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Reduce Health Costs By Nurturing The Sickest? A Much-Touted Idea Disappoints

Dan Gorenstein Leslie Walker

January 08, 2020 |

NPR |

Radio |

3-5 Minutes

Response Location: United States, Camden, New Jersey

Researchers in New Jersey have been testing the idea that an increased specialized care model directed towards the sickest and most expensive patients would help reduce costs and improve health, but the trials have been less than promising. However, it was in the failures of the approach, that researchers learned that creating broader partnerships and addressing underlying issues for the patients may have been the missing key.

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In Reversal, Counties and States Help Inmates Keep Medicaid

Max Blau

January 08, 2020 |

Stateline |

Text |

1500-3000 Words

Response Location: United States

If incarcerated, low-income individuals who are reliant on Medicaid typically lose access to their benefits which accelerates the difficulty of reentry. To help close the gap, the National Association of Counties and the National Sheriffs’ Association have joined together to implement stopgap measures to help inmates either retain their benefits or have them only suspended instead of terminated.

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Rwanda avoids US-style opioids crisis by making own morphine

Cara Anna Claire Galofaro

December 25, 2019 |

Associated Press |

Multi-Media |

1500-3000 Words

Response Location: Rwanda, Bushekeli

The Rwandan government is on a mission to get palliative care to everyone who needs it by creating their own morphine instead of being beholden to pharmaceutical companies driven by profit. Using Uganda's simple recipe for morphine, the government partnered with nonprofits to produce and distribute morphine for free and under close watch. The drug costs pennies to make and is hand-delivered by community workers to those who need it, no matter how far. Although fear and uncertainty remain over the possibility of opioid addiction, many patients are greatly relieved to now live pain-free.

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How a landmark UCLA dementia program could ease burdens in Rochester communities of color

Sarah Taddeo

December 20, 2019 |

Rochester Democrat and Chronicle |

Text |

Over 3000 Words

Response Location: United States, Los Angeles, California

The Alzheimer’s and Dementia Care program at UCLA in California is offering a new kind of patient-centered care that has helped bring relief to families in the region. The program, which creates a care plan "that builds in medical needs, solutions for caregiver stress and cultural traditions unique to each person and their family," has resulted in decreased stress and symptoms for patients and increased confidence and support for caregivers.

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Advocates want to recycle CT's wasted prescription drugs. The state says it's already doing that.

Jenna Carlesso

December 16, 2019 |

The Connecticut Mirror |

Text |

1500-3000 Words

Response Location: United States, Bridgeport, Connecticut

Connecticut has a law that requires the state to collect unused prescription drugs to be reimbursed by the vendor companies, but advocates for better health equity want to see the unexpired drugs instead be distributed to those that need them. While one pharmacy in Bridgeport has already started a model to get the drugs into hands of the uninsured or underinsured by importing pharmaceuticals from a Tennessee non-profit, leaders of the Bridgeport operation hope to one day "see a drug reclamation program that steers unused medications from within Connecticut to charity dispensaries" within the state.

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‘They only cut off half my left foot.' What happens when inmate care goes wrong in Georgia?

Max Blau

December 13, 2019 |

The Telegraph |

Text |

Over 3000 Words

Response Location: United States, Georgia

Without federal oversight, prisons are left to their own devices to determine what sort of health care they want to provide. That, combined with limited funding and resources, often leads to low-cost privatized health care that doesn’t necessarily have safeguards or patient-centered interests. While an increasingly complex issue, the response of privatized health care for inmates requires reform, but won’t get there unless the sheriffs that oversee these prisons embrace them.

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For sheriffs, healthcare for inmates can be a burden. For one doctor, it has been the opportunity of a lifetime.

Max Blau

December 12, 2019 |

Atlanta Magazine |

Text |

Over 3000 Words

Response Location: United States, Georgia

As prison populations have increased dramatically since the 1980s, prisons have outsourced inmate health care to private companies, like CorrectHealth, to save money. While it is the most incentivizing when it comes to cost, this is only possible because private companies have to have the lowest bid – meaning they skimp on spending for inmates in the long run. The result has shown to be not just a decrease in the health care services offered to inmates, but more litigation for companies providing allegedly inadequate care.

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In Addressing HIV, the U.S. Has a Lot to Learn From Namibia

Juhie Bhatia

November 29, 2019 |

Time Magazine |

Multi-Media |

5-15 Minutes

Response Location: Namibia

There are over one million people in the United States living with HIV, reaching a crisis level in states such as Georgia; however, countries like Namibia are offering lessons for how to tackle the problem. By offering a community-centered approach that addresses underlying issues like poverty and lack of access to education, the country has seen a significant decrease in new diagnoses.

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Radical Health

Richard Davies

November 21, 2019 |

How Do We Fix It? |

Podcast |

Over 15 Minutes

Response Location: United States, New York, New York

To promote better healthcare access in The Bronx, local healthcare providers, activists, and nonprofits are working together to implement tactics such as community conversations or the use of an app that assists pregnant women of color. These methodologies function on the basis of the sharing of "social capital," which helps increase and mobilize interpersonal relationships.

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Treating addiction from the emergency room

Anna Boiko-Weyrauch

October 15, 2019 |

Finding Fixes |

Podcast |

Over 15 Minutes

Response Location: United States, Edmonds, Washington

The emergency room at Swedish Hospital in Edmonds, Washington is working to implement more focused care for those suffering from opioid addiction, an offering not typically present at most hospitals. Using a hands-on approach that integrates "substance use disorder treatment and interventions and assessment," through the use of doctors, counselors, and social workers, this program increases the likelihood of follow through with recovery.

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