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Wednesday, 23 June 2010 - Johns Hopkins Medicine Chief Optimistic With Medicaid Expansion Proposal
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    Home U.S. World Entertainment Sports Business Health Science Technology Politics Offbeat Environment Travel   News Articles Johns Hopkins Medicine Chief Optimistic With Medicaid Expansion Proposal Email Facebook Digg Twitter Buzz Up! ShareThis June 22, 2010 9:05 p.m. EST Topics: medical service, healthcare policy, hospital and clinic, health, United States Tejinder Singh - AHN News Correspondent Washington, DC, United States (AHN) - There are two sides to the proposed expansion of Medicaid which is set to bring health coverage to 16 million disadvantaged Americans by 2019 according to one of the leading academics in the field of medicine. Dr. Edward Miller, dean the medical faculty at Johns Hopkins University medical school and CEO of Johns Hopkins Medicine since 1997, was addressing a National Press Club luncheon in Washington, DC on Monday. Miller told his audience the proposal could be “the most important and problematic” aspect of the new health insurance law, yet, he said, the experience at Johns Hopkins shows that the surge in Medicaid patients – a majority of the 32 million Americans overall who will gain coverage -- could be “the most rewarding aspect of the entire law.” Miller during the question-answer session noted that he would have preferred to see in the health-insurance law greater emphasis on moving away from the current fee-for-service structure. “It just will not work in the future,” he said. “The fact that you can use as many services as you like as often as you like and not have any measure of quality does not make any sense.” Miller urged a pragmatic, realistic and reality based structure on the lines Hopkins is offering as Priority Partners organization, a managed-care program it launched 15 years ago that now serves 175,000 Medicaid patients. Miller asked some in the audience to pay attention saying that the early difficulties of the program, offer “a cautionary tale for every policy maker in the room.” When the program was launched, he said, “a flood of new patients came to us seeking health services. Many had never seen a doctor on more than a sporadic basis. Some had multiple and costly conditions. And almost all came from poor or disadvantaged background.” Miller minced no words when he proclaimed, that is “poised to enter the health-care system in 2014.” Hopkins -- one of the few academic medical centers to run a managed-care program – lost $57 million in nine years in caring for these patients, Miller said. But the facility turned the losses into a profit by developing what Miller termed a “population health model.” Under the model, Miller said, Hopkins assigns each month assigns every patient a risk score that factors in age, gender, frailty and a host of other factors to determine “who needs what kind of help.” It then stratifies the patients, from low to high scorers, to determine levels of treatment, which emphasizes a team approach. The Priority Partners program, Miller said, “is a system of care that can be duplicated around the nation.” Among other priorities, he suggested, are opening up a greater number of slots in hospitals and boosting pay for residents training to be primary-care physicians; developing an action plan for reducing diabetes and obesity in children; and addressing “end-of-life issues in a proactive way.” Copyright © 2003 - 2010 AHN - All rights reserved.Redistribution, republication. syndication, rewriting or broadcast is prohibited without the prior written consent of AHN.License AHN news for your website, business, digital signage network or publication. Most Popular Stories Thousands Grapple With Power Loss Following Tornado In Wisconsin Physician Invents Anti-Rape Condom South Carolina Faces Elimination At 2010 College World Series Coconino National Forest Wildfire Grows To 10,000 Acres Burberry Model Found Dead After Falling From Apartment Building Missouri State Extends Basketball Coach Martin's Deal McChrystal Apologizes For Comments On Administration Officials Pop Singer Charice Joins The Cast Of "Glee" Crist Widens Lead In Florida Senate Race Hundreds Evacuate As Wildfire Spreads In Coconino National Forest   Recent Posts Most Popular Comments Recent Comments Popular Threads     Home | U.S. | World | Entertainment | Sports | Business | Health | Sci / Tech | Politics | Weird / Offbeat Follow AHN on Twitter AHN Social News connects you with friends and the news Client Login | Submit News | Privacy Policy | Terms of Use | Contact | Content Services © 2010 AHN All Rights Reserved  

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