How health services are affected by the shutdown | Senate to consider ending government shutdown today | Study: Primary care physician can help families with ICU decisions
January 22, 2018
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How health services are affected by the shutdown
Nine million children rely on the Children's Health Insurance Program for their health care coverage, and payments will continue to flow to states during the government shutdown until money runs out. Among health care programs expected to be affected by the shutdown are the CDC's flu-tracking and infectious disease-tracking programs and the FDA's senior nutrition services, but the shutdown will have little to no impact on Medicaid and Medicare beneficiaries, the operations of Veterans Affairs and community health centers, and Affordable Care Act subsidies.
Kaiser Health News (1/19),  WRC-TV (Washington, D.C.)/The Associated Press (1/22) 
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Senate to consider ending government shutdown today
Senate to consider ending government shutdown today
(Nicholas Kamm/AFP/Getty Images)
The federal government shut down after Senate lawmakers failed on Friday night to pass legislation that would have kept the government open until Feb. 16 and extended funding for the Children's Health Insurance Program. A Senate vote to reopen the federal government is scheduled for today after Senate Majority Leader Mitch McConnell, R-Ky., vowed that the chamber would consider legislation to address the Deferred Action for Childhood Arrivals program in hopes of enticing Democrats to vote for the spending bill.
CNN (1/22),  CNBC (1/20) 
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Providers & Suppliers
Study: Primary care physician can help families with ICU decisions
Shared decision-making in the ICU may be enhanced by having a primary care physician present to help the family, researchers reported in the Journal of the American Board for Family Medicine. A survey found families that had assistance from a primary care physician were more satisfied with their own participation in decision-making and their control over care, compared with those that did not have the assistance.
Patient Engagement HIT (1/17) 
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Researchers examine advanced EHR use among small, ambulatory care practices
A study in the American Journal of Managed Care showed that only 27% of small, rural and specialty ambulatory care practices showed advanced EHR system use, while more than 40% were under-users and 73% did not use the technology to its full potential. Researchers used a cohort of 30,123 ambulatory care practices with operational EHR systems and found that cost is the primary barrier to EHR system adoption.
EHR Intelligence (1/17) 
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Medical Update
Pediatric vaccination rates increase in the US
Children with commercial health insurance born in 2013 had a 12% higher vaccination rate for seven CDC-recommended immunizations at age 2 years and 3 months old compared with those born in 2010, according to a Blue Cross Blue Shield Association analysis. But researchers also noted a 70% higher prevalence of documented parental vaccine refusals, with North Dakota and New York having the highest rates of vaccination and parental vaccine refusals, respectively, among those born in 2013.
NBC News (1/18),  Forbes (1/18),  Becker's Hospital Review (1/18) 
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CDC: Rates of opioid injection, hepatitis C rising
The CDC reported in the American Journal of Public Health that cases of acute hepatitis C virus infection increased 133% between 2004 and 2014. A 93% jump in substance use disorder treatment admissions related to opioid injection was also noted. Injection drug use is considered the primary risk factor for transmission of HCV.
MD Magazine online (1/16) 
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Study examines diabetes detection rates among US adults
Researchers analyzed data from the 1999-2014 National Health and Nutrition Examination Survey cycles involving 16,644 adults without a previous diagnosis of diabetes and found that the age-standardized rate of detecting undiagnosed type 2 diabetes was 3% during the 1999-2000 cycle, and slightly dropped to 2.8% during the 2013-2014 cycle. The findings, published in BMJ Open Diabetes Research & Care, also showed a significant increase in the rate of detecting undiagnosed diabetes among Mexican-Americans and small decreases in detection rates among white adults, adults in the highest income-to-poverty ratio, and those at least 65 years of age.
Healio (free registration)/Endocrine Today (1/18) 
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Emerging Trends
EHR data can help track unnecessary testing, study says
Analyzing EHR data can show the prevalence of low-value medical testing and identify the causes of unnecessary tests, according to a study in the American Journal of Managed Care based on 13 measures identified by the Choosing Wisely campaign. Researchers said EHR data combined with manual chart review and administrative claims can help find low-value testing overuse and identify risk factors.
EHR Intelligence (1/19) 
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Health Insurance Plan Company News
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Pharma News
FDA will restrict bulk drug compounding, Gottlieb says
FDA Commissioner Scott Gottlieb said the agency would issue guidance in March about what drugs can be compounded in bulk for physicians' offices and hospitals without individual prescriptions. "Ultimately, there's no question that the framework we will be laying out will place more restrictions on what they can do," Gottlieb said.
Reuters (1/18) 
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Policy Watch
Governors ask Trump, Congress for help on opioids
The National Governors Association made more than two dozen recommendations in asking the federal government for help in fighting the opioid epidemic. The plea comes less than three months after the President Donald Trump declared the epidemic a public health emergency and it praises the president for taking first steps, including a promise to help states pay for treatment through Medicaid, but calls for more assistance.
The New York Times (free-article access for SmartBrief readers)/The Associated Press (1/18) 
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AHIP News
An Rx for success at Institute & Expo
Dr. Ezekiel Emanuel will share how we can improve health care in America when he takes the general session stage at Institute & Expo, June 20-22 in San Diego. He'll share what his work as a physician has taught him about high-value care. Super Saver rates end March 28.
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Faster, smarter hiring starts here
AHIP's Career Center job site is focused exclusively on health care talent, saving you time searching through job sites trying to be everything to everyone. Extend your reach by posting your job and searching resumes on the National Healthcare Career Network (NHCN), a collection of hundreds of top health care associations and professional organizations. Visit AHIP's Career Center.
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Can you connect the health insurance dots?
Wherever you're starting from, you'll be able to connect with today's health care industry and get the basics from AHIP's cornerstone course. Health Insurance 101 is a comprehensive overview of the industry. Get started and sign up today.
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