The Tasmanian Hep C Buyers' Club

A government-mandated care insurance program in Japan has gained both recognition and international praise for removing the burden of senior care from family members through the "socialization of elder care." The goal of the program, which has now been in place for two decades, is to help keep "elderly people physically active and less socially isolated," and could provide a model of care for other aging regions.

Hidalgo Medical Services is a nonprofit public health clinic that has set out to develop a model for delivering quality, affordable health care to rural communities through a comprehensive approach that addresses multiple patient needs at once.

Rural hospitals across the country often struggle to stay open in states where Medicaid has not been expanded, but a method known as "swing beds" has helped two critical-access hospitals in Georgia to avoid this fate. This method, which allows hospitals to swing beds from "only patients in need of acute care to those who no longer require the emergency department but still needed more treatment before a nursing home," allowed for the hospitals to pay off debt and expand services.

In 2009 Kaiser Permanente doctors, alarmed by the rising rate of opioids being prescribed to patients, decided to develop a set of strategies and lower painkiller prescriptions. The most difficult one, is talking to patients about the dangers of opiods. He “developed what he calls The Difficult Pain Conversation—and he presented his approach to many other doctors.” So far, its had an effect. Prescriptions dropped from “from 2,500 a month to almost zero.”

While American medicine tops the charts for "acute care," it's notably sub-par when it comes to treating chronic conditions and focusing on prevention. This piece introduces a series on how the U.S. healthcare system's structure results in high expenses and inefficient treatments, and what various programs around the nation are doing to improve quality of care at lower costs.

Throughout the country, issues of health care exclusivity and rising drug prices are being addressed with creative solutions. Innovating new medicines and medicine deliver systems, such as an alternative EpiPen, is proving to be a helpful way to work around these surging prices.

The Healing Hurt People program, or HHP, is an ER-based violence intervention program that works on the public health-based notion that violence - like other diseases that spread - can be prevented. It targets services to those at highest risk, patients like those in Philadelphia, who are being treated for violent injuries in the city's emergency rooms. Unlike other programs, it recognizes and attempts to heal the underlying emotional trauma that results from, and often predates, violent injury.

Health insurance sign-ups made available to all inmates at the San Francisco county jail, partnered with guidance from a clinic once they are on the outside, allows them to receive better care upon release, and may help prevent a return to crime and substance abuse.

Switzerland is home to the world's lowest avoidable mortality rate and residents of the country live longer lives and are healthier than those who live in the United States. Health policy experts credit the Swiss health care system for playing a significant role. Despite the high cost and the penalty for not carrying insurance, the system is praised as guarateeing access to quality health-care and "unlike the U.S., people rarely go bankrupt from medical bills."

Maryland's health care system is based on three pillars – all-payer rate setting, a global budget, and total cost of care – that, together, have shown positive results both for the patients and for the state's hospitals. Although evidence of success with regard to health care costs is limited, the model of incentiving investment in community health and preventive care has shown success in reducing readmission rates for hospitals across the state.