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After single payer failed, Vermont embarks on a big health care experiment

Carolyn Y. Johnson

September 17, 2017 |

The Washington Post |

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1500-3000 Words

Response Location: United States, Vermont

Hospitals in Vermont received upfront lump-sum payments to manage the care of patients assigned to them. The pilot project involved 30,000 Medicaid patients and was intended to incentivize providers to keep the patients healthy. However, it remains unclear whether this system and similar efforts across the country can improve health outcomes while reducing costs.

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In Connecticut, Saving Lives Comes With an Unexpected Perk: Saving Money

Chris Peak

September 15, 2017 |

NationSwell |

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800-1500 Words

Response Location: United States, Connecticut

Unlike other states, Connecticut is running their own medicaid program. The state is reducing costs by reaching out to people before they get severely sick. They’re using their extensive medicaid data, looking for people who face a greater risk of getting a disease, reaching out to them, and connecting them with preventative care. “The state’s per-patient spending on Medicaid dropped by an average of 5.7 percent each year between 2010 and 2014.”

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Counting On Medicaid To Avoid Life In A Nursing Home? That's Now Up To Congress.

Susan Jaffe

July 31, 2017 |

Kaiser Health News |

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800-1500 Words

Response Location: United States

Congressional Republicans' push to reduce Medicaid funds is a threatening proposition to the people who use its services. Medicaid funds services at home which allows people to live at home instead of in a nursing home by providing minor house renovations, a visiting nurse or other worker, or other home products.

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The Tasmanian Hep C Buyers' Club

Sophie Cousins

July 25, 2017 |

The New York Times |

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1500-3000 Words

Response Location: India, Chennai, Tamil Nadu

A man named Greg Jefferys runs a sort of online buyers club for the life-saving oral treatment for Hepatitis C. There are myriad reasons why patients are unable to obtain the drugs on their own, a few being high costs imposed by the pharmaceutical companies, and lack of governmental approval for the drug. Jefferys charges a $200 fee to get patients the 12-week course of oral pills from India that cure Hepatitis C completely.

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Black moms die in childbirth 3 times as often as white moms. Except in North Carolina.

Julia Belluz

July 03, 2017 |

Vox |

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1500-3000 Words

Response Location: United States, Chapel Hill, North Carolina

Black American mothers are about 3.5 times more likely to die from complications related to childbirth than white American mothers. A program called Pregnancy Medical Home in North Carolina has contributed to successfully eliminating this disparity by targeting low-income mothers and focusing on risk factors that contribute to poor maternal outcomes. The program is funded by Medicaid and mothers who are identified as being high risk are paired with a care manager who helps them to achieve the health plans set forth by their doctors.

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The Super-Users Dominating Health-Care Spending

Karen Weintraub

June 29, 2017 |

The Atlantic |

Multi-Media |

Over 3000 Words

Response Location: United States, Massachusetts

'Super-users' are people who use the healthcare system a disproportionate amount more. Programs such as One Care are designed to care for these 'super-users' organizing their complex care in order to reduce emergency room visits, prevent unnecessary procedures, and bring the cost of their care down.

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Therapy for Everybody

Olga Khazan

June 22, 2017 |

The Atlantic |

Multi-Media |

Over 3000 Words

Response Location: United States, Johnson City, Tennessee

People living in rural areas often do not have access to therapy, additionally, the price of therapy can be expensive. In Tennessee, therapists now provide brief psychotherapy sessions within a health clinic, in order to serve the public faster and cheaper.

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Even the Insured Often Can't Afford Their Medical Bills

Helaine Olen

June 18, 2017 |

The Atlantic |

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Over 3000 Words

Response Location: United States, Massapequa, New York

As the cost of care and medication continues to rise, many people find themselves underinsured and unprotected from a financial crisis when facing a medical emergency or ongoing treatment for a chronic disease. To address this issue, programs are working to assist people with paying for the costs of care and avoiding bankruptcy based on diagnosis, employment history, or individual pleas on crowdfunding sites. While these programs can make an impact, the need is much larger than the funding available and it is often difficult for patients to find and apply for these funds.

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Selling Doctors on Cutting Drug Costs

Jay Hancock

June 06, 2017 |

The New York Times |

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800-1500 Words

Response Location: United States, Albany, New York

Big pharmaceutical companies spend thousands of dollars every year persuading doctors to prescribe their products to patients. Doctors comply, often not realizing that a generic alternative exists or how much the name brand product is costing insurance companies and patients. The Capital District Physicians' Health Plan recruits big pharma drug representatives and hires them to educate doctors about the tactics used to sell them costly products and offer them the cheaper generic options instead. In the first year, these representatives saved patients 5 million dollars just by switching one drug to generic.

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The Answer To Oregon's $8 Billion Health Problem Lies In 1970s Maine

Ryan Haas

May 17, 2017 |

Oregon Public Broadcasting (OPB) |

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800-1500 Words

Response Location: United States, Portland, Oregon

For decades, Franklin County's comprehensive healthcare plan has kept its residents some of the healthiest people in Maine despite being some of the poorest as well. Now, Oregon is looking to do the same.

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