September 26, 2007

SCHIP Succeeds in House; Senate to Vote Shortly 

U.S. Rep. Castor Briefs Florida Advocates

 

The fight to expand the State Children Health Insurance Program (SCHIP) moved a step forward with the House of Representatives overwhelmingly supporting HR 976, the SCHIP Reauthorization Act. Following a Senate vote, the bill faces a promised presidential veto. And not all children’s health care advocates are perfectly happy, according to US Rep. Kathy Castor, (FL District 11).  Her comments were made to a group of Florida children advocates via conference call the day before the House voted to reauthorize the program by a 265-159 vote, with 45 Republicans voting in favor and 8 Democrats voting against. (by Andrew Leone, Florida CHAIN) Read more


 

Highlighting activities related to health care access and during Hispanic Heritage month from left to right:
1. Magdaleno Rose-Avila, of Interfaith Workers Justice speaks at St. George's church, in Lauderhill (see Real Story for more)
2. Josephine Mercado, Executive Director of Hispanic Health Initiatives, speaks at town hall in Orlando. State Rep. Scott Randolph (left) and Sarah Sullivan, Esq. of Jacksonville Area Legal Aid, listen. (see Partner Story for more)
3. Orlando town hall participants included l-r Alexander Barrio, assistant to State Rep. Darren Soto, State Rep. Scott Randolph, Josephine Mercado, Andrew Leone and Kevin Scherin, MD, Orange County Health Dept. Chief.

Tell Congress AGAIN to Support SCHIP

Call 1-800-828-0498 toll-free

Covering 4 million more uninsured children is one of the most important votes your U.S. Rep and Senators can take. It's up to them to prevent a threatened presidential veto keep children in need from getting basic health coverage.

(thanks to Families USA for alert material)
Read more and TAKE ACTION 


Florida KidCare Online Renewal Launched

The online KidCare renewal has been successfully launched. Families can only renew online during their renewal period. This option will not be available to families if they are outside of their renewal period.  Families will be asked to create their own PIN number for added security. Families will be able to update or report income changes online. (by Jodi Ray, Florida Covering Kids & Families Initiative) Read more

Medicaid Reform Roundup

Nassau Commissioners Hear From AHCA Deputy Secretary Tom Arnold

On September 4th, AHCA Deputy Secretary and Medicaid Director Tom Arnold presented to the Nassau County Board of Commissioners on Medicaid Reform. The Commissioners had expressed concern that, given looming property tax cuts, the county would be hard pressed to provide services to beneficiaries that were previously reimbursed by Medicaid, but that, under Reform, would not be reimbursed by the private plans. Mr. Arnold did not appear to address this issue, concentrating instead on the benefits of Reform choices for consumers. 

AHCA Reports to the Technical Advisory Panel (TAP)

The Medicaid Reform Technical Advisory Panel heard from AHCA officials on September 14. Issues of relevance included a report on the progress of the Enhanced Benefit component. As has been the pattern since its launching in November, 2006, funds accrued in the program far outpace the rate in which they are being cashed in by beneficiaries. Another item of interest discussed on the call involved the changes in the Choice Counseling Special Needs Unit, for which AHCA reports plans to add at least two RN's and a social worker.

ADM Planning Council of Broward Told Medical Care Advisory Committee (MCAC) Being Convened

The Alcohol, Drug abuse and Mental Health (ADM) Planning Council of Broward recently received a letter by Mr. Arnold indicating that the Medical Care Advisory Committee is being reconvened. The MCAC is a federally mandated body that includes health care stakeholders from different constituencies that has been dormant, in Florida, since 2000. Consumer advocates including ADM, Florida CHAIN, ACORN, Florida Legal Services and other members of the Medicaid Reform Advocates Coalition have been calling for its revival in letters to AHCA, the Governor and legislators.

(by Andrew Leone, Florida CHAIN) Read more about these three topics

Florida PIP and the Health Care Coverage Debate
TAKE ACTION! Contact Legislators to Protect Consumers

Personal Injury Protection, part of the insurance landscape for 40 years, compels motorists to purchase a minimum of $10,000 "no fault" insurance to cover medical bills resulting from an accident, no matter which driver is at fault. Yet, auto insurers want Florida PIP to sunset, which it will do on October 1, barring legislative action. PIP's demise couldn't come at a worse time for consumers and local governments: in the midst of budget-reducing property tax cuts, police would divert resources to assess fault in every accident and drivers would have to pursue legal action to receive payment for medical care. Florida CHAIN and other consumer advocacy organizations support extending PIP during the Oct 3-12 special session. But the program is too important for "fixes" to be made without thorough consideration of options and their long-term impact. Legislators should therefore continue PIP now and revisit it in next year's regular session. (by Andrew Leone, Florida CHAIN) Read more and TAKE ACTION


Property Tax Amendment Is Not the Solution

By declaring the language ballot on the amendment establishing a "super size" homestead exemption unconstitutional, Leon Chief Circuit Judge Charles A. Francis handed consumer advocates and non-governmental organizations relying on tax funds to operate, a victory they hope will be lasting. In June, the Florida Legislature approved putting a property tax constitutional amendment on the January 29, 2008 primary election ballot. What the amendment language did not properly explain, according to Judge Francis' ruling, is that the constitutional amendment would eventually turn into a property tax increase, not a tax cut. (contributors: Lisa Tilson, SEIU; Andrew Leone, Florida CHAIN) Read more
Census: Florida Close to Bottom in Number of Insured

The 2006 census reports 20% of Floridians have no health insurance. Only Texas and New Mexico fare worse. Florida drops one more rung when those over 65 are not counted, behind only Texas.  In addition, the percentage of Florida children without health insurance has climbed from 14.4 percent to 18.9 percent during the past two years, making it one of 15 states in which the percentage of uninsured kids has gone up during both 2005 and 2006. (by Andrew Leone, Florida CHAIN) Read more
Florida Children’s Cabinet Is Seated

On August 28, the Governor's office provides details on the appointments and meetings of the newly established Children's Cabinet. The first meeting will be on October 1 at 10:00 am, in the Leon County Courthouse County Commission Chambers. Read more, including a list of appointees


Urgent:  September 30 Deadline
Help PAL identify uninsured consumers for prescription drug fraud lawsuit 

Please reach out  - through emails, flyers, announcements at meetings, phone calls, door knocking, and any other activities that you or your organization is doing this week. Prescription Access Litigation is involved in a class action lawsuit against First Databank, Inc. and McKesson Corporation. The lawsuit alleges the First Databank, a publisher of drug prices, and McKesson a drug wholesaler, conspired to tack on an extra 5% to the Average Wholesale Prices used to determine how much consumers and health plans pay for drugs. (by Mark Snyder, Community Catalyst) Read more and download flyers


Tobacco Tax a Federal and State Issue

The Healthy Florida Alliance (HFA) has been following the federal debate on SCHIP reauthorization closely. The Senate version of the bill, which is the one that relies solely on a 61 cent federal tobacco tax hike for funding, will be the one both chambers will vote on over the next few days. Considering the threats of a presidential veto and the disappointment by many House Democrats who don’t believe the Senate measure goes far enough in covering as many children as possible, there is a real possibility that legislators will settle on extending the current version of SCHIP one more year. Under those circumstances, HFA efforts to raise the state tobacco tax by $1/pack of cigarettes to fund children’s health care, the expansion of Medicaid and the Medically Needy programs and an increased Medicaid physician reimbursements rate, will continue unabated. (by Andrew Leone, Florida CHAIN) Read more

 

Judge Rules Re-bid for Florida Service to 8,000 HIV/AIDS Patients; State Should Reject Previous Winning Bid

Eight thousand Floridians living with HIV/AIDS who are cared for under Florida’s Medicaid (MediPass) system received some good news Thursday when a Florida judge ruled that the state contract to provide disease management services to this vulnerable population should be re-bid. The ruling allows AHF’s Positive Healthcare, which created and successfully administered the program since its inception, a chance to continue to deliver the high quality care and services to this vulnerable population as it has for the past eight years. (by Michael Kahane, Southern Region AIDS Healthcare Foundation)  Read more

 TAKE ACTION!

SIGN ON TO THE ON-LINE PETITION TO PROTECT INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES FROM FURTHER REDUCTIONS

This petition urgently requests the Florida Legislature to protect individuals with developmental disabilities and their families receiving DD waiver services from any further funding reductions. (distributed by Florida Developmental Disabilities Council, Inc.) Read more and TAKE ACTION


REAL STORIES FROM FLORIDA HEALTH CARE CONSUMERS

Lack of Fairness in Working Conditions Behind Death of Former NSU Worker Without Health Care Access

 

In October 2006, 350 groundskeepers, janitors, bus drivers, and maintenance workers employed by UNICCO, a Nova Southeastern University subcontractor, voted to form a union with SEIU. Most of the workers are minorities, including African-American, Latino and Haitian born. Some earned $7 an hour and none received health benefits. In response, NSU let the UNICCO contract lapse, and rehired only a handful of the strikers. What happened to the displaced workers? One woman who had been fighting to win justice for NSU janitors for more than a year and a half, a 57 year-old Haitian immigrant, lost her life this month due to lack of access to health care. She died of a heart attack in an ambulance en route to the hospital with no chance to contact her loved ones or alert friends to her condition. (by Kathy Bird, SEIU Local 11 & Andrew Leone, Florida CHAIN) Read more

  


Hispanic Health Initiatives Forums Encourage Health Care Access Action

Hispanic Health Initiatives’ slogan is “Abriendo Caminos Hacia Su Buena Salud”, Opening Doors Towards Your Good Health. HHI is the only grassroots, Hispanic agency in Central Florida that focuses on the importance of preventive medicine and health care education.  

HHI, with Florida CHAIN, has begun a series of town hall meetings aimed at educating consumers on issues related to health care access, specifically the availability and importance of programs like KidCare and the changes being brought on by Florida’s Medicaid Reform. (by Andrew Leone, Florida CHAIN) Read more

CHAIN Reaction is a bi-weekly publication of Florida CHAIN (Community Health Action Information Network), a statewide consumer advocacy organization that works toward access to quality health care, empowering people to actively shape their world by participating in civic life and caring for each other’s well being. 

Florida CHAIN: 6600 Cypress Road #508, Plantation, FL 33317  
info@floridachain.org     www.floridachain.org

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URGENT:  Save SCHIP!

Four million more children need you to call TODAY!

 

Tell your U.S. Representative and Senators Nelson and Martinez AGAIN to support the Children’s Health Insurance Program.

 

The fight to expand the State Children Health Insurance Care Program (SCHIP) moved a step forward with the House of Representatives overwhelmingly supporting HR 976, the SCHIP Reauthorization Act. The Senate is expected to vote on Sept. 26. Then the House and Senate must, despite strong support from the majority of the American people, be prepared to override President Bush's promised veto.

 

Call 1-800-828-0498 toll-free and ask to speak with your Representative and the Senators. Tell them:*

 

Please vote and revote for the State Children's Health Insurance Program bill.  I'm a constituent who thinks covering 4 million more uninsured children is one of the most important votes you can take.  Don’t let a threatened presidential veto** keep children in need from getting basic health coverage.

 

The bill voted on by the House of Representatives authorizes an additional $35 billion over five years to provide health coverage for approximately 10 million children. This bill will allow 4 million children to get health insurance who would otherwise be uninsured.  It also protects children now covered. The Senate will vote on the bill in the next day or so. 

 

Your call is so important because it will take a big vote (at least two-thirds) for the House and Senate to show the President it will reject his ill-considered veto.  

 

Call 1-800-828-0498 toll-free TODAY!

 

* Click here to visit Families USA’s action center and for more information on the bill, including talking points and how many kids are eligible in each state.

 

** For a helpful summary of incorrect and misleading statements by the President, see this piece by the Center on Budget and Policy Priorities:  http://www.cbpp.org/9-20-07health.htm

 (thanks to Families USA for material used in this alert)


Florida KidCare Online Renewal Launched
 

The online KidCare renewal has been successfully launched.  Families currently need to login to their account to view the option. 

 

Families can only renew online during their renewal period.  This option will not be available to families if they are outside of their renewal period.  For example, a family due for renewal in December 2007 will be able to renew online beginning October 1 and be available until they complete renewal.

 

Also released are new user login features.  Families will be asked to create their own PIN number for added security.  Additionally, there are new enhanced account update capabilities.  Families will be able to update or report income changes online.  Last, applicants will be able to save their application at anytime and return within 120 days to complete the application.

 

The KidCare site is at www.floridakidcare.org

 

(Submitted by Jodi Ray,

Florida Covering Kids & Families Initiative)

 



Medicaid Reform Roundup:



Nassau Commissioners Hear From AHCA Deputy Secretary Tom Arnold

On September 4th, AHCA Deputy Secretary and Medicaid Director Tom Arnold, presented to the Nassau County Board of Commissioners on Medicaid Reform.  The Commissioners had previously expressed concern that, given looming property tax cuts, the county would be hard pressed to provide services to beneficiaries that were previously reimbursed by Medicaid, but that, under Reform, would not be reimbursed by the private plans.

According to a number of attendees, Mr. Arnold, did not address this issue, concentrating instead on the benefits of Reform as they pertain to additional choices for consumers.  Mr. Arnold also made it a point to emphasize that Reform was NOT about saving the state money, but was rather about giving beneficiaries the opportunity to better manage their own health care. 

In an apparently contradictory stance, State Rep. Aaron Bean, a strong proponent of Reform, was quoted on the Jacksonville Times-Union as touting the program as an important tool in addressing the state’s $1.1 billion budget shortfall: ‘"This is why Medicaid reform is so important," said Rep. Aaron Bean, R-Fernandina Beach and chairman of the House Healthcare Council, referring to the pilot project under way in (Broward) Duval, Baker, Clay and Nassau counties. "We're looking for ways to bring the expenditures under control. And I get a sense that it's working, although it's not without bumps."


 AHCA Reports to the Technical Advisory Panel (TAP)

 

The Medicaid Reform Technical Advisory Panel heard from AHCA officials on September 14. Issues of relevance included a report on the progress of the Enhanced Benefit component. As has been the pattern since its launching in November, 2006, funds accrued in the program far outpace the rate in which they are being cashed in by beneficiaries. As of August, $5,109,518.66 have been credited but only $203,789.61 have been spent, a situation that continues to raise the insurance industry's concerns because of the uncertainty of how surplus funds will be allocated.

In addition, the vast majority of credits, approximately $4 million, have been accrued by beneficiaries keeping their scheduled physician appointments or practicing child preventive care, raising the question as to whether the Enhanced Benefit program has had any effect on changing healthy behaviors by beneficiaries. No instances of individuals engaging in smoke cessation, enrolling in weight loss programs or other easily identifiable health improving behavior changes have been recorded to date.

Interestingly, it is this part of Medicaid Reform that is most often touted by the program's supporters, as the most innovative, together with the "Opt-out" clause, a component that has been found legally questionable by the General Accounting Office and has failed to attract participants.

Another item of interest discussed on the call involved the changes in the Choice Counseling Special Needs Unit. This program has, until recently, been staffed by a Registered Nurse, and its purpose is to address medically complex issues beneficiaries may need to discuss that choice counselors are not trained to discuss.  At present the one RN that staffed the program has resigned and ACS, the company managing Reform choice counseling, is using personnel from other contracts to fill the void. In the future, AHCA officials reported they intend to expand the SNU to include at least two RN's and a social worker.

Meanwhile, the questions related to the plans' Preferred Drug List, which AHCA officials have insisted is the purview of the SNU, may in the future be handled in a different way. Admitting to the validity of concerns raised by consumers and advocates, Mr. Arnold described the possibility of a scenario where "callers would give choice counselors a list of medication they take and the choice counselors would be able to tell them, 'this plan covers 90% of your medications, this other covers 50% and so on'," he said.


ADM Planning Council of Broward Told Medical Care Advisory Committee (MCAC) Being Convened

The Alcohol, Drug abuse and Mental Health (ADM) Planning Council of Broward recently received a letter by Mr. Arnold indicating that the Medical Care Advisory Committee is being reconvened. The MCAC is a federally mandated body that includes health care stakeholders from different constituencies that has been dormant, in Florida, since 2000. Consumer advocates including ADM, Florida CHAIN, ACORN, Florida Legal Services and other members of the Medicaid Reform Advocates Coalition have been calling for its revival in letters to AHCA, the Governor and legislators.

Although previously dismissed by some AHCA officials as superfluous, the MCAC is considered ever more important now, considering the drastic changes happening to the state's Medicaid program.

In a letter dated September 8 and received by ADM on September 13, Mr. Arnold indicates, "We have been working diligently to establish the membership for the committee. Nominations for committee membership are currently being received from health care organizations and beneficiaries throughout the state, with a first meeting scheduled in September."

In the past, AHCA officials indicated that the MCAC had lapsed because its members had not attended regularly. In this case, none of the consumer advocacy organizations that integrate the Medicaid Reform Advocates Coalition have been contacted to date for nominations, and given the short notice before the first meeting advocates hope that the newly revived MCAC is not being set up for failure along the same lines as its predecessor.

(submitted by Andrew Leone, Florida CHAIN)

 

 

Florida PIP and the Health Care Coverage Debate
TAKE ACTION! Contact Legislators to Protect Consumers

Everyone but the auto insurance industry giants gets the message: affordable health care coverage needs to be expanded, not reduced. By broadening the pool of those paying into coverage, costs go down. Presidential candidates and governors of major states and both parties are either advocating or implementing some form of mandated coverage because by pooling sick and healthy, old and young, costs go down across the board.

 

Personal Injury Protection, PIP, follows the same principle. Part of the national motor vehicle insurance landscape for almost 40 years, it compels motorists to purchase a minimum of $10,000 “no fault” insurance to cover medical bills resulting from an accident, no matter which driver is at fault.

 

Yet auto insurers, with State Farm in the lead, want the Florida PIP to sunset, which it will do on October 1st, barring action by the legislature.

 

The demise of PIP couldn’t come at a worse time for consumers and local governments: in the midst of budget-reducing property tax cuts, police would divert resources to assess fault in every accident and drivers would have to pursue legal action to receive payment for medical care. Arguing that only “bad” drivers would be penalized while “good” ones would receive discounts reinforces a flawed “it will never happen to me” mentality. 

 

Accidents can and do happen to anyone, and unless drivers purchase additional coverage separately, hospital and medical bills in the thousands of dollars will follow.  The costs incurred by those who cannot afford the additional coverage, ensuing bills, copays and deductibles will have to be absorbed by hospitals, providers, government and, ultimately, taxpayers.

 

Auto insurers legitimately argue that the current PIP allows for some fraud. But eliminating the entire program rather than fixing it is like throwing out the baby with the bathwater. Florida CHAIN and other consumer advocacy organizations support legislative efforts to extend PIP during the upcoming October 3-12 special session.

 

But the program is too important for “fixes” to be made without thorough consideration of options and their long-term impact. This must include time for appropriate public input. Legislators should therefore continue PIP now and revisit it in next year’s regular session. Something with the potential to affect our state so thoroughly - from vulnerable health care consumers to hospitals and local governments, deserves more than just a quick fix.

 

TAKE ACTION NOW!

 

Contact the offices of Speaker Rubio and President Pruitt at the numbers below and ask them to do the right thing:

  • Call a special session to extend PIP before the law sunsets on October 1 or expand the scope of the special session scheduled to begin October 3;
  • Ensure an open dialogue and no secret deals; and
  • Pass consumer-friendly PIP legislation

Speaker of the House Marco Rubio 305/442-6939 or 850/481-1450 speaker@myfloridahouse.gov

Senate President Ken Pruitt 772/344-1140 or 850/487-5088

pruitt.ken.web@ flsenate.gov

Contact your state senator and state representative and urge them to pressure legislative leadership to address PIP in a special session. Click here to find your legislators and their contact information.

 

(Submitted by Andrew Leone, Florida CHAIN)

Property Tax Amendment Is Not the Solution

 

By declaring the language ballot on the amendment establishing a “super size” homestead exemption unconstitutional, Leon Chief Circuit Judge Charles A. Francis handed consumer advocates and non-governmental organizations relying on tax funds to operate, a victory they hope will be lasting.

