INSIDE UPMC - Rural Pennsylvania Medicaid enrollees diagnosed with opioid use disorder are driving an average of four times as far as their nearest prescriber to receive medication-assisted treatment, according to an analysis led by HPM's Evan Cole. The study, published in the Journal of General Internal Medicine , also found that the farther people have to travel, the less likely they are to adhere to medication-assisted treatment to relieve o...
THE CONFLUENCE (WESA) -- Outgoing director of the Allegheny County Health Department, adjunct professor in HPM and BCHS, and Pitt Public Health board of visitors member, Dr. Karen Hacker discusses the population health issues of this region as well as her plans to head the CDC's National Center for Chronic Disease Prevention and Health Promotion.
NPR - A New York regulation that dictates how doctors treat sepsis appears to be paying off, according to a study in JAMA. Amidst concerns about an unorthodox requirement of a specific set of practices that a doctor might otherwise deviate from based on the patient, HPM's Jeremy Kahn found that the rules reduced mortality, an important finding as other states consider and even the nation considers additional regulation.
ASTHOEXPERTS BLOG - HPM's Wendy Braund, director of the Center for Public Health Practice, wrote a blog for the Association of State and Territorial Health Officials that says that both practice-based research and implementation science are vital but that neither receives adequate effort and gives us ideas to address this challenge.
UPMC - A move by the White House in 2017 - decried by many as an attempt to undercut the ACA - improved the affordability of health insurance for Marketplace enrollees. "...In terms of affordability, monopoly insurance markets are resulting in low- to no-cost premiums for Marketplace enrollees. On the other hand, this is a really inefficient way to spend federal tax dollars to create affordable health insurance," said HPM's Coleman Drake.
MEDPAGE TODAY - Patients given opioids during their hospital stay were more likely to continue using them post-discharge. Compared with patients who were not prescribed opioids, those who did get a prescription were also twice as likely to continue using them in outpatient settings three months out according to a study by HPM's Julie Donohue.
VOX - The U.S. has some of the highest prescription drug prices in the world, and this summer, Democratic House leadership will unveil a plan to fix that - though questions remain about just how effective this measure will be. "The discussion should be around trying this with a limited amount of drugs to start with, then you figure out what infrastructure is needed and how it's going to work," said HPM's Walid Gellad.
Congratulations to HPM's Wendy Braund for receiving the inaugural award, selected by and presented by ACPM CEO Donna Grande at the Prevention 2019 Conference in Pittsburgh on May 20, 2019. Braund has a long history of service to ACPM. Currently, she is secretary of the ACPM Board of Regents and chair of the CME/MOC Committee. She is also a fellow of the college.
REUTERS - "The key message here is that expansion doesn't necessarily mean better access," said HPM's Eric Roberts. That's unfortunate since "Medicaid disproportionately insures people with serious mental illness," said Roberts. "This should be a point of concern for policy makers."
ASPPH FRIDAY LETTER - Broadband penetration rates are substantially lower in many rura counties where access to primary care physicians and psychiatrists is inadequate, which limits the potential of telemedicine to mitigate barriers to care say findings from a brief research report led by HPM's Coleman Drake.
UK DAILY MAIL - The findings published in JAMA could explain why several recent trials of treatments for sepsis - an immune response in which the body attacks its own organs - have failed. "The next step is to find therapies that apply to the scientific types of sepsis and then desing clinical trials to test them," Said study author HPM's Derek Angus.
PSYCHOLOGY TODAY - More Americans receive treatment for depression and pay less out of pocket than they did two decades ago, according to a recent study. "States that haven't expanded Medicaid could look at these estimates and think: There's a way to expand treatment of mental health conditions like depression," says HPM's Julie Donohue.
WESA - Telemedicine has the potential to connect people in rural communities to health care providers who might otherwise take hours to reach by car. But a new study by HPM's Coleman Drake finds that many of these places lack the infrastructure to actually make telemedicine possible.
The Department of Health Policy and Management gave an impressive 20 presentations at the AcademyHealth Annual Research Meeting in Washington, D.C. The students and faculty joined an international audience working to improve health and health care.