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At least 37 records · Page 2Linked to original sources
PubMed1989

The effect of government policy on family practice programs.

Government, both federal and state, has long recognized that the American public does not have ready access to primary care physicians. Federal and state legislation has been passed to establish and fund family practice programs to alleviate the shortage of primary care physicians. In addition to federal and state funds, family practice programs receive financial support from hospitals and generate patient fee income. In the current era of cost containment, family practice programs are more dependent on patient fee income and hospital support.

Comprehensive Health Care↗
PubMed1994

Single payer: do government-run programs meet America's needs?

The impact of a government-run program on our current health care system is not well understood by most Americans. Californians could be in for many unpleasant surprises should the single payer ballot initiative pass this November. The author examines how a single payer program attempts to meet the goals of health care reform and why it fails in many important aspects.

California↗
PubMed2002

The rules of fraud and abuse.

It appears that the government is taking a no-holds-barred type approach to combating fraud and abuse of government programs by enacting new and by expanding existing statutes designed for this purpose. It is clear now, more than ever, that due to the abuse suffered by federal health care programs, the government, by and through its respective agencies, is using every resource available to track, identify, and prosecute those who defraud and attempt to defraud these programs. It is therefore imperative that hospitals and health care professionals take the necessary precautions to ensure that inadvertent violations of these statutes do not occur.

Centers for Medicare and Medicaid Services, U.S.↗
PubMed1999

The role of the school in children's out-of-school time.

As the primary community institution in the lives of children, schools have much to contribute to plans for addressing the needs of today's youngsters during the time when classes are not being held. In recent years, demands have escalated for after-school child care, educational enrichment, and safe havens that also foster positive youth development. Many programs that respond to these needs are housed in school buildings. Some are operated by the schools, some by community-based organizations, and others by partnerships between schools and outside groups. New public funding for after-school programs often flows through the school system. This article reports the prevalence of school-based programs and discusses extracurricular activities, child care and extended-day programs, enrichment programs, and ambitious efforts to transform the schools into full-time community hubs offering something for residents of all ages. Implementation challenges accompany program expansion, and this article also examines major issues that arise in school-based programs: governance, space, program quality, funding, and accountability. If these programs fulfill their promise, the school of the future may, indeed, be open extended hours for the enrichment of the children and the sustenance of the family.

Adolescent↗
PubMed2000

Sources of health insurance and characteristics of the uninsured: analysis of the March 2000 Current Population Survey.

This Issue Brief provides summary data on the insured and uninsured populations in the nation and in each state. It discusses the characteristics most closely related to an individual's health insurance status. Based on EBRI estimates from the March 2000 Current Population Survey (CPS), it represents 1999 data--the most recent available. In 1999, for the first time since at least 1987, the percentage of Americans with health insurance increased: 82.5 percent of nonelderly Americans (under age 65) were covered by some form of health insurance, up from 81.6 percent in 1998. The percentage of nonelderly Americans without health insurance coverage declined from 18.4 percent in 1998 to 17.5 percent in 1999. The main reason for the decline in the number of uninsured Americans is the strong economy and low unemployment. Between 1998 and 1999, the percentage of nonelderly Americans covered by employment-based health insurance increased from 64.9 percent to 65.8 percent, continuing a longer-term trend that started between 1993 and 1994. In 1999, 34.1 million Americans received health insurance from public programs, and an additional 15.8 million purchased it directly from an insurer. Twenty-five million Americans participated in the Medicaid program, and 6.5 million received their health insurance through the Tricare and CHAMPVA programs and other government programs designed to provide coverage for retired military members and their families. Despite expansions in the State Children's Health Insurance Program (S-CHIP), public health insurance coverage did not increase overall between 1998 and 1999. The percentage of nonelderly Americans covered by Medicaid and other government-sponsored health insurance coverage did not change between 1998 and 1999, though some children benefited from expansions in government-funded programs. The percentage of children in families just above the poverty level without health insurance coverage declined dramatically, from 27.2 percent uninsured in 1998 to 19.7 percent uninsured in 1999. Some of the decline can be attributed to expansions in Medicaid and S-CHIP, but it appears that expansions in employment-based health insurance and individually purchased coverage had an even larger effect than expansion of S-CHIP. Even though the number and percentage of uninsured declined substantially between 1998 and 1999, more than 42 million Americans remain uninsured. As long as the economy is strong and unemployment is low, employment-based health insurance coverage will expand and the uninsured will decline gradually. If the economy continues to soften or comes close to a recession, the number of uninsured would easily and quickly start to increase again as unemployment rises. Should a severe downturn in the economy occur, causing the uninsured to represent 25 percent of the nonelderly population, 63 million Americans would be uninsured.

Adolescent↗