premium increase in the individual health insurance market under the ACA. However, the cost of policies will vary among states and will be influenced by individual factors such as a person’s age and whether they smoke.

NEWS RELEASE

Delay of Employer Insurance Mandate Will Not Cause Major Problems for Affordable Care Act — Aug 19, 2013

A one-year delay in requiring large employers to provide health insurance to their workers will not significantly hurt the goals of the Affordable Care Act, but a repeal of the requirement would seriously undermine financial support for the law.

REPORT

Delay of Employer Insurance Mandate Will Not Cause Major Problems for Affordable Care Act — Aug 19, 2013

stethoscope and clockA one-year delay in requiring large employers to provide health insurance to their workers will not significantly hurt the goals of the Affordable Care Act, but a repeal of the requirement would seriously undermine financial support for the law.

MULTIMEDIA

The Math of State Medicaid Expansion — Jul 17, 2013

Carter PriceMathematician Carter Price discusses the potential impacts to low-income populations and local economies in states that choose not to expand Medicaid under the Affordable Care Act.

COMMENTARY

Health Care Spending: What’s in Store? — Jul 16, 2013

illustration of weighing medical costsResolving the question of whether or not the U.S. has finally gotten a handle on health care spending is vitally important, because the choices we make going forward will have profound implications for our economy, the financial wellbeing of millions of American families, and ultimately America’s standing in the world.

REPORT

Helping Decisionmakers Implement the ACA’s Medicaid Provisions — Jun 26, 2013

A stethoscope atop a United States flagThe Affordable Care Act (ACA) contains many Medicaid-related provisions. RAND is working closely with decisionmakers at the federal and state levels to help resolve challenges associated with implementing the ACA’s sweeping reforms.

CONTENT

The Impact of RAND’s Work for the Centers for Medicare & Medicaid Services (CMS) — Jun 26, 2013

stethoscope on American flagRAND’s work for the Centers for Medicare & Medicaid Services reflects the diverse, widespread nature of CMS’s programs. Major topics examined by our health policy experts include improving Medicare payment policies, implementation of the ACA’s Medicaid provisions, Medicare demonstration projects, measuring quality of care, and assessing patients experience.

JOURNAL ARTICLE

How Well Do Medicare’s Pay-for-Performance (P4P) Programs Match Desirable P4P Design Criteria?— Jun 25, 2013

ear exam on senior patientAlignment with best P4P practices varies across Medicare programs; the program for Medicare Advantage aligns most strongly. It is unclear which P4P design elements are critical for quality improvement. Unintended consequences of design features are poorly understood.

REPORT

Revenue, Spending Reductions Will Offset Costs of Expanding Medicaid in PA — Jun 24, 2013

Harrisburg, Pennsylvania panoramaWhile the expansion of Medicaid under the Affordable Care Act will require additional spending by the Commonwealth of Pennsylvania, these costs will be more than offset by additional revenue or reductions in other spending in the 2014-2020 timeframe.

COMMENTARY

Will Small Firms Self-Insure After Jan. 1, 2014? — Jun 17, 2013

 Doctor with young womanBecause of the ACA’s regulations, some smaller employers with young and healthy workers are considering avoiding the purchase of health care coverage in the regulated market, opting instead to self-insure their employees.

RESEARCH BRIEF

The Math of State Medicaid Expansion — Jun 7, 2013

Fotolia_45672516_Subscription_Monthly_XXLRAND researchers have analyzed how opting out of Medicaid expansion would affect insurance coverage and spending and whether alternative policy options—such as partial Medicaid expansion—could cover as many people at lower costs to states.

BLOG

Covering Emergency Care for Young Adults: Is the ACA Doing Its Job? — Jun 5, 2013

A woman is wheeled through an emergency department on a gurney.The dependent coverage provision of the Affordable Care Act is working as intended, say Andrew Mulcahy and Katherine Harris. In 2011, it spared individuals and hospitals from $147 million in emergency room costs.

CONTENT

Should States Expand Medicaid Under the ACA? — Jun 3, 2013

U.S. state map with stethoscopeSome governors have stated publicly that their states will not participate in Medicaid expansion. A recent RAND study explores how this could affect government costs and coverage.

