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HOLY GRAIL? Center Director Gerald Kominski is quoted in MedPage Today about Amazon, Berkshire Hathaway, and JPMorgan Chase's plan to form their own health insurance company for employees. Kominski's comments:

"If they can identify true innovations that improve quality and lower costs on a large scale, they will have found the 'holy grail' of healthcare delivery system reform. Even if they don't achieve this lofty goal, they are likely to find efficiencies that benefit not just their employees, but millions of other Americans. The likelihood of major breakthoughs may be small, but as they said in their press release, they aren't willing to stand by and just accept that healthcare costs have to keep rising."

Policy experts discuss initiative from Amazon, Berkshire Hathaway, and JPMorgan Chase
medpagetoday.com

A study by the Center's Ninez Ponce and colleagues on the numerous barriers to breast cancer care in California (https://ucla.in/2spBZZh) was cited in a Voice of San Diego story about SB 945. The bill, proposed by State Sen. Toni Atkins, would remove the 18- and 24-month time limits on how long low-income women can be treated for breast and cervical cancer. From the story:

"Limited access to care and time limits have been among the barriers to breast cancer care in California, according to a 2017 report by the UCLA Center for Health Policy Research. The report also noted “the marked disparities in treatment” for patients across the state, largely due to economic and cultural differences and unequal access to care."

Low-income and uninsured women receiving treatment for breast and cervical cancer may no longer face limits on how long they receive treatment. State Sen. Toni Atkins this week introduced legislation that would remove caps on the state’s Breast and Cervical Cancer Treatment Program, which serves e...
voiceofsandiego.org
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The CHIS data particularly the neighborhood edition provided by the UCLA Center for Health Policy Research is invaluable to my coursework and other independent health studies.
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GLOBE-SPANNING CLASSROOM: Associate Center Director Ninez Ponce and colleagues at University of Philippines, Manila are co-teaching a graduate class on microeconomic theory of health with a focus on low- and middle-income countries and global health frameworks, policy and practice.

UCLA students in Los Angeles and UPM students in Manila take part in prerecorded lectures, live-streamed and in-person lectures, and discussion. The two-course program began Jan.18 and Jan 19.

Phot...os: A monitor shows the combined class of students with Ponce in the center top frame; Ponce and UCLA students in the classroom at the Center; two UPM students participating from the Manila site; a visual aid for the lecture.

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RISK DEPORTATION OR DIE? In a Marketplace Business News podcast about an undocumented immigrant making the choice between risking deportation by applying for Medicaid to get cancer treatment, or dying, Associate Center Director Steven P. Wallace comments on how each state views a Medicaid "emergency" differently. From the story:

“In some states, they say giving you dialysis is keeping you from dying. We are going to put you on emergency Medicaid,” he said. “In other states — ...Georgia comes to mind — they will not put you on emergency Medicaid until you are in diabetic shock.”

Read a study Wallace co-authored about how states' policies affect the health of undocumented immigrants at https://ucla.in/2AI8nH0

#undocumented #Medicaid #health

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Facing terminal cancer, an undocumented immigrant must decide if access to life-extending medicine is worth the increased risk of deportation.
whyy.org

10 MILLION LGBT ADULTS IN US: A 2017 LGBT data recap from the @williamsinstitute shows 4.1% of adult Americans identify as LGBT, with the highest concentrations in Washington DC (8.6%), Massachusetts, Oregon and California (all 4.9%) and the lowest in South Dakota (2%).

The information graphic touches on the population’s health, economic status, incarceration rates and more, including CHIS data on sobering health disparities among transgender adults and gender nonconforming youth in California.

Read a recent Williams Institute-Center study on California’s gender nonconforming youth at https://ucla.in/2z7Sigb

williamsinstitute.law.ucla.edu

INNOVATION OR DISRUPTION? The Los Angeles Times asks Center Director Gerald Kominski if Amazon, Berkshire Hathaway and JPMorgan Chase’s plan to create an independent health insurance company for their employees can reign in escalating health insurance costs. From the Q&A:

Kominski: "If there were a magic solution, someone would have discovered it by now. Having said that, there may be efficiencies they can achieve because the three companies together are large employers."

