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St. Michael's Hospital Health team offers prescription for poverty

Catherine Porter

May 23, 2015 |

Toronto Star |

Text |

800-1500 Words

Response Location: Canada, Toronto, Ontario

Poverty increases the risk of illness due to insecure housing, unstable employment, poor education, etc. A hospital program in Toronto addresses these social determinants for health by prescribing patients to apply for government subsidies and gives them the legal aid to do so.

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At Cedars-Sinai, technology spurs improved, lower cost care

Rebecca Plevin

May 13, 2015 |

Southern California Public Radio (KPCC) |

Text |

Under 800 Words

Response Location: United States, Los Angeles, California

One challenge of the United States’ health care system involves keeping costs down while simultaneously improving the level of quality care. Cedars-Sinai Health System in Los Angeles has adopted electronic medical records in accordance with the Choosing Wisely campaign, which offers guidelines on different tests and treatments to reduce wasteful or harmful ones for patients. The electronic medical records have helped doctors by alerting which prescriptions to avoid, and have overall reduced health care costs by $4 million.

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Overkill

Atul Gawande

May 11, 2015 |

The New Yorker |

Text |

Over 3000 Words

Response Location: United States, McAllen, Texas

An investigation reveals a startling percentage of medical procedures provided in the United States are unnecessary or inappropriate - harming patients physically as well as financially. This "profit-maximizing medical culture" can be countered by incentivizing health care facilities to eliminate needless procedures, federal crackdowns, and increasing access to information for patients.

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How One Hospital Brought Its C-Section Rate Down In A Hurry

Anna Gorman

May 10, 2015 |

KQED |

Text |

800-1500 Words

Response Location: United States, Newport Beach, California

Hoag Memorial Hospital Presbyterian, under pressure from the insurance network to lower maternity costs, used a number of tools to lower the rate of cesarean sections done. The changes not only helped drastically reduce costs, but created a better, safer birth outcomes for patients.

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Showing doctors the way to lower cost, improved care

Rebecca Plevin

May 06, 2015 |

Southern California Public Radio (KPCC) |

Text |

800-1500 Words

Response Location: United States, Sacramento, California

The United States health care system is expensive and enables doctors to prescribe costly brand name medication instead of generic versions. Sutter Health assembles its doctors a few times a week to review with electronic records the prescribing of brand name drugs and the necessity of procedures as an effort to reduce health care costs and to reduce unnecessary tests. In two years, the initiative has saved $30 million.

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Why Not Start Addiction Treatment Right In The ER?

Scott Hensley

April 29, 2015 |

NPR |

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Under 800 Words

Response Location: United States, New Haven, Connecticut

For those addicted to opioids, getting treatment can take a long time because not all emergency rooms offer buprenorphine and counseling interventions. Yale-New Haven Hospital has shown that if patients receive buprenorphine at their initial emergency room evaluation, then the immediate action improves the person’s chances in receiving addiction treatment.

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Company Thinks It Has Answer for Lower Health Costs: Customer Service

Margot Sanger-Katz

March 27, 2015 |

The New York Times |

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Over 3000 Words

Response Location: United States, Seattle, Washington

The health care system in the United States is not only expensive, but also its social inequities and infrastructure fail to aid patients’ individual needs. Iora Primary Care in Seattle offers a monthly stipend for physicians as well as a financial bonus for how much money is saved on avoiding expensive care. Iora’s model of care also prides itself on health coaches, who offer support for dietary needs and day to day living necessities.

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How Do We Know What Really Works in Healthcare?

Stephen J. Dubner

February 04, 2015 |

Freakonomics |

Podcast |

Over 15 Minutes

Response Location: United States, Boston, Massachusetts

Studying the outcomes of public health delivery can lack a scientific methodology. MIT economists have applied the methodology of randomized controlled trial (RCT) to study the effect of the Medicaid expansion plan in Oregon. These researchers look into how the new healthcare coverage affects clinical outcomes, emergency-room use, and employment.

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When Poverty Makes You Sick, a Lawyer Can Be the Cure

Tina Rosenberg

July 17, 2014 |

The New York Times |

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1500-3000 Words

Response Location: United States, Cincinnati, Ohio

Being poor can make you sick because of where you work, live and eat. Medical-legal partnerships, in hospitals U.S. cities, are attacking these social determinants through legal aid to the poor, often class-action lawsuits.

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The Power to Cure, Multiplied

David Bornstein

June 11, 2014 |

The New York Times |

Text |

1500-3000 Words

Response Location: United States, New Mexico

Project ECHO - driven by a single doctor with a cause - pulled together a team of specialists to develop a model that combines technology with collaborative care and careful patient tracking to help cure for diseases spread to patients around the world through community healthcare agents, as opposed to only specialty centers. This kind of "disruptive innovation" is effectively working to demonopolize health care knowledge and access, and lends to a health system capable of meeting today’s soaring demands for care.

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