 

During a special session in June, the Florida Legislature approved putting a property tax amendment on the January 29, 2008 primary election ballot that would change the state constitution. Voters would have been asked to replace “Save Our Homes” and the $25,000 homestead exemption with a new super-homestead exemption.

 

What the amendment language did not properly explain, according to Judge Francis’ ruling, is that the constitutional amendment would eventually turn into a property tax increase, not a tax cut. “Having read, reread, examined and studied the ballot summary under review, the court cannot find that the language is clear, concise, unambiguous and fair," the South Florida Sun-Sentinel reports Francis wrote in his order. "The language at issue is misleading and confusing, and does not provide fair notice to the voter, educated or otherwise, of the purpose and effect."

 

According to an independent analysis, three out of every four Florida homeowners will see their property taxes increase over the next few years. Over time, the Save Our Homes deduction that protects homeowners from steep increases will be eliminated. Without the Save Our Homes protection, there’s no limit to how much property taxes will increase.

 

This amendment would also have forced huge cuts to necessary services. School funding would have been cut by $7 billion. Local governments would have been forced to cut health care, aid to children and seniors, even police and fire fighters.

 

The proposed property tax amendment shows Tallahassee’s difficulty in putting in place real solutions that Floridians can count on. It remains to be seen whether the legislature will rewrite the amendment language in the upcoming special session and should that be the case, whether amendment supporters will be able to hold on to the 2/3 majority needed to put a constitutional amendment on the ballot.

 

(Contributors: Lisa Tilson, SEIU; Andrew Leone, Florida CHAIN)

 


Census: Florida Close to Bottom in Number of Insured

 

The 2006 census reports 20% of Floridians have no health insurance. Only Texas and New Mexico fare worse. Florida drops one more rung when those over 65 are not counted, behind only Texas. The bright spot that Florida median incomes actually rose 3.7 %, more than double the national rate, highlights the widening disconnect between income and affordability of health care coverage.

In addition, the percentage of Florida children without health insurance has climbed from 14.4 percent to 18.9 percent during the past two years, making it one of 15 states in which the percentage of uninsured kids has gone up during both 2005 and 2006.

 

Reporting on the findings, the St. Petersburg Times also notes geographical and generational disparities of interest: older, wealthier people are clustered in few areas around the state and have coverage: “On the other hand, the service and retail economy that supports them creates a low-wage job force,” said Jean Rags, director of health and social services for (Hernando) county. And waiters and lawn crews often have children to support.

 

"Between 2001 an 2005, our Medicaid population grew more than twice as fast as the total population," Rags said. "They come here thinking this is a cheap way of life. They are the working poor."

 

Race is also a noticeable factor in the disparity of health care coverage. According to the report, the increase in numbers of uninsured in Florida occurred only among blacks and Latinos. There were no changes among whites.

 

(Submitted by Andrew Leone, Florida CHAIN)

 

Florida Children’s Cabinet Is Seated

 

The press release below from the Governor’s office, dated August 28, provides details on the newly established Children’s Cabinet. The first meeting will be on October 1 at 10:00 am, in the Leon County Courthouse County Commission Chambers. For more information, email Jennifer.stan@myflorida.com


Governor Charlie Crist today announced appointments to the Children and Youth Cabinet and designated Lt. Governor Jeff Kottkamp to serve as chairman.  Bill sponsors Senator Nan Rich (D-Sunrise) and Representative Loranne Ausley (D-Tallahassee) joined Governor Crist and Lt. Governor Kottkamp for the announcement.

 

“I am grateful to the outstanding public servants appointed today for taking the time to serve Florida’s most vulnerable citizens,” said Governor Crist. “Under the leadership of Lt. Governor Kottkamp, the Children’s Cabinet will coordinate state agencies and programs that deliver children’s services.”

 

Governor Crist signed House Bill 509 earlier this year, creating the Children and Youth Cabinet as a council within the Executive Office of the Governor. The cabinet is charged with developing a strategic plan to promote collaboration, creativity, increased efficiency, information sharing, and improved service delivery between and within state agencies and organizations. Members will meet six times a year in different regions of the state in an open, public forum. The Governor and the Florida Legislature will receive an annual report detailing the cabinet’s progress.

 

“Children are our highest priority and we will work to ensure that important programs are planned and delivered as comprehensively and effectively as possible,” said Lt. Governor Kottkamp. “By streamlining the distribution of critical services we can keep our children’s best interests paramount.”

 

The Children and Youth Cabinet consists of 15 members.

 

Appointments to the Children and Youth Cabinet announced today are as follows:

  • Lt. Governor Jeff Kottkamp
  • Secretary Bob Butterworth, Department of Children and Families
  • Secretary Walt McNeil, Department of Juvenile Justice
  • Secretary Andrew Agwunobi, Agency for Health Care Administration
  • Director Jane Johnson, Agency for Persons with Disabilities
  • Director Monesia Brown, Agency for Workforce Innovation
  • State Surgeon General Ana Viamonte Ros, Department of Health
  • Commissioner Jeanine Blomberg, Department of Education
  • Angela Orkin, Director of the Guardian Ad Litem Office
  • Jim Kallinger, Chief Child Advocate
  • Schaechter, physician and professor at the University of Miami, Mailman Center for Child Development
  • David Lawrence Jr., President of the Early Childhood Initiative Foundation at the University of Florida
  • Donna Gay Lancaster, Executive Director of the Juvenile Welfare Board of Children’s Services
  • Antonia Crawford, Chairman of the Early Learning Coalition
  • Dick Batchelor, President of Dick Batchelor Management Group

Ex officio members include the following:

  • President Ken Pruitt, Florida Senate
  • Speaker Marco Rubio, Florida House of Representatives
  • Chief Justice Fred Lewis, Florida Supreme Court
  • Attorney General Bill McCollum
  • Chief Financial Officer Alex Sink


Urgent:  September 30 Deadline
Help PAL identify uninsured consumers for prescription drug fraud lawsuit 

 

Prescription Access Litigation is involved in a class action lawsuit against First Databank, Inc. and McKesson Corporation. The lawsuit alleges the First Databank, a publisher of drug prices, and McKesson a drug wholesaler, conspired to tack on an extra 5% to the Average Wholesale Prices used to determine how much consumers and health plans pay for drugs.

 

Consumers who don't have health insurance pay the highest prices for prescription drugs and can afford it the least. The scheme alleged in this lawsuit thus particularly harmed uninsured consumers. It's believed that they paid $800 million more for drugs from 2001 to 2004 as a result.

 

We're looking for uninsured consumers who paid out-of-pocket for any brand-name prescription drug from 2001 to 2004 who might be interested in joining this class action lawsuit.

 

We need your help! And we need it right away - the Court just announced that uninsured consumers must be added by September 30th.

 

Please help us reach out to your members - through emails, flyers, announcements at meetings, phone calls, door knocking, and any other activities that your organization is doing in the next week

 

This is one of PAL's most important cases - it has the potential to fundamentally change the way drugs are priced in the U.S.  We want to make sure that uninsured consumers are part of this case, and that their interests are protected - and we need your help to make sure that happens.

 

We've prepared a flyer for you to distribute about this case. Feel free to reproduce it, use it on your website, excerpt it in emails, use it for outreach scripts, and the like.

 

In addition to thinking of ways to reach out to consumers at large, please also think about your personal contacts - do you have friends, family members, neighbors, Board members, etc. who are uninsured? If so, please let them know and pass the flyer on to them.


For more information please contact msnyder@commnitycatalyst.org.

 

(Submitted by Mark Snyder, Community Catalyst)


Tobacco Tax a Federal and State Issue

The Healthy Florida Alliance (HFA) has been following the federal debate on SCHIP reauthorization closely. The Senate version of the bill, which is the one that relies solely on a 61 cent federal tobacco tax hike for funding, will be the one both chambers will vote on over the next few days.

 

Considering the threats of a presidential veto and the disappointment by many House Democrats who don’t believe the Senate measure goes far enough in covering as many children as possible, there is a real possibility that legislators will settle on extending the current version of SCHIP one more year.

 

Under those circumstances, HFA efforts to raise the state tobacco tax by $1/pack of cigarettes to fund children’s health care, the expansion of Medicaid and the Medically Needy programs and an increased Medicaid physician reimbursements rate, will continue unabated.

 

Florida tobacco tax advocates understand the double benefits of this increased health care access solution, especially at a time when the state faces a $1.1 billion budget shortfall: funding and a proven reduction in smoking rates, especially among youth.

(submitted by Andrew Leone, Florida CHAIN)

 


To learn more about the Healthy Florida Alliance, visit www.healthyfloridaalliance.org

 

Judge Rules Re-bid for Florida Service to 8,000 HIV/AIDS Patients; State Should Reject Previous Winning Bid

 

Eight thousand Floridians living with HIV/AIDS who are cared for under Florida’s Medicaid (MediPass) system received some good news Thursday when a Florida judge ruled that the state contract to provide disease management services to this vulnerable population should be re-bid. The ruling allows AHF’s Positive Healthcare, which created and successfully administered the program since its inception, a chance to continue to deliver the high quality care and services to this vulnerable population as it has for the past eight years.

 

In May, a proposed change in vendors sparked statewide protests by Florida medical providers and HIV/AIDS patients who believe that the change in vendors for Florida’s HIV/AIDS disease management program would jeopardize the care of thousands of patients. AIDS Healthcare Foundation Disease Management of Florida (AHFDM) also filed an administrative appeal, and a six-day trial before an Administrative Law Judge was held in late July.

 

The Administrative Law Judge who heard the appeal ruled that the contract to a privately owned company to whom the Request For Proposals (RFP) for a Statewide HIV/AIDS Disease Management Program was awarded should be re-bid.  In his 39-page Recommended Order, the Judge concluded that the private vendor’s proposal should be rejected because the Agency for Health Care Administration (AHCA) did not have sufficient information to determine whether the private vendor was a responsible vendor.

 

“My faith in the system has been restored and the process works,” said Michael Weinstein, President of AIDS Healthcare Foundation.  “As in the past, we are proud to continue to commit the resources of AIDS Healthcare Foundation to advocating on behalf of, and serving Floridians with HIV and AIDS, and to educating all Floridians about this disease,” Weinstein continued.

  

Full text of the Administrative Law Judge Claude B. Arrington’s Recommended Order may be accessed at:

http://www.doah.state.fl.us/internet/search/docket.cfm?CaseNo=07-002650 

 

(Submitted by Michael Kahane, Bureau Chief,

Southern Region, AIDS Healthcare Foundation)

 

 
Online Petition to Protect Individuals with Developmental Disabilities from Further Reductions

 

The Florida Developmental Disabilities Council is taking a stand against any funding reductions and service cuts to the Home and Community Based Medicaid Waiver. You can help get this message to our state legislators.

 

TAKE ACTION! SIGN ON TO THE ON-LINE PETITION TO PROTECT INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES FROM FURTHER REDUCTIONS

 

This petition urgently requests the Florida Legislature to protect individuals with developmental disabilities and their families receiving DD waiver services from any further funding reductions.

 

CLICK HERE TO ACCESS AND SIGN ON TO THE ON-LINE PETITION

 

This petition with all the sign-ons and stories will be provided to key Florida Legislators.

 

Your e-mail addresses on the on-line petition will be added to our list serve for legislative alerts and other information on activities in the developmental disabilities community.

 

THANK YOU FOR GETTING INVOLVED IN THIS CRITICAL EFFORT!

 

(distributed by Florida Developmental Disabilities Council, Inc.)



REAL STORIES FROM FLORIDA HEALTH CARE CONSUMERS

 

Lack of Fairness in Working Conditions Behind Death of Former NSU Worker

 

The recently released census report lists Florida as second only to Texas in the number of uninsured under 65. The majority of these are members of households where at least one person works full time. Almost 10% of the nation’s uninsured population lives, works and dies in Florida. That is not an accident: besides a vast small business component, a substantial portion of the state’s employment opportunities are in the service sector: hotels, restaurants, gardening and janitorial services, all less apt to offer health care benefits to their workers (and pay wages too low to afford insurance).

 

Talking about this problem and citing statistics do not begin to put a face on the issue. In October 2006, 350 groundskeepers, janitors, bus drivers, and maintenance workers employed by UNICCO, a subcontractor at Nova Southeastern University, voted to form a union with the SEIU. Most of these workers are minorities, including African-American, Latino and Haitian born. Some of these workers earned $7 an hour and none of them received health benefits.

 

The university’s response was to let the contract with UNICCO lapse, rehire only a handful of the striking workers, and wash its hands of the rest. What happened to the displaced workers? The letter below reports on the death of one of them:


Dear friends and supporters of Nova workers:

 

I am sorry to share some terrible news with you regarding one of the brave women who had been fighting to win justice for Nova Southeastern University janitors for more than a year and a half. Elirose Pierre-Louis, a 57 year-old Haitian immigrant, lost her life this past Wednesday due to lack of access to health care. She died of a heart attack in an ambulance en route to the hospital with no chance to contact her loved ones or alert friends to her condition.

 

Elirose’s story is sadly not uncommon—she was plagued with high blood pressure, heart troubles, and diabetes but was unable to afford preventive or other treatment. Paid poverty-level wages without health insurance, Elirose had to live without even basic medical care—but her tragic death should never have occurred.

 

The mother of four, Elirose came to the United States like so many others before her seeking a chance at the American Dream and the opportunity to make a better life for her family. Instead, she found a job as a janitor at Nova with little opportunity to make ends meet, much less hope for anything more.

 

To improve their lives, Elirose and her co-workers fought for months to form a union at Nova and win higher pay and access to quality, affordable health care. Although their employer recognized the union, Nova’s administration responded to workers efforts by terminating the cleaning contract and leaving more than 100 janitors who had supported forming a union without jobs and forcing the workers and their families ever deeper into poverty.

 

After losing her job at Nova and unable to find work in South Florida, Elirose left for a job picking beans on a farm in Virginia, and it is there that she lost her life.

 

Elirose’s story is a heartbreaking example of the consequences of Nova Southeastern University’s decision not to re-hire the janitors who’d fought for their union—but it need not be the rule.

 

Now more than ever, displaced Nova janitors need your support. Please stand with them as they carry on their fight for justice and a chance at a better future. Leaders within Miami’s Haitian community are saddened and outraged at this tragedy. Along with these leaders, SEIU is working closely with Elirose’s sons in Haiti and Canada to bring her body to Miami for a wake and funeral and the entire community will be invited to honor this woman and her sacrifice and to ensure her death not be in vain.

Please feel free to honor her memory by sharing this tragedy with all appropriate parties. If you’d like to help the 30 Nova janitors who remain displaced—as Elirose was—please let me know by calling 786-210-9030 or emailing me at kbird@seiu11.org.

 

In Solidarity,

 

Kathy Bird, Community and Interfaith Outreach Coordinator

SEIU Local 11


On September 23, Magdaleno Rose-Avila, an organizer for Interfaith Workers Justice, spoke about this case to the congregation of St. George’s Parrish, in Lauderhill. Rose-Avila, the son of Mexican field hands from Colorado, worked with the late César Chavez of United Farm Workers, Sister Helen Prejean, author of “Dead Man Walking”, and Martin Luther King, III, among others. In talking about Pierre-Louise and millions like her who work but have no health care access, he emphasized how our society is lacking in “fairness”.

 

“In this country the disparity between working people and the rich is growing every day. If some of the millions of dollars spent on ‘golden parachutes’ for corporate CEO’s were used fairly, people who work could have health insurance and instances like Elirose’s wouldn’t occur,” he said.

 

The cleanliness and polished veneer one experiences visiting NSU don’t happen by themselves. Clean bathrooms and classrooms and manicured lawns don’t materialize on their own. Hard working, underpaid, uninsured and seldom seen workers are responsible. How fair is that?

 

Elirose Pierre-Louise will be remembered at a wake in Little Haiti on Friday. Funeral services will be held on Saturday.

 

Magdaleno Rose-Avila of Interfaith Workers Justice speaks to the St. George Catholic Church congregation

 

(Submitted by Andrew Leone, Florida CHAIN)


Florida CHAIN Seeks Stories

 

Florida CHAIN welcomes contributions from health care consumers who are interested in sharing their experiences with readers of CHAIN Reaction. If you have a story to share, please contact Andrew Leone at 954/684-9895 or andrewl@floridachain.org


 

Hispanic Health Initiatives Forums Encourage Health Care Access Action

 

Hispanic Health Initiatives’ slogan is “Abriendo Caminos Hacia Su Buena Salud”, Opening Doors Towards Your Good Health. Doors can be opened, but then one must walk through them. HHI, based in Casselberry, Seminole County, and also serving Latino communities in Orange, Osceola and Volusia, is the only grassroots, Hispanic agency in Central Florida that focuses on the importance of preventive medicine and health care education.

 

As part of its efforts, HHI, with the support of Florida CHAIN, has begun a series of town hall meetings aimed at educating consumers on issues related to health care access, specifically the availability and importance of programs like KidCare and the changes being brought on by Florida’s Medicaid Reform.

 

The first two of these meetings, in Orlando on August 30 and in Casselberry on September 20, were also attended by media, legislators and candidates for state office interested in learning what health care issues are of importance to Hispanics in Central Florida.

 

The timeliness of the town hall series was reiterated by Josephine Mercado, HHI Executive Director, who spoke of the importance of being informed and of participating in the policy making process, particularly for a community that tops the list in Florida for number of uninsured and often has difficulty accessing health care programs.

 

“With the SCHIP (State Health Insurance Program) debate going on in Washington potentially affecting KidCare and the Medicaid Reform changes taking place in some parts of Florida, it’s important our community knows what to expect and knows how to influence legislators’ actions.”

 

The meetings have also been an opportunity for Florida CHAIN and HHI, both members of the Healthy Florida Alliance, to raise awareness on the campaign to raise the tobacco tax to help fund health care access. 

 

The next town hall meeting on the series will be held on Thursday, October 4, in Deltona, Volusia County. For more information on this and other programs of Hispanic Health Initiatives call 407-339-2001 or visit www.hhi2001.org.

 

(submitted by Andrew Leone, Florida CHAIN)

 

Town hall meeting participants hear about health care access issues.



State Events & Notices
     North Florida
     Central Florida
     East Central Florida
     West Central Florida
     Southwest Florida
     Southeast Florida
     Florida Audio & Web Events 
     Statewide Notices
National Events & Notices
     Conferences & Events 
     Audio & Web Events 
     National Notices
     Campaigns & Initiatives


STATE EVENTS & NOTICES

 

NORTH FLORIDA  

 

Florida Children and Youth Cabinet meeting

Oct 1  10:00am  Leon County Courthouse, 5th floor

The first and organizational Florida Children and Youth Cabinet meeting will take place at the Leon Chambers. The Cabinet has been appointed to work to ensure program implementation services for children are planned, managed and delivered to improve self-sufficiency, safety, economic stability, health and quality of life. To get on the notice list, or for information about speaking, contact jennifer.stan@myflorida.com

 

13th Annual Children's Week (2008)

March 29-April 6

In addition, local events and activities will take place throughout the state Feb-April. Contact jason@childrensweek.org

 
Notices
 


CENTRAL FLORIDA

 

Supported Employment and Benefits Management Training  

Oct 18-19  Gainesville (Registration Deadline – October 16)

for Individuals with Disabilities, their Family Members and Support Coordinators. For information, contact 850/386-2022 or diamondw@wilres.com.


EAST CENTRAL FLORIDA


WEST CENTRAL FLORIDA 

Stand-Pinellas Accessing Resources (SPARC) 2007 Conference

Sept 29  8:00am   Fitzgerald Middle School, 6410 118th Ave N, Largo

This statewide educational conference's goal is to provide parents, teachers, therapists and other professionals with resources that will help their children make achievements in all aspects of life. While we focus on children with special needs, we believe these resources are just as valuable to any child. The outcome of this conference is to educate and inform parents of services and options that are available to their children, both in the public sector and private sector. They would Include education, recreation, physical, mental, transportation, and much more. Contact 727/784-8493 or e-mail SPARC2007@yahoo.com


SOUTHWEST FLORIDA
  

Supported Employment and Benefits Management Training  

Dec 6-7  Fort Myers (Registration Deadline – Dec 4)

for Individuals with Disabilities, their Family Members and Support Coordinators. For information, contact 850/386-2022 or diamondw@wilres.com.

