healthcare

Courtesy of Predrag Klasnja / https://www.si.umich.edu/people/predrag-klasnja

The Next Idea

In the 1970’s, the Japanese concept of “Kanban” turned the U.S. auto industry on its ear – “just in time” inventory and manufacturing.

Now, that just-in-time concept is being applied to keep people on track after rehabilitation.

Just-in-time adaptive interventions (JITAI) can bring health support to you right through a smartphone.

Dr. Daniel Maixner says depictions of electro-convulsive therapy (ECT), like this one in the TV show "Homeland," have harmed the public's perceptions of the treatment. Dr. Maixner calls ECT a "miracle."
Image from the program "Homeland" / Showtime

In the latest edition of Stateside's series Minding Michigan, which explores mental health issues in our state, we take a closer look at electro-convulsive therapy (ECT). 

ECT is largely known as "electroshock therapy," but many in the field consider that to be an outdated term. ECT is a mental health treatment that can be effective for some patients with certain disorders. However, largely because of the way its been portrayed in film or television, ECT is wrapped in stigma and misconception. The University of Michigan Department of Psychiatry has just opened a new mental health unit that expands its ability to offer electro-convulsive therapy to patients.

Flickr user Chealion/Flickr / HTTP://J.MP/1SPGCL0

For the first time, researchers show how much patients with private insurance actually pay for hospital stays. Out-of-pocket costs are high and rising fast for many plans, even those considered “good” insurance.

Emily Adrion is a research fellow at the University of Michigan medical school. She and her team looked at the rising out-of-pocket costs for people with private insurance.

Costs are rising in two main areas: deductibles and co-insurance.

To begin with deductibles, Adrion said they rose by around 86% between 2009 and 2013.

Flickr user hang_in_there/Flickr / HTTP://J.MP/1SPGCL0

When you or someone in your family feels sick, chances are the first call you make is to your primary care physician.

Ever since 2010, Michigan has been a big part of a demonstration project to make primary care better, to keep people healthier and out of hospitals.

Mark Ilgen says ImPAT is a "psychotherapeutic ... non-pharmacological approach" to helping people adapt to and cope with their pain.
flickr user frankileon / http://j.mp/1SPGCl0

It's become clear that America is in the grips of an opioid addiction epidemic.

But here's a dilemma: what if you're in pain? Is there a way to help patients get relief from pain without resorting to powerful pain medicines that can get you addicted?

A new study indicates the answer could be yes, through something called ImPAT, or Improving Pain during Addiction Treatment. 

photo by Anna Strumillo Phuket - Thailand / www.fotopedia.com

Michigan’s cities and counties have made a lot of promises to their workers about retirement.

But when it comes to healthcare, local governments owe more than $7 billion dollars to retirees – money they just don’t have right now.

Michigan State University’s Eric Scorsone has been crunching the numbers.

401(k) 2013 / Flickr

This week in Michigan Politics, political analyst Jack Lessenberry talks about a new law affecting school districts in trouble, college tuition hikes, a former inmate healthcare snafu, and Michigan veterans.  

National Poll on Children's Health / C.S. Mott Children's Hospital

Many parents don't believe their  18- to 19-year-olds are ready to manage their own health care.  

According to the University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health, 69% of parents think adolescents should move to an adult-focused primary care provider by age 18. But only 30% of  the parents reported that their adolescents had transitioned from their pediatricians by age 18.  

The poll surveyed a national sample of parents of adolescents and young adults aged 13-30.

  Today on Stateside:

  • MLive Capitol reporter Jonathon Oosting talks about a request that has been submitted for a Christmas Nativity scene on government property.
     
  • Cadillac is moving its headquarters, along with its 140 employees, to New York City. Detroit News Business Columnist Daniel Howes tells us what’s behind the move.
     
  • Ken Estelle, CEO of Feed American West Michigan, joins us to talk about the challenges of getting fresh food to food banks during the winter months and what you can do to help.
     
  • Finalist on the second season of NBC’s “The Voice” and former Mouseketeer on The Mickey Mouse Club, Tony Lucca discusses his experiences as a performer and how his Michigan identity has influenced his music.
     
  • Sheryl Gay Stone, author of a recent piece for the New York Times, talks to us about the challenges new Congressional members face in transitioning to D.C.
     