NEWS RELEASE

Expanding Medicaid Is Best Financial Option for States — Jun 3, 2013

States that choose not to expand Medicaid under federal health care reform will leave millions of their residents without health insurance and increase spending on the cost of treating uninsured residents, at least in the short term.

JOURNAL ARTICLE

Expanding Medicaid Is Best Financial Option for States — Jun 3, 2013

Nuns On The Bus rally and Texas Capitol visit about MedicaidStates that choose not to expand Medicaid under federal health care reform will leave millions of their residents without health insurance and increase spending on the cost of treating uninsured residents, at least in the short term.

REPORT

Labor Market Outcomes of Health Shocks and Dependent Coverage Expansions — Jun 1, 2013

machine_shop_workerA series of studies on sources of variation in individual valuation of employer-provided group health care found that the effects of bundling health insurance with employment in the U.S. can vary significantly within different population groups.

NEWS RELEASE

Health Reform Shields Young Adults from Emergency Medical Costs — May 29, 2013

A new federal law allowing young adults to remain on their parents’ medical insurance through age 25 has shielded them, their families, and hospitals from the full financial consequences of serious medical emergencies.

Through a number of provisions — such as individual and employer mandates, health insurance exchanges, and the expansion of Medicaid — the Patient Protection and Affordable Care Act (ACA) aims to expand access to health care for uninsured Americans. RAND has examined implementation challenges, cost and coverage implications, Medicaid expansion, state health insurance exchanges, and reforms to both care delivery and payment.

Featured at RAND

The RAND Health Reform Opinion Study

group opinionsThe RAND Health Reform Opinion Study tracks public opinion of the Affordable Care Act by surveying the same people over time. This allows us to observe true changes in public opinion, rather than changes based on who was surveyed randomly.

The Affordable Care Act: Four Key Policy Areas

Obama signing the ACAWith the complex process of implementing the ACA underway, RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing federal and state governments, employers, families, and individuals.

Infographic: How Pennsylvania May Fare Under the ACA — May 15, 2013

Pennsylvania capitol buildingThis infographic presents findings from a RAND analysis of the economic and other effects of Medicaid expansion on the commonwealth of Pennsylvania.

COMMENTARY

Governors Missing the Point on Medicaid — Apr 29, 2013

6170068425_b192a9d867_bWhile a governor or legislator may disagree with Medicaid expansion for philosophical reasons, the claims that the expansion will be a burden on states’ economies seem misguided given the full range of projected economic impacts on the states, writes Carter C. Price.

RESEARCH BRIEF

Infographic: How Arkansas May Fare Under the Affordable Care Act — Apr 8, 2013

Arkansas state quarterThis infographic presents findings from a RAND analysis of the economic and other effects of the Affordable Care Act on the state of Arkansas.

COMMENTARY

Helping Obama—and Other Americans—Weigh Which Health Insurance Exchange to Pick — Apr 1, 2013

a health insurance claim form and a silver penMultistate plans are most likely to appeal to out-of-state students, interstate migrants, out-of-state workers, seasonal movers (e.g., “snowbirds”), and similar groups that require improved access to health care across state lines.

NEWS RELEASE

Expanding Medicaid in Pennsylvania Would Sharply Increase Federal Revenue to State — Mar 28, 2013

Expanding Medicaid in Pennsylvania under the Affordable Care Act would boost federal revenue to the state by more than $2 billion annually and provide 340,000 residents with health insurance.

REPORT

The Economic Impact of Medicaid Expansion on Pennsylvania — Mar 28, 2013

Pennsylvania state flagIf Pennsylvania opts into Medicaid expansion under the Affordable Care Act, more residents would have health coverage and the state would enjoy a positive economic effect. However, benefits would have a long-term cost, with uneven regional results.

REPORT

Multistate Health Plans in the ACA’s State Insurance Exchanges — Mar 20, 2013

blue and pink pillsThe ACA requires the government to work with insurance issuers to establish at least two multistate plans (MSPs) in each state’s health insurance exchange. MSPs may be especially attractive to those interested in issuers that operate in multiple states, such as out-of-state students or temporary workers.

