A framework for reform of the US Health Care Financing and Provision System. The Kansas Employer Coalition on Health, Task Force on long-term solutions

JAMA ◽  
1991 ◽  
Vol 265 (19) ◽  
pp. 2529-2531 ◽  
Keyword(s):  
Health Care ◽  
Task Force ◽  
Health Care Financing ◽  
The Us

Limitations of Proficiency Testing Under CLIA '67

1992 ◽  
Vol 38 (7) ◽  
pp. 1237-1244 ◽  
Author(s):  
R H Laessig ◽  
S S Ehrmeyer ◽  
B J Lanphear ◽  
B J Burmeister ◽  
D J Hassemer
Keyword(s):  
Health Care ◽  
Quality Assurance ◽  
Proficiency Testing ◽  
Clinical Laboratory ◽  
Health Care Financing ◽  
Clinical Laboratories ◽  
Regulatory Strategy ◽  
Clinical Laboratory Improvement Amendments ◽  
Quality Improvement Tool

Abstract Proficiency testing (PT), recognized as a quality-assurance (QA) and quality-improvement tool, also has become the cornerstone of the Health Care Financing Administration's (HCFA) regulatory strategy under the revised Clinical Laboratory Improvement Act of 1967 (CLIA '67) and the proposed Clinical Laboratory Improvement Amendments of 1988 (CLIA '88). Use of PT as a regulatory tool corrupts it for things it can do better. PT as a primary regulatory strategy has severe limitations. We explore the nature of these limitations and their implications for clinical laboratories as they impact on the long-term success of HCFA's approved regulatory PT programs in 1991 and beyond, and CLIA '88 PT, which is to be implemented in 1994.

scholarly journals Cancer Survivorship Issues: Life After Treatment and Implications for an Aging Population

2014 ◽  
Vol 32 (24) ◽  
pp. 2662-2668 ◽  
Author(s):  
Julia H. Rowland ◽  
Keith M. Bellizzi
Keyword(s):  
Health Care ◽  
Cancer Survivors ◽  
Cancer Survivorship ◽  
Future Research ◽  
Health Care Needs ◽  
Vulnerable Group ◽  
Care Needs ◽  
National Population ◽  
The Us

The US population of cancer survivors age ≥ 65 years will continue to grow rapidly over the next few decades. This growth will be driven largely by the aging of the national population. With the diffusion of earlier detection and more effective therapies, the majority of these individuals can expect to live long term after diagnosis. This often vulnerable group of survivors poses significant challenges for both researchers and clinicians with regard to how best to document and address its unique health care needs. In this article, we briefly review the long-term and late-occurring effects of cancer and its treatment in older survivors, review information on current patterns of post-treatment care and the evolving guidelines for this care, and discuss opportunities for future research.

scholarly journals A Review of a Historical Summit on Integrative Medicine

2010 ◽  
Vol 7 (4) ◽  
pp. 511-514 ◽  
Author(s):  
Dana Ullman
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Integrative Medicine ◽  
Health Care Financing ◽  
Scientific Basis ◽  
Patient Centered ◽  
The Public ◽  
Included Patient ◽  
The Us ◽  
Centered Care

The US Institute of Medical sponsors a “Summit on Integrative Medicine and the Health of the Public” on February 25–27, 2009. A prestigious body of speakers and attendees created a dynamic conference in which the content and discussions provided vital information for transforming the US health care system. Topics included: patient-centered care, the scientific basis of integrative medicine, health care financing reform and value-driven care, and mind-body relationships and health.

Can Multi-payer Financing Achieve Single-Payer Spending Levels?

2008 ◽  
Vol 10 (1) ◽  
Author(s):  
Joseph P Newhouse ◽  
Anna Sinaiko
Keyword(s):  
Health Care ◽  
Health Care Financing ◽  
Oecd Countries ◽  
Necessary Condition ◽  
Financing System ◽  
Administrative Costs ◽  
Single Payer ◽  
The Us ◽  
High Level ◽  
Care Costs

Many believe the high level of United States health care costs compared with other countries is attributable to high administrative costs inherent in our pluralistic health care financing system. Instead of the well known statistics examining the percentage of GDP that various countries spend on health care, which show the US as a large outlier, we show the percentage of Gross State Product various states spend on health care. Even adjusting for age and income, there is considerable variation across the states in spending levels, with the lowest quintile of states spending approximately the same percentage as the higher spending OECD countries other than the US. This implies that the US' pluralistic financing system may not be an important cause of the large percentage of GDP that the US devotes to health care. Even in the low spending states, however, absolute amounts of spending are higher than in other OECD countries. Although a more centralized payment system may be a sufficient condition to spend at the percentages of GDP found in northern Europe, it is not a necessary condition.

SUMMATION AND COMMENTARY

PEDIATRICS ◽  
1990 ◽  
Vol 86 (6) ◽  
pp. 1124-1127
Author(s):  
C. ARDEN MILLER
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Care Systems ◽  
Health Care Financing ◽  
International Comparisons ◽  
The United States ◽  
Individual Responsibility ◽  
The Us ◽  
Care Systems ◽  
Western Democracies

The background papers and presentations document causes for concern about the health of children in the United States. Discussions at the conference affirm a zeal to improve supports and services on behalf of children. The international comparisons stimulate thinking on the approaches that are best suited for this country. Voices will be raised that the US must work out its own solutions and that we cannot learn from what other countries are doing. Understandings are firm that every nation's health care systems grow out of unique political, social, and economic traditions, but those systems are not immutable. A limited number of strategies are available to help children and young families. Insofar as the policies that enable those strategies can be clarified, the likelihood of developing the best approaches for this country is improved. We are grateful for the analysis of policies that prevail in other Western democracies. One of the impressive aspects of health services for children in the five nations represented here is their differences. Health care financing and provider systems differ markedly; they are not cookie-cutter programs. Those differences present a responsibility to identify themes that are common to the nations with the best records of child health. Such themes deserve careful attention. The first of the themes is the need for government action. The US has been through a decade of trying market systems featuring deregulation, individual responsibility, and volunteerism. The impression of most analysts is that these approaches have not worked. Important indicators of child health have worsened or previous favorable trends have slowed.

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