  • Jack Lessenberry and Todd Spangler examine what we can expect from Michigan’s five new members of Congress.
     
  • The Henry Ford Hospital recently designed a new hospital gown that preserves patient modesty, incorporates new fabric and uses color coding to help staff identify patient conditions. We talk to designer Michael Forbes about what inspired the changes.

*Listen to the full program above 

Lord Mariser / Flickr

The U.S. Supreme Court has agreed to hear yet another challenge to the constitutionality of the Affordable Care Act.

The case, King v. Burwell, argues that because of the wording in a clause of the ACA, people who get insurance through a federal exchange and not a state-run exchange should not be entitled to tax credit subsidies.

As the Obamacare battle continues, Dr. Howard Markel, physician and medical historian from the University of Michigan, thinks it might be helpful to look back -- 69 years back, to this exact day, November 19, in 1945. That’s when President Harry Truman spelled out a ground-breaking idea: a “universal” national health care program. 

Today on Stateside:

  • Road funding is once again being discussed in Lansing, but Chris Kolb says we need to think beyond just fixing roads and bridges. Find out where he thinks the state should invest more of its money.
  • A good meal can become a great meal if the restaurant has the right ambiance. For example, good music can improve the overall experience. But what about the other way around? Interlochen Public Radio’s David Cassleman talks about a conductor and chef who are teaming up in Traverse City to find out.
  • Ypsilanti singer-songerwriter and Civil War history buff Matt Jones has a new album out called “The Deep Enders.” See what he has to say about his Civil War influences and song writing for “The Deep Enders.”

Today on Stateside: 

  • A new report from Public Sector Consultants projects Michigan will lose enough energy production for one million people in 2016. We look at what this means for Michigan residents. 

  • Chris Cook, chief restaurant and wine critic at Hour Detroit Magazine joins us to discuss how American eating and cooking went through a drastic change post-World War II. 

  • How much has the American family changed? Researchers at the University of Michigan's Institute for Social Research have been digging into this for a report called The New American Family: All Are Welcome and You Don't Even Have To Get Married. We talk with U of M professor of Sociology, Pamela Smock. 

  • Automakers are on track to sell 16.5 million cars and trucks for 2014. Michelle Krebs of AutoTrader.com joins us to talk about the future of long-term loans and leases that are being sold to buyers. 

  • More than half of all hospital deaths are caused by sepsis. Dr. Jack Iwashyna, research scientist at the Ann Arbor-VA Healthcare System, and Marianne Udow-Phillips, director of the Center for Healthcare Research and Transformation, join us to explain what exactly sepsis is and the challenges it poses. 

healthcare.gov

 

Health insurers and Healthcare.gov are now gearing up for year two of the Affordable Care Act.

Open enrollment begins two months from today – November 15. And this year, there's a new twist: renewals and plan changes.

Marianne Udow-Phillips is the director of the Center for Healthcare Research and Transformation at the University of Michigan. She says consumers have to do their homework to compare different health plans this year.

"Some [rates] are up, and some are down ... Even those who have coverage now, it would be very important for consumers to actually look at the choices again and see what is the best match with the premiums and the networks that are offered," says Udow-Phillips.

* Listen to our conversation with Marianne Udow-Phillips above.

Steve Carmody / Michigan Radio

An anti-circumcision group says Michigan’s Medicaid program should stop funding for circumcision.

Michigan has one of the highest circumcision rates in the country.

Norm Cohen is the state director of the National Organization of Circumcision Information Resource Centers. Members of the group picketed at the state capitol today.  Many in the group wore white pants, stained in the crotch with red paint. 

Genesee Health System in Flint, MI. One of the MI health service centers to receive Affordable Care Act funding.
Genesee Health System / Facebook

Three-dozen health care centers in Michigan are being given more than $8.5 million in Affordable Care Act funding. 

The announcement was made Friday by U.S. Health and Human Services Secretary Sylvia Burwell. In all, $295 million was awarded to 1,195 centers across the country. 

According to a press release from the U.S. Department of Health and Human Services, the funding will enable targeted health centers to:

Steve Carmody / Michigan Radio

The Michigan Chamber of Commerce is launching a private health insurance marketplace September 1st.

Jason Russell is the senior director of the chamber’s Department of Insurance Services.

He says the intent of the new marketplace is to help small businesses and insurance agents deal with an increasingly complex health insurance landscape under the Affordable Care Act.

