The racial disparity between white and black cancer patients in accessing timely treatments has virtually disappeared in states where Medicaid expanded under the Affordable Care Act (ACA), according to a new study. Yale Cancer Center researchers analyzed more than 30,000 health records and found that, prior to Medicaid expansion, black adults with advanced or metastatic cancer were 4.8 percentage points less likely than white adults to begin treatments within 30 days of being diagnosed. But in states where Medicaid was expanded, in 2014 or later, the percentage of black patients getting timely treatment rose from 43.5 percent to 49.6 percent. There also was a small improvement in expansion states among white patients receiving timely treatment – from 48.3 percent to 50.3 percent – bringing the post-expansion difference between the two racial groups to less than one percentage point. “Our results suggest that Medicaid expansion led to improved health equity,” said study author Amy Davidoff, a senior research scientist at Yale School of Public Health and in Yale Cancer Center’s Cancer Outcomes, Public Policy, and Effectiveness Research Center (COPPER).
Fifteen Connecticut hospitals will lose 1 percent of their Medicare reimbursements this fiscal year as penalties for having relatively high rates of hospital-acquired conditions, data from the Centers for Medicare & Medicaid Services (CMS) show. The hospitals are among 800 nationwide being penalized – the highest number since the federal Hospital Acquired Conditions Reduction Program started five years ago, according to a Kaiser Health News (KHN) analysis of the CMS data. The penalties will be levied during the current fiscal year, which began in October 2018 and runs through September. Under the program, which was created by the Affordable Care Act, the government levies penalties based on hospitals’ rates of infection related to colon surgeries, hysterectomies, urinary tract catheters and central lines inserted into veins. It also reviews infection rates for Methicillin-resistant Staphylococcus aureus, or MRSA, and Clostridium difficile, known as C. diff, as well as rates of blood clots, sepsis, post-surgery wounds, bedsores and hip fractures, among other injuries.
With physicians’ compensation from pharmaceutical and medical device companies under increasing scrutiny, payments to doctors in Connecticut for consultant work rose to $8.5 million in 2017, up from $8 million in 2016. Payments for meals, travel and gifts also increased from $3.2 million in 2016 to $3.5 million in 2017, data from the Centers for Medicare & Medicaid Services show. Of the total $27.2 million in payments, $4.37 million – or 16 percent – went to 10 doctors holding licenses in Connecticut. The highest paid doctor was Dr. Paul Sethi, an orthopedic surgeon in Greenwich, who accepted slightly more than $1 million in 2017 in royalty fees, consulting work, and other services from several companies, including Arthrex Inc., and Pacira Pharmaceuticals Inc., maker of Exparel. The drug, Exparel, is marketed as an alternative to opioid painkillers post-surgery.
Consumers will have the shortest open enrollment period yet to shop for 2019 health insurance plans – 45 days — but they can “window shop” and compare plans beginning today. Open enrollment for health plans effective Jan. 1, 2019, will run from Nov. 1 to Dec. 15, giving consumers the least amount of time to enroll in or renew plans since the Affordable Care Act (ACA) became law.
The teen pregnancy rate is at a record low in many states, but especially in Connecticut. Connecticut was ranked 50th in 2015 for teen birth rates, age 15 to 19, reports the U.S. Department of Health & Human Services. Pregnancy rates for teens have been declining for decades, and have gone down 75 percent from 1991 to 2015. Recently, from 2014 to 2015, the teen pregnancy rate dropped 13 percent. The cause of this sharp decline in teen birth rates could be attributed to a number of things.
Iasiah Brown, 25, of New Haven, said he does not see a need for a primary care doctor for himself and his daughter, opting to visit clinics in the area instead of waiting up to two weeks for an appointment at a doctor’s office. Brown is among the 83 people who said they didn’t have a primary care doctor in response to a health-care usage survey by the Conn. Health I-Team and Southern Connecticut State University. The team surveyed 500 people and interviewed dozens statewide between January and March. About 83 percent of respondents said they had a primary care doctor, but the rate was lower for African American (78 percent) and Hispanic respondents (75 percent).
In October, President Donald Trump announced new regulations that loosen the requirements that employers provide coverage for contraceptives, which was a pillar of the Affordable Care Act (Obamacare). Trump’s government expanded the reasons an employer could skip out on coverage on moral or religious objections. If in the recent weeks your employer just got religion, you should know why. Trump is messing with a woman’s important right to accessible and affordable birth control. The birth control mandate, according to the Kaiser Family Foundation, “had a large impact in a short amount of time.” Within two years of the policy taking effect, says Kaiser, just 3 percent of women with employer-sponsored insurance had out-of-pocket expenses for oral contraceptives (the most expensive and the most popular kind).
Connecticut’s rural residents die at higher rates than their city and suburban counterparts and a large percentage of those deaths may be preventable if better public health programs or better access to health care services were available, according to the latest data from the National Center for Health Statistics (NCHS). Doctor shortages and long commutes make it harder for rural residents to get health care. And some officials worry that changes in hospital ownership and the Affordable Care Act could amplify existing problems.
“We have excellent medical care as a general rule in the state,” state Rep. Susan Johnson, D-Windham, said. But rural and other high poverty areas, where many residents are on Medicaid rather than private health insurance, remain vulnerable to hospital service reductions and changes in eligibility for health care coverage, she said. “My battle is to make sure the basic hospital services, like critical care units, are maintained in the small rural hospitals,” Johnson said.
In 1776, Abigail Adams asked her husband to “remember the ladies.”
Oh, if only Melania were so moved. Donald Trump could use the reminder. From the moment he announced his improbable campaign, Trump has played to his most conservative supporters by promising to severely restrict abortion rights, as well as limit access to affordable birth control. The battle has settled onto two fronts, including defunding Planned Parenthood, and—since a “repeal and replace effort” fell short—removing from the Affordable Care Act the mandate that requires employers to provide insurance coverage for contraceptives to their eligible workers. On the first front, Connecticut has vowed to fund Planned Parenthood, should the federal government pull away.
If you are an American woman, be afraid of the Trump administration’s latest attempts to repeal Obamacare. If you are an American woman living in poverty, be very afraid. Connecticut has taken note. During the legislative session that just ended, the Connecticut Senate unanimously voted to protect 21 health benefits (such as contraceptives and mammograms) that Trumpcare would obliterate. Sadly, that bill died in the House.