Required reading: J. Billings, T. Mijanovich, “Improving The Management of Care for High-Cost Medicaid Patients” Health Affairs no 6 (2007) 1643-1655. Issues for discussion in Day 2 PM Session Problem C – A large number of uninsured children and adults are eligible but not enrolled in Medicaid. Why? What can government/not-for-profit groups do to get more eligible enrolled? What are the barriers? Who should do what? Discussion Group 3 Problem D – It is possible to identify Medicaid patients from claims data who are at very high risk of future hospital admissions. These patients have high rates of chronic disease, mental health conditions, and substance abuse problems, and these patients are often homeless or precariously housed and socially isolated. What are the critical components of a program to respond the needs of these patients (reducing future hospital admissions)? How can it be implemented (assuming there is no new money and the initiative would have to break even with savings from reduced hospital admissions covering the costs of the intervention)? What are the barriers to implementation? Discussion Groups 1 and 2 Day 3 – 10/06/17 – AM Session The major challenges confronting the health “system”: Disparities, Uninsurance, and Costs Overview of disparities in health services, utilization, and outcomes Discussion of the factors that are contributing to these disparities Description of the size and characteristics of the uninsured population Review of the causes of uninsurance Description of the dynamics of current cost increases Review of the causes and implications of cost increase Discussion of the implications of these challenges for policy makers and providers and for the current health reform initiative Required Reading: J. Billings, L. Zeitel, J. Lukomnik, et al., “Impact of Socioeconomic Status on Hospital Use in New York City” Health Affairs (Spring 1993): 162-173. J. Billings, “Management Matters: Strengthening the Research Base to Help Improve Performance of Safety Net Providers,” Health Care Management Review 28, No 4 2003): 323-334.
John Abramson - Overdosed America: The Broken Promise of American Medicine Atul Gawande – Being Mortal: Medicine and What Matters in the End or The Checklist Manifesto: How to Get Things Right. David Kessler – The End of Overeating: Taking Control of the Insatiable American Appetite John Wennberg – Tracking Medicine Otis Brawley – How We Do Harm: A Doctor Breaks Ranks Eric Manheimer - Twelve Patients: Life and Death at Bellevue Hospital Angela Coulter – Engaging Patients in Healthcare Nina Teicholz – The Big Fat Surprise Elizabeth Bradley/Lauren Taylor – The American Health Care Paradox: Why Spending More Is Getting Us Less Sanjeep Jauhar – Doctored: The Disillusionment of an American Physician Sherri Fink – Five Days at Memorial Due Date: Day 3 Session or submit via NYU Classes File Exchange by 10/07/18 – 11:59PM Assignment 2 – Dartmouth Atlas PowerPoint Slides (25% of final grade) Take your Dartmouth Atlas paper and make it into a PowerPoint presentation. As with the paper, describe the “unwarranted” variation, discuss the potential causes of the variation, and make recommendations on what might be done about it. Incorporate or address any suggestions that I made in grading the paper. While substantive content matters, you will be graded primarily on how clearly and effectively the material is presented. Look and feel matter. Don’t make slides too busy or have too much text on a slide, and avoid cute graphics. You will not actually have to present the slides, but keep the length to a presentation that would take not more than 15 minutes. If you worked on team on the paper, you may submit as a team or individually. Due Date: Day 4 Session or submit via NYU Classes File Exchange by 10/21/18 – 11:59PM Academic Integrity Academic integrity is a vital component of Wagner and NYU. All students enrolled in this class are required to read and abide by . All Wagner students have already read and signed the . Plagiarism of any form will not be tolerated and students in this class are expected to report violations to me. If any student in this class is unsure about what is expected of you and how to abide by the academic code, you should consult with me.