Outside the Community Health and Social Services Center in Detroit.
CHASS / Facebook

Part of the Affordable Care Act calls for big investments in community health care centers to increase access to primary health care services. The health care law calls for a total investment of $11 billion over a five-year period “for the operation, expansion, and construction of health centers” throughout the country.

Today, Health and Human Services Secretary Sylvia Burwell announced that $35.7 million in Affordable Care Act funding will go to 147 health centers in 44 states.

The funding will support 21 new construction projects and 126 renovation projects.

Seven of those health centers are in Michigan. These seven centers will split close to $1.7 million to support construction and facility improvements.

Here’s the list of health centers receiving funding:

Steve Carmody / Michigan Radio

A Flint nursing program is receiving a financial boost that aims to fill a health care employment gap.

The University of Michigan-Flint is one of three schools in the state to receive nearly $700,000 dollars from the U.S. Department of Health and Human Services.

The money is to support registered nurses becoming nurse practitioners.

The grant will provide about a third of the incoming students with enough money to pay for a year's tuition and fees.

Connie Creech is the director of Flint's graduate nursing program.

Steve Carmody / Michigan Radio

A federal court ruling today could affect tens of thousands of Michiganders who got health insurance through Obamacare.

More than 237,000 of the 272,000 Michiganders who signed up for Obamacare selected a plan through the marketplace with federal financial assistance.  The tax credits helped subsidize health insurance payments for low- and moderate-income people.

User apoxapox / Flickr

DETROIT (AP) - The Detroit and Flint areas are getting nearly $9 million to help train new primary care providers.

Most of the money announced Monday goes to the Detroit Wayne County Health Authority for training in family medicine, internal medicine, psychiatry, pediatrics, obstetrics and gynecology. Flint's Hamilton Community Health Network is getting $900,000 for family medicine training.

The U.S. Department of Health and Human Services says the money is part of $83.4 million in Affordable Care Act funding to support primary care residency programs nationwide. Overall, it will help train more than 550 doctors during the 2014-2015 academic year.

Lindsey Smith / Michigan Radio

The federal health care exchange for private insurance under the Affordable Care Act closed on March 31. 

The very next day, the attention turned to Healthy Michigan, the state's expanded Medicaid system for some 477,000 low-income Michiganders.

It looks like the state's Healthy Michigan plan is on track for enrollee sign-up.

Don Hazaert is the director of Michigan Consumers for health care, which helps people sign up for the coverage.

*Listen to the full interview above. 

A computer screen showing HealthCare.gov in action.
Steve Carmody / Michigan Radio

That's one of the lessons drawn from a report put out by the law firm Mehri & Skalet.

The author of the report, Jay Angoff, once led the U.S. Health and Human Services office in charge of implementing the Affordable Care Act.

Angoff looked at the amount it cost to set up health care exchanges in each state along with the number of enrollees in each state through March 31, 2014.

By doing that, he came up with a “cost-per-enrollee” for each state’s health care exchange.

Overall, the average cost-per-enrollee was $922. The average cost was higher for states with their own exchanges, and lower in states with the federally-run exchange.

getoverit.org

A basic tenet of the Affordable Care Act is preventive care: Get people into the health care system before disease or disability set in.

But that's highlighting a problem with our medical education system. Medical schools are turning out too many specialists and not enough primary care physicians. Cynthia Canty spoke with Dr. William Strampel, dean of the College of Osteopathic Medicine at Michigan State University. 

Farm in rural Michigan
user acrylicartist / MorgueFile.com

One of the most important aspects of the Affordable Care Act is consumer choice. More choice leads to more competition among insurers, and that can mean lower costs to consumers.

But, as Michiganders shopped for health coverage on the federal marketplace, the amount of choice was not even.

If you lived in Wayne, Oakland or Macomb Counties, you got to choose from 55 insurance plans. If you lived in Delta County in the Upper Peninsula, you were only offered 5 plans, all of them from Blue Cross Blue Shield of Michigan.

Josh Fangmeier is a health policy analyst with the Center for Healthcare Research and Transformation. He joined us today.

Listen to the full interview above.

Steve Carmody / Michigan Radio

A new report says preventable dental treatment is taking a bite out of Michigan hospital emergency room budgets.