 


SOUTHEAST FLORIDA

  

Events

 

Supported Employment and Benefits Management Training  
Sept 27-28  Miami (Registration Deadline – Sept 25)
For Individuals with Disabilities, their Family Members and Support Coordinators. For information, contact 850/386-2022 or diamondw@wilres.com.

 

Jessie Trice Gala Features Donna Shalala

Oct 3   6:00 pm   Hotel Sofitel Miami, 5800 Blue Lagoon Dr

University of Miami President Donna Shalala will keynote at the Seventh Annual Jessie Trice Cancer Prevention Benefit. The dinner and awards ceremony will also honor Cancer Heroes who have advocated for the medically underserved. Proceeds will benefit cancer prevention programs for the nonprofit Health Choice Network and its member Community Health Centers. Tickets are $75 per person or a table of 10 for $750. For ticket information, call (305) 599-1015, ext. 8080 or visit www.hcnetwork.org. The Jessie Trice Cancer Prevention Project was founded in 2000 to prevent cancer and promote early detection in low income, minority communities through education programs, screenings and follow-up care. The project has screened thousands of high-risk individuals through churches, community health centers and other locations throughout South Florida.

 

The Beautiful Gate Health Festival

Oct 6   10:00 am – 2:00 pm   Silver Lakes MB Church, 1448 NW 103rd St, Miami

The Beautiful Gate Cancer Support & Resource Center will hold its second annual health festival in observance of October as Breast Cancer Month. For more information, call 305/835-7020

 

Breast and Ovarian Cancer: Prevention, Diagnosis and Treatment

October 12   9:30 am-4:00 pm Jackson Memorial Hospital’s Diagnostic Treatment Ctr

The Cancer Committee of the Jackson Health System and the Univ of Miami Sylvester Cancer Center is hosting this full day educational Town Hall Meeting on focusing on risk factors, prevention, diagnosis, treatment, survival and new discoveries. Presenters will include Surgeons from the Division of Gynecology Surgery, a Radiation Oncologist, a Geneticist, and other health care professionals.  Breakfast and lunch will be served. Reservations can be made by contacting APazos@um-jmh.org or DEvans@um-jmh.org, or by phone at 305/585-6038 (ext. 2). This meeting is free and open to the general public and all medical staff.

 

“Let’s TalK 2007” Conference

Oct 13  10:00am — 2:00pm Delray Beach Library

For Teens, Parents, Families & Friends! A day of Inspiration, Education & Information along with FREE FOOD, ENTERTAINMENT, PRIZES & FUN. Workshops: Learn from local experts about Preventative Health & Nutrition; Fitness; Stopping the Violence; Healthy Relationships and more. Poetry. Door Prizes. For more information call or email 561/394-3540 ext. 204; RSiegel@LoveCarefully.org.

Promoting Oral Health for South Florida: A Community Dialogue

Registration deadline: Oct 8
Oct 15
  8:30–3:30 pm Jungle Island (formerly Parrot Jungle) between downtown Miami & South Beach

Health Foundation of South Florida and Broward Regional Health Planning Council are hosting a community dialogue for public and non-profit health and human services organizations serving South Florida. Hear and discuss with national and local experts best practice models and lessons learned in oral health, one of the Foundation’s new priority areas. The community dialogue will provide the opportunity to make recommendations to the Foundation as it determines goals and strategies with respect to its five-year oral health promotion funding plan.  Complimentary continental breakfast and lunch will be provided. For information, call 954-561-9681 ext 277.

 

REMOVING THE BARRIERS: Training for Trainers to remove health care barriers for women who partner with women

Oct 19   9 am–1pm  SunServe, 1480 SW 9th Ave, Ft. Lauderdale

This training is designed to educate and bring awareness to health care providers about the health care needs of women who partner with women, to improve practitioners’ skills and create systemic change to allow women who partner with women to truly feel comfortable in a health care setting. The training gives tools to dismantle the barriers within practices and/or institutions. RTB certified trainers help providers work to increase their comfort level discussing and develop a common language around sexuality, and create an environment where all their patients, regardless of sexual orientation or behavior, feel comfortable and safe to share information. The training can also be done through a free home study course. For $15, the Oct 19 on site training will provide 4 contact hours for physicians, nurses, social workers as well as psychologists, mental health counselors, marriage and family therapists. RTB provides 2 contact hours for physicians, nurses, social workers and other medical professionals taking home study. Contact RTBtraining@aol.com

Supported Employment and Benefits Management Training  

Nov 15-16  Miami (Registration Deadline – Nov 13)

for Individuals with Disabilities, their Family Members and Support Coordinators. For information, contact 850/386-2022 or diamondw@wilres.com.

 

Health Foundation of South Florida Concern Awards Gala Luncheon

Dec 6  Conrad Hotel, Miami

This event will honor recipients of the Foundation’s annual Concern Awards. Email sgantman@hfsf.org or call 305/374-9199.

 

 

Notices

 

Health Foundation of South Florida Concern Awards 

Nomination deadline: Oct 9

Health Foundation of South Florida is seeking candidates for the annual Concern Awards, and is inviting local community organizations and individuals to nominate everyday people who are making a healthy difference in the lives of others by answering unmet needs.  Two winners will each receive a $25,000 grant while four runners-up will each be given a $10,000 grant for the health-related nonprofit organizations of their choice in Broward, Miami-Dade and Monroe Counties.  The recipients will be honored at a gala luncheon on Dec 6 at the Conrad Hotel in Miami. Nomination forms can be downloaded at www.hfsf.org home page, emailing sgantman@hfsf.org or calling 305/374-9199.

 

Financial Aid Directory, Community Cancer Council

Information is still being collected for a financial aid directory for cancer patients.  If you have such a program, send information to ldasilva@jupitermed.comName of the agency providing the service, the address, phone number, website, the name of the program and the type of assistance provided (and not provided). This directory will be provided to all Community Cancer Council members, as well as others.

 

African American Prostate Cancer Survivors Needed for Conference

If you know of any African American prostate cancer survivors in Florida who might be interested in helping plan a national meeting to address prostate cancer issues in the African American community, please email Bob Samuels, Founder of the Florida Prostate Cancer Network at bobsam1@tampabay.rr.com. The national meeting is being planned for February 2008 in Atlanta, and will coincide with a Department of Defense Prostate Cancer conference. Mr. Samuels is working with a group from Clark Atlanta University to plan the meeting, and they are looking for interested individuals to be part of the Planning Committee.

 


FLORIDA AUDIO CONFERENCES AND WEBCASTS

 

STATEWIDE NOTICES  

Prescription Discount Cards Offered through Publix Pharmacies

A national health care discount network has introduced a prescription drug discount card for all Florida residents, offered through Publix pharmacies. United Networks of America (UNA) offers 25-45 percent discounts. The card is available at all Publix pharmacies — the supermarket has signed on as preferred provider — or on the Internet at floridarxcard.com.The card is not an insurance plan; there are no monthly premiums. People without health insurance, seniors who have fallen in the Medicare "find this helpful." Publix has also begun providing some free medications but discontinued a policy that had allowed customers to obtain many other medications for $4 a prescription.

 

Local Youth Leadership Initiative

Human Services Coalition (HSC) is partnering with the national nonprofit AmeriCorps program Public Allies to develop young diverse leaders in Miami-Dade County. HSC will kickoff the Public Allies program in October, placing 15 local men and women between the ages of 18 and 30 to work with nonprofits as apprentices for 10 months.  During that time, the Allies will participate in leadership and professional skills training and work on a team service project. They will also facilitate community dialogues about local issues. Each Ally will receive full health benefits, a monthly stipend of $1500 and $4,700 at the end of the program to help fund their education.  The project is also funded in part by Allegany Franciscan Foundation and The Children’s Trust. HSC will recruit applicants for the 15 positions over the summer and look for partner organizations to host each Ally. For more information about becoming an Ally or hosting one, contact 305-576-5001 x32.



NATIONAL EVENTS & NOTICES

 

CONFERENCES AND EVENTS 

 

University of Virginia Symposium on Race and Society

Sept 30 - Oct 2

The SYMRS is an annual conference engaging academic professionals on social, cultural, and political topics as they relate to the meeting's theme. The theme for 2007 is At The Crossroads: The Racial Implications of America's Health Care Crisis. The event's success will be judged on our ability to increase understanding on the racial dynamics in health care and our ability to mobilize people make an impact on the crisis. This gathering will provide an opportunity for all members of the community to voice their perspectives on the racial implications of health disparities in America. The Conference Registration is FREE and includes refreshments at each Symposium event including the Awards Reception. All members of the community are welcome. Register by email at symrs@virginia.edu. Please include your Name, Address and Affiliation. All contributions to the event will be donated to community-based programs working to eliminate health disparities. If you would like to make a contribution, please contact lbeller@virginia.edu or call 434/243-9542. 

7th Annual Diversity Challenge at Boston College: Race and Culture Intersections in Scientific Research and Mental Health Service Delivery for Children, Adolescents, and Families
October 2007
Presentations should focus on developments in research, professional practice, education or social justice initiatives as they pertain to promoting the mental health and redressing the mental health disparities for racial and ethnic minority children, adolescents, and families. Researchers, practitioners, educators, medical service providers, employee assistance personnel, government agencies, spiritual healers, and providers of community services are encouraged to submit proposals. 

 

Transformation & Recovery in Latino Behavioral Health

Oct 1-4  Los Angeles Airport Marriott, 5855 W Century Blvd
Sponsor: Latino Behavioral Health Institute

 

Community Benefit 101: The Nuts and Bolts of Planning and Reporting Community Benefit

Oct 3-4    St. Louis

Whether you are new to community benefit or want to bring colleagues from finance, planning or other departments up to speed, sign up for the Catholic Health Association's "Community Benefit 101." This program will cover: the CHA accounting and reporting framework which is included as part of the new IRS 990 H, why community benefit is so important today (including recent federal and state government initiatives), what counts as community benefit, how to plan and evaluate effectiveness of community benefit programs and how to tell the community benefit story. Organizational teams are encouraged to attend.

 

Communities Joined in Action Stepping Up to Achieve Healthcare Success: Locally to Nationally

Oct 22-23    Washington, DC

Conference Objectives: Show national & state policy makers the power of community collaboratives to be part of healthcare reform solutions; Learn to Play the 3-Tier Chess Game - to get the community “voice” in national, state and local health policy decision-making; Learn the Eight Critical Activities to build an integrated & sustainable delivery system in your community; Learn how to produce Outstanding Outcomes in your community; Network with peers from across the country and share successes and challenges; Engage with national experts about health policy proposals that will emerge during the upcoming political elections; Dialogue with Washington D.C. experts and Congressional staff about how Congress plans to develop a national policy agenda on health in 2008 in support of community health collaboratives.

 

SOPHE 58th Annual Meeting - Partnerships to Achieve Health Equity  
Oct 31–Nov 3
   Alexandria, VA
Abstracts are now being accepted online for workshops, symposia, oral presentations, and posters for Society for Public Health Education's 58th Annual Meeting. SOPHE is pleased to be partnering with CDC's Racial and Ethnic Approaches to Community Health (REACH) program and Eta Sigma Gamma for its 40th Annual Meeting.  Sub-themes include health systems change; social determinants of health and transdisciplinary approaches to health education; health communications, health literacy and technology; cultural competence in bridging differences, and; evaluation and dissemination of evidence-based approaches. For more information, contact lvillejo@mdanderson.org

 

2007 American Public Health Association Annual Meeting & Exposition

Nov 3-7   Washington, D.C.
The is the oldest and largest gathering of public health professionals in the world, attracting more than 13,000 national and international physicians, administrators, nurses, educators, researchers, epidemiologists, and related health specialists. APHA's meeting program addresses current and emerging health science, policy, and practice issues in an effort to prevent disease and promote health.

 

Creating a Culture of Wellness

Nov 27-29   Washington, DC

The U.S. Department of Health and Human Services’ Office of Disease Prevention and Health Promotion and the Centers for Disease Control and Prevention (CDC) will host this 2007 National Prevention and Health Promotion Summit. This groundbreaking event will unite health professionals, business entrepreneurs, and government leaders at all levels who are dedicated to health promotion, chronic disease prevention, health preparedness, birth defects, disabilities, genomics, and wellness.

 

National Congress on the Uninsured: From Practical Local and Regional Solutions to State and National Health Reform

Dec 10-12   Washington, DC

The challenge of the un- and underinsured in America puts great social and economic stress on the nation's health system. The goals of The National Congress are to: define the issue; identify and assess various federal and state health reform proposals; analyze the roles of Medicare, Medicaid and SCHIP in expansion of coverage; describe and compare various international approaches to the issue; identify voluntary, charitable initiatives across the country to address the issue at the local level and assess current obligations and practices of healthcare providers to render care to uninsured patients.

 

Health Action 2008 
Jan 24-26
   Renaissance Mayflower Hotel, Washington DC

Families USA’s Health Action 2008 kicks off a year in which health care will be at the center of the national conversation. Learn and share strategies with other advocates around the country and to recharge for the year ahead.

 

ACHI’s 2008 Spring Training for Health Champions

Conference Dates: March 5-7, 2008  Atlanta

Topic Tracks: Minimizing Chronic Disease: Strategies for Social Determinants; Maximizing Coverage: Proven Programs and Innovative Proposals; Harnessing Data: Health Assessments to Health Outcomes; Delivering Community Benefit: Management Tools and Community Strategies (co-sponsored by Catholic Health Association and VHA, Inc.); Breaking Silos: Public Health and Health System Partnerships

 

National Initiative for Children's Healthcare Quality (NICHQ) Annual Forum for Improving Children's Health Care 

March 19-21   Miami

This event is for people committed to eliminating the gap between what is and what can be in health care for all children.  The Forum will feature breakout sessions and in-depth workshops, in four tracks, focused on NICHQ's Improvement Agenda: Assessing, Preventing and Treating Childhood Obesity; Providing Seamless, Evidence-based, Family-Centered Care for Children with Chronic Conditions; Purging Harm from Children’s Health Care; Profound Knowledge: Methods and Tools for Improvement and Innovation. Improvement processes/programs in all of these areas should address disparities and include parents/families.

 

Active Living Research Conference Seeks Abstracts

April 9-12 Washington DC

The theme of this year's conference is "Connecting Active Living Research to Policy Solutions." Abstracts on all topics related to active living policies and environments are welcome. In addition to policy-relevant research, Active Living Research welcomes abstracts about children and adolescents at greatest risk for obesity—African-American, Latino, Native American, Asian-American and Pacific Islander children and adolescents living in low-income communities.


National Hispanic Medical Association 12th Annual Conference
April 17-20   Washington, DC
Policy, research, medical and clinical presentations focused on improving the health of Hispanics. Conference Goals are to: provide clinical updates on diabetes, cancer, HIV/AIDs, obesity, cardiovascular disease, asthma, Alzheimer’s disease, and renal disease; increase awareness about cultural competence, literacy, language services and medical care delivery to Hispanics; increase knowledge about Federal and State health policies that impact Hispanics; develop skills for health professionals in academic medicine, research, private sector and government; and make recommendations targeted at Hispanics for the national health policy agenda in the U.S. Expected: 100 Exhibitors; 200 Hispanic Medical Students; 700 Physicians; 140 Speakers/panelist/keynote speakers.


AUDIO AND WEB EVENTS    


NOTICES

 

 


CAMPAIGNS & INITIATIVES

 

America's Other Drug Problem Poor Medication Adherence

With mounting evidence that poor adherence to medication regimens has become America's other drug problem, the National Council on Patient Information and Education (NCPIE) -- the non-profit coalition of more than 100 organizations working to improve communication on the appropriate use of medicines -- today released a 10-step action plan to reduce the adverse health and economic consequences associated with this growing public health threat.

 Hearing Aid Awareness Week: September 30 - October 6

October 
 
"Talk About Prescriptions" Month:
October
National Council on Patient Information and Education
(301) 656-8565
ncpie@ncpie.info   www.talkaboutrx.org

Healthy Lung Month: October
American Lung Association
(800) LUNG-USA (586-4872)
info@lungusa.org   www.lungusa.org

Let's Talk Month: October
Advocates for Youth
(202) 419-3420
tom@advocatesforyouth.org   www.advocatesforyouth.org

National Breast Cancer Awareness Month: October
National Breast Cancer Awareness Month Board of Sponsors
nbcamquestions@yahoo.com  www.nbcam.org

National Family Sexuality Education Month/Let's Talk: October
Planned Parenthood Federation of America
(212) 541-7800
education@ppfa.org   www.plannedparenthood.org

National Child Health Day: October
U.S. Department of Health and Human Services
Maternal and Child Health Bureau
(301) 443-2170
www.mchb.hrsa.gov

NDSD Mental Health Screening TM: October 11
Screening for Mental Health, Inc.
(781) 239-0071
ndsd@mentalhealthscreening.org  www.mentalhealthscreening.org

National Mammography Day: October 19
American Cancer Society
(800) ACS-2345   www.cancer.org
 
Respiratory Care Week: October 11
American Association for Respiratory Care
(972) 243-2272
marketing@aarc.org   www.aarc.org/resources/rc_week/


November 
 
American Diabetes Month: November
American Diabetes Association
(800) DIABETES (342-2383)
askada@diabetes.org   www.diabetes.org

Diabetic Eye Disease Month: November
Prevent Blindness America
(800) 331-2020
info@preventblindness.org   www.preventblindness.org

Lung Cancer Awareness Month: November
Lung Cancer Alliance
(800) 298-2436
info@lungcanceralliance.org   www.lungcanceralliance.org

National Alzheimer's Disease Awareness Month: November
Alzheimer's Association
(800) 272-3900
info@alz.org  www.alz.org

National Family Caregivers Month: November
National Family Caregivers Association
(800) 896-3650
info@thefamilycaregiver.org  www.thefamilycaregiver.org

National Healthy Skin Month: November
American Academy of Dermatology
(888) 462-DERM (3376)
mediarealtions@aad.org   www.aad.org

National Hospice Palliative Care Month: November
National Hospice and Palliative Care Organization
(703) 837-1500
jradulovic@nhpco.org   www.nhpco.org

Pancreatic Cancer Awareness Month: November
(877) 272-6226
information@pancan.org  www.pancan.org

Prematurity Awareness Month: November
March of Dimes Birth Defects Foundation
(888) MODIMES (663-4637)
askus@marchofdimes.com  www.marchofdimes.com

Prematurity Awareness Day: November 13
March of Dimes Birth Defects Foundation
(888) MODIMES (663-4637)
askus@marchofdimes.com  www.marchofdimes.com

Great American Smokeout: November 15
American Cancer Society
(800) ACS-2345
www.cancer.org

Gastroesophageal Reflux Disease Awareness Week: November 18-24
(888) 964-2001
iffgd@iffgd.org  www.aboutgerd.org

 
December

World AIDS Day: December 1
Joint United Nations Programme on HIV/AIDS
unaids@unaids.org   www.unaids.org/en/default.asp



New listings, in order of submission deadlines

 

$3.8 Million to help keep mentally ill out of Florida jails

Applications available: Aug 21 

Florida counties will soon have access to money to help keep their mentally ill citizens out of jail. The passage of HB 1477 during the 2007 legislative session created the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Program. The program requires the Florida Substance Abuse and Mental Health Corporation to establish a statewide grant review committee to review the applicants. The Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Program was created to provide funding to counties to plan, implement or expand initiatives. The initiatives should increase public safety, avert increased spending on criminal justice and improve the accessibility and effectiveness of treatment services for adults and juveniles who have a mental illness, substance abuse disorder, or co-occurring mental health and substance abuse disorders and who are in, or at risk of entering, the criminal or juvenile justice systems. Two types of grants will be available through this program; one-year planning grants with a maximum grant award of $100,000, and three-year implementation and expansion grants with a maximum grant award of $1,000,000. Interested persons should contact their Board of County Commissioners to make them aware of this grant opportunity. A county may also join with one or more other counties to apply for a grant.

