the fact that the health care bill is no longer the topic du jore does not mean it is no longer an issue. The real questions are whether the health care bill moved voters away from the Democrats, and whether those voters have since moved back now that the debate is over. The answers are yes – the debate moved voters away from the Democrats; More at RealClearPolitics – HorseRaceBlog – Health Care Reform Has Endangered the Democratic Majority.
HorseRaceBlog – Health Care Reform Has Endangered the Democratic Majority | Jay Cost: RealClearPoliticsAugust 31, 2010
The Centers for Disease Control and Prevention National Center for Health Statistics (NCHS) and AcademyHealth are pleased to announce the selection of Nicole Garro and Patricia Markovich as the recipients of the 2010 NCHS/AcademyHealth Health Policy Fellowship. More at NCHS/AcademyHealth Health Policy Fellowship – Training and Professional Resources – AcademyHealth.
The fellowship program brings visiting scholars in health services research-related disciplines to the National Center for Health Statistics (NCHS) in Hyattsville, Md. for a period of 13 months to conduct studies of interest to policymakers and the health services research community. Fellows have access to NCHS data resources for use in their proposed studies, and also work on collaborative projects with NCHS staff.
The 2011 call for applications deadline is January 10, 2011.
With a number of polls showing a sustained level of opposition to the Democrats’ health care reform efforts more than five months after passage, Health and Human Services Secretary Kathleen Sebelius said the Obama administration has “a lot of reeducation to do” heading into the midterms.
While some surveys – namely the Kaiser Family Foundation monthly tracking poll – have suggested an uptick in support for the reforms, most other surveys continue to show a steady level of opposition to the new law that remains higher than the favorable opinions of it.
Tara Watson. Inside the Refrigerator: Immigration Enforcement and Chilling Effects in Medicaid Participation. NBER Working Paper No. 16278, August 2010.
Economists have puzzled over why eligible individuals fail to enroll in social safety net programs. “Chilling effects” arising from an icy policy climate are a popular explanation for low program take-up rates among immigrants, but such effects are inherently hard to measure. This paper investigates a concrete determinant of chilling, Federal immigration enforcement, and finds robust evidence that heightened enforcement reduces Medicaid participation among children of non-citizens. This is the case even when children are themselves citizens and face no eligibility barriers to Medicaid enrollment. Immigrants from countries with more undocumented U.S. residents, those living in cities with a high fraction of other immigrants, and those with healthy children are most sensitive to enforcement efforts. Up to seventy-five percent of the relative decline in non-citizen Medicaid participation around the time of welfare reform, which has been attributed to the chilling effects of the reform itself, is explained by a contemporaneous spike in immigration enforcement activity. The results imply that safety net participation is influenced not only by program design, but also by a broader set of seemingly unrelated policy choices. [Full Text].
The State Coverage Initiatives (SCI) program released a new report this week outlining policy options for states in the Patient Protection and Affordable Care Act as they move forward with national reform implementation.
“State Implementation of National Health Reform: Harnessing Federal Resources to Meet State Policy Goals” (pdf, 47 pages) was authored by Stan Dorn of the Urban institute.
Ohio was one of 14 states selected three years ago to participate in the Robert Wood Johnson/ AcademyHealth SCI program. The Ohio SCI team brought together 45 leaders from diverse stakeholder groups, including HPIO, to identify the best ways to extend coverage to Ohio’s uninsured. From Ohio Health Policy Review: SCI report outlines state policy options for reform implementation.
A new study from the Generic Pharmaceutical Association found that every 2-percent increase in substitution of generic drugs saves Medicaid $1 billion a year (Source: “GPhA Report: Generics Offer Big Medicaid Savings Opportunity,” Wall Street Journal Health Blog, July 26, 2010).
Furthermore, “Savings Achieved Through the Use of Generic Pharmaceuticals, 2000-2009” (pdf, 9 pages) found that the generic utilization rate in Medicaid is about 64 percent, more than 10 percentage points lower than the general population, which means significant savings are realistic, the study authors contend. From Ohio Health Policy Review: Study: Generic drugs could offer significant Medicaid savings.