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U.S. House of Representatives, Committee on Energy and Commerce, Health Subcommittee Statement for the Record, Christine Bechtel, Vice President, National Partnership for Women & Families, and Member, Health IT Policy Committee. March 20, 2013.
Good afternoon Mr. Chairman, Ranking Member Pallone and distinguished committee members... I am honored to be asked to speak with you today about how the Electronic Health Record (EHR) Incentive Program (commonly known as “Meaningful Use”) is not only catalyzing a fundamental change in the health care system, but is serving as a springboard for innovation.
Dear Dr. Mostashari: Thank you for your leadership in developing the Health IT Patient Safety Action & Surveillance Plan, which makes several important recommendations to promote the use of health IT to make care safer, as well as continuously improve the safety of health IT itself. We firmly believe that electronic health records and other forms of health IT must be safe, and agree that this issue is most effectively viewed in the broader context of patient safety, as recommended by the Institute of Medicine (IOM) in its 2011 report Health IT and Patient Safety: Building Safer Systems for Better Care.
How Workplace Leave Policies Support National Health Care Transformation Policymakers, health care systems and providers, and employers are working to promote the effective and efficient use of health care services and reduce overall health care costs. Reimagining and reshaping health care through delivery system reforms and quality improvements are key components of health care transformation.
How Workplace Leave Policies Support National Health Care Transformation Employers, health care providers and policymakers are pursuing improvements in health care services and delivery while seeking to reduce health care costs. Reimagining and reshaping health care through delivery system innovations and quality improvements are key components of health care transformation.
How Workplace Leave Policies Support National Health Care Transformation Health care providers and systems, policymakers and purchasers are working to promote the effective and efficient use of health care services, improve quality, and reduce overall health care costs. Reimagining and reshaping health care through delivery system reforms and quality improvements are key components of health care transformation.
Connecting Workplace Leave Policies to National Health Care Transformation The National Partnership for Women & Families conducted a series of interviews with stakeholders from the private, nonprofit and public sectors to understand whether emerging trends in United States health care policies provided new openings for advancing workplace leave policies. This research was designed to investigate opportunities to tie workers' access to workplace leave for their own health needs and the health needs of their loved ones (earned paid sick days and paid family and medical leave) to government, provider and employer efforts to improve health care utilization and delivery systems, promote prevention and wellness, improve caregiver engagement and reduce health care spending.
CPeH appreciates the opportunity to provide input on Stage 3 advancements in the definition of meaningful use of health IT. In Stages 1 and 2, the Meaningful Use Electronic Health Record (EHR) incentive program created foundational capabilities for delivering care differently and supporting payment models that incentivize the kind of health care individuals need and deserve. In Stage 3, we need to begin movement beyond the medical model to a more comprehensive, person- and family-centered model for supporting health and wellness.
CPeH appreciates the opportunity to provide input on Stage 3 advancements in the definition of meaningful use of health IT.
Medicare is a linchpin of financial and health security for millions of older women – including more than 447,000 older women in Alabama – guaranteeing them coverage for affordable, quality health care.
Medicaid provides critical health care for millions of lower income women and children who otherwise would be uninsured. At all ages, women and girls make up the majority of enrollees in Medicaid.
The Medicaid expansion included in the Affordable Care Act is an historic opportunity to extend much needed health care coverage to millions of lower income Americans. Traditionally, Medicaid coverage has been limited to only to certain segments of the low-income adult population – parents whose dependent children live with them, disabled individuals, and pregnant women (but only for the duration of their pregnancy and 60 days afterward).
In the decade before the Affordable Care Act (ACA) became law, the cost of health insurance rose at an alarming rate. Even as wages stagnated and inflation remained low, health insurance premiums skyrocketed: in 2009, the average American could expect to pay more than twice as much for health coverage as she did 10 years earlier.
Under the Affordable Care Act, health plans are required to report on the percentage of premium dollars spent on clinical services and activities that improve health care quality (commonly referred to as the “Medical Loss Ratio”). Plans that do not meet a particular threshold (85% for plans in the large group market and 80% for plans in the individual and small group markets) must provide rebates to enrollees.
Before passage of the Affordable Care Act (ACA), insurance companies were free to spend large portions of consumer premiums on administrative costs and profits – rather than on health care. Thanks to the ACA, women are now getting more insurance coverage for their dollar as new rules require insurers to spend at least 80 percent of premiums on patients.
Telemedicine is the delivery of any health care service or the transmission of health information using telecommunications technology. It includes videoconferencing, transmission of still images, patient portals, remote monitoring of vital signs, and more.
The Affordable Care Act (ACA) is the greatest advance for women’s health in a generation. It’s already improving the lives of millions of women and families, and will get even better with time.
The National Partnership for Women & Families wants to again commend the Administration for the extraordinary effort that has gone into implementing the Affordable Care Act (ACA) to date. We have long advocated for reforms that ensure access to comprehensive, affordable health care for all women and their families, with an emphasis on the needs of lower-income women.
We strongly urge you to support women’s reproductive health programs in the Fiscal Year 2013 (FY13) appropriations process and to reject any policy riders and funding cuts that would limit access to critical women’s health services.
The accountable care organization began life as a catchphrase signifying a shift in the relationship between a hospital and its doctors. By forming an ACO, a hospital and medical staff shared clinical and financial responsibility for coordinating care to improve quality and lower costs.
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