Lowering costs, improving lives, even during a pandemic

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

Harm reduction is a quickly growing practices that aims to reduce drug-related deaths and the spread of disease often caused by dirty needles. Although public perception is still widely negative, the industry has seen success by using the act of offering clean needles as a first point of contact to offer other health and medical services.

For many jobs across the country, working from home is a fairly easy adaptation to cope with social distancing measures. But for many scientists who work in laboratories with ongoing research, a work from home solution does not quite fit. Labs and universities are finding ways to adapt and prioritize which experiments to put on hold.

As colleges and universities across the United States have shifted to online classes and shut down their campuses, not every student simply has the ability to move home. To help support these students, many of whom are low-income or international, the Stay Together Appalachian Youth Project began working with local communities to find housing for displaced students, as well as to provide other support like money or supplies.

To allow patients to still see their doctors during the coronavirus pandemic, insurance providers have eliminated some of the barriers for providers to be reimbursed for telehealth appointments. This change in policy has helped doctors in Maine grow their telehealth practices in ways that may outlast the pandemic.

Amid the pandemic, medical researchers and an abortion-rights advocacy group in the U.S. are working to make the abortion pill available via mail. Although there is ambiguity surrounding the rules and regulations of how the pill must be distributed to patients, some doctors have helped efforts by agreeing to register with F.D.A.-approved manufacturers and a handful of states are allowing the pill to be mailed after an in-person ultrasound has been conducted.

To help address burnout for child welfare workers in Knox County, Ohio, Knox County Job & Family Services has launched a two-pronged approach that aims to offer wellbeing services to employees. Although the Covid pandemic impeded the rollout of these self-care services and resources, feedback has been positive.

Birth in Color's doulas are filling the maternity care gap as rural labor and delivery rooms close, disproportionately impacting people of color. Doulas provide physical, emotional and informational support before, during and after childbirth, and advocate on the mother’s behalf. Doula care leads to improved birth outcomes and lower rates of C-sections, and in April 2022 doula services were added under the state’s Medicaid program.

Health engagement hubs like Washington state’s Buprenorphine Pathways connect people with prescriptions for methadone and buprenorphine to help treat addiction. In addition to medication and a syringe-exchange program, the hub also connects patients to social services, taking a more holistic approach to addiction treatment.