Vulnerable Populations: Commentary

Safeguards Needed in Medicaid Work Requirements

May. 10, 2018

In a push to encourage “personal responsibility,” the Centers for Medicare and Medicaid Services (CMS) has approved work requirements as a condition for receiving Medicaid benefits in four states - Kentucky, Indiana, Arkansas, and most recently New Hampshire, with applications from other states pending.

Koh Promotes Partnerships at Penn 2018 Health Equity Symposium

Feb. 5, 2018

At Penn’s fourth annual Martin Luther King, Jr., Health Equity Symposium, keynote speaker Howard Koh, MD, MPH, former Assistant Secretary for Health for the U.S. Department of Health and Human Services (HHS), shared a motivating quote by Dr. King: “Life’s most persistent and urgent question is, ‘What are you doing for others?’”

Training social work students to recognize later-life depression: Is standardized patient simulation effective?

Jul. 5, 2017

Zvi D. Gellis and Eunhae Grace Kim

In Gerontology & Geriatrics Education, Zvi Gellis and Eunhae Grace Kim assess the affect of an educational intervention on social work students' understanding of later-life depression. The authors note that, although social workers are the largest provider of mental health services in the nation, they receive little coursework or clinical training in late-life depression unless they are in a gerontology specialization. The authors developed and completed a Standardized Patient Simulation course with 104 students, and assessed whether the simulation improved student knowledge...

Will Decision Aids Save Money?

Jun. 28, 2017

Where you end up may depend on where you start. That’s the perspective taken by LDI Senior Fellow Said Ibrahim in the New England Journal of Medicine, as he discusses how shared decision-making tools and increased patient knowledge affect treatment choice. Specifically, Ibrahim looks at elective joint replacement, and examines how increased use of decision aids affects the choice to pursue either conservative management or total joint replacement.

Economic evaluation of a behavioral intervention versus brief advice for substance use treatment in pregnant women: results from a randomized controlled trial

Jun. 22, 2017

Xiao Xu, Kimberly A. Yonkers, and Jennifer Prah Ruger

In BMC Pregnancy and Childbirth, Xiao Xu and colleagues, including Jennifer Ruger, assess the economic impact of motivational enhancement therapy and cognitive behavioral therapy (MET-CBT) among substance-using pregnant women. The study was performed alongside a clinical trial that compared the intervention to brief advice about the risks of substance use and found no significant differences in the outcomes such as drug and alcohol use. As such, the authors conducted a cost minimization analysis, from the perspective of the health system. They found that, while the intervention...

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