Posted on August 13, 2009 23:32
Topics: Health Care Reform | Rates/Reimbursement/Cost
Post Type: report
This report by the Executive Office of the President's Council of Economic Advisors (CEA) analyzes the economic effects of health care reform, including the effects of reductions in spending growth and expanded coverage. In addition, the report forecasts the economic impact of our current health care system in the absence of reform. The CEA found that slowing the annual health care spending growth rate by 1.5 percent would increase the gross domestic product (GDP) by over 2 percent in 2020 and nearly 8 percent in 2030, prevent increases in the federal deficit, and create 500,000 jobs. The report also found that expanding coverage to the uninsured would increase net economic wellbeing by roughly $100 billion annually.
Download the full report from the White House here: http://www.whitehouse.gov/assets/documents/CEA_Health_Care_Report.pdf
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Posted on August 13, 2009 19:37
Topics: Rates/Reimbursement/Cost | Substance Use
Post Type: report
This report from the Open Society Institute discusses how addiction treatment reduces health care costs.
From the Open Society Institute:
Addiction is a pervasive yet treatable chronic health condition. Often it occurs alongside other chronic diseases. If untreated, the addicted person's medical care becomes more costly due to secondary health conditions. When treated, addiction leads to better health care outcomes.
This paper demonstrates how addiction treatment will contribute to containing costs in reforming America's health system. Studies show that addiction treatment significantly reduces emergency room, inpatient and total health care costs.
While the overall cost savings have not been documented, there are clear signs of the potential for savings. For example:
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One out of every 14 hospital stays - 2.3 million stays - was related to substance disorders in 2004, a federal study found.
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Total medical costs were reduced 26 percent among one group of patients that received addiction treatment.
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A group of at-risk alcohol users who received brief counseling recorded 20 percent fewer emergency department visits and 37 percent fewer days of hospitalization.
Full Report: http://www.soros.org/initiatives/treatmentgap/articles_publications/publications/paper1_20090714/paper1_20090714.pdf
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Posted on August 13, 2009 19:32
Topics: Children | Medicaid | Mental Health | SAMHSA
Post Type: report
This report, based on the National Survey of Drug Use and Health (NSDUH), found that, in 2007, 8.2 percent of adolescents (an estimated 2.0 million youths aged 12 to 17) experienced at least one major depressive episode (MDE) in the past year, and about two fifths (38.9 percent) of those received treatment for depression in the past year. Among adolescents with past year MDE, those with no health insurance coverage were much less likely than those with Medicaid/Children's Health Insurance Program or private health insurance to have received treatment (17.2 vs. 42.9 and 40.6 percent, respectively).
Download the report from SAMHSA's OAS here: http://www.oas.samhsa.gov/2k9/youthDepression/MDEandTXTforADOL.pdf
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Posted on August 13, 2009 19:24
Topics: Mental Health | Prescription Drugs | Trends
Post Type: citation
This study of depression treatment in the wake of FDA warnings regarding suicide in children taking antidepressants found that the frequency of depression diagnoses decreased and continues to decrease. Substitute care did not compensate in non-adult groups and the authors conclude that the spillover effects of the FDA warnings were non-transitory, substantial, and diffuse in a large population.
Libby, A. M., H. D. Orton, et al. (2009). Persisting decline in depression treatment after FDA warnings. Arch Gen Psychiatry. 66(6), 633-9. http://archpsyc.ama-assn.org/cgi/content/short/66/6/633
Authors: Anne M. Libby, Heather D. Orton, Robert J. Valuck.
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Posted on August 13, 2009 19:10
Topics: Mental Health
Post Type: citation
This article reviews the literature for evidence regarding outcomes for severely mentally ill patients hospitalized in general hospitals for non-psychiatric conditions. The study concluded that nurses play a pivotal role with the mentally ill population but struggle to do so. The authors suggest research to determine the best methods for promoting knowledge, positive attitudes and self-confidence in caring for patients with psychiatric co-morbidity among nurses.
Zolnierek, C. D. (2009). Non-psychiatric hospitalization of people with mental illness: systematic review. J Adv Nurs. 65(8), 1570-1583. http://www.ncbi.nlm.nih.gov/pubmed/19493137
Author: Cindy D. Zolnierek
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Posted on August 13, 2009 19:01
Topics: Mental Health | Prescription Drugs | Trends
Post Type: citation
This study found that, after years of increased use of antidepressants, a trend reversal began in the early 2000s which included decreasing rates of adequate antidepressant treatment. The downward trend preceded FDA black-box warnings institute in 2004.
Harman, J. S., M. J. Edlund, et al. (2009). Trends in antidepressant utilization from 2001 to 2004. Psychiatr Serv. 60(5), 611-6. DOI: 10.1176/appi.ps.60.5.611 http://psychservices.psychiatryonline.org/cgi/content/abstract/60/5/611
Authors: Jeffrey S. Harman, Mark J. Edlund, John C. Fortne.
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