REPORT

Efforts to Reform Physician Payment by Tying Payment to Performance — Feb 14, 2013

pediatrician with patient and motherPublic and private sector purchasers are actively working to design value-based payment programs to achieve the goals of improved quality and more efficient use of health care resources. How these programs are designed is a complex undertaking and one that will determine the likelihood of their success.

BLOG

In Brief: Amelia M. Haviland on Consumer-Directed Health Plans — Jan 23, 2013

In this video, Amelia Haviland presents the results of several new RAND studies on cost and quality in consumer-directed health plans, and explores how switching plans affects the quality of care.

BLOG

Modeling the Effects of the Affordable Care Act in Arkansas — Jan 7, 2013

patients sitting in waiting roomThe Medicaid expansion under the ACA will result in about 400,000 people newly insured in Arkansas by 2016. Of these, about 190,000 would be newly enrolled in Medicaid and the rest would be newly insured through the new insurance exchanges. The state is likely to save about $67 million for reduced uncompensated care costs for the uninsured.

REPORT

The Economic Impact of the ACA on Arkansas — Jan 3, 2013

Arkansas flagFor Arkansas, the Affordable Care Act will result in an increase in GDP of around $550 million and the creation of about 6,200 jobs. The new law will also increase health insurance coverage by 400,000 newly insured individuals.

JOURNAL ARTICLE

Implications of New Insurance Coverage for Access to Care, Cost-Sharing, and Reimbursement — Jan 1, 2013

Many physician practices will face a set of critical decisions in the coming years that may contribute to the ultimate success or failure of the ACA.

CONTENT

Four Strategies to Contain America’s Growing Health Care Spending — Nov 15, 2012

pills and coinsIn its second term, the Obama Administration can restrain further health care spending growth—without compromising quality—by employing four broad strategies: fostering efficient and accountable providers, engaging and empowering consumers, promoting population health, and facilitating high-value innovation.

COMMENTARY

Health Care Costs Must Be Curbed, No Matter Who Wins — Oct 16, 2012

money and pillsRegardless of which candidate wins in November, and regardless of whether “Obamacare” is repealed, amended, or defended by the next Congress, the next president will have to contend with the spiraling cost of health care in the United States—a problem that is growing more acute with each passing year, writes Arthur Kellermann.

COMMENTARY

California Improves on Affordable Care Act by Letting RNs Dispense Birth Control — Oct 8, 2012

birth control pillsAs we look for ways to provide efficient, high-quality and cost-effective healthcare to more Americans, states may study California as a potential model for how to do more to deliver on what the Affordable Care Act has to offer women, while saving money at the same time, writes Chloe Bird.

PERIODICAL

The Fate of ACA Is a Major Issue in Upcoming Congressional and Presidential Elections — Sep 21, 2012

stethoscope on 50 dollar billsWhether the Affordable Care Act is repealed, defended, or weakened will hinge on who holds the balance of power next January. Regardless of what happens with the ACA, the spiraling cost of health care in the United States will remain a huge challenge.

CONTENT

Retail Clinics Play Growing Role in Health Care Marketplace — Sep 11, 2012

man getting his arm wrappedRetail health care clinics provide treatment for acute conditions like bronchitis as well as vaccinations and other preventive care. With the role of retail clinics expanding and U.S. health care entering a dynamic period of change, it is important to consider what we know about this emerging health care setting.

COMMENTARY

Supporting Comprehensive Healthcare for Women Makes Dollars, and Sense — Sep 5, 2012

As we look for ways to provide efficient, high-quality, and cost-effective health care to more Americans, we can’t afford to ignore women’s health issues, including reproductive health care and the cost savings that contraceptive access provides, writes Chloe Bird.

JOURNAL ARTICLE

Medicare Postacute Care Payment Reforms Have Potential To Improve Efficiency Of Care, But May Need Changes To Cut Costs — Sep 1, 2012

ACA-mandated payment reforms need to achieve more than a one-time cost saving.

COMMENTARY

Will More Employers Drop Coverage Under the ACA? Don’t Bet on It — Jul 27, 2012

A problem with using surveys to predict behavior is that they measure employer sentiment toward the ACA today, rather than the economic decisions employers typically make when the time comes, writes Art Kellermann.

COMMENTARY

Time to Focus on Healthcare Costs — Jun 29, 2012

The bottom line is this: With or without the Affordable Care Act, the nation can no longer kick the can down the road on costs, writes Arthur Kellermann.

