Last month, the U.S. Department of Health and Human Services notified clinics that it would begin enforcing a ban on abortion referrals “immediately.” The announcement, directed at facilities that receive Title X funds, was quickly followed by one from Planned Parenthood of Illinois, saying it will turn down Title X funds going forward. “Our doors are open,” said Julie Lynn, the organization’s external affairs manager, at a news conference, “and we’re here for our patients.”
The move was followed up the same week by a statement from Gov. Pritzker that the state would step in to fund most of those clinics itself. Continue reading “Illinois Says No to Title X Funds, Yes to Fixing Medicaid”
Last month, our communities, large and small, held parades for the 4th of July. It was good to be in that old-fashioned summertime world, kids waving flags and dripping ice cream, and veterans who are now seniors marching proudly with their VFW post. Although, actually, there are fewer of those older vets now – and you don’t see so many younger ones marching.
We have about 20 million veterans in the United States. Since September 11, 2001, some four million service members have deployed to Iraq and Afghanistan and on other missions. About 300,000 vets from recent conflicts are among the Veterans of Foreign Wars’ 1.6 million members, but Vietnam-era veterans make up the largest percentage. Continue reading “Are Younger Vets Bowling Alone?”
It’