Health Care Blog
- Posted byon May 29, 2014 at 9:44 AM EDT
Today, the President’s Council of Advisors on Science and Technology (PCAST) released a report to the President, Better Health Care and Lower Costs: Accelerating Improvement through Systems Engineering. The report comes at a critical time for the United States and for the health-care system in particular, with millions of Americans recently gaining health-care coverage due to the Affordable Care Act (ACA).
At the same time, the health-care system is challenged by rising costs, which now approach a fifth of the United States’ gross domestic product (GDP). A significant portion of those costs, however, does not produce better health or quality of care. In consultation with a working group including experts from the health and engineering sectors, PCAST, in its new report, identifies a comprehensive set of recommendations to address these cost and quality challenges, including through an interdisciplinary approach known as systems engineering.
Systems engineering has been widely used in other industries, such as manufacturing and aviation, to improve efficiency, reliability, productivity, quality, and safety of systems. It has begun to be used to good effect in health care, but, PCAST finds, the United States would benefit from more widespread adoption.
Among the barriers that limit the spread of systems engineering in health care is the predominant payment system— the fee-for-service method often discourages efficient care. To overcome this challenge, PCAST notes that providers should be paid for value—e.g., patient health-outcomes—rather than the volume of tests or treatments administered.
Systems engineering also depends on the availability of high-quality data that can be used for measuring progress, analyzing current challenges and opportunities, and enabling patients and providers to make more informed decisions.
The Nation has made great strides in encouraging clinicians and health care organizations to adopt electronic health records, although more work is needed to ensure those systems are interoperable and can exchange information. This is particularly challenging for the large percentage of physicians that are a part of small or loosely networked practices, which may have limited resources and capabilities to apply systems methods and tools.
PCAST also finds that the benefits of systems engineering can be realized at the community level and that—since people live the majority of their lives and experience their health outside of traditional health-care settings—engaging public and private community entities in improving the delivery of care and/or promoting health can enhance the quality of care and the health of communities.
- Posted byon May 27, 2014 at 12:13 PM EDT
It is no secret that the last several months have seen dramatic progress in expanding access to high-quality, affordable health insurance. Over the Affordable Care Act’s first open enrollment period, more than 8 million people signed up for coverage through the Health Insurance Marketplaces, and, through March 2014, 4.8 million people gained coverage through Medicaid or CHIP. Meanwhile, multiple independent surveys have reported sharp drops in the share of Americans without health insurance.
What is not widely known is that the last several months have also seen a steady stream of good news on health care costs. This good news suggests that even as coverage expands, the underlying slow growth in health care prices, per-enrollee spending, and premiums that we have seen in recent years is continuing. That slow cost growth, which is thanks in part to the Affordable Care Act, is helping keep families’ premiums and out-of-pocket costs down, making it easier for businesses to hire workers and pay a good wage, and improving our fiscal future.
- Posted byon May 16, 2014 at 6:15 PM EDT
This week, the President praised the power of solar, honored this year's TOP COPS, awarded the Medal of Honor and traveled to New York for the opening of the National September 11 Memorial & Museum.
- Posted byon May 13, 2014 at 2:02 PM EDT
For too long, many members of the Asian American, Native Hawaiian, and Pacific Islander community have lacked access to quality, affordable health care. Consider these statistics:
- One in four Korean Americans is uninsured;
- Nearly 40% of Asian American women over the age of 40 don’t get routine mammograms;
- One in four Asian Americans over the age of 18 – and one in three Native Hawaiians and Pacific Islanders – has not seen a doctor in the last year.
The Affordable Care Act provides an opportunity to provide nearly two million uninsured Asian Americans and Pacific Islanders with quality, affordable health care. In addition, eight out of ten uninsured AAPIs may be eligible for financial assistance through Medicaid, CHIP, or tax credits in the Health Insurance Marketplace. That’s why, according to a report released by HHS last week, of enrollees in the Marketplace, 8% were Asian American, Native Hawaiian, or Pacific Islander.
Across the country, organizations and individuals stepped up to do their part to educate the AAPI community about the Affordable Care Act. And last month, the White House and U.S. Department of Health & Human Services (HHS) honored the following 11 advocates and community leaders as “Champions of Change” for their work to educate Asian Americans and Pacific Islanders about the Affordable Care Act:
- Teresita Batayola, CEO, International Community Health Services (Seattle, WA)
- Sophie Duong, CEO/President, Nationwide Viet Radio (Falls Church, VA)
- Howard J. Eng, Assistant Professor and Director of the Southwest Border Rural Health Research Center, The University of Arizona College of Public Health (Tucson, AZ)
- Minja Hong, Program Coordinator of Healthcare Access Services, Korean Community Services of Metropolitan New York (New York, NY)
- Priscilla Huang, Action for Health Justice (Washington, DC)
- Amy Jones, Director of Health & Social Services, Southeast Asian Mutual Assistance Association Coalition, Inc. (Philadelphia, PA)
- Manjusha P. Kulkarni, Executive Director, South Asian Network (Artesia, CA)
- Ranjana Paintal, Program Manager, Asian Health Coalition of Illinois (Chicago, IL)
- Cathy Phan, Affordable Care Act Program Coordinator, Asian American Health Coalition - HOPE Clinic (Houston, TX)
- Bruce Thao, Director of Programs, Hmong American Partnership and Hmong National Development (St. Paul, MN)
- Cathy Vue, Program Coordinator, Asian Services In Action, Inc. (Cleveland, OH)
Gautam Raghavan is Associate Director of the Office of Public Engagement.