CONTENT

Supreme Court Upholds the Affordable Care Act: What the Experts Are Saying — Jun 28, 2012

Supreme Court pillarsNow that the Supreme Court has upheld key provisions of the Affordable Care Act, what lies ahead for health care in America? RAND experts sound off in the wake of this momentous decision.

COMMENTARY

Time to Shift Talk to Health Care Costs — Jun 28, 2012

The U.S. Supreme Court’s ruling on the Affordable Care Act is unquestionably historic, but there is a critical aspect of health care reform that still needs to be fixed. The nation needs to take decisive action to address the rising costs of health care, writes Arthur Kellermann.

RESEARCH BRIEF

Consumer-Directed Plans Could Cut Health Costs Sharply, but Also Discourage Preventive Care — Jun 28, 2012

pills and moneySwitching to a consumer-directed health plan (CDHP) could save families 20 percent or more on their health care costs. Families with CDHPs initiate less episodes of care and spend less per episode, however, they also tend to scale back on high-value preventive care, such as child vaccinations.

PERIODICAL

Eliminating Individual Mandate Would Decrease Coverage, Increase Spending — May 11, 2012

If the individual mandate requiring all Americans to have health insurance were eliminated, it would sharply reduce the number of people gaining coverage and slightly increase the cost for those who do buy policies through the new insurance exchanges.

JOURNAL ARTICLE

Expanding Consumer-Directed Health Plans Could Help Cut Overall Health Care Spending — May 7, 2012

If consumer-directed health plans grow to account for half of all employer-sponsored insurance in the United States, health costs could drop by $57 billion annually—about 4 percent of all health care spending among the nonelderly.

BLOG

Would the Affordable Care Act Lead to Reductions in Employer-Sponsored Coverage? — May 4, 2012

As the U.S. Supreme Court considers the constitutionality of the Affordable Care Act’s (ACA) individual mandate, one of the questions being debated is what effect the mandate would have on employer-sponsored health insurance coverage. A factor to consider in this is the effect the ACA would have on small businesses, which employ the majority of America’s private-sector workforce.

COMMENTARY

What Happens Without the Individual Mandate? — Mar 21, 2012

If the individual mandate were ruled unconstitutional, subsidies and the age structure of premiums should keep enough healthy people in the insurance exchanges to prevent huge spikes in premiums, write Carter C. Price and Christine Eibner.

PAST EVENT

The Affordable Care Act’s Individual Mandate in Play — Mar 20, 2012

RAND economist Christine Eibner spoke at a Bloomberg Government and RAND Corporation event in Washington, D.C. Eibner briefed the attendees on the results of her recent study, How Would Eliminating the Individual Mandate Affect Health Coverage and Premium Costs?

PROJECT

Will Health Care Reform Impact Applications for Disability Benefits? — Mar 12, 2012

As the Affordable Care Act expands health insurance coverage in the U.S., the “cost” of applying for SSDI will decline for many. Studying the effect of Massachusetts health care reform in 2006 may provide insights into the impact the ACA may have on SSDI applications and awards.

NEWS RELEASE

Ending Individual Mandate Would Cut Health Coverage, but Not Dramatically Hike Insurance Price— Feb 16, 2012

Eliminating a key part of health care reform that requires all Americans to have health insurance would sharply lower the number of people gaining coverage, but would not dramatically increase the cost of buying policies through new insurance exchanges.

RESEARCH BRIEF

How Would Eliminating the Individual Mandate Affect Health Coverage and Premium Costs? — Feb 16, 2012

An analysis of the effects of implementing the Affordable Care Act without an individual mandate found that over 12 million people who would have otherwise signed up for coverage will be uninsured and premium prices will increase by 2.4 percent.

REPORT

Ending Individual Mandate Would Cut Health Coverage, but Not Dramatically Hike Insurance Price— Feb 16, 2012

Eliminating a key part of health care reform that requires all Americans to have health insurance would sharply lower the number of people gaining coverage, but would not dramatically increase the cost of buying policies through new insurance exchanges.