The Anderson Economic Group study says in 2011, about 7,000 people with cavities, abscesses, and other preventable dental problems showed up in Michigan ERs.  About 1,000 needed to be hospitalized.

When it comes to support for emergency care services, the U.S. just barely squeaked by with a passing grade, at least according to a new state-by-state report card put out by the American College of Emergency Physicians.

And how did Michigan measure up, you might ask? Well, it turns out we're failing in access to emergency health care. We heard some recommendations about ways to move forward.

Then, we met a woman who’s trying to help people come together to have some uncomfortable, but enlightening, conversations about race, class and more.

And, we spoke with Daniel Howes about Tom Lewand, Detroit’s job czar.

Also, “Saturday Night Live” just hired its first black female cast member in five years. Will this bring more attention to other black comedians?

And, a Michigan historian gave us a closer look at how Michigan milkweed helped us in World War II.

Also, the Michigan Human Society has a new way to find homes for their animals: social media.

First on the show, how do you best measure the progress of students in Michigan's classrooms and, by extension, the effectiveness of their teachers?

It's one of the thorniest challenges being debated in Michigan education.

For years, the Michigan Education Assessment Program (MEAP) and the Michigan Merit Examination (MME) have been the assessment tools. Now, with the move to the Common Core Standards, it's out with the MEAP and MME and in with the what?

Districts around Michigan are gearing up for an online adaptive assessment test in the spring of 2015.

The Michigan Department of Education says the state has only one option for testing students on the Common Core State Standards for the next three years.

And that option is the Smarter Balanced Assessment – the SBA.

But state lawmakers haven't made that official.

We wondered how districts  are preparing for the SBA or whatever test they're told to administer next year.

William Heath is the superintendent of the Morrice Area Schools and principal at Morrice Junior and Senior High School located in Shiawassee County. He joined us today.

(photo by Steve Carmody/Michigan Radio)

How are we doing as a state and as a nation, when it comes to our emergency rooms and access to emergency health care?

According to a report card recently released by the American College of Emergency Physicians, not very well. Michigan received a grade of "D" in access to emergency care.

Why are we failing in access to this life-or-death care in Michigan?

Dr. Michael Nauss is a senior emergency room physician at Henry Ford Hospital in Detroit. And he's a board member of the Michigan College of Emergency Physicians. He joined us today.

Listen to the full interview above.

User: Brother O'Mara / flickr

More Michiganders signing up for health care than expected

"About 112,000 Michigan residents chose a private insurance plan under the federal health care law through January, outpacing what was projected in a government memo last summer," the Associated Press reports.

Juvenile lifer sentencing rules head to the governor's desk

"Michigan lawmakers have given final approval to new sentencing rules after the U.S. Supreme Court struck down mandatory life imprisonment for juveniles. The bills now head to Gov. Rick Snyder for his signature. The legislation applies to future cases and not retroactively to more than 350 Michigan inmates under 18 when they committed crimes," the Associated Press reports.

Lowest amount of money spent on roads in the U.S.: Michigan

"Michigan spends less money per capita on our roads and bridges than any other state in the nation. We spent just $154 dollars per person, according to the 2010 Census," Michigan Radio reports.

CDC / CDC


It takes a lot of heavy lifting to become a physician, a nurse, a dietician or other health-care professional. Long years of coursework and clinical training leave little room to learn other important skills – the kind of skills that can make a health professional an important player in the public policy sphere and prepared to tackle some of our most urgent environmental health challenges.

That's why the Ecology Center is offering a new fellowship program that can train health professionals about effective civic engagement and environmental health risks.

Listen to the full piece above.

user striatic / Flickr

It could happen in a field near an abandoned building in Detroit. Or a now-defunct library in a small rural town.

The locations may differ, but the mission is the same: medical students reaching out to provide health care to uninsured people.

The student-run free medical clinic is an outreach effort that’s offered by most medical schools. Usually, it’s staffed by first and second year med students who are responsible for virtually every aspect of the clinic. An M.D. is on hand to write prescriptions and confirm diagnoses. But it really is these med students who are giving most of the care.

What are the pros and cons of these free student-run clinics?

Jennifer Xu is a medical student at the University of Michigan. She recently wrote a piece for The Atlantic entitled “Letting Medical Students Run The Clinic.” She joined us today to tell us more about it.

Listen to the full interview above.

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