 

Loan Repayment Program for Health Disparities Research; PA-07-439

Application period: Sept 1 - Dec 1

The National Institutes of Health and the National Center on Minority Health and Health Disparities announce the availability of educational loan repayment under the Loan Repayment Program for Health Disparities Research, which provides for the repayment of educational loan debt of up to $35,000 annually for qualified health professionals conducting minority health or other health disparities research for domestic non-profit or government entities.

 

Advancing technology to improve healthcare sevices: Verizon Foundation

Applications accepted: Jan 1 through Nov 30
The mission of the Verizon Foundation is to improve education, literacy, family safety, and healthcare by addressing Verizon's commitment to deliver technology that touches life. The Foundation supports nonprofit organizations that benefit communities in the locations the company serves within the United States. One of the Foundation’s priority categories is Education and Literacy, with emphasis on innovative, technology-based approaches to literacy and K-12 education. In addition, through the Safety and Health category, the Foundation supports initiatives that contribute to the safety and well-being of families, with emphasis on domestic violence prevention and technology for healthcare and healthcare accessibility.
 

 

Health Foundation of South Florida Concern Awards 

Nomination deadline: Oct 9

Health Foundation of South Florida is seeking candidates for the annual Concern Awards, and is inviting local community organizations and individuals to nominate everyday people who are making a healthy difference in the lives of others by answering unmet needs.  Two winners will each receive a $25,000 grant while four runners-up will each be given a $10,000 grant for the health-related nonprofit organizations of their choice in Broward, Miami-Dade and Monroe Counties.  The recipients will be honored at a gala luncheon on Dec 6 at the Conrad Hotel in Miami. Nomination forms can be downloaded at www.hfsf.org home page, emailing sgantman@hfsf.org or calling 305/374-9199.

 

Health Foundation of South Florida New Priority Focus Areas

Preliminary proposals deadline: Oct 19

Invited full proposals deadline: Dec 7

All proposals must be in one of the following categories: Project Planning, Health Services, Organizational Capacity Building or Health System/Policy. New Priority Focus Areas and Funding Interests are: Healthy Lifestyles (Physical Activity & Nutrition); Preventive Health Measures (e.g. Cancer, Hypertension, Cholesterol, and Diabetes screening); Oral Health (Education, Prevention, Clinical Services, Public Policy Advocacy); Primary Care (Projects to improve health status and increase access to services).  Grants are $20,000-$300,000 per year for projects in Broward, Miami-Dade and Monroe Counties. Download the new proposal template at www.hfsf.org

 

Building Human Capital

Deadline for brief nominations: Oct 19

The Robert Wood Johnson Foundation Community Health Leaders program (CHL) each year honors 10 outstanding and otherwise unrecognized individuals who overcome daunting odds to expand access to health care and social services to underserved populations in communities across the United States. The program aims to elevate the work of these unsung heroes through enhanced recognition, technical assistance and leadership development opportunities. Nominees are expected to be accomplished in community health at midcareer level; have created or substantially enhanced a health or health care initiative in their community; have positively affected a significant number of people in the target community; have received limited national recognition in the past; be affiliated with a public entity or tax-exempt 501(c)(3) organization; and be a citizen or permanent resident of the United States or its territories.  Ten awards in the amount of $125,000 each will be made for the 2008 award cycle. Each honoree will receive $20,000 in recognition of his/her past accomplishments, while $105,000 will go to benefit the organization with which the leader is associated.

 

RWJF Calls for Health Scholar Fellows
Application deadline: Oct 22

The Robert Wood Johnson Foundation is accepting applications for the 2008-2010 Scholars in Health Policy Research Program. This two-year fellowship enables outstanding new PhDs in economics, political science, and sociology to advance their involvement in health policy research. Up to twelve individuals are selected to spend two years at one of three universities – Harvard University, the University of California at Berkeley, and the University of Michigan. Fellows have access to the full range of university resources and receive stipends of $83,000 the first year and $86,000 the second year.

 

Substance Abuse Policy Research Program Call for Proposals Released
Application deadline: Nov 7
The Program is designed to encourage experts in public health, law, political science, medicine, sociology, criminal justice, economics, psychology and other behavioral and policy sciences to address issues related to substance use. 

 

American Foundation for Suicide Prevention

Deadlines: Dec 15, June 15

AFSP will now accept and review applications for all categories of one- or two-year research grants and fellowships two times a year. The grant amounts for Standard Research Grants are now: max. $60,000 to $75,000; Young Investigator Grants max. $70,000 to $85,000); Pilot Grants max. $20,000 to $30,000). Distinguished Investigator Grants and Postdoctoral Research Fellowships remain at $100,000.  AFSP research grants support studies that aim to increase understanding of the causes of suicide and factors related to suicide risk, or to test treatments and other interventions designed to prevent suicide. Investigators from all academic disciplines are eligible to apply, and both basic science and applied research projects will be considered.

 

Yerby Postdoctoral Fellowship Program: Harvard School of Public Health
Application deadline: Dec 15

The Fellowship Program is geared toward expanding the diversity of those entering academic public health. The program creates a bridge between academic training in health-related disciplines and entry-level faculty positions at institutions throughout the United States. Candidates must have a doctoral degree and be members of minority groups underrepresented in public health or first-generation college graduates.

 

Commonwealth Fund/Harvard University Fellowship in Minority Health Policy

Deadline: Jan 2

This fellowship is designed to prepare physicians, particularly minority physicians, for leadership roles in formulating and implementing public health policy and practice on a national, state, and/or local level.

It is expected that the Fellowship will support the development of a cadre of leaders in minority health, well-trained academically and professionally in public health, health policy, health management, and clinical medicine, as well as committed to pursuing careers in public service. Five one-year, degree-granting fellowships will be awarded per year.  Fellows will complete academic work leading to a Master of Public Health (MPH) degree at the Harvard School of Public Health, and, through additional program activities, gain experience in and understanding of major health issues facing minority, disadvantaged, and underserved populations.

 

2008 Health Policy Fellowships – NCHS/CDC

Deadline: Jan 7

The Centers for Disease Control (CDC) and Prevention's National Center for Health Statistics (NCHS) and AcademyHealth are seeking applications for their 2008 Health Policy Fellowship. The fellowship allows visiting scholars to conduct new and innovative analyses, participate in health policy activities related to the design and content of future NCHS surveys, and offers access to the data resources provided by the CDC. Applicants may be at any stage in their career from doctoral students to senior investigators. The duration of the full-time fellowship is 13-24 months, and salaries are commensurate with qualifications and experience. Qualifications are listed on the website.  

 

Wellstone Fellowship for Social Justice

Application deadline: Jan 15

This Families USA fellowship aims to advance social justice through health care advocacy by focusing particularly on the unique challenges facing communities of color. Its goal is to expand the pool of talented social justice advocates from underrepresented economic, racial and ethnic minority groups. The ideal candidate must demonstrate an interest in health care policy and racial/ethnic health disparities. Additionally, they are looking for an individual who displays the potential to contribute to social justice work after their year of hands-on experience as a fellow.

 

Villers Fellowship for Health Care Justice

Application deadline: Jan 15

These fellows work in Families USA’s health policy department and assist efforts to improve access to health coverage for all Americans, especially for low-income and other vulnerable communities. Specifically, they will conduct research on a range of health care policy issues, and write and contribute to publications that are relevant to current health policy debates. The ideal candidate will demonstrate a commitment to health care justice work following their year as a fellow. Additionally, in order to encourage the development of future leaders, Villers Fellows must commit to mentoring at least one person over the course of their careers.

 

New Funding Opportunities to Accelerate Breast Cancer Research
Application deadlines: Various
Susan G. Komen for the Cure has announced the introduction of new types of research grant awards and the deployment of an upgraded online grants application process.

 

Fulbright Scholar Award

Multiple deadlines
Applications continue to be accepted for some Fulbright Scholar awards for lecturing, research or combined lecturing/research awards in public health during the 2008-2009 academic year.  Faculty and professionals in public health may apply for awards specifically in their field, as well as one of the many "All Discipline" awards open to any field. 

 

Continuing listings, in order of submission deadlines 

 

Application Deadline: Oct 1
On behalf of the Australian Government Department of Health and Ageing, The Commonwealth Fund invites applications.
The Packer Policy Fellowships offer a unique opportunity for outstanding, mid-career U.S. professionals - academics, clinicians, decision-makers in managed care and other private health care organizations, federal and state health officials, and journalists - to spend up to 10 months in Australia conducting research and working with leading Australian health policy experts on issues relevant to both countries. In addition to undertaking original policy research, fellows will participate in seminars and policy briefings, which include meetings with senior officials at the Commonwealth and State levels, Ministerial officers, service providers, academics, and other stakeholders in the public and private sectors. At the end of their tenure, fellows produce a report and present project findings to senior government officials and policy experts at a final reporting seminar.

 

Health & Society Scholars

Deadline: Oct 12

This Robert Wood Johnson Foundation program is designed to build the nation's capacity for research, leadership, and policy change to address the broad range of factors that affect health. Its goalis to improve health by training scholars to rigorously investigate the connections among genetic, behavioral, environmental, economic, and social determinants of health; and to develop, evaluate, and disseminate knowledge and interventions based on integration of these determinants. Scholars must have completed their doctoral training by the time of entry into the program and be citizens or permanent residents of the United States or its territories. Up to 18 scholars will be selected for two-years with annual stipends of $83,000 in year one and $86,000 in year two.

 

Rural Health Network Development Program

Deadline: Oct 18

To support the development of rural health networks, whose purpose is to increase access to care by overcoming the fragmentation and vulnerability of providers in rural areas. Grant funds are used to support activities that strengthen capabilities of these networks. 

 

American Psychiatric Foundation Seeks Applications for Advancing Minority Mental Health Awards

Deadline: Nov 1

The American Psychiatric Foundation, the philanthropic and educational arm of the American Psychiatric Association, seeks to advance the understanding that mental illnesses are real and can be effectively treated. The APF Awards for Advancing Minority Mental Health recognize psychiatrists, other health professionals, mental health programs, and other organizations that have undertaken innovative and supportive efforts to: raise awareness of mental illness in underserved minority communities, the need for early recognition, the availability of treatment and how to access it, and the cultural barriers to treatment; increase access to quality mental health services for underserved minorities; and improve the quality of care for underserved minorities, particularly those in the public health system or with severe mental illness. Four awards of $5,000 each are given each year.

 

Allegany Community Outreach Grants
Deadline:  March 1
ACOR is a grant program of Allegany Franciscan Ministries, Inc.  It provides short-term support to local community projects. The grant award range is $1,000-$5,000; limited numbers of grants. Priority to organizations for projects that strive to: improve the health, wellness and quality of life through a holistic approach to education or direct service; bring about systemic change and promote self-sufficiency; benefit a disenfranchised segment of society; Sponsoring organization strives to incorporate the viewpoint and participation of individuals who are direct recipients of its services (e.g. service recipients are represented on the governing board).

 

Tobacco Policy Change: A Collaborative for Healthier Communities and States

Application deadline for implementation grants: March 14

Tobacco Policy Change: A Collaborative for Healthier Communities and States, a national initiative of the Robert Wood Johnson Foundation, provides resources for local, regional, and state-based organizations and tribal groups to advocate for effective policies that decrease tobacco use and exposure. This initiative is issuing a special solicitation that will build on previous success in attracting new partners whose constituencies are most directly affected by tobacco use and exposure. Grantees are expected to apply their advocacy skills and experience to advance tobacco and other public health policies in their communities. Organizations from Florida are able to apply.

 

Medical Care Enhancement Funded by United Health Foundation
The purpose of the United Health Foundation is to improve health outcomes for all Americans. Through the Foundation's responsive grantmaking, support is provided to nonprofit organizations that serve people and communities in the United States. The Foundation’s priorities include enhancing the quality of health and medical care services by providing reliable, scientifically-based information to support decisions made by health professionals, communities, and individuals. An additional priority is to expand access to medical care and health-related services for individuals and families who live in challenging circumstances. Letters of inquiry are accepted throughout the year.
 

Health Promotion among Racial and Ethnic Minority Males

Closing Date for Applications: Multiple Dates

http://grants.nih.gov/grants/guide/pa-files/PA-07-421.html
http://grants.nih.gov/grants/guide/pa-files/PA-07-422.html

 

Health Research with Diverse Populations (R01)

Closing: Multiple Receipt Dates

The purpose of this Funding Opportunity Announcement (FOA) is to invite grant applications for biological, behavioral, social, addictive, and mental health research related to the health of lesbian, gay, bisexual, transgender, intersex, and other diverse populations.

 

United Healthcare Children's Foundation Helps Underinsured Children
The Foundation offers support for children nationwide with assistance grants for medical services not fully covered by health insurance. Parents and caretakers can apply for up to $5,000.00 for health care services that will help improve their children's health and quality of life.  Eligible children must be 16 or younger. Families must meet economic guidelines, live in the U.S. and be covered by a commercial health insurance plan.  Examples of the types of medical services covered by include speech therapy; physical therapy and psychotherapy; medical equipment such as wheelchairs, braces, hearing aids and eye-glasses, and orthodontic and dental treatments. The Foundation has helped more than 375 families and provided nearly $1 million in financial assistance    
 

Donors Forum of South Florida on-line database
The new online searchable Donors Forum of South Florida database has up-to-date information about funders in South Florida. This resource— which is also available in hard copy — presents continuously updated information about the giving interests and procedures of funders with a track record of investing in the South Florida area and working collaboratively with others. To order, email leot@donorsforumsf.org or call 305/371-7944. 

 

Directory Of Health Policy Fellowships

This Kaiser directory contains new listings for undergraduates, graduate students and professionals searching for summer, school-year, or post-doctoral positions.



 

Florida CHAIN Website Resources

Organizations and Services

Manuals, Guides and Toolkits

Technology and Audio Visual Materials

     Audioconferences and Webcasts

     Media Programming

     Web Sites, Web Features

     Videos and Films

Periodicals and Books

Reports and Studies

     New Listings

        New Listings: Medicaid

        New Listings: SCHIP

        New Listings: Medicare

        New Listings: Federal Budget

        New: Health Insurance, Health Care Costs

        New: Health Equity Issues

        New: Other Health Issues

     Florida Reports

     Medicaid

     SCHIP

     Medicare

     Federal Budget/Health Care

     Health Insurance, Health Costs, Health Care Reform

     Health Equity Issues

     Other Health Issues

 


FLORIDA CHAIN WEBSITE RESOURCE UPDATE


Florida CHAIN has advocacy tools available online.

 

Florida CHAIN has updated its website to include more comprehensive and organized information on Medicaid Reform. Click here to view our fact sheet, PowerPoint, and Medicaid Roundtable video clips. Other available resources include Georgetown studies on Medicaid Reform and contact information of members of the Medicaid Reform Advocates Coalition.  

 

The Florida CHAIN web site now includes resource information in Spanish.

 


ORGANIZATIONS AND SERVICES

 

Newly posted resources are at the top of the list.

 

National Health Law Program (NHeLP) Resources

Language access continues to be a significant barrier to health care for individuals with limited English proficiency. Over 23 million individuals—almost 9 percent of the population—speak English less than “very well” and likely need assistance communicating in the health care arena. In an attempt to provide tools for health care providers and others, NHeLP has released a series of reports outlining promising practices for providing language services in health care settings. In mid-April, the National Health Law Program and the American College of Physicians released Language Services for Patients with Limited English Proficiency: Results of a National Survey of Internal Medicine Physicians. Other resources include Providing Language Services in State and Local Health-Related Benefits Offices: Examples from the Field, which outlines how state and local benefit offices can provide language services and Language Services Resource Guide for Healthcare Providers which offers information on how to provide language services including translator agencies, training programs, and health care symbols. 

 

The Partnership for Prescription Assistance
is a service sponsored by the pharmaceutical industry that offers a single point of access to more than 475 patient prescription assistance programs, including more than 180 programs offered by pharmaceutical companies. Through referrals by organizations, more than 260,000 people in Florida have received assistance with their prescriptions medicines. They have launched a national campaign to raise awareness about the importance of SCHIP and its reauthorization, including a website and TV and print ads. They also have updated their FAQs and Fact Sheet to include SCHIP.

 

Refugee Health Information Network 

RHIN is a national collaborative partnership, managed by refugee health professionals, whose objective is to provide quality multilingual, health information resources for those providing care to resettled refugees and asylees. RHIN places its greatest emphasis on identifying, collecting, and making quality available materials that have been produced in refugee languages. Sources of these materials include federal, state and local public health agencies; national organizations; health care agencies; community-based organizations; academic institutions and international organizations. RHIN also strives to identify news and events, as well as other information resources useful to health providers serving refugees.

 

The Prescription Project

This project is led by Community Catalyst in partnership with the Institute on Medicine as a Profession.  Funded by the Pew Charitable Trusts, the Project seeks to eliminate conflicts of interest created by industry marketing by promoting policy change among academic medical centers, professional medical societies and public and private payers. In addition the Project will advance state and national level policy solutions. The Project will sponsor a wide range of activities to achieve its goals, including research and policy analysis; national and community-based forums; outreach to the media; and meetings with key decision-makers, including deans of medical schools, health care administrators, business leaders, policy makers and consumers. These include the Prescription Project Weekly Reader, a readable, relevant way to keep members and friends of the Project informed about what is happening at the intersection of medical conflict-of-interest issues and prescription drugs.

 

A Healthier US Starts Here: CMS Prevention and Wellness Initiative

This spring and summer, as part of the "A Healthier US Starts Here" initiative the US Department of Health and Human Services and CMS will join with local officials and partners, to raise awareness of the importance of preventing chronic disease and illness, promote Medicare preventive benefits and provide information about how beneficiaries can take action to maintain and improve their health.

 

New Coalition, Partnership to Fight Chronic Disease, Launched

Any serious policy proposal that aims to improve health care in America and control rising health care expenditures must address chronic disease.  That’s why a broad group of patients, providers, community organizations, business and labor groups, and health policy experts has joined together to form the Partnership to Fight Chronic Disease (PFCD) – a national, bi-partisan coalition committed to raising awareness of the policies and practices that save lives and reduce health costs through more effective prevention and management of chronic disease.

 

IPUT, Informed Parents United Together: Advocating for Universal Education and More!

This nonprofit agency works at an individual local network level to educate parents
and increase their advocacy for Inclusion of children and adults with disabilities in General Education environments. Check out the IEP Tool Box. 

 

Together Rx Access

is a prescription savings program sponsored by 10 pharmaceutical companies, including Pfizer.  It provides savings on a wide range of prescription products at the pharmacy counter to eligible patients without prescription coverage.  For more information, call 1-800-444-4106

 

Medicare Rights Center (MRC) has an Rx Hotline for Nonprofit Professionals as one component of its comprehensive independent source of health care information and assistance for older adults and people with disabilities. It helps with understanding or explaining the Medicare prescription drug benefit to clients. Call RxHelp, a national hotline dedicated for nonprofit professionals serving the Medicare population, operated from 10 am to 6 pm EDT. Dial 877/RXHELP-0 (877/794-3570).Other services include: a telephone hotline; a database of case advice; education and training; public policy work; electronic newsletters; and communications with local and national media outlets. To help you understand your Medicare health plan choices, the Medicare Rights Center offers Medicare Interactive (MI), a web-based Medicare counseling tool.

 

Training Alliance for Communities of Color
This website is from National Health Policy Training Alliance for Communities of Color, a partnership between Families USA, the Joint Center Health Policy Institute (HPI), the National Association of Latino Elected and Appointed Officials (NALEO) Educational Fund, and the National Medical Association (NMA). Their mission is to empower community leaders, elected officials, and journalists from communities of color with pertinent information about health policy developments in order to: expand their capacity to address and catalyze action on crucial health and health care issues; bolster the skills of leaders from communities of color to play a more influential role in shaping and creating health policies that are of relevance to their respective communities; and engage diverse leaders in national health policy development. 

