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  • Many At-risk Coastal Nursing Homes Are Underprepared for Hurricanes, Yale Study Finds

    One in 10 nursing homes in U.S. coastal regions is at risk of exposure to severe hurricane-related flooding. But while nursing home residents are disproportionately more susceptible than the general population to injury and death due to environmental disasters, a significant number of at-risk facilities may be inadequately prepared for hurricane-related inundation in certain coastal regions, a new Yale study finds.

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  • Physician on a Mission: Prescribing Timely FDA Reforms to Ensure Patient Safety

    Dr. Reshma Ramachandran’s professional pursuits and passion for justice converged the week of May 16 in Washington, D.C., when she met with members of Congress, the U.S. Department of Health and Human Services, and the Food and Drug Administration on the progress of a must-pass bill — the Prescription Drug User Fee Act — which provides roughly half the FDA’s budget.

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  • Journal Club: “In Medicaid Managed Care Networks, Care Is Highly Concentrated Among A Small Percentage Of Physicians”

    The centerpiece of the Health Affairs Journal Club meeting in May is, “In Medicaid Managed Care Networks, Care Is Highly Concentrated Among A Small Percentage Of Physicians.” Using data from four states, Avital Brena Ludomirsky and coauthors found that, of those that contracted with Medicaid, on average just 25 percent of primary care physicians provided 86 percent of care and 25 percent of specialists provided 75 percent of care. On top of that, the study confirmed that inadequate or outdated provider directories vastly misrepresent the availability of care. The result, the authors argue, is that current network adequacy standards may not reflect actual access to the Medicaid program; and that new methods that account for beneficiary preferences and physician willingness to serve Medicaid patients are needed to enforce these standards.

    Source: HealthAffairs
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  • Fellow Focus - GIM Section

    Thanks to the wonderful faculty of the National Clinician Scholars Program (NCSP) and especially my mentor, Joseph S. Ross, MD, MHS, I have learned how to wield research to effect policy change that is meaningful for patients. The focus of my work has been primarily on realigning incentives toward ensuring patients equitable access to truly safe and effective health technologies.

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