CONTENT

How Will Eliminating the Individual Mandate Affect Health Coverage and Premium Costs? — Feb 15, 2012

doctor showing patient xrayThe individual mandate of the Patient Protection and Affordable Care Act of 2010 (ACA) requires that most Americans either obtain health coverage or pay an annual fine. How much will overturning the individual mandate affect costs and coverage?

JOURNAL ARTICLE

Rules Allowing Small Businesses to Opt Out of Health Reform Should Have Minor Impact on Insurance Cost— Feb 8, 2012

health insurance formRules that allow some small employers to avoid regulation under the federal Affordable Care Act are unlikely to have a major impact on the future cost of health insurance unless those rules are relaxed to allow more businesses to opt out.

NEWS RELEASE

Rules Allowing Small Businesses to Opt Out of Health Reform Should Have Minor Impact on Insurance Cost— Feb 8, 2012

Rules that allow some small employers to avoid regulation under the federal Affordable Care Act are unlikely to have a major impact on the future cost of health insurance unless those rules are relaxed to allow more businesses to opt out.

COMMENTARY

How Will the Effects of the Affordable Care Act Be Monitored? — Jan 4, 2012

Most will agree with the undeniable fact that a new era in US medicine and US health care begins in less than two years. The key question is what potential measures should be monitored to determine both anticipated and unanticipated effects of the new law on the health of the US population, writes Robert H. Brook.

OURNAL ARTICLE

Two Years and Counting: How Will the Effects of the Affordable Care Act Be Monitored? — Jan 1, 2012

The Affordable Care Act marks a new era in US health care and US medicine. This commentary suggests ways to monitor the act’s effect on the health of the US population.

RESEARCH BRIEF

How Does Health Reform Affect the Health Care Workforce? Lessons from Massachusetts — Dec 13, 2011

Since Massachusetts enacted health reform legislation in 2006, health care employment in the state has grown more rapidly than in the rest of the United States, primarily in administrative positions.

CONTENT

What Are the Public Health Implications of Prisoner Reentry in California? — Dec 1, 2011

Fotolia_54591532_Subscription_Monthly_XXLCalifornia, the state with the nation’s largest prison population, is releasing increased numbers of inmates under its 2011 Public Safety Realignment Plan. RAND was asked to study the public health implications of returning prisoners for the communities they return to and has found both challenges and opportunities.

REPORT

Addressing Medicare Payment Differentials Across Ambulatory Settings — Oct 12, 2011

bill payment calculatorMedicare’s payment for physician work and malpractice liability expenses is the same regardless of where a service is provided, but payments differ for facility-related components of care.

REPORT

Power to the People: The Role of Consumer-Controlled Personal Health Management Systems in the Evolution of Employer-Based Health Care Benefits — Sep 13, 2011

The Patient Protection and Affordable Care Act has piqued employers’ interest in new benefit designs. This paper reviews consumer-controlled personal health management systems that could help individuals control and manage their health care.

JOURNAL ARTICLE

Health Care Reform and the Health Care Workforce — The Massachusetts Experience — Sep 1, 2011

Analysis of the Massachusetts Health Care Reform Plan suggests national health care reform may require larger numbers of support personnel, rather than requiring greater numbers of physicians and nurses themselves.

PROJECT

Comprehensive Assessment of Reform Efforts (COMPARE) — Jul 20, 2011

thermometer graphPolicymakers are facing new challenges as they implement the Patient Protection and Affordable Care Act (ACA). RAND COMPARE is a modeling tool that simulates the impact of implementation decisions on insurance coverage, premiums, and health care spending.

REPORT

Employer Self-Insurance Decisions and the Implications of the Patient Protection and Affordable Care Act as Modified by the Health Care and Education Reconciliation Act of 2010 (ACA) — May 25, 2011

Implications of the Patient Protection and Affordable Care Act of 2010 (as Modified by the Health Care and Education Reconciliation Act) for small firms’ decisions to offer self-insured health plans and consequences of self-insurance for enrollees.

REPORT

How Community and Faith-Based Organizations Can Help Improve Community Well-Being — May 9, 2011

Content for a toolkit was designed to help community and faith-based organizations take advantage of opportunities presented in the Patient Protection and Affordable Care Act and engage leaders in promoting health in their communities.

