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Lowering costs, improving lives, even during a pandemic

Tom Hallberg

April 29, 2020 |

Jackson Hole News & Guide |

Text |

1500-3000 Words

Response Location: United States, Jackson Hole, Wyoming

A new initiative at St. John’s Health in Wyoming aimed at bettering people's health while saving the hospital money by combining wellness services with behavioral programs has shown promise but was put on hold due to the coronavirus pandemic. Instead of pausing the program in entirety, however, program administrators have instead adapted it for St. John's employees as a means of keeping staff healthy.

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For the rural elderly, it can take a village

Keith Hammonds Myers Reece

March 19, 2020 |

The Boulder Monitor |

Text |

800-1500 Words

Response Location: United States, Kalispell, Montana

Rural communities throughout the United States are experimenting with a Boston-based senior-assistance program that implements a shared-services approach to senior care. Although barriers to creating connectivity in isolated rural regions can be more challenging than in more urbanized cities, rural areas in Colorado and Montana are finding ways to make it work.

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When a Medical Diagnosis is Complex, A Navigator Who Looks Like the Patient Can Make All the Difference

Taylor Sisk

March 04, 2020 |

100 Days in Appalachia |

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800-1500 Words

Response Location: United States, Winston-Salem, North Carolina

Patient navigation, which uses community members as health care informants, is helping to break down social and cultural barriers to accessing care in a community in North Carolina. The navigators are "population-focused," meaning they work in the communities they are passionate about and can relate to in order "to provide culturally appropriate assistance." Since the implementation of the program, doctors at Wake Forest Baptist Health Comprehensive Cancer Center have reported that more patients are seeking care proactively.

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A parent's place? Meet the women fighting for space at SA's rural hospitals

Joan van Dyk

February 26, 2020 |

Bhekisisa |

Text |

1500-3000 Words

Response Location: South Africa, Madwaleni

In the rural Eastern Cape of South Africa, a hospital has transformed their model of care for children with cerebral palsy to better serve the entire family. Offering weeklong stays, the hospital offers physical therapy for the children and emotional and educational support to the mothers of the children. Although this kind of care comes at a financial cost for the hospital, the results have indicated positive outcomes for both the child and moms. Additionally, the hospital staff has also trained the moms to act as community workers, helping to better increase awareness and access to services.

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The long walk back to yourself: How this hospital revolutionised rural rehabilitation

Joan van Dyk

February 12, 2020 |

Bhekisisa |

Text |

1500-3000 Words

Response Location: South Africa, Madwaleni

At Madwaleni Hospital's rehabilitation ward in South Africa, medical professionals and physical therapists are using what is known as block therapy to better help individuals who are living with a disability. Rather than individuals visiting the hospital at frequent, regular intervals, the healthcare workers here to see the patients for one-week periods less frequently. This doesn't just cut down on barriers, such as the cost of care and lack of transportation, but has also been shown to help individuals better retain the rehabilitation lessons and recover faster.

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The answer to America's health care cost problem might be in Maryland

Tara Golshan

January 22, 2020 |

Vox |

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Over 3000 Words

Response Location: United States, Maryland

Maryland's health care system is based on three pillars – all-payer rate setting, a global budget, and total cost of care – that, together, have shown positive results both for the patients and for the state's hospitals. Although evidence of success with regard to health care costs is limited, the model of incentiving investment in community health and preventive care has shown success in reducing readmission rates for hospitals across the state.

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The Netherlands has universal health insurance — and it's all private

Dylan Scott

January 17, 2020 |

Vox |

Multi-Media |

Over 3000 Words

Response Location: Netherlands

Health care in the Netherlands relies heavily on the collaboration, cooperation, and shared responsibility between private markets and government regulations to achieve affordable, consistent, and quality care for patients. Although the system is not without its limitations, this process has helped the country avoid preventable deaths while also guaranting nearly all residents insurance.

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Reduce Health Costs By Nurturing The Sickest? A Much-Touted Idea Disappoints

Dan Gorenstein Leslie Walker

January 08, 2020 |

NPR |

Radio |

3-5 Minutes

Response Location: United States, Camden, New Jersey

Researchers in New Jersey have been testing the idea that an increased specialized care model directed towards the sickest and most expensive patients would help reduce costs and improve health, but the trials have been less than promising. However, it was in the failures of the approach, that researchers learned that creating broader partnerships and addressing underlying issues for the patients may have been the missing key.

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In Reversal, Counties and States Help Inmates Keep Medicaid

Max Blau

January 08, 2020 |

Stateline |

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1500-3000 Words

Response Location: United States

If incarcerated, low-income individuals who are reliant on Medicaid typically lose access to their benefits which accelerates the difficulty of reentry. To help close the gap, the National Association of Counties and the National Sheriffs’ Association have joined together to implement stopgap measures to help inmates either retain their benefits or have them only suspended instead of terminated.

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Rwanda avoids US-style opioids crisis by making own morphine

Cara Anna Claire Galofaro

December 25, 2019 |

Associated Press |

Multi-Media |

1500-3000 Words

Response Location: Rwanda, Bushekeli

The Rwandan government is on a mission to get palliative care to everyone who needs it by creating their own morphine instead of being beholden to pharmaceutical companies driven by profit. Using Uganda's simple recipe for morphine, the government partnered with nonprofits to produce and distribute morphine for free and under close watch. The drug costs pennies to make and is hand-delivered by community workers to those who need it, no matter how far. Although fear and uncertainty remain over the possibility of opioid addiction, many patients are greatly relieved to now live pain-free.

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