How States Block Medicaid Innovation

large medical system is investing heavily to provide more services at home, from post-surgical care to treating chronic conditions.

Monitoring a patient’s vital signs at home may reduce emergency room visits and better manage costly chronic illnesses.

However, state Medicaid offices remain Impediments to scaling them nationally.

About 19 states’ Medicaid programs do not reimburse the cost of remote patient monitoring. according to the data From the Connected Health Policy Center. Some states that pay for remote monitoring have strict restrictions on its use.

Medicaid is skeptical about paying for experiments without an immediate return on investment, and could miss out on future savings.

Where remote monitoring works:

  • Kaiser Permanente I found it 90% of patients using remote monitoring Management of gestational diabetes Within 8 weeks.
  • oxner health Half of hypertensive patients were cured Equipped with a blood pressure cuff or glucometer, a mobile health app to log data, and a care team to keep them on track, they’re 23% better than usual care.
  • VA reported Patients enrolled in its remote patient monitoring program will: 53% reduction in “bedtime” Hospital admissions decreased by 33%.

That doesn’t sell state Medicaid offices the value of trying new things.

Dean Schillinger, a chronic disease management specialist at the University of California, San Francisco, recalled a remote monitoring program that worked with Medicaid health plans.

It improved the quality of life for patients at a reasonable cost, but did not immediately cut costs.

“Health insurance did not continue that project,” he said.

Here we explore the ideas and innovators shaping healthcare.

latest tik tok A healthy trend is to tape your mouth shut while you sleep stop mouth breathing Unfortunately it doesn’t really work. the doctor is worried Dangerous for people with sleep apnea.

Submit your most ridiculous health trends.

Share news, tips and feedback with Ben Leonard. [email protected]Ruth Leader [email protected]Carmen Pawn [email protected] or Grace Scullion [email protected]

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today pulse check podcast, Daniel Payne talks with Alice Miranda Olstein about why the overwhelming majority of rural hospitals are rejecting plans passed by Congress to stop hospitals from closing. In addition, Catherine Ellen Foley analyzes the latest reports on monkeypox from the Centers for Disease Control and Prevention.

Text messages can save lives: A new study found that sending automated text messages to check up on patients after they leave the hospital can reduce the likelihood of readmissions and emergency room visits.

research in JAMA network open said that patients who received a text message from a primary care clinic after being hospitalized were 41% less likely to return within the next month.

how did it work?

  • Patients found the text engaging. More than 4 out of 5 replied to at least one of her messages.
  • When the patient said something was wrong, another message asked for details. I got a follow up call because of that.

Researcher Eric Bresman, a Fellow of the University of Pennsylvania’s National Clinician Scholars Program, said: future pulse The text may have led patients to alert doctors to health problems sooner.

And by intervening more quickly, doctors were able to catch problems before they escalated.

What are the barriers to this working in the real world?

Bressman says it boils down to three things:

  1. Patient cell phone access and unlimited messaging plans
  2. Healthcare systems with the ability to build and implement automated text messaging programs that integrate with electronic medical records
  3. Endorsement from healthcare providers

Finally, Bressman says you may need to change how you pay for your medical bills.

“With all these advances in digital health, digital medicine and virtual care, we will have to rethink how we encourage these interactions.

new infection In two South American countries, the epidemic is spreading, killing many children and paralyzing others. With little information, political leaders are having to decide whether to close schools and halt travel.

Bet on the next pandemic: This was a hypothetical scenario worked out in Brussels this week by health authorities in the United States, Angola, Germany, India, Liberia, Nigeria, Rwanda, Senegal and Singapore.

Tom Inglesby, director of the Johns Hopkins Center for Health Security at the Bloomberg School of Public Health, said officials are still out on what to do despite having just experienced the Covid-19 pandemic. was found to be split. future pulse.

Inglesby organized this exercise with the Bill & Melinda Gates Foundation and the World Health Organization.

Lesson learned:

  • Many questions raised regarding the Covid-19 pandemic and response to it remain unanswered.
  • The next pandemic may look different than Covid, threaten people in different ways, and require different responses.
  • The public and media are always second-guessing the decisions authorities make.

“No mercy” Mike Ryan, Director of WHO’s Health Emergency Program, said: on the panel exercising. “I’ve seen it time and time again. Rational decisions made on the basis of uncertainty are hanged back after six months and politicians pay the price.”

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