 

Access to Benefits Coalition

The nonprofit ABC is dedicated to ensuring that Medicare beneficiaries with limited incomes know about and make the best use of all available resources for accessing prescription drugs and reducing their costs. ABC is working through local community coalitions to inform beneficiaries and their families, as well as the professionals who serve them, about Medicare Part-D. Extra Help is provided online or in person; find out if you or someone qualifies by going to BenefitsCheckUpRx?. Publications include: Applying for the Low-Income Subsidy: A Tool Kit for Advocates; and Pathways to Success: Meeting the Challenge of Enrolling Medicare Beneficiaries with Limited Incomes

 

The National Hispanic Resource Help-Line 1/800-473-3003 provides support for Latinos throughout the nation who need information about educational, health and human service providers. To become part of their database, click here.

 

Southeast Florida Cancer Control Collaborative (SFCCC) 

SFCCC works to reduce the cancer burden and cancer disparities in Southeast Florida, including Broward, Indian River, Martin, Miami-Dade, Monroe, Okeechobee, Palm Beach and St. Lucie counties. The SFCCC includes representatives from more than 60 public and private organizations, agencies and health care providers, as well as cancer survivor and advocacy groups. SFCCC aims to increase awareness about cancer prevention, early detection, and treatment among populations at high risk. The Collaborative meets quarterly at various locations in the region.


MANUALS, GUIDES, TOOLKITS

 

Newly posted resources are at the top of the list.

 

Cover the Uninsured Storybook - The Success of SCHIP: How the State Children's Health Insurance Program Helps America's Working Families

This is a 15-page, downloadable booklet that shares the touching stories of 23 families that have benefited from coverage provided through SCHIP. Download it today to share with opinion leaders in your community. Order Free Materials: FREE English and Spanish promotional materials featuring the 1(877) KIDS-NOW hotline, which parents can call to find out if their uninsured kids are eligible for SCHIP or Medicaid, are available to augment your outreach efforts. Order fans, bookmarks, posters and more to distribute in your community while supplies last.

 

ACHI's Community Health Assessment Toolkit

Built with funding from the American Hospital Association and expert guidance from a 35-member ACHI working group, this will be online in November 2007.  The Toolkit, a member service of the Association for Community Health Improvement, available to members of the American Hospital Association and the Society for Healthcare Strategy and Market Development, is a hands-on guide for both novice and experienced practitioners seeking to design, conduct and use assessments to improve the health of their communities.

 

Toolkit: Medicare Private Fee-for-Service Plans

The toolkit contains links to resources on general information about Medicare private fee-for-service plans, advantages and incentives of using the plans and the difficulties that beneficiaries have faced with the plans, including enrollment fraud. The toolkit also includes a list of experts and Web sites for further information on the plans. (7/12/07, Alliance for Health Reform)

 

Medicare Advantage Tutorial on the basics of Medicare Advantage and types of MA plans, as well as trends in MA enrollment, characteristics of beneficiaries and the impact of MA plans on traditional Medicare. And an updated  Medicare Health and Prescription Drug Plan Tracker with MA plan enrollment data for June, containing local, regional and national data on MA plans and stand-alone Medicare prescription drug plans. (7/17/07, Kaiser Family Foundation)

 

Race Matters 

This toolkit was created to help advocates and leaders address race and power structures within their work to help create equitable opportunities for all.  (Voices for America's Children and The Annie E. Casey Foundation)

 

A Patient-Centered Guide to Implementing Language Access Services in Healthcare Organizations

The guide was created to assist health care organizations in better serving their clients with limited English proficiency and decrease disparities in access to health care. (DHHS Ofc. of Minority Health)

 

Helping Pediatric Practices Implement Parental Depression Screening
A new online manual helps pediatric clinicians successfully screen parents for depression, discuss with them the impact depression can have on their children, and refer parents for counseling. Rates of major depression peak during women's childbearing years. Research has shown that maternal and paternal depression can affect parenting behaviors and, ultimately, harm children's health and development. Because pediatricians have frequent contact with parents, they have opportunities to screen for depression and intervene when necessary. Accumulating data about the adverse effect of parental depression on child health, development, and behavior have provided an impetus among pediatric practices for changing clinical care.

 

The Basics of Medicare and Medicaid
The primers help explain Medicaid and Medicare, including an overview, how they work, who they serve and how they are funded. The Medicare primer is new, and the Medicaid primer has been updated with the most current information (Kaiser Family Foundation, "The Basics of Medicare and Medicaid," (3/19/07, Kaiser Family Foundation)

 

Medicare Rights Center Part D appeals manual
This free, comprehensive, easy-to-understand guide is for advocates who help people with Medicare get the drugs they need.This 25-page manual offers a complete overview of the entire appeals process, real-life case examples from MRC's Client Services department, a glossary of important Part D appeals terms, a sample appeals protocol for advocates, and links to important resources and documents. All in consumer-friendly language

 

Five Guidelines for Developing Customer-Friendly Websites
This new Covering Kids & Families publication is intended to help state agencies and other organizations do a

better job of helping people find information on the Web about Medicaid, SCHIP and other government services by producing a customer-friendly site.


Amigos en Salud Online Disparities Toolkit
Pfizer has created a free toolkit to help community health centers reduce racial health disparities. The program, called Amigos en Salud/Friends in Health, involves training community health workers to be a bridge between minority communities and the healthcare system. 

 

Reducing Racial and Ethnic Disparities: A Quality Improvement Initiative in Medicaid Managed Care ToolkitCenter for Health Care Strategies
The toolkit examines the experiences of a workgroup - comprising 10 Medicaid health plans and a state primary care case management association - that adopted strategies to identify and address racial and ethnic health disparities in birth outcomes and immunizations, asthma care and diabetes care. (January 2007)

 

New/Updated Resources Medicare Drug Plan Resources
In advance of the 2007 Medicare drug plans open enrollment period beginning Nov. 15, Kaiser Family Foundation has issued a series of new and updated resources based on ongoing research including consumer surveys:

Updated fact sheet providing state-specific data about Medicare drug plan options for 2007, including stand-alone drug plans and Medicare Advantage plans, and information on premiums, gap coverage, and availability to beneficiaries who qualify for full low-income assistance.

Updated Medicare Prescription Drug Benefit fact sheet, with a revised estimate that 4 million people will be affected by the coverage gap in 2006, as well as current enrollment and low-income subsidy participation and updated Medicare per capita drug spending.

Updated Talking About Medicare online consumer guide, reflecting 2007 benefit changes, to help people with Medicare and their families understand options and make decisions based on their personal situations; includes information about financial assistance for those with limited incomes, supplemental insurance options, and Medicare Advantage.

Fact Sheets and Primer on the Uninsured
The Kaiser Family Foundation has collected links to some resources on the topics of health coverage and the nation’s uninsured population to assist you in your work related to these issues:

The Uninsured and Their Access to Care

Covering the Uninsured: Growing Need, Strained Resources

Massachusetts’ New Law to Cover the Uninsured

Women's Health Insurance Coverage

The Uninsured: A Primer

 

Families USA is offering Making Public Programs Work for Communities of Color: An Action Kit for Community Leaders, from its Minority Health Initiatives Department. The kit provides community leaders with information, tools, and resources to engage in health advocacy and improve the health and well being of their communities. Emphasizing the importance of public programs in reducing racial and ethnic health disparities, the kit contains: a summary and statistics of racial and ethnic health disparities and the role public programs can play in reducing them; an overview of Medicaid (and SCHIP) and Medicare, including their relationships to communities of color; fact sheets on improving health coverage for racial and ethnic minority groups; state and local case studies on health advocacy; advocacy tools including a powerpoint presentation, and lists of organizations and publications. Contact: 202/628-3030 or rpanares@familiesusa.org.

 

The Medicaid Matters web site is a resource for people working across the country to protect Medicaid, the health insurance that 50 million rely on. It stores a ready-to-use toolkit of messages, materials and dissemination ideas. Users are able to download, at no cost, tested messages emphasizing the importance of Medicaid and the threat now facing the program. Messages are enhanced by high quality, full color photography. One set of materials is designed to be ready to print. Once downloaded, they can be forwarded to any print house or copy shop without any further formatting. The second set of materials is designed so that components of the product can be adapted to suit the needs of that organization or constituency that wishes to use them.

 


TECHNOLOGY AND AUDIO/VIDEO RESOURCES

 

Audio Conferences and Webcasts

 

Dated events listed chronologically; standing webcasts listed last 

  

Minority Women’s Health Summit: Women of Color: Addressing Disparities, Affirming Resilience, and Developing Strategies for Success

Dept of Health and Human Services Office on Women’s Health hosted this Aug 23, 2007 summit to address health disparities among women of color living in the United States. The goal of this Summit was to focus on the often unrecognized threats to health experienced by women of color by building on knowledge gained in previous conferences, identifying distinct health issues disproportionately impacting minority women, and highlighting successful models of health promotion and prevention. Videos and transcripts available.

 

Vulnerable Populations and Health: How Can We Improve Results?

This Sept 11, 2007 event sponsored by the journal Health Affairs sought to answer these questions and others: How can the United States ensure that its most vulnerable individuals have access to health care? What policies could reduce health care disparities? How can early-life factors such as nutritional and environmental conditions affect health in subsequent years, and what sorts of early interventions might best prevent future disease?  Videos and transcripts available.

 

Does Racism Make Us Sick?

Videos and webcasts on demand from the University of North Carolina Minority Health Project.

 

Association for Community Health Improvement (ACHI) new Online Store

The store contains more than a dozen recorded sessions, including keynote presentations from the 2007 annual conference.  In most cases, both the audio recording and the presentation slides are available.  Most one hour sessions are $49.99.  ACHI members receive a 50% discount on this price.

Coverage to Supplement Your Medicare

Need Coverage to Fill the Gaps in Medicare? Check out Medicare Rights Center’s latest free educational web seminar.



Media Programming

 

ABC Series Looks at Uninsured Kids

 ABC World News has a new series of stories on the crisis of the nine million children in America, highlighting the various barriers that keep families from being able to get and keep health insurance for their children. You can view videos of the series, plus an interview with Children’s Defense Fund President Marian Wright Edelman: "Some Kids Die in Insurance Gap;" "Children's Defense Fund's Take;" "Red Tape and Bureaucracy in Health Care;" "Kids Go Uninsured as Politicians Argue"

 


Web Sites, Web Features & Databases

 

Newest postings are listed at the top of State and National Web Resources sections below

 

State Web Resources

 

Florida's Community and Migrant Health Centers Brochure UPDATED 9/07

A low literacy brochure describing services offered at Florida's CHCs with a map of all CHC locations and phone numbers. English Brochure  Spanish Brochure  Haitian Creole Brochure

 

Annie E. Casey Foundation: 18th KIDS COUNT Data Book

This is the recently released new edition of this national and state-by-state effort to track the status of children in the United States. By providing policymakers and citizens with benchmarks of child well-being, the Foundation seeks to enrich local, state, and national discussions concerning ways to secure better futures for all children. Information is also available in an online database that enables users to generate custom graphs, maps, ranked lists, and state-by-state profiles. Both the book and the online database can be accessed on the website listed above.

First Steps: A Guide for Parents of Young Children with Developmental Disabilities

Florida Developmental Disabilities Council’s most popular publication ever has been revised and updated with critical info for any parent or family member of a young child with a developmental disability. The publication is a reliable source of info for parents at the beginning of a new journey. They will learn a new vocabulary, discover advocacy skills they never knew they had, and meet new people who will become important in their life as friends, teachers, doctors, therapists and caregivers. This is a valuable tool to help guide parents in the initial steps of their journey as well as a resource they can visit again and again as they, their child and their families grow through the coming years together. The publication is available in both English and Spanish, as well as in a full color version and a black and white version – both are in Acrobat Reader format (PDF) and available in two sections – Chapters 1 to 5 and Chapters 6 to 10 – for your convenience downloading the publications.

 

Summary of health-related bills passed by the 2007 Florida Legislature

 

Florida Health News, free online non-profit news service
The Florida Health Policy Center has announced the launch of an independent, free, non-profit news service:  Florida Health News Inc. FHN will post health-related stories reported around the state, highlight the Florida impact of national stories, and track state health legislation.  The news service also will feature original coverage of major health policy developments and a free Monday-through-Friday news service.  You can visit the site and subscribe to the e-mail news service by clicking on the link: www.FloridaHealthNews.org. To send your comments, story tips and news of conferences and other events, or get more information, contact pat.curtis@floridahealthnews.org or 850/556-1668.

 

Florida Health Insurance Coverage of Children 0-18 (2004-2005)
Kaiser Family Foundation has released information about this on-line resource.

 

Statehealthfacts.org Updates Data on Medicaid & SCHIP Coverage for Children
Statehealthfacts.org has updated information on eligibility levels for children in Medicaid and SCHIP and parents and pregnant women in Medicaid using survey data from the Kaiser Commission on Medicaid and the Uninsured (KCMU). The latest information on Medicaid and SCHIP enrollment practices for pregnant women and children and renewal practices is also now available. Overall SCHIP spending for FY 2006 and Federal SCHIP spending data from FY 1998 through FY 2006 are also now available. Recent additions to the site include new information on children's demographics and health insurance status from analysis of the Census Bureau's March 2005 and 2006 Current Population Surveys. These additions include the distribution of children by race/ethnicity, the distribution of children by citizenship status, and health insurance coverage among low-income children living near poverty.

 

Florida Association of Community Health Centers (FACHC)

The following resources have recently been added to the FACHC web site:

Short Assessment of Health Literacy for Spanish-speaking Adults (SAHLSA-50) A new health literacy test than can be used to screen for low health literacy among Spanish speakers. 

Health Coverage and Access to Care for Hispanics in "New Growth Communities" and "Major Hispanic Centers" A 2006 Report from the Kaiser Commission on Medicaid and the Uninsured 

Spanish Language Mental Health Manual for Health Promoters Developed by the California- Mexico Bi-National Health Initiative. 

 

Florida Health Care Website for Consumers
A new Web site for Florida health-care consumers officially launches today, courtesy of the Florida Hospital Association. The site offers links to information on doctors, hospitals and health-care plans as well as checklists to help consumers ask the right questions. It is intended largely as a portal to other, established sites. There are links to sites for Florida's Agency for Health Care Administration, the Centers for Medicare & Medicaid Services, and the Joint Commission on Accreditation of Healthcare Organizations, among others.

  

State of Florida Health Care Consumer Websites
The recently expanded FloridaCompareCare.gov aims to improve care and reduce costs by giving citizens the tools to compare outcomes and prices between health care providers and medical services.  Through this website one can see data on certain conditions and procedures related to quality of care, pricing and performance at the state’s hospitals and ambulatory (outpatient) surgery centers. In 2005, Florida became the first state to publicly report infection and mortality rates in each hospital.  In July 2006, Florida became the first state to publicly report separate pediatric quality of care data. In addition, adult data can now be broken out specific to ages 65 and over. Additional new breakdowns include types of facilities.
FloridaHealthStat.com provides health care information to assist consumers, health care professionals, and researchers in making well-informed health care decisions and in researching the status of health care in Florida. MyFloridaRx.com provides consumers with the retail prices of the most commonly used prescribed drugs by pharmacy across Florida. For questions or comments regarding any of Florida’s consumer websites, contact 850/922-7036.

 

Medicaid Applications Online 24/7 and in Neighborhoods
Local partners can direct families to their area sites or online to apply for Medicaid and other benefits. The Web Application is generally preferable as the data makes it into the Florida system more quickly and there is a reduced chance of data entry errors.

 

Florida KidCare Applications can be completed online

 

Website Offers Free 24 Hour Health Information to Floridians to address concerns and inquiries 

The Florida Department of Health (DOH) Secretary encourages health care consumers to visit www.FLHealthSource.com whenever they need information about a licensed health care professional. DOH’s Division of Medical Quality Assurance (MQA) maintains FLHealthSource.com. The site provides health care consumers with a host of information, including license status, office address, and disciplinary information for all health care professionals licensed in Florida. The site also provides additional information for the five profiled professions –medical doctors, osteopathic physicians, chiropractic physicians, podiatric physicians and advanced registered nurse practitioners (ARNPs).

 

Statehealthfacts.org provides free, up-to-date, and easy-to-use health data on all 50 states, covering more than 500 health topics. 

 

Florida Progressive Information Network (FLPIN)

offers a nonpartisan communication system designed to link progressive organizers with progressive activists.  Individuals may sign up free of charge to receive alerts on a variety of progressive issues from other organizations participating in the Network. In order to make FLPIN work, it must be used on a regular basis. The more information put in, the more valuable it is as a tool. Link FLPIN to organization websites. A training manual is at www.flpin.net/alert.pdf.  For more information or assistance, contact jen@floridahumanist.org

 


National Web Resources

 

“Race, Ethnicity and Health Care” tutorial

Online from Kaiser Family Foundation.

 

The Context of Health: What Are We Really Doing To Change It?

Healthy People 2010 recognizes that communities, States, and national organizations will need to take a multidisciplinary approach to achieving health equity—an approach that involves improving health, education, housing, labor, justice, transportation, agriculture, and the environment. [95-slide ppt]

 

Kaiser Commission on Medicaid and the Uninsured Updates Medicaid Benefits: Online Database with 2006 Data

Using this tool, Medicaid benefits can be compared across the 50 states, the District of Columbia and the US Territories or by specific service. The online tool contains Medicaid benefits survey data from 2003, 2004 and 2006 with information about benefits covered, limits, co-payments and reimbursement. It includes an interactive map, an expandable list of benefits, and the ability to compare data across the three survey periods.

 

Kaiser Commission on Medicaid and the Uninsured Updates Medicaid Benefits: Online Database with 2006 Data

Using this tool, Medicaid benefits can be compared across the 50 states, the District of Columbia and the US Territories or by specific service. The online tool contains Medicaid benefits survey data from 2003, 2004 and 2006 with information about benefits covered, limits, co-payments and reimbursement. It includes an interactive map, an expandable list of benefits, and the ability to compare data across the three survey periods.

 

Families USA’s State Coverage Expansions Resource Center

Many states are taking steps — expanding public programs, launching new state programs, and reforming private insurance — to make it possible for more people to get coverage. This new Resource Center will help you find out what the states are doing. Click here. The State Coverage Expansions map guides you to information on key state expansions, with fact sheets, links to legislation, and links to state advocacy groups. Comparing State Expansions is a series of tables that show you the key elements of these new proposals/laws state-by-state. How are states financing their expansions? Who is covered? What benefits do they get? Will small businesses be helped? All this and more is covered in the tables. If your state is doing similar efforts that are not yet on our map, click here to call or send Families USA an e-mail.

 

Health08.Org, A Hub for Information about Health Care and The Presidential Campaign 

With health care emerging as one of the hot topics in the 2008 presidential election, this new ad-free Kaiser Family Foundation Web site will provide analysis of health policy issues, the results of regular public opinion surveys, and news and video coverage from the campaign trail. It will feature original content produced by Kaiser as well as health-related resources from various campaigns, other organizations, and news outlets. The site will offer summaries of candidates' health reform proposals, basic facts and information about the health system, the results of Kaiser tracking surveys examining the public's views on health issues and their perceptions of the candidates' views on health care, syntheses of health news coverage, podcasts and video from the campaign trail, and interviews with candidates and other key players in the health reform debate

 

Think Cultural Health is a new web page that provides a wealth of resources and information on the issues of cultural competence in health care and health care disparities. (DHHS Office of Minority Health)

 

Robert Wood Johnson Foundation's new disparities Web page includes publications and information listed according to racial/ ethnic group, as well as by topic area.