NEWS RELEASE

How National Health Reform Will Affect a Variety of States — Apr 5, 2011

A series of new reports by the RAND Corporation outlines the impact that national health care reform will have on individual states, estimating the increased costs and coverage that are expected in five diverse states once reform is fully implemented in 2016.

NEWS RELEASE

Health Reform Will Add Coverage for 6 Million Californians; State Health Spending to Grow by 7 Percent— Apr 5, 2011

National health care reform will help 6 million California residents obtain health insurance and increase health care spending by state government by about 7 percent when it is fully implemented in 2016.

NEWS RELEASE

Health Reform Will Add Coverage for 170,000 in Connecticut; State Health Spending to Drop by 10 Percent— Apr 5, 2011

National health care reform will help 170,000 Connecticut residents obtain health insurance and decrease health care spending by state government by about 10 percent when it is fully implemented in 2016.

NEWS RELEASE

Health Reform Will Add Coverage for 1.3 Million in Illinois; State Health Spending to Grow by 10 Percent— Apr 5, 2011

National health care reform will help 1.3 million Illinois residents obtain health insurance and increase health care spending by state government by about 10 percent when it is fully implemented in 2016.

NEWS RELEASE

Health Reform Will Add Coverage for 125,000 in Montana; State Health Spending to Grow by 3 Percent— Apr 5, 2011

National health care reform will help 125,000 Montana residents obtain health insurance and increase health care spending by state government by about 3 percent when it is fully implemented in 2016.

NEWS RELEASE

Health Reform Will Add Coverage for 5 Million in Texas; State Health Spending to Grow by 10 Percent— Apr 5, 2011

National health care reform will help 5 million Texas residents obtain health insurance and increase health care spending by state government by about 10 percent when it is fully implemented in 2016.

RESEARCH BRIEF

High-Deductible Health Plans Cut Spending but Also Reduce Preventive Care — Apr 5, 2011

High-deductible plans significantly reduce health care spending but also lead consumers to cut back on their use of preventive health care — even though high-deductible plans waive the deductible for such care.

RESEARCH BRIEF

How Will Health Care Reform Affect Costs and Coverage? Examples from Five States — Apr 1, 2011

Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in five states.

REPORT

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Illinois: An Analysis from RAND COMPARE — Apr 1, 2011

Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Illinois through 2020.

REPORT

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Texas: An Analysis from RAND COMPARE — Apr 1, 2011

Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Texas through 2020.

REPORT

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in California: An Analysis from RAND COMPARE — Apr 1, 2011

Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in California through 2020.

REPORT

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Montana: An Analysis from RAND COMPARE — Apr 1, 2011

Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Montana through 2020.

REPORT

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Connecticut: An Analysis from RAND COMPARE — Apr 1, 2011

Projects how the coverage-related provisions of the Patient Protection and Affordable Care Act will affect health insurance coverage and state government spending on health care in Connecticut through 2020.

REPORT

Investment in New Health Care Quality Measures Needed as Cost-Cutting Strategies Grow — Feb 23, 2011

stethoscope chartHealth care spending reforms should be met with new efforts to develop and refine quality of care and other performance measures in order to assure that any changes will improve medical care and not harm patients.

JOURNAL ARTICLE

Small Firms’ Actions in Two Areas, and Exchange Premium and Enrollment Impact — Feb 1, 2011

An analysis of two rules that allow small businesses to avoid participating in health reform concludes they will have only a minor impact because relatively few businesses are likely to take advantage of the options.

RESEARCH BRIEF

How Will the Affordable Care Act Affect Employee Health Coverage at Small Businesses? — Sep 8, 2010

Finds that the Affordable Care Act will increase the percentage of employers that offer health coverage to workers: from 57 percent to 80 percent for firms with 50 or fewer workers, and from 90 percent to 98 percent for firms with 51 to 100 workers.

JOURNAL ARTICLE

The Effects of the Affordable Care Act on Workers’ Health Insurance Coverage — Sep 1, 2010

The nature of employer-sponsored coverage may change substantially after implementation of the Patient Protection and Affordable Care Act, with an increase in the number of workers offered coverage through the health insurance exchanges.

REPORT

Establishing State Health Insurance Exchanges: Implications for Health Insurance Enrollment, Spending, and Small Businesses — Aug 11, 2010

The Patient Protection and Affordable Care Act will increase insurance offer rates at small businesses. By 2016, rates would increase from 53 to 77 percent at firms with ten or fewer workers and from 71 to 90 percent at firms with 11 to 25 workers.