Al...so: "If they can find an innovative way to reduce employment-based health costs, other employers will benefit in the future because they will be able to export it by licensing it or expanding their own market and selling their way of doing things."
#healthinsurance

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Amazon, JPMorgan Chase and Berkshire announced Tuesday their plans to create an independent healthcare company that would reduce the costs and inefficiencies in the industry.
latimes.com

California Health Report features Kathryn Kietzman's new study on how the state's public mental health system serves older adults. Kietzman said in the story that cultural stigma, geography and other factors create barriers to reaching those in need. From the story:

For some cultures, mental illness may be seen as shameful, Kietzman said. “Some cultures may want to keep that in the family,” she said. “It would be a source of public shame to say you’re mentally ill.”

On gettin...g mental health services, in rural areas, Kietzman explained that services were more often found in cities. “You have to drive three hours to bring services to some folks.”

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The World Health Organization estimates that 15% of adults age 60 and older live with mental illness, including depression, anxiety and dementia. While the Ment...al Health Services Act funneled $13 billion into the state’s mental health system between 2004-2014, it’s unclear how much money went to older residents. UCLA Center for Health Policy Research NAMI #MentalHealth #Seniors #Aging #depression

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California is not adequately serving the needs of seniors with serious mental illnesses, according to a new study. Services vary widely from county to county, the state lacks sufficient data to determine the demographics of the people served, and racial and cultural barriers are preventing people fr...
calhealthreport.org

MISS OUR JAN. 21 SEMINAR? See Janet Frank and Kathryn Kietzman’s recorded presentation on how California's public #mentalhealth system serves older adults at http://healthpolicy.ucla.edu/newsroom/Pages/Seminars.aspx

Read their related study and other supporting documents at https://ucla.in/2FdWKdk

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A common myth about undocumented immigrants in the United States is that they place an undue burden on the nation’s health care system and particularly the safety net. In 2016, the Center was host to Paul Dourgnon, the research director at the Paris-based French Institute for Research and Information in Health Economics, and a 2016-17 French Harkness Fellow in Health Care Policy and Practice.

Using data from the California Health Interview Survey, as well as county stakehold...er interviews, Dourgnon assessed how well immigrants are served by California’s safety net and what the health outcomes are for immigrants who are able to access services. On Wednesday, Feb. 21, Paul returns from Paris to, among other things, talk to us about the results of this research, which could not be more timely in light of current political debates.

Join the Feb. 21 seminar in person or via livestream at goo.gl/6Vp8eB

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FEW RECEIVE SERVICES: "The problem is that not very many older people are receiving these benefits," said Janet Frank, speaker at today's @UCLACHPR seminar on public mental health services. Of those receiving preventive mental health care services, only 1.5% were over 60.

More info here: http://healthpolicy.ucla.edu/Older-Adult-Mental-Health-Care

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NEW STUDY ON MENTAL HEALTH FOR OLDER ADULTS:
Read the policy brief and supporting documents at https://ucla.in/2FdWKdk

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UNEVEN IMPLEMENTATION, INADEQUATE REPORTING, WORKFORCE DEFICITS: Recommendations from today's seminar on public mental health services for older adults.

More info here: http://healthpolicy.ucla.edu/Older-Adult-Mental-Health-Care

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"ZIP CODE LOTTERY:" When it comes to accessing public #mentalhealth services, “what you get depends upon where you live” according to #UCLA experts at today's UCLA Center for Health Policy Research seminar on the topic.

More info here: http://healthpolicy.ucla.edu/Older-Adult-Mental-Health-Care

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ACCOUNTABILITY: “There is not one person who is the watchdog for #mentalhealth care services for older adults in California. We believe that position should be reinstated.” - #UCLA's Janet Frank, principal investigator and speaker at today's UCLA Center for Health Policy Research seminar on public mental health services for older adults. Other barriers include:

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KEY FINDINGS: Although county programs exist that include #mentalhealth services for older adults, the state's overall public #mentalhealth system lacks adequate services tailored to elders; has no systematic record of which local agencies used state MHSA funds to provide services for them, and no data to measure if treatments worked.

More info here: http://healthpolicy.ucla.edu/Older-Adult-Mental-Health-Care

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COUNTIES STUDIED: Six counties were studied in a major evaluation of how public mental health services are provided to older adults in California. The counties represented designated mental health regions and differences in geography, population size and density; ethnic and racial diversity; income level; and the range of programs being developed for older adult mental health care.

More info here: http://healthpolicy.ucla.edu/Older-Adult-Mental-Health-Care

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