 

New Web Tool Provides Samples of Report Cards on Health Care Quality

With rising interest in information about the quality of care delivered by health care providers, HHS' Agency for Healthcare Research and Quality has developed a new Web tool demonstrating a variety of approaches for health quality report cards. The new Health Care Report Card Compendium is a searchable directory of over 200 samples of report cards produced by a variety of organizations. The samples show formats and approaches for providing comparative information on the quality of health plans, hospitals, medical groups, individual physicians, nursing homes, and other providers of care.

 

National Cancer Institute Spanish Web Site

The National Cancer Institute (NCI) has launched a new Web site, cancer.gov en español tailored to the needs of the U.S. Hispanic/Latino community. The Web site is completely in Spanish and is one of the latest tools developed by the NCI in its efforts to address cancer health disparities. It is intended to meet the needs of Hispanic/Latino cancer patients, their families and health care providers, who are either Hispanic/Latino or serve such patients.

 

Consumer Health Information for You and Your Family
Keeping up with the latest consumer health information from the U.S. Food and Drug Administration (FDA) just got easier. FDA has a new Web page to provides comprehensive and timely consumer information. A free monthly e-newsletter, FDA Consumer Health Information  will alert consumers to content contained on the page.

 

Facing Race 2007

The Applied Research Center (ARC) and COLORLINES Magazine have made various resources from their conference available on the ARC Web site, the ARC blog, and on the Facing Race wiki

US Racial Disparities Update

Kaiser Family Foundation issued a new data update that shows the percentage of whites, African Americans, and Hispanics in all 50 states and the District of Columbia that are uninsured, enrolled in Medicaid, and living in poverty. The data also provide a quick glance at disparities in rates of infant mortality, diabetes-related mortality, and AIDS cases between these racial and ethnic groups.

Faith Based Efforts and Resources 

Families USA has posted a new page on the Minority Health Initiatives section of the Web

site with links to various to encourage faith leaders to become involved in health care advocacy.

 

Factline: Tracking Health in Underserved Communities
This website is sponsored by the National Library of Medicine and Meharry Medical College that highlights health disparities in underserved communities. Factline presents information about health disparities faced by women, members of minority groups, the elderly and others.  The focus of the website is two-fold: presenting significant findings from scholarly research in public health on the subject of health disparities and providing bibliographic references to the literature in which these findings are established.  The framework for the research is Healthy People 2010.

 

New Database for Medical Language Access
The Medical Leadership Council on Cultural Proficiency has unveiled a first-of-its-kind database designed to assist physicians and others in providing improved language access and culturally competent health care. With more than 350 initial entries, the searchable, internet-based, free-to-the-public database includes contact information for interpreters, nonprofit organizations, hospitals, public health departments and others that provide health information and services in languages other than English. Users, including physicians, nurses, social service workers, patients and the general public, can search for listings by county, by language, or by type of service.

 

Fact Sheets on Medicare, Long-Term Care Spending; Medicaid; Long-Term Spending Data
Fact sheets, Georgetown University Long-Term Care Financing Project: The Georgetown University Long-Term Care Financing Project has released two new fact sheets on Medicare and long-term care and Medicaid policy that aims to protect the incomes and resources of spouses of nursing home residents who are trying to enroll in Medicaid. The project also has updated its 2005 national long-term care spending estimates.  (February 2007, Georgetown University Long-Term Care Financing Project)

 

2007 Federal Poverty Guidelines Now Available
The Southern Institute on Children and Families has made available the 2007 Federal Poverty Guidelines. Compiled from the 2007 HHS Poverty Guidelines, these guidelines provide income levels for families at 50%, 100%, 125%, 133%, 150%, 185% and 200% of the Federal Poverty Level. Information is provided for the continental United States and separately for Alaska and Hawaii.

 

Women's Health Insurance Coverage Fact Sheet
As the cost of health insurance continues to rise, women in particular may face difficult challenges affording coverage because they are disproportionately low-income and can have poorer access to employer-based insurance. This fact sheet describes the major sources of health insurance coverage for women ages 18-64, including employer-sponsored insurance and Medicaid. It provides information on the more than 17 million women who are uninsured and summarizes the major policy challenges facing women in the health insurance sector. (Feb 2007, Kaiser Family Foundation)


Data Resource Center for Child and Adolescent Health
The Child and Adolescent Health Measurement Initiative (CAHMI) presents the Data Resource Center for Child and Adolescent Health. This resource is a no-cost, easy-to-use website that puts national, state, and regional survey findings right at your fingertips. You'll find: interactive data search tools; personalized technical help by email or telephone and information and examples to help you use data more effectively.

 

Metropolitan Quality of Life Data
Diversitydata.org allows visitors to explore how metropolitan areas throughout the U.S. perform on a diverse range of social measures via a dataset of socioeconomic indicators in the form of tables, thematic maps, and customizable reports. The data cover various racial/ethnic, income and nativity groups. Multiple data sources have been used to show data for numerous domains such as housing opportunities, economic opportunities, residential integration, and health.

 

New Online Medical Dictionary Reference Tool

MediLexicon International Limited, corporate owners of Medical News Today, was pleased to announce on Nov. 11 the launch of a new medical dictionary tool. This dictionary search is a joint collaboration between MediLexicon and Lippincott Williams and Wilkins, who have provided the data.

 

Online Interactive Medicare Advantage Comparison Tools
Before making the switch to Medicare Advantage, beneficiaries can compare plans to determine their needs.
Then they can review each plan using the Guidelines for Considering Medicare Advantage  from the Center for Medicare Advocacy. More information about Medicare Advantage managed care plans is online at Medicare.gov. More recent FAQs on private fee-for-service plans is available through CMS.

 

Online Parent SCHIP Information
To assist in the growing problem of America's uninsured children, medical insurance hub HealthInsuranceFinders has added information to assist parents in finding and understanding all of their health insurance options: a State Children's Health Insurance Program (SCHIP) section with an overview of State Children Health Insurance Programs for each state.


State By State National Survey of Children’s Health Data Resource Center Dataset
The DRC Child Health Indicators version of the 2003 NSCH Dataset is now available. Added to the data sets are the 65 Child Health Indicators for the DRC online data query and the National Chartbook. Also included are Healthy People 2010 relevant indicators and key socio-demographic variables.

 

Comprehensive source of Hispanic data
Recent release from the Census Bureau with data and linkage to sources covering many areas. 

Rural Communities Statistics and Information
The Rural Assistance Center has added to its Web site a new resource providing continuously updated demographics and statistics, documents and resources and contacts for all 50 states. RAC said the federally funded "State Resources" addition is designed to help health care providers and human services representatives in rural communities with activities such as locating and competing for funding opportunities and networking.

 

American Community Census Data Online
The new poverty, income, and health insurance data from the U.S. Census Bureau released on August 29, 2006 is available online. This year, it has more state and local data than in previous annual surveys.

     

State Level Data on Health Coverage & the Uninsured

Kaiser Family Foundation's interactive web tool includes the health insurance status of the state’s population (those with various types of health coverage or who are uninsured), and demographic information (such as income, race/ethnicity, age, gender) for those who are uninsured, have employer-based insurance, or Medicaid. Information about Medicaid and Medicare beneficiaries can be found in those respective categories. Find data from other categories on the website that relate to Health Coverage & Uninsured.

 

The Johns Hopkins INFO Project's OneSource Database

This provides one-stop access to over 360,000 resources and six separate databases with a single mouse click or search term. OneSource users can quickly search for reports, articles, documents, posters and pamphlets, photos, web sites, Q&As and news articles through a single interface. An enhanced search and browse capability makes finding global family planning, reproductive health and population information faster and more simple than ever.  Enter your terms in the search box. Select the resource type you want to look for, or search all six databases at once, and click Search.

 

Uninsured Tutorial, Module, and Reference Library

This KaiserEDU.org page contains comprehensive resources including links to key research, policy analysis, and the latest data and statistics on the uninsured. 

  

Health Care Coverage in America: Understanding the Issues and Proposed Solutions includes a corresponding PowerPoint presentation.  (Cover the Uninsured)

 

Immigrant Health Policy Reference Library
This new compendium summarizes data and research on immigrants’ health coverage and access to care. The library also includes a list of organizations that conduct analysis on the impact of major health policies on immigrants and presents research on specific populations, including Latino, African and Asian immigrants.

  

Medicaid Fact Sheets Tool

Compare your state's Medicaid program and the population it serves to other states and the nation by visiting Kaiser's new interactive online State Medicaid Fact Sheets tool.

 

Interactive Tools on Medicaid

The Kaiser Commission on Medicaid and the Uninsured presents the State Medicaid Fact Sheets and the Medicaid Benefits Online Database, two interactive tools featuring the latest key data, information and services provided for each state’s Medicaid program. Both tools allow for easy access to the data which can then be printed, saved and emailed.

 

Healthcare Coverage Options Database: Assistance for Obtaining Health Coverage

This Web site provides information on health insurance options for low-income U.S. residents. The site includes comprehensive information on large-scale programs like Medicaid, the State Children's Health Insurance Program (SCHIP), and the federal Health Care Tax Credit Program, as well as hundreds of smaller state, federal, and private programs.

 


 

Videos and Films

 

Effective State Children's Health Insurance Program (SCHIP) Policy

Top experts from around the country share research and practice knowledge related to federal and state SCHIP policy during this event, hosted by the Promising Practices Network and Kansas Action for Children.

 

PERx: Prescribing Evidence-Based Therapies

The film, featuring expert commentary from renowned medical opinion leaders, also has an interactive website (www.perxinfo.org) PERx illustrates how pharmaceutical industry influence affects the prescribing behaviors of clinicians, emphasize the ethical implications of these practices and offers strategies to enhance evidence-based practice. The program was funded through a multi-state settlement resolving allegations of violations to state consumer protection laws.

 

Covering Kids & Families Video
Parents' Action for Children, a 2006 national supporter, has created a flash animation video in partnership with Covering Kids & Families that promotes the availability of low-cost and free health care coverage for eligible families. Parents’ Action for Children plans to promote the video to their membership of more than 35,000 parents across the country who are working to improve the lives of children and families in their communities. View the video today!
For more information, contact 202/338-7227 or coveringkidsandfamilies@gmmb.com 
 


 

PERIODICALS AND BOOKS

 
The Fenway Guide to LGBT Health
LGBT (lesbian, gay, bisexual and transgender) Americans, in addition to having the same basic health needs as the general population, also experience health disparities because of continuing discrimination and ignorance related to sexual orientation or gender identity. This textbook, published by the American College of Physicians, is designed to teach current and future medical providers about the unique health care needs of sexual and gender minorities.

 

Parenting Children with Health Issues: Essential Tools, Tips and Tactics for Raising Children with Chronic Illness, Medical Conditions and Special Healthcare Needs

Written for parents, caregivers and health professionals, readers will learn how to: Stop arguments over self-care issues; Handle refusal to take medication and do medical treatments; Avoid power struggles and other common parenting traps; Understand and respond to ill children's special emotional needs; Facilitate children's concern for their illness without frightening them; Promote good healthcare without nagging, lecturing, ranting or raving; Enable children to make wise decisions about their bodies; and Communicate with children about their health issues in ways they'll understand. Feel free to link to the website which has several articles, pages of Q&A, author’s power point presentation and will soon include pod casts and video clips.

 

Healthy Childcare’s Oct-Nov issue of is a special one devoted to the dental health needs of young children. Included are articles on preventing and treating dental injuries, the use of fluorides and sealants, foods for healthy teeth, and preparing children for visits to the dentist. This issue will be mailed in early October. Deadline for ordering is Sept. 10, 2007.

 

Healthy People 2010, Midcourse Review

Presents an assessment of the Nation's progress toward increasing the quality and years of health life and eliminating health disparities for all Americans. Identifies a set of 10-year health objectives to achieve during the first decade of the 21st century. [US Government Bookstore]

Inclusion: The Politics of Difference in Medical Research

While the prominence of inclusive research practices has offered hope to traditionally underserved groups, this book argues forcefully that it has drawn attention away from the tremendous inequalities in health that are rooted not in biology but in society. There is, for instance, a direct relationship between social class and health status, and a focus on bodily differences can obscure the importance of this factor. Only when connected to a broad-based effort to address health disparities, can a medical policy of inclusion achieve its intended effects.

 

States in Action: A Bimonthly Look at Innovations in Health Policy

This Commonwealth Fund bimonthly newsletter describes innovative state health programs from across the country. It is intended to help policymakers, administrators, and researchers as they work to stretch health care dollars and meet the needs of their residents.


REPORTS AND STUDIES

New Listings

New Listings: Medicaid

Poverty in the Suburbs

During the past two decades, the number of "poor" suburbs--those whose per capita income is less than three-quarters of the metropolitan area's--has spiraled upward...Few of the suburban poor have health insurance. There are fewer doctors and health clinics in suburbia that accept Medicaid patients and fewer social services. (9/2/07, The Nation)


New Listings: SCHIP

Congressional Action is Needed to Prevent the Administration from Eviscerating Efforts to Enroll Uninsured Low-Income Children through the Schools
Collateral Damage: Children Can Lose Coverage when their Parents Lose Health Insurance

(9/17/07, Center on Budget and Policy Priorities)
 

 

SCHIP Reauthorization: How Will Low-Income Kids Benefit under House and Senate Bills?

Critics of children's health insurance bills passed by the House and Senate (HR 3162, HR 976) say the proposals direct too much federal money toward funding coverage of middle-class children, but in fact most kids covered by the proposals would come from low-income households, according to a new analysis. The proportion of children below 200 percent of the Federal Poverty Level (FPL) covered by the bills is 70% or higher. The share of uninsured children below 200 percent of the FPL who would gain coverage is estimated to be even higher (78 to 85 percent). (9/17/07, Urban Institute)

 

New Analysis Examines Uninsured in 2006, Revealing Nearly Half of Increase in Uninsured Children in 2006 Occurred in Middle Income Families

A new, detailed analysis of the latest US Census Bureau data on health insurance coverage from the Foundation's Kaiser Commission on Medicaid and the Uninsured looks behind the 2.2 million increase in the number of uninsured, examining changes by age and income. Reversing years of steady declines, the number of uninsured children has grown by one million over the last two years. And, as debate continues on reauthorization of SCHIP, the analysis shows that 48 percent of the increase in uninsured children from 2005 to 2006 was among families with incomes between 200% and 399% of the federal poverty level (roughly $40,000 to $80,000 for a family of four in 2006). Among kids, the share with employer-sponsored insurance declined by 1.2 percentage points, but there was no change in the share with Medicaid or SCHIP coverage to offset the employer decline since most children in this income group are not eligible for public coverage under current rules. (9/6/07, Kaiser Family Foundation)

Reauthorizing SCHIP: Opportunities for Promoting Effective Health Coverage and High-Quality Care for Children and Adolescents
Reauthorization of the State Children's Health Insurance Program (SCHIP) presents an opportunity to build on the gains already achieved by the program. This report presents a framework for promoting effective health coverage and achieving high quality in SCHIP and Medicaid. (8/9/07, Commonwealth Fund)

Opinion Poll: Nine in 10 Voters Want SCHIP Reauthorized

A new poll released by the Robert Wood Johnson Foundation shows that Americans overwhelmingly support the State Children's Health Insurance Program (SCHIP), which provides states with federal funds to design health insurance programs for vulnerable children. (8/23/07, RWJF)

 


New Listings: Medicare

Prescription Spending Caps Cause Some Seniors to Quit Taking Medicines for Chronic Illnesses

According to a recent study released by the RAND Corporation, older Americans who reach their coverage limits in their prescription drug plans are more likely to discontinue their drug regimens; drug termination rates ranged from 15 percent for anti-cholesterol medication to 28 percent for cardiac drugs. A significant number of seniors do not resume their prescription medications even when drug benefits resume at the start of a new health plan year. (9/11/07, RAND Corporation)

 

Informed Choice: The Case for Standardizing and Simplifying Medicare Private Health Plans

This report argues that Congress should take action to standardize the benefits of Medicare private health plans, as it did with Medigap supplemental insurance plans in 1990. People in private Medicare Advantage (MA) plans can experience unpredictable out-of-pocket costs for medical services with little to no financial protection from the individual plans or the federal government. (9/13/07, Medicare Rights Center)

 

Medicare Private Health Plans vs. Medicare Savings Programs

Low-income people enrolled in Medicare private fee-for-service plans and living in poorer counties pay more for their health care than those enrolled in the same plans in neighboring, more affluent areas. (September 2007, Medicare Rights Center)

 

Audit Cites Overpaid Medicare Insurers

Private insurance companies participating in Medicare have been allowed to keep tens of millions of dollars that should have gone to consumers, and the Bush administration did not properly audit the companies or try to recover money paid in error, Congressional investigators (Government Accountability Office, in 9/10/07 New York Times)

 

The Burden of Out-of-Pocket Health Spending Among Older Versus Younger Adults: Analysis from the Consumer Expenditure Survey, 1998-2003 

Older Americans bear a greater burden of increasing health care costs than the rest of the population, due to greater cost-sharing requirements and rising premiums for Medigap insurance that supplements Medicare coverage, according to a recent report. According to the study, older Americans spent twice the amount of other Americans on out-of-pocket health expenditures. On average, Americans under 65 spent $1,232 per year on health care costs, while individuals over 65 spent $2,487 yearly. In addition to the amount of money spent on health care, the portion of income spent on health expenses increased as respondents aged. Individuals under 65 spent 2 percent of their incomes on health care costs, while older individuals spent six times as much, or an average of 12 percent of their income on health expenses. (9/7/07, Kaiser Family Foundation)

 

Report: Equal Pay for Equal Work? Not for Medicaid Doctors 

Medicaid payments to primary care physicians vary widely among states, while Medicare physician payments are more similar across the country. (Sept 2007, Public Citizen)

 

Survey Says Doctors Will Trim Staff If Medicare Payments Are Cut 

Reductions in Medicare physician payment rates would not only restrict beneficiaries' access to physician services but will also cause staffing reductions in doctors' offices, according to a new survey from the Medical Group Management Association (MGMA). Unless Congress acts, Medicare payments to physicians will be cut by about 10 percent January 1. More than 41 percent of respondents said they may have to limit the number of Medicare patients they see if Medicare reimbursements are reduced and more than 19 percent said they would not accept new Medicare patients. In addition, 57 percent of physicians who responded to the survey they would have to reduce staff health care benefits coverage to remain financially viable and 44 percent would cut administrative staffing levels. A third of respondents said they would cut clinical staffing levels and 9 percent would cut the number of physicians in their practice. (Sept 2007, MGMA)

 

From Policy to Action: Addressing Racial and Ethnic Disparities

This report concludes that the need for strategies for addressing racial and ethnic disparities in care is evident, and much remains to be done to provide equal opportunities for quality health care for all. Continued progress requires engagement of multiple stakeholders. To be effective, interventions must be well-designed, culturally competent, creative and collaborative, as well as reliant on easily available reliable data. America’s health care consumers will grow even more diverse in the next decades, so eliminating disparities in care becomes more of an imperative, improving quality for all. (Aug 2007, Centers for Health Care Strategies, Inc.)