REPORT

Grandfathering in the Small Group Market Under the Patient Protection and Affordable Care Act: Effects on Offer Rates, Premiums, and Coverage — Jun 2, 2010

To avoid changes in current health coverage, the Patient Protection and Affordable Care Act exempts existing plans from some regulations. These exemptions may lead to higher employer-sponsored insurance enrollment and lower government spending.

JOURNAL ARTICLE

Patient Protection and Affordable Care Act: Laying the Infrastructure for National Health Reform — Jun 1, 2010

This article discusses the range of health information technology initiatives included in the 2009 economic stimulus legislation that collectively are known as the Health Information Technology for Economic and Clinical Health (HITECH) initiative; these include proposed regulations on

RESEARCH BRIEF

RAND COMPARE Analysis of President Obama’s Proposal for Health Reform — Mar 3, 2010

Compares President Obama’s Proposal for Health Reform, the U.S. House and Senate health care reform bills, and the status quo on changes in number of uninsured and government and national costs, as estimated by the RAND COMPARE microsimulation model.

RESEARCH BRIEF

Coverage, Spending, and Consumer Financial Risk: How Do the Recent House and Senate Health Care Bills Compare? — Feb 12, 2010

Compares how two health care reform bills, HR. 3962 and H.R. 3590, passed by the U.S. House and Senate, respectively, in late 2009 compare on a variety of projections made using the RAND COMPARE microsimulation model.

RESEARCH BRIEF

Analysis of the Patient Protection and Affordable Care Act (H.R. 3590) — Feb 11, 2010

Using the COMPARE microsimulation model, estimates the effects of the Patient Protection and Affordable Care Act (H.R. 3590) on the number of uninsured, the costs to the federal government and the nation, and consumers’ health care spending.

NEWS RELEASE

The Potential Impact of House Health Reform Legislation — Jan 8, 2010

Health reform as set forth in legislation passed by the U.S. House of Representatives in November would cut the number of uninsured Americans to 24 million by 2019 (a 56 percent decrease) and increase personal spending on health care by about 3.3 percent cumulatively between 2013 and 2019.

RESEARCH BRIEF

Analysis of the Affordable Health Care for America Act (H.R. 3962) — Jan 7, 2010

Using the COMPARE microsimulation model, estimates proposed health care reform legislation’s effects on the number of uninsured, the costs to the federal government and the nation, revenues from penalty payments, and consumers’ health care spending.

JOURNAL ARTICLE

Bending the Curve Through Health Reform Implementation — Jan 1, 2010

Cost savings can be achieved while improving health care quality by speeding payment reforms, implementing insurance reforms, and reforming coverage.

JOURNAL ARTICLE

Could We Have Covered More People at Less Cost? Technically, Yes; Politically, Probably Not — Jan 1, 2010

Using the COMPARE (Comprehensive Assessment of Reform Efforts) microsimulation model, this study evaluated how the recently enacted health reform law performed compared with alternative designs on measures of effectiveness and efficiency and found that only a few different approaches would cover more individuals at a lower cost to the government; however, these appeared politically untenable because they included substantially higher penalties, lower subsidies, or less generous Medicaid expansion.

JOURNAL ARTICLE

The Science of Health Care Reform — Jun 17, 2009

Another health policy window has opened; through it will stream proposals to reform the US health care system. President Obama has demanded that reform proposals improve both coverage and quality of care and make health care more affordable for all Americans. Extending coverage without worrying about costs would be relatively easy. Improving quality of care without worrying about costs might also be achievable. But extending coverage and improving quality while also making coverage more affordable will be difficult.