- Posted byon May 13, 2014 at 1:54 PM EDT
Ranjana Paintal is being honored as a Health in the AAPI Community Champion of Change.
I am honored to be chosen along with my fellow counterparts as a Champion of Change. Over the last year, I have served as program manager for the Asian Health Coalition’s partnership consortium around education, outreach and enrollment to underserved Asian American and Pacific Islanders (AAPIs) communities in Illinois, which has been made possible through the Affordable Care Act. My participation at the local level has been fulfilling both on a personal and professional level in this landmark national effort. However, this award magnifies this sense of fulfillment because it furthers one of our agency’s most significant goals- to bring attention to the challenges of the marginalized immigrant and refugee communities in Illinois.
“No community should be invisible to its government” said President Barack Obama when he unveiled his vision to meet the growing and unmet needs of this country’s AAPI community a few years ago. These words have been central to our mission at the Asian Health Coalition as many of the immigrant communities that we work with have historically lacked health insurance and access to basic preventative care.
Illinois is home to the 5th largest AAPI population in the nation and also the largest in the Midwest region. As more than two-thirds of AAPIs in Illinois are immigrants, the passage of the Affordable Care Act presents an amazing opportunity to address the needs of the communities that our consortium serves and allows them to have access to health care services which we regard as a basic human right.
Our consortium of community-based organizations and their certified navigators have been cultural brokers in the education, outreach and enrollment of their community members. Right from the beginning, our navigators educated each of the unique populations that they served about the Affordable Care Act and how it could help them, and then followed up to ensure that those needing assistance in the enrollment process received the help that they needed. Culturally sensitive and language appropriate educational materials were created with feedback from our community partners; ethnic news media outlets, and key stakeholders including community leaders were educated to help spread the word within their networks. As a result, these communities had access to simple and jargon-free information in their native language, were encouraged to sign up from those they trusted most (faith leaders, community leaders and elders), and had trustworthy spokespeople from within their community who they could rely on to navigate them through the enrollment process. Thanks to the efforts of my colleagues and our partners, we had an incredibly successful enrollment period, surpassing our enrollment goals and educating thousands of individuals.
As a mother of 2 young children it gives me peace of mind to know that with the help of my health insurance I am better able to take care of myself so that I can take care of them. I look forward to the day when every parent in this country can say this, no matter what community they live in, what language they speak and where they are from. I’m proud that I was able to play a role in this historic initiative that will hopefully bring us to that day.
Ranjana Paintal is Program Manager for Asian Health Coalition of Illinois
- Posted byon May 13, 2014 at 1:52 PM EDT
Priscilla Huang is being honored as a Health in the AAPI Community Champion of Change.
Of the over 2 million Asian Americans, Native Hawaiians and Pacific Islanders (AAPI) who are uninsured, Bishnu Kamar was just one of the many. She was one of the many people who lived in fear of what might happen when they get sick and one of the many who could not afford quality coverage no matter how hard she worked as a social worker in her Philadelphia community.
Through the Affordable Care Act, Bishnu was able to get covered and it now offers new opportunities for better health for millions of other AAPIs just like her. This is why Action for Health Justice was created. It was co-founded by my organization, the Asian & Pacific Islander American Health Forum, the Association of Asian Pacific Community Health Organizations, Asian Americans Advancing Justice | AAJC and Asian Americans Advancing Justice | Los Angeles.
We launched this national, coordinated initiative because we wanted to ensure the Affordable Care Act was not just a promise, but a reality for AAPIs. With communities spanning 50 different ethnicities and speaking more than 100 different languages, the only way to ensure success was to develop culturally and linguistically tailored outreach strategies.
Together, we tackled the challenge head-on. We leveraged the expertise and reach of national partners and the collective forces of more than 70 community-based organizations and health centers, implementing a multi-part strategy rooted in and driven by community need. On the ground in 21 states, we channeled our energies to where assistance was most needed: immigrant families facing complex eligibility questions and those with language barriers. Most importantly, we knew that providing education would not be enough. To be the most effective, we combined education through trusted messengers with new resources, coordinated efforts tailored specifically to help limited-English-proficient Americans get covered and worked closely with enrollment assisters to monitor and troubleshoot the enrollment process.
From providing tens of thousands of AAPIs with information, to large town halls in California and beyond, we have gone to where our communities live, work, play and worship to promote the first open enrollment period. For many of the people we helped, Action for Health Justice partners were the first and only source of assistance they received.
Our work would never have been possible without the tireless efforts of our community partners and health centers. When I hear coverage stories like Bishnu’s, or the many others Action for Health Justice helped, the Affordable Care Act becomes a little more real. With the first enrollment period behind us, we at Action for Health Justice remain committed to educating AAPIs and all communities about their health care options now and beyond. Action for Health Justice is a testament to the power and strength that can come from collective action. I am humbled to be a part of that and honored to make health care a reality for so many.
Priscilla Huang is Policy Director for the Asian & Pacific Islander American Health Forum, an organization that co-founded Action for Health Justice along with the Association of Asian Pacific Community Health Organizations, Asian Americans Advancing Justice | AAJC, and Asian Americans Advancing Justice | Los Angeles.