 

Language Services for Patients with Limited English Proficiency: Results of a National Survey of Internal Medicine Physicians

On average, 12% of active patients of internists are of Limited English Proficiency. The majority of physicians agree it is difficult to provide understanding of basic information in the time allotted, when limited language services are unavailable. Practices typically do not track patients’ primary languages. The physicians did not see a need for tools or training, but rather state they would be helped by a clearinghouse of translated documents and patient education materials, and reimbursement for added costs of clinical time and language services. (2007, American College of Physicians)

 

Rewarding Excellence and Efficiency in Medicare Payments

Medicare could become an innovative leader in using financial incentives to reward health care providers for providing excellent and efficient care throughout a patient's illness. This article examines the variations in cost and quality in the provision of episodes of care and describes how a pay-for-performance payment system could be designed to narrow those variations and serve as a transition to a new Medicare payment policy that would align physicians' incentives with improvements in both quality and efficiency. In particular, Medicare could stimulate greater efficiency by developing new payment methods that are neither pure fee-for-service nor pure capitation, beginning with a pay-for-performance payment system that rewards quality and efficiency and moving to a blended fee-for-service and case-rate system. (Sept 2007, Milbank Quarterly)

 

New Survey Data Finds Medicare Part D Working For America's Seniors

A newly released, in-depth 2006 survey of 16,000 seniors strongly suggests that Medicare Part D is working to expand coverage to those previously without drug coverage - especially seniors with chronic conditions taking multiple medications. Among the survey's key findings of Medicare Part D seniors: Medicare Part D has significantly reduced the number of seniors without drug coverage;  Medicare Part D beneficiaries have complex medical conditions requiring numerous medications; Challenges remain with low-income and hard-to-reach seniors. (Aug 2007, Health Affairs –survey by Kaiser Family Foundation, the Commonwealth Fund, and Tufts University School of Medicine)

 


New Listings: Federal Budget

PRESIDENT’S ATTACK ON CONGRESSIONAL APPROPRIATIONS PLAN IS MISLEADING: His Defense Budget is Driving Higher Spending, Not Congress’ Modest Domestic Increases 

In the escalating battle over the domestic appropriations bills for fiscal year 2008, the President and senior Administration officials have charged that congressional Democrats plan an irresponsible increase in domestic discretionary spending over the next five years.  Yet this claim — which the President repeated in his press conference today — is false.  Most of the difference between the President's budget and Congress' spending plan simply reflects Congress' decision to maintain current funding (after accounting for inflation) for various domestic programs that the President seeks to cut.  (9/24/07, Center on Budget and Policy Priorities)

 


New Listings: Health Insurance, Health Costs

 
70% Of Churches Provide Health Care Services
About 70% of U.S. churches provide direct health care services to either members or the community, and half offer such services to both, according to a recent survey conducted by the National Council of Churches. The survey, sponsored in part by the Robert Wood Johnson Foundation, included responses from more than 6,000 churches with an average of 400 members. The survey defined direct health care services as those provided by one or more medical professionals. (Sept 2007, National Council of Churches, Robert Wood Johnson Fdn) 

 

Why Not the Best? Results from a National Scorecard on U.S. Health System Performance

This new National Scorecard on U.S. Health System Performance assesses how well the U.S. health system is performing as a whole relative to what is achievable. It provides benchmarks for the nation and a mechanism for monitoring change over time across core health care system goals of health outcomes, quality, access, efficiency, and equity. Scores come from ratios that compare the U.S. national average performance to benchmarks, which represent top performance. If performance in the U.S. was uniform for each of the health system goals, and if, in those instances in which U.S. performance can be compared with other countries, we were consistently at the top, the average score for the U.S. would be 100. But, the U.S. as a whole scores an average of 66. Several different measures or indicators were examined for each of the goal areas and dimensions of health system performance. There are wide gaps between national average rates and benchmarks in each of the dimensions of the Scorecard, with U. S. average scores ranging from 51 to 71. Includes video and charts. (9/20/07, Commonwealth Fund)

 

Study Finds 1 of 3 Nonelderly Americans Uninsured

Analysis of Census Bureau data finds that more than one out of three people under age 65—approximately 89.6 million Americans—were uninsured at some point during 2006–2007. Most of the uninsured lacked coverage for long periods of time, the study found. Nearly two-thirds were uninsured for six months or more and over half were uninsured for nine months or longer. Four out of five of the uninsured were from working families, with 70.6 percent employed full time and 8.7 percent employed part time. Of the total 89.6 million uninsured, 64.2 million were between 18 and 64 and more than a third were ages 25 to 44, the age group that makes up the largest percentage of the uninsured. (Sept 2007, Families USA)

 

Whither Employer-Based Health Insurance? The Current and Future Role of U.S. Companies in the Provision and Financing of Health Insurance

Americans under the age of 65 depend on employers for their health insurance coverage more than any other source...But there are key weaknesses in employer-provided coverage. These weaknesses, exacerbated by rising health care costs, have fueled the relentless rise in the number of people without comprehensive health insurance. (9/17/07, Commonwealth Fund)  

 

Health Insurance Premiums Rise 6.1 Percent in 2007

Premiums for employer-sponsored health insurance rose an average of 6.1 percent in 2007, less than the 7.7 percent increase reported last year but still higher than the increase in workers’ wages (3.7 percent) or the overall inflation rate (2.6 percent), according to the 2007 Employer Health Benefits Survey. (9/11/07, Kaiser Family Foundation and Health Research and Educational Trust)

 

Fewer Firms Offer Health Coverage

Efforts at health reform haven’t stalled the decline in job-based health coverage. Approximately, 60% of private sector employers provided health benefits to their workers in March 2007, down from 62% in 2006, reports the U.S. Department of Labor’s Bureau of Labor Statistics.  (8/28/07, EmployeeBenefit News) 

 

Health Costs Keep Climbing

Health insurance costs are expected to grow by nearly 9% on average in 2008, according to a new Mercer survey of 1,557 employers. (9/6/07, EmployeeBenefit News)

 

What Happened to the Insurance Coverage of Children and Adults in 2006?

A new, detailed analysis of the latest US Census Bureau data on health insurance coverage looks behind the 2.2 million increase in the number of uninsured, examining changes by age and income. Reversing years of steady declines, the number of uninsured children has grown by one million over the last two years. And, as debate continues on reauthorization of SCHIP, the analysis shows that 48 percent of the increase in uninsured children from 2005 to 2006 was among families with incomes between 200% and 399% of the federal poverty level (roughly $40,000 to $80,000 for a family of four in 2006). Among kids, the share with employer-sponsored insurance declined by 1.2 percentage points, but there was no change in the share with Medicaid or SCHIP coverage to offset the employer decline since most children in this income group are not eligible for public coverage under current rules. (9/6/07, Kaiser Family Foundation) 

 

States Differ Widely in Spending on Health Care
A new federal study shows huge variations in personal health spending among states, ranging from an average of nearly $6,700 a person in Massachusetts to less than $4,000 in Utah. (9/18/07,  New York Times)   

 

State Health System Performance and State Health Reform
Recent reports...attest to the wide variation among states in insurance coverage as well as quality, cost, and other important dimensions of health system performance...These variations tell us that every state has room to improve—and, in fact, many states have devised innovative strategies to address problem areas. (9/18/07, The Commonwealth Fund)  

 

Generic Drugs Rein in Rising Rx Costs
In 2006, Virginia-based Landmark Communications reduced its copayments for generic drugs from $10 to $5 for retail purchases and from $25 to $10 for mail-order purchases. In addition, the company increased coinsurance from 20% to 25% for preferred-brand drugs and from 40% to 50% for non-preferred brand drugs. (9/18/07, EmployeeBenefit News) 

 

Spillovers and Vulnerability: The Case of Community Uninsurance
This paper studies the uninsured as a vulnerable population, contending that reducing the size of the uninsured population yields important spillover benefits to the insured population, benefits that go beyond a lower charity care burden. [Health Affairs, Iss 26, No. 5] 

 


New Listings: Health Equity Issues 

 

Those Who Stay In School, Stay Healthier
Both education and income can determine whether a person will remain healthy, but those who stay in school longer have the best odds, largely because education so strongly influences income, say the authors of a new study. They found that education influences occupation, income and wealth and with higher education comes healthier behaviors, such as good diet, increased physical activity, reduced stress and better use of preventive and therapeutic healthcare. (Sept 2007, Journal of Health and Social Behavior)   

 

Income, Poverty and Health Insurance Coverage in the United States: 2006

This current issue demonstrates an increase in the number of uninsured for a second year in a row.  The rate increase was most notable in the African American and Hispanic American populations. There was also an increase in the number of uninsured children under 18 years of age. (Aug 2007, U.S. Census Bureau)

 

Study Reveals Disparities in Use of Healthcare Benefits by Race, Class
Minority and lower-income healthcare consumers are less likely to take advantage of mental health and prescription benefits than white and higher-income consumers. (9/10/07, Duke University, 9-10-07) 

 

Survival Differences by Race Most Apparent in Advanced Stages of Breast Cancer

Racial differences in breast cancer survival increase according to stage of disease. A retrospective analysis of survival data demonstrates that within each stage, African American women had larger tumors and were more likely to have disease that had spread to nearby lymph nodes. After controlling for those clinical factors the racial disparities in survival persisted. (8/13/07, John Wiley & Sons, Inc. Cancer News Alert)

 

Separate and Unequal: Racial Segregation and Disparities in Quality Across U.S. Nursing Homes

In metropolitan areas across the U.S., blacks are more likely than whites to live in poor-quality nursing homes. The disparity appears to be linked to patterns of residential segregation. In metropolitan areas across the U.S., blacks are more likely than whites to live in poor-quality nursing homes, according to a study. The disparity appears to be linked to patterns of residential segregation. (Sept/Oct 2007, Health Affairs)

 

Should Health Studies Measure Wealth?
Twenty-nine studies met inclusion criteria. Measures of wealth varied greatly. In most studies, greater wealth was associated with better health, even after adjusting for other SES measures. The findings appeared most consistent when using detailed wealth measures on specific assets and debts, rather than a single question. Adjusting for wealth generally decreased observed racial/ethnic disparities in health. (Sept 2007, American Journal of Preventive Medicine)

 

Access Denied A Look at America's Medically Disenfranchised

Access Granted The Primary Care Payoff

(2007, National Association of Community Health Centers 2007)

 

Health Promotion and Protection Important for Low-Wage, Immigrant Workers

The non-traditional workforce, which includes immigrant, transient and low-wage workers, often is overlooked when employers establish health protection and promotion programs. By ignoring these workers, employers can increase the disparity between them and those in stable, better-paying jobs. This is why it is so important to incorporate innovative programs and projects for the non-traditional workforce, a population that has been hard to reach. (9/17/07, Occupationalhazards.com)

 

South Florida’s PRC Encourages Citrus Works to Focus on Eye Safety

Eye injuries are among the most common injuries affecting citrus workers, but only a few wear protective glasses. Researchers at the University of South Florida’s Prevention Research Center (PRC) would like to see that change.  (9/7/07, ASPH Friday Letter)

 

Picture Boards Help Bridge Language Gap in Health Emergencies

With more ill and injured people who need emergency care unable to speak English, hospitals, health clinics and rescue squads around the country increasingly are using special picture boards to bridge the communication gap. (9/2/07, Associated Press)

 

Cases of Undiagnosed Diabetes Drop Sharply; Minorities No Longer More Likely to Be Undiagnosed but Less Educated Are

Study...found that in 1999-2002 about 20 percent of American men who had diabetes did not know they had the disease, in contrast to 25 years ago when about half of the men with diabetes were undiagnosed.  Ethnic disparities among those with undiagnosed diabetes essentially disappeared during the same period. (8/13/07, RAND Corporation)

 

Barriers to Serving the Vulnerable: Thoughts of a Former Public Official

Why are documented long-term gains, unambiguous science, and well-reasoned public health arguments so easily ignored or downplayed when it comes to providing health care to the most vulnerable populations? The answers to these questions can be found by teasing out the relationship between the relative availability of resources, the extent to which a particular vulnerable group is thought to be "deserving" or "undeserving[.]". (Health Affairs, Iss 26, No 5, 2007)

 

Link Between Racial Discrimination And Substance Use Studied By Mailman School Of Public Health

In one of the first studies to focus on the relationship between racial discrimination and health risk behaviors, researchers at the Columbia University Mailman School of Public Health with colleagues from the Universities of Minnesota, Alabama (Birmingham), and California (San Francisco), and Harvard University found African Americans experiencing racial discrimination were more likely to report current tobacco use or recent alcohol consumption and lifetime use of marijuana and cocaine. (Aug 2007, American Journal of Epidemiology)


New Listings: Other Health Issues

Kaiser Health Tracking Poll: Election 2008

Health care is once again the second most mentioned issue, and the top domestic issue, with 27% citing it. With the primary campaign heating up, the poll also asks a more immediate question -- what does the public want the presidential candidates to talk about in the campaign right now -- with slightly different results emerging. Health rises sharply for Democrats, with the same percentage mentioning Iraq (42%) and health care (42%) -- the first time the two issues have been tied. Health climbs to the number two issue for Republicans. (Sept 2007, Kaiser Family Foundation)

 

Summary Health Statistics for US Adults: National Health Interview Survey, 2006
In 2006, 61% of adults 18 years of age or over reported excellent or very good health.  Sixty-two percent of adults never participated in any type of vigorous leisure-time physical activity, and 16% of adults did not have a usual place of health care. (2007, CDC National Health Interview Survey)

 

Deaths: Preliminary Data for 2005

A child born in the United States in 2005 can expect to live nearly 78 years (77.9) - a new high. The report from CDC??s National Center for Health Statistics is based on approximately 99 percent of death records reported in all 50 states and the District of Columbia for 2005 and documents the latest trends in the leading causes of death and infant mortality. "This report highlights the continued reduction in deaths from the three leading killers in the United States, heart disease, cancer and stroke, which is most likely due to better prevention efforts and medical advances in the treatments of these diseases," said Hsiang-Ching Kung, a survey statistician with CDC??s National Center for Health Statistics and one of the report??s authors. "If death rates from certain leading causes of death continue to decline, we should continue to see improvements in life expectancy." Racial and gender differences in life expectancy are also reducing. (Sept 2007, CDC/NCHS)

 

Study Claims Pollution Causes 40% of Deaths

A recent Cornell research project concluded that pollution deserves a place alongside heart disease and cancer on the list of leading causes of death worldwide...“In the United States alone, 76,000 people are in the hospital each year, with 5,000 deaths, just due to pollution of air, food or water. Cancers are increasing in the U.S., and AIDS is on the rise.” (8/31/07, Cornell Daily Sun)

Docs Often Write Off Patient Side Effect Concerns

In a survey of 650 patients, taking...statins, who reported having adverse drug reactions, many said their physicians denied that the drug could be connected to their symptoms. "Physicians seem to commonly dismiss the possibility of a connection...This seems to occur even for the best-supported adverse effects of the most widely prescribed class of drugs.”  (8/28/07, Reuters Health)

 

Study: Injuries, Deaths Tied to Consumer Drugs Rise Sharply

The number of serious adverse drug events more than doubled between 1998 and 2005 in the United States, as did the number of related deaths, a new study found. (9/10/07, Health Day) 

F as in Fat: How Obesity Policies are Failing in America, 2007

Adult obesity rates rose in 31 states last year, according to the fourth annual...report from the Trust for America's Health (TFAH). Twenty-two states experienced an increase for the second year in a row; no states decreased. (8/27/07, Trust for America’s Health)

 

Cancer Communication: Health Information National Trends Survey 2003 and 2005

The newly issued report provides a snapshot of how Americans are responding to changes in access to information and the abundance of health information. Among a growing number of Americans seeking general health information and information about cancer, the Internet remains a frequent first source, even though the public's trust in online material about health has declined, reports a government study. At the same time, consumers voiced greater confidence in information received from healthcare professionals. The data show a growing preference toward receiving health information - whether cancer-related or other health information - from a health care provider than from other sources, such as printed materials, friends and family, information specialists, and the Internet. (Aug 2007, Health Information National Trends Survey (HINTS), sponsored by the National Cancer Institute (NCI), part of the National Institutes of Health.)

 

Professionals Call for an End to Water Fluoridation

Over 600 professionals urged Congress to stop water fluoridation until Congressional hearings are conducted, in a statement released August 9, 2007. The group of 600+ physicians, dentists, scientists, and environmentalists cite evidence that fluoridation, long promoted to fight tooth decay, is ineffective and has serious health risks. (8/10/07, Water & Wastes Digest)  


Florida Reports

 

Annie E. Casey Foundation: 18th KIDS COUNT Data Book

This is the recently released new edition of this national and state-by-state effort to track the status of children in the United States. By providing policymakers and citizens with benchmarks of child well-being, the Foundation seeks to enrich local, state, and national discussions concerning ways to secure better futures for all children. Information is also available in an online database that enables users to generate custom graphs, maps, ranked lists, and state-by-state profiles. Both the book and the online database can be accessed on the website listed above.

 

2007 Miami-Dade County Community Health Report Card: Health improvement through benchmarking, priority setting and leadership engagement

Intended as a “call to action” for area health care advocates and policy makers, the report assesses how well systems and institutions are meeting residents’ needs. It analyzes and synthesizes 93 health indicators, examines pervasive continuing racial and ethnic disparities, and sets targets for ten priority need areas including access to health care and coverage.  

 

Waving Cautionary Flags: Florida’s Experience with Medicaid Reform: Reactions from Doctors and Patients

The latest briefing paper on Florida's Medicaid reform programs shows one out of four physicians are declining to participate and those who remain are seeing fewer patients. View the briefing paper  Or view a presentation of the research.  (May 2007, Georgetown University Health Policy Institute, released by the Jessie Ball duPont Fund, The Community Foundation in Jacksonville and United Way of Northeast Florida)

 

Florida Children’s Action Agenda 2007/2008 Available Online
Florida state Senators Nan Rich and Durell Peaden and Representatives Loranne Ausley and J.C. Planas have released the final recommendations of the 2006 Florida Children’s Summit.  The Summit participants learned a lot, and the next Summit in Fall 2008 will reflect that.  In 2008 they will spend substantially more time in workshops hashing out recommendations and will secure experienced workshop facilitators who are knowledgeable about the topics they are facilitating.  Also, they will institute a process to ensure that when leaving the 2008 Summit - or very shortly thereafter - all will know the Summit recommendations. 

 

Miami-Dade and Monroe County 2006 Health Profiles
Health Council of South Florida has released downloadable Health Profiles that provide answers to 10 commonly asked questions about county demographics, health needs, and resources.

 

Florida Health Insurance Coverage of Children 0-18 (2004-2005)
Kaiser Family Foundation has released information about this on-line resource. 

 

Medicaid Changes: What will they mean for Broward and Duval counties, and beyond?
This document is Briefing #1 by researchers at Georgetown University’s Health Policy Institute engaged in a two-year evaluation of the Medicaid reform pilot counties for both Florida counties. The evaluation is assessing how these changes affect Medicaid beneficiaries’ ability to access needed care as well as the impact on community health providers.(September 2006, Georgetown University Health Policy Institute)

 

Report looks at uninsured in Florida
This report from the Research Institute on Social and
Economic Policy at FIU documents and breaks down Florida's uninsured figures, finding 18.5% of the total Florida population uninsured. The report looks at employment and industry data related to lack of coverage, and proposes a partial solution.

 


Medicaid
 
Kaiser Commission on Medicaid and the Uninsured Updates Medicaid Benefits: Online Database with 2006 Data

Using this tool, Medicaid benefits can be compared across the 50 states, the District of Columbia and the US Territories or by specific service. The online tool contains Medicaid benefits survey data from 2003, 2004 and 2006 with information about benefits covered, limits, co-payments and reimbursement. It includes an interactive map, an expandable list of benefits, and the ability to compare data across the three survey periods.

 
Medicaid Documentation Requirement Disproportionately Harms Non-Hispanics, New Stat Data Show: Rule Mostly Hurts U.S. Citizen Children, Not Undocumented Immigrants

Newly available data from three states - Alabama, Kansas, and Virginia - show that white and African American children are much more likely than Hispanic children to have their Medicaid coverage delayed, denied, or terminated as a result of a citizenship documentation requirement that took effect last year.  These data provide further evidence that the requirement, purportedly aimed at preventing undocumented immigrants from improperly obtaining Medicaid, is instead overwhelmingly affecting U.S. citizens who are eligible for the program.   (July 2007, Center on Budget and Policy Priorities)


More Physicians Not Accepting New Medicaid Beneficiaries Amid Federal Cuts, Rising Costs
The growing number of physicians who do not accept new Medicaid beneficiaries because of costs "is a large, little-discussed hurdle to some ambitious efforts to broaden health care coverage," the Wall Street Journal reports. According to the Journal, many state Medicaid programs, "straining under surging costs, are balancing their budgets by freezing or reducing payments to doctors," resulting in physicians -- particularly specialists -- dropping out of the program, according to the Journal. A 2006 report by the Center for Studying Health System Change showed that almost half of all physicians polled said they had stopped accepting or were limiting the number of new Medicaid beneficiaries they will see. (7/23/07, Medical News Today)


SCHIP

New Charges About How House Children's Health Bill Affects Undocumented Immigrants are False
False accusations have been made that the CHAMP Act extends Medicaid and SCHIP benefits to undocumented immigrants.
Charges that the House SCHIP bill would enable undocumented immigrants to obtain Medicaid and SCHIP coverage are false. Undocumented immigrants have never been eligible for regular Medicaid or SCHIP. The House bill maintains this prohibition. The House bill would give states more flexibility in how to ensure that children applying for Medicaid are citizens or eligible legal immigrants. This would address severe problems caused by a poorly designed documentation requirement imposed in 2006, which has shut tens of thousands of U.S. citizen children out of Medicaid while identifying virtually no undocumented immigrants. The bill tightens controls to ensure that no federal Medicaid funds go to undocumented immigrants. It requires all states to conduct annual audits to ensure that undocumented immigrants are not participating in the program; states whose audits find any undocumented immigrants would be required to fully repay the federal government. The bill would also allow states to provide Medicaid or SCHIP coverage to legal immigrant children and pregnant women during their first five years in the country, as the National Governors Association and the National Conference of State Legislatures have called for on a bipartisan basis. (8/1/07, Center on Budget and Policy Priorities)

 

Protecting America's Future: A State-by-State Look at SCHIP and Uninsured Kids

As lawmakers aim to overhaul the State Children's Health Insurance Program (SCHIP), a recent analysis found that more than 6.6 million children were covered by the program at some point last year and nearly 9 million children remain uninsured. The analysis found that since Congress first authorized the program in 1997, the percentage of uninsured children in America has fallen by 24 percent. Having children covered by health insurance is important because uninsured children are more than three times less likely than insured children to visit a doctor in the course of a year, and more than half of all uninsured children did not have a "well-child" checkup in the past year—more than double the rate of children with insurance. This report is a state-by-state analysis of children's access to health insurance and health care, including how that has changed since SCHIP was introduced. (8/10/07, RWJF)

 

Kids Waiting for Insurance: How Many in Your State

A Special Report with updated figures. (September 2007, Families USA)

 

Reauthorizing SCHIP: Opportunities for Promoting Effective Health Coverage and High-Quality Care for Children and Adolescents

Over the last decade, the State children’s Health insurance Program (SCHIP) has expanded access to health coverage for millions of children, improved the quality and effectiveness of care, and expanded the knowledge and tools needed to measure and further improve quality.  SCHIP reauthorization presents an opportunity to build on these gains. (August 2007, Commonwealth Fund)

 

Children's Eligibility and Coverage: Recent Trends and a Look Ahead

Agency for Healthcare Research and Quality researchers used data from the 1996-2005 Medical Expenditure Panel Survey to track changes in children's public insurance eligibility and coverage. They also provide estimates of the characteristics, age, race/ethnicity, health status and citizenship of children who are eligible for Medicaid or SCHIP but are not enrolled. In addition, they discuss the potential impact of changes to SCHIP income thresholds and estimate the number of children who would be affected by such changes. (8/16/07, Health Affairs)

 

Study: Improving Retention in SCHIP and Medicaid Would Lower Number of Uninsured Children

Retaining children enrolled in Medicaid and the State Children's Health Insurance Program would reduce, by one-third, the number of uninsured children in the United States. (8/6/07, Health Affairs)

 

Many Eligible for Child Health Plan Have No Idea

Despite a decade of marketing efforts by governments and private foundations, nearly 30 percent of children who are eligible for the health insurance program (State Children's Health Insurance Program),and are not covered by private plans have yet to enroll, according to a new government study. (8/22/07, New York Times)

 

Seniors To Congress: Raise Tobacco Taxes To Fund SCHIP 
By a 15-to-1 margin, seniors prefer raising tobacco taxes rather than cutting Medicare Advantage as a means to fund the State Children's Health Insurance Program (SCHIP), according to a survey. (8/1/07, America's Health Insurance Plans)

States Could Use SCHIP to Cover Young Adults through Broader Medicaid Coverage

States should be allowed to use the State Children's Health Insurance Program (SCHIP) to cover young, childless adults if they extend their regular Medicaid programs to cover low-to-moderate-income children, according to a health law professor at George Washington University's School of Public Health and Health Services. Young adults who have grown out of child health insurance programs are the most uninsured group. In 2006, more than 10 million young adults ages 19–26 were uninsured. (8/15/07, Health Affairs)

 

Reauthorizing SCHIP: Opportunities for Promoting Effective Health Coverage and High-Quality Care for Children and Adolescents

This report says that Congress and the nation have a historic opportunity to build on SCHIP's gains. It presents a framework for promoting effective health coverage and achieving high quality in both SCHIP and Medicaid, the other major public program that covers low-income children. The strategies discussed in the report include: ensuring access to care through eligibility, enrollment, and retention policies; providing a robust benefit package; strengthening provider capacity; measuring performance, improving quality, and providing incentives for high-quality care; and promoting the use of health information technology. (8/9/07, Commonwealth Fund)

 

Dynamics in Medicaid and SCHIP Eligibility among Children in SCHIP's Early Years: Implications for Reauthorization

Two-thirds of children in the United States were income-eligible for Medicaid or the State Children's Health Insurance Program (SCHIP) at some point from 1996 to 2000. One in five children were income-eligible for both programs, and 73 percent of children ever eligible for SCHIP were eligible at other times for Medicaid. (8/7/07, Health Affairs)

Why Millions of Children Eligible for Medicaid and SCHIP Are Uninsured: Poor Retention Versus Poor Take-Up

Report examines how poor retention in Medicaid and SCHIP contributes to the number of uninsured U.S. children. Sommers finds that the number of uninsured U.S. children would decrease by one-third if Medicaid and SCHIP retain all children who are enrolled in the programs and have no alternative coverage in a given year. (7/26/07, Health Affairs)

Survey: Americans Overwhelmingly Support Tobacco Tax Increase to Expand Children’s Health Coverage: Broad Support Exists Irrespective of Party Affiliation, Gender, Race, Age, and Other Demographic Factors

A recently released poll reveals that American voters strongly support a large per-pack increase in the federal cigarette tax to expand health coverage to America’s uninsured children. By a more than two-and-one-half to one ratio (70 percent versus 27 percent), support exists for a 30-cent increase in per-pack cigarette taxes to pay for “health care coverage to uninsured children.” Significantly, that support is nearly identical (67-28 percent) for a 75-cent per-pack increase dedicated to the same purpose. Support for a 75-cent tobacco tax increase to expand health coverage for children is overwhelming irrespective of party affiliation, gender, race, age, and other demographic factors. (June 2007, Campaign for Tobacco-Free Kids) 


Medicare

 

Medicare Prescription Drug Benefit Progress Report

In the first in-depth look at seniors' experiences with Medicare's prescription drug benefit, a new survey finds that the majority of seniors who lacked drug coverage in 2005—before the establishment of the benefit—obtained it in 2006. Even with Part D coverage, however, many seniors reported relatively high out-of-pocket spending in 2006. They were also more likely to skip prescribed medication. (8/21/07, Commonwealth Fund)

 

The Reluctant Regulator: CMS's Response to Marketing Misconduct by Medicare Advantage Plans
The Bush Administration is unwilling to hold Medicare private health plans accountable for their sales representatives' marketing practices, or to take the necessary steps to stop the plans' widespread marketing abuse, according to a new report. (8/1/07, California Health Advocates and the Medicare Rights Center)

 

Medicare Beneficiaries Often Cannot Obtain Necessary Medications For 'Off-Label' Uses Through Prescription Drug Benefit
Medicare beneficiaries often cannot obtain medications prescribed for "off-label" uses -- such as the treatment of pain, rare diseases and other conditions -- through the prescription drug benefit, according to a report. (8/6/07, Medicare Rights Center)

 

1.6 Million Medicare Beneficiaries Face Higher Prices or New Drug Plans

An estimated 1.6 million low-income beneficiaries in the Medicare drug program will either be forced to join or be assigned new drug plans by Jan. 1, or pay more for their drug coverage. The reassignments and higher costs will occur because of premium increases and technical adjustments in the drug law (PL 108-173), the group contends. As part of the drug benefit, beneficiaries have received subsidies as high as $33 per month to help cover the cost of their monthly premiums, but because of a combination of subsidy decreases and premium increases, those subsidies will not be enough to cover premiums of existing plans. "The choice? Pay more or change plans." (8/16/07, Families USA) 


Federal Budget/Health Care
 

House Health Legislation Would Curb Medicare Overpayments to Private Plans, While Aiding Medicare Beneficiaries Overall

On average, Medicare pays private insurance plans 12 percent more to treat beneficiaries than it costs traditional Medicare.  These overpayments weaken Medicare's finances. This report explains how the CHAMP Act strengthens Medicare's finances and produces gains for Medicare beneficiaries by eliminating overpayments to private plans. (8/8/07, Center on Budget and Policy Priorities)

 

A Brief Analysis of the Bush Administration's Tax Proposals in the Context of the SCHIP Reauthorization 

The Bush Administration intends to fix the nation's health care problem through tax policy changes and state flexibility provisions. But, this analysis finds that these deficit-neutral proposals would not meet their stated goal of providing all Americans affordable access to basic health insurance and would in fact cover very few uninsured.  It explains how the Administration's plan would create inadequate tax subsidies that would not make coverage affordable for most of the uninsured, especially families, and would undercut employer-sponsored health insurance, which now covers the majority of Americans. (8/1/07, Urban Institute) 

 

An Analysis of Leading Congressional Health Care Bills, 2005-2007: Part II, Quality and Efficiency

The U.S. health care system will become a high performance health system only with strong leadership from the federal government in partnership with the private sector. This report finds that proposals targeting reform of the payment structure for health care services are likely to lead to real improvements in quality and figure to be the most likely to produce health system savings. But none of the analyzed bills presents an overarching vision for the U.S. health system. (July 2007, Commonwealth Fund)  


Health Insurance, Health Costs

 

Rite of Passage? Why Young Adults Become Uninsured and How New Policies Can Help

Young adults (ages 19 to 29) are one of the largest segments of the U.S. population without health insurance: 13.3 million lacked coverage in 2005. Young adults often lose coverage at age 19 or upon high school or college graduation. Nearly two of five college graduates and one-half of high school graduates who do not enroll in college will be uninsured for a time during the first year after graduation. (8/8/07, Commonwealth Fund)

 

Health Care Is Priority When Low-Income Workers Choose Benefits

Low-income earners are interested in helping design employment benefits chosen to meet their specific needs and paying attention to their choices could improve health in this population, say authors of a new survey of Washington, D.C.-Baltimore area workers. (8/5/07, Health News Today)

 

Many Workers Are Underinsured and Unhappy with Health Plan

Many adults are dissatisfied with their health insurance, and 24% of Americans have just bare-bones policies, meaning they are not adequately covered if faced with major medical expenses, according to new research from Consumer Reports magazine. (8/16/07, EmployeeBenefit News)

  

Federal Help Needed In State Health Care Reform Battle

While many states have introduced new and ambitious health care plans in an effort to get citizens insured, some policy experts contend that the combined strength of federal and state governments is needed in order for a reform movement to have real teeth. (8/2/07, EmployeeBenefit News)

 

Trends in Potentially Preventable Hospitalizations among Adults and Children, 1997-2004
Because of major concerns with both the cost and quality of health care, a priority of policy makers and health care providers is to identify areas where quality improvement and lower costs coincide.  Potentially preventable admissions—inpatient stays that could be prevented with high quality primary and preventive care—are one are where higher quality care can cost less. (August 2007, H-CUP Statistical Brief)

 

Community Health Centers Hold Answer to Health Care Crisis
Community Health Centers are a bright spot in the public health debate, providing high-quality care while controlling costs and pumping money and jobs into the national economy, said a new report released today on a national press conference call with leading experts on community health care.  (8/6/07, NACHC)

 

What Should A Country Spend On Health Care?

Per capita health spending across countries ranges by more than 100 to 1, leading many people to ask, "What should a country spend on health care?" This paper discusses four approaches to this question and demonstrates how each approach, in effect, answers a slightly different question, all of which are important to public policy decisions regarding health care spending. (2007, Health Affairs)


Health Equity Issues

 

People in 41 Nations Are Living Longer Than Americans

Americans are living longer than ever, but not as long as people in 41 other countries.  For decades, the United States has been slipping in rankings of life expectancy, as other countries improve healthcare, nutrition and lifestyles. (8/12/07, AP)

 

Action on the Social Determinants of Health: A Historical Perspective

A renewed concern with social factors has emerged in global public health, spearheaded by the World Health Organization's Commission on Social Determinants of Health. The coming decade may see significant health gains for disadvantaged populations if policies tackle the social roots of health inequities. To improve chances of success, global action on social determinants must draw lessons from history. (July 2007, Global Public Health)

 

Fewer Minority Men Have Undiagnosed Diabetes

U.S. black and Hispanic men are now no more likely than whites to have undiagnosed diabetes, researchers say - suggesting that recent prevention and education efforts are paying off for these hard-hit groups. (8/14/07, HealthDay News)

 

Immigrants and Health Care - At the Intersection of Two Broken Systems

This perspective piece discusses costs associated with health care for uninsured immigrants, both documented and undocumented, in the U.S. It also discusses immigrants' access to care and the effects of immigration laws on that access, as well as local governments' efforts to expand health coverage to undocumented immigrants (8/9/07, New England Journal of Medicine)

 

Preventive Care: A National Profile on Use, Disparities, and Health Benefits

This is a follow-up study to a 2006 Partnership for Prevention report which ranked 25 evidence-based clinical preventive services recommended by the U.S. Preventive Services Task Force and Advisory Committee on Immunization Practices based on service's health impact and economic value. Increasing the use of just five preventive services would save more than 100,000 lives every year in the U.S., according to a new study released today by Partnership for Prevention. That includes 45,000 lives that would be saved each year if more adults took a daily low-dose aspirin to prevent heart disease. The new study, funded by the federal Centers for Disease Control and Prevention, the Robert Wood Johnson Foundation and the WellPoint Foundation, found that a few measures such as more adults getting flu shots and being screened for cancer could save tens of thousands of lives each year in the United States. The study found serious deficiencies in the use of preventive care for the nation as a whole -- and particularly troubling shortfalls among racial and ethnic populations. (8/7/07, National Commission on Prevention Priorities)

  

The Psychosocial Effects on Health of Socioeconomic Inequalities

Socioeconomic inequalities are thought to impair health in a way that is independent of the effect of material deprivation on health. But the mechanisms whereby inequalities have such an effect have not been thoroughly explained or explored. Two linked but distinct mechanisms have been suggested: social comparison and hierarchical conflict. June 2007, Critical Public Health)

 

Lessons from Local Access Initiatives: Contributions and Challenges

Community health initiatives—locally crafted responses to health care access problems—have been steadfast in their efforts to connect uninsured and medically indigent people to health care services and health insurance. These programs assist in outreach, coordinate and integrate care, and help clients use limited resources efficiently. This report offers five case studies of community health initiatives. All five local community initiatives seek to improve access and coverage for those most likely to be uninsured: low-income, nonelderly adults. (8/14/07, Commonwealth Fund)

From Policy to Action: Addressing Racial and Ethnic Disparities at the Ground Level

This report outlines practical strategies that states and managed care organizations are implementing to address inequalities in care. It highlights the need for standardized collection of race, ethnicity, and language data; culturally competent approaches; and the participation and commitment of multiple stakeholders. The brief draws from CHCS' national initiatives, supported by The Commonwealth Fund and the Robert Wood Johnson Foundation, to identify realistic solutions to reduce health care disparities and improve quality. (8/24/07, Center for Health Care Strategies) 

  

Issue Brief: Racial and Ethnic Health Disparities 

Efforts to reduce the disturbing levels of racial and ethnic disparities in health and health care in the United States will continue to fall short unless the complex interplay of social, physical, and organizational influences is better understood and addressed through collaborative, interdisciplinary actions. Complex factors operating at the levels of individuals, interpersonal networks, organizations, communities, and society influence disparities in health and health care. Both race and socioeconomic status play important roles. Action in four major arenas is likely to have the most impact: 1) Individual socioeconomic circumstances; 2) Physical and cultural community environment; 3) Personal management of health; 4) Health care financing and delivery. The four arenas for policy action are a useful starting point, but disparities will not be eliminated by addressing these arenas one at a time. Instead, solutions will require multidisciplinary actors and cross-sector collaboration. (Kaiser Permanente Institute for Health Policy)

 

Key Facts: Race, Ethnicity and Medical Care, 2007 Update

This updated quick reference source on health disparities presents the best available data and analysis, ncluding data on the uninsured and access to care by race/ethnicity as well as information about the isproportionate effect that specific conditions such as diabetes, HIV/AIDS, and asthma have on racial and thnic minority populations in the U.S. New in the 2007 Key Facts are demographic data on the racial/ethnic minority population in each state and the U.S. territories. This edition of Key Facts also includes data from the National Healthcare Disparities Report, examining changes in health care disparities over time.  (Jan 2007,

Kaiser Family Foundation)

 


Other Health Issues 

  

Less Than Half Of Americans Are Fully Satisfied With Their Medical Care

Only 48 percent of Americans age 18 and over who had gone to a doctor or medical clinic within a year of being surveyed rated their health care 9 or 10 on a scale in which 0 was the worst possible care and 10 the best, according to the latest News and Numbers from the Agency for Healthcare Research and Quality. Patients' perceptions of quality varied by race, ethnicity, and type of insurance. -- Only about a third of Asians (31 percent) and American Indians and Alaska Natives (37 percent) rated their care a 9 or 10, compared with less than half of whites (49 percent) and blacks (46 percent). Just 43 percent of Hispanics reported that they were receiving high quality health care. -- Slightly less than 60 percent of people age 65 and older who have Medicare, with or without additional private or public health insurance, rated their care the highest, compared with 46 percent of privately insured patients and 39 percent of uninsured Americans. -- Men and women rated were nearly equal in how they viewed the quality of their care, respectively, 46 percent and 49 percent saw their care as excellent. (based on data from the 2006 National Healthcare Quality Report)

  

Child Health USA 2006

The Health Resources and Services Administration’s Maternal and Child Health Bureau (MCHB) presents the 17th annual report on the health status and service needs of America’s children...published to provide the most current data available for public health professionals and other individuals in the private and public sectors.

 

America's Children: Key National Indicators of Well-Being, 2007

The Federal Interagency Forum on Child and Family Statistics’ signature report is an annual indicators report that details the status of children and families in the United States. All data are updated annually on the Forum’s website. 

Tracking Healthy People 2010 Revised
The original volume included detailed technical information on how the data for the objectives are derived, the major data issues affecting the interpretation of the statistics, and information on the primary data sources used to monitor the Healthy People 2010 objectives. For the 2007 revision of Tracking Healthy People 2010 the information on data issues, technical specifications, and major data sources has been updated to reflect changes since November 2000.

Health, United States, 2006
This 30th report on the health status of the nation is submitted by the Secretary of the Department of Health and Human Services to the President and Congress of the United States in compliance with Section 308 of the Public Health Service Act. The 559-page report was compiled by the National Center for Health Statistics (NCHS), Centers for Disease Control and Prevention (CDC). The National Committee on Vital and Health Statistics served in a review capacity. The Health, United States series presents national trends in health statistics. Each report includes an executive summary, highlights, a chartbook, trend tables, extensive appendixes, and an index. Contents include:  Fertility, Natality, Life Expectancy and Mortality; Health Behaviors, Status, Risk Factors, Determinants and Measures; Health Care Access, Utilization, System Influences, Expenditures, Resources and Personnel; Health Insurance Coverage and Payors; Uninsured Population; Age, Race and Ethnicity and Poverty; Alcohol and Drug Use; Physical Activity and Limitations; Dental Care and Access; and a Special Section on Pain. (November 2006, HHS, CDC, NHCS)
 
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