PEOPLE

David I. Auerbach

Policy Researcher; Professor, Pardee RAND Graduate School
Ph.D. in health economics, Harvard University; M.S. in environmental science & policy, MIT; M.S. in chemistry, University of California, Berkeley; B.S. in chemistry, MIT

PEOPLE

Christine Eibner

Economist
Ph.D. in economics, University of Maryland, College Park

PEOPLE

Peter S. Hussey

Policy Researcher; Professor, Pardee RAND Graduate School
Ph.D. in health policy and management, Johns Hopkins Bloomberg School of Public Health

PEOPLE

Sarah A. Nowak

Associate Physical Scientist; Professor, Pardee RAND Graduate School
Ph.D. and M.S. in biomathematics, University of California, Los Angeles; B.S. in physics, MIT

PEOPLE

Jeanne S. Ringel

Director, Public Health Systems and Preparedness Initiative, RAND Health; Senior Economist; Professor, Pardee RAND Graduate School
Ph.D. in economics, University of Maryland, College Park; M.A. in economics, University of Maryland, College Park

PEOPLE

Kristin R. Van Busum

Project Associate, Behavioral & Policy Sciences
M.P.A. in health policy analysis, New York University; B.A., Butler University

SOURCE

http://www.rand.org/topics/patient-protection-and-affordable-care-act.all.0.html

460 symposia including some 1,845 speakers: Male Dominated LIfe Sciences Scene in 2011-2013

Reporter: Aviva Lev-Ari, PhD, RN

Article ID #101: 460 symposia including some 1,845 speakers: Male Dominated Life Sciences Scene in 2011-2013. Published on 1/7/2014

WordCloud Image Produced by Adam Tubman

 

To Get More Female Conference Speakers

January 07, 2014

If women are part of the group that invites speakers to talk at a meeting, that lineup of people giving talks tends to include more female scientists, suggests a study from Albert Einstein College of Medicine’s Arturo Casadevall and Yale University’s Jo Handelsman appearing in mBio.

Men, notes Ivan Oransky at MedPage Today, make up the vast number of speakers at quite a few biomedical conferences. For instance, Rock Health and XX in Health reports that the 2013 Medicine X conference had a 38 to 62 female to male speaker split while 26 percent of the speakers at the Digital Health Summit were female and 13 percent were at the ForbesRx meeting.

Jonathan Eisen has noted at his blog Phylogenomics that the effect extends to genomics meetings. He’s pointed out a number of conferences in his field that are also dominated by men.

In mBioCasadevall and Handelsman examine 460 symposia including some 1,845 speakers at two meetings put on by the American Society for Microbiology between 2011 and 2013.

For the ASM General Meeting, Casadevall and Handelsman report that sessions convened by all men included an average 25 percent female speakers while sessions organized by a team that included at least one woman had an average 43 percent female speakers. Having a woman on the convener team decreased the likelihood of an all-male session by some 70 percent for the ASM General Meeting, they added.

A similar decline was noted for the Interscience Conference on Antimicrobial Agents and Chemotherapy meetings.

“The results suggest that an experiment in which at least one woman is included in every team of conveners might increase the proportional representation of women among the speakers at ASM meetings,” the authors say. “An alternative might be to explicitly charge conveners with finding speakers who reflect the diversity of microbiologists.”

Philosopher Janet Stemwedel cautions, though, that fixing the problem may not be so easy because the mechanism behind the effect of more female conveners leading to more female speakers is unclear, as she tells MedPage Today. Still, ” I think it’s at least plausible that a diversity criterion might be a useful workaround for the blind spot implicit gender bias imposes when people think on people in their field doing good and important work,” she tells Oransky.

SOURCE

Blaze a Different Path

December 27, 2013
The scariest part about leaving academia is not having that well-defined track to follow, writes Carolyn Beans, a PhD student at the University of Virginia, at the Nature Jobs blog.

“Many jobs outside of academia are highly specific: chief of an imaging facility, director of research administration for a cancer institute, associate director of a science museum,” Beans writes, adding that “[l]eaving academia with the singular goal of obtaining any one of these jobs would be risky. The best we can do is identify a broader career category to work towards, such as science research, administration, or outreach.”

She and some of her graduate school colleagues pulled together a panel of biologists who have pursued careers outside of academia. While they couldn’t provide a sign-posted path to follow, Beans writes that the panelists did offer a few tips on how to start blazing your own way. For instance, the panelists suggested going on informational interviews to learn more about how people got into careers you are interested in or volunteering (perhaps while still in school so it isn’t as much of a financial drain) to build your network and resume at the same time. Additionally, they suggested turning to the alumni network of your department — there are likely quite a few others who came before you who have left academia as well.

 SOURCE