Category Archives: affordable care act
Oldest Homo sapiens a “nothingburger”? Plus US health care policy approaches The End
Posted by ACA, affordable care act, africa, ancient DNA, Astronomy, brain, climate change, congress, dna, Donald Trump, Evolution, featured, genetics, health care, Human Evolution, human paleontology, media criticism, medical journalism, morocco, North Africa, Obamacare, On Science Blogs, paleontology, Patient Protection and Affordable Care Act, Politics, Research, Science Journalism, Trumpcare, united states, US Senate
inNobel-worthy gravitational waves; Supreme Court legalities for climate change, abortion
Posted by abortion, ACA, affordable care act, Antonin Scalia, Astronomy, climate change, contraception, cosmology, Einstein, featur, featured, global warming, gravitational waves, health care, LIGO, Nobel Prize, Obamacare, On Science Blogs, Patient Protection and Affordable Care Act, Physics, Politics, Research, united states, US Supreme Court, women
inThe impact of Obamacare, one year on
I used to bike to work every day in grad school. I lived around 2km away from the hospital I was based at (~ 1.24 miles), so biking was just the most efficient way to get to work every morning. … Continue reading
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Obamacare lives and Kennewick Man is a Native American
WHEW! The Affordable Care Act (aka ACA, aka Obamacare) subsidies to help people buy health insurance got saved by the US Supreme Court after all, with the somewhat unexpected help (unexpected by me, anyway) of Chief Justice John Roberts. Here’s … Continue reading
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Posted by ACA, affordable care act, ancient DNA, Asia, contraception, dna, Evolution, genetic engineering, genetics, Genome, Genomics, health care, Human Evolution, human origins, human paleontology, Kennewick Man, media criticism, medical journalism, medical writing, mitochondrial DNA, Native American, Obamacare, On Science Blogs, paleoanthropology, paleontology, Patient Protection and Affordable Care Act, Politics, Research, Science Journalism, Science Writing, united states, women
inWhither Obamacare? Philae phones home from comet! Approval for female libido drug?
Whither Obamacare? The fateful US Supreme Court ruling on the legality of many subsidies for Obamacare health insurance premiums (the case known as King v. Burwell) is nearly upon us. Perhaps it will come as soon as Monday (June … Continue reading
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Posted by ACA, Addyi, affordable care act, Astronomy, Comet 67P/Churyumov–Gerasimenko, comets, European Space Agency, flibanserin, health care, libido, Obamacare, On Science Blogs, Patient Protection and Affordable Care Act, pharmaceutical, Philae, Politics, Research, Rosetta, Sex, sexual behavior, united states, US Supreme Court, Viagra, women
inDo AA and other 12-step programs work? Does breastfeeding raise IQ?
Do 12-step programs for addiction treatment work? Are 12-step programs like Alcoholics Anonymous and Narcotics Anonymous effective treatments for addiction? That long-time dispute has just popped up again, prompted mostly by an Atlantic article with the click-worthy title “The Irrationality … Continue reading
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Posted by 12-step programs, ACA, affordable care act, Alcoholics Anonymous, breast milk, breastfeeding, Cannabis, health care, intelligence, IQ, marijuana, media criticism, medical journalism, medical writing, Narcotics Anonymous, Obamacare, On Science Blogs, Patient Protection and Affordable Care Act, pot, psychology, Research, science blogging, Science Journalism, Science Writing, women
inThe good news, maybe: Landing on a comet. The bad news, maybe: Supremes vs. Obamacare
START HERE for the quite wonderful story of landing on a comet.. And when you get there, click PREV to continue (in reverse chronological order) seeing xkcd’s live comicking of the Philae lander’s arrival on Comet 67P/Churyumov-Gerasimenko (67P/C-P for … Continue reading
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Election: marijuana, climate change, abortion, Obamacare, soda tax, GMOs
Still going to pot The Republicans won big last Tuesday. But so did marijuana. Here’s a summary, from Conor Friedersdorf at The Atlantic: “Oregon and Alaska just became the third and fourth states to legalize the drug. Washington, D.C., … Continue reading
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Posted by ACA, affordable care act, Cannabis, climate change, climate change denial, contraception, genetic modification, genetically modified organisms, Genome, Genomics, global warming, GMO, health care, marijuana, medical marijuana, Obamacare, On Science Blogs, Patient Protection and Affordable Care Act, Politics, pot, Research, united states, weed, women
inBirth control, Hobby Lobby, and the war against women
Anything left to be said about the US Supreme Court’s latest decisions about women?
The US Supreme Court finished out its term with decisions that were terrible for women. This piece concentrates on only one of them, Burwell v. Hobby …
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Next Generation Public Health: Can Laboratories Enhance the Value Stream?
By Glen P. Mays, MPH, PhD, Director, National Coordinating Center for Public Health Services & Systems Research; The University of Kentucky, Lexington
Dr. Glen Mays will present the Dr. Katherine Kelley Distinguished Lecture on Tuesday, June 3, at the APHL Annual Meeting and Eighth Government Environmental Laboratory Conference in Little Rock, Arkansas. Attendees, please mark your program for this presentation scheduled for 2:00 pm in the Grand Ballroom. Dr. May’s PowerPoint presentation will be available on the APHL conference website as of Wednesday, June 3.
The Affordable Care Act and related state health reform initiatives are triggering diverse and far-reaching changes within the nation’s public health system. Public health agencies are renegotiating their responsibilities and relationships with other health system stakeholders and to more clearly define their unique contributions to the “value stream” that produces population health. My upcoming talk at the APHL Annual Meeting will explore strategies for demonstrating and enhancing the value that public health laboratories bring to the task of improving population health. Here’s a preview of some of the trends and strategies I’ll discuss in my talk.
Next-generation public health places much greater emphasis on the catalytic functions of information acquisition, analysis and dissemination to mobilize and guide the actions of multiple stakeholders in the health system to achieve population health improvement. Much of the information needed to support successful population health strategies is generated, analyzed and disseminated through the work of public health laboratories. Counterfactual examples like the recently documented problems with newborn screening highlight the population health risks that can arise when information flows are suboptimal. The converse is also true – generating the right information at the right time and getting it into the hands of the right decision-makers can fuel population health improvement. Consequently, public health laboratories must think strategically about the roles that they can play in using their information flows to build, steer and sustain collaborative efforts in population health improvement, including:
- Increasing the breadth, volume and quality of information generated through laboratory testing, particularly as the demand for testing increases as a result of expansions in health insurance coverage and new technologies for detecting and preventing disease.
- Helping policymakers and other stakeholders understand the cost/benefit trade-offs associated with new testing technologies and opportunities.
- Accelerating the timeliness with which information is produced and disseminated through laboratory operations.
- Developing and testing innovations that improve the transmission and exchange of laboratory information – from specimen collection and transport through the dissemination and communication of test results. These actions include public health laboratory roles in meaningful use of electronic health records and in population-wide health information exchange.
- Harnessing and harvesting opportunities for scientific research using the information flows that are generated and/or facilitated by public health laboratories, including the creation of specimen bio-banks, disease registries and test result archives.
- Improving the resilience of the information flows generated by public health laboratories, including ensuring the continuity of testing and information dissemination capabilities during large-scale emergencies and hazardous events.
- Using real-time laboratory information to better target and tailor public health interventions to the population groups that can benefit most, in keeping with the movement toward “personalized prevention and public health.”
Implementing these types of strategies will require improvements in public health laboratory capacity, which in turn requires an ability to demonstrate the health and economic value of expanded investments in public health laboratory capacity. This task –articulating the societal return-on-investment (ROI) gained through enhanced laboratory capacity – is a central challenge for laboratory professionals and the public health community writ large. Analytic techniques such as value stream mapping, information network analysis and value-of-information (VOI) analysis offer extremely powerful ways of valuing the information flows that are generated, processed and disseminated through public health laboratories. These techniques can be used to show how the work of public health laboratories fuels the many processes involved in producing population health: from surveillance to investigation, prevention, protection, mitigation and resiliency.
Health reform’s push for improved population health requires more, better and faster information. Public health laboratories are key to realizing this vision, but progress will require demonstrating and enhancing their value added. I look forward to exploring these strategies in greater detail at the APHL annual meeting.
- Learn about the National Coordinator Center for Public Health Services and Systems Research.
- Review research by Dr. Mays.
- Read the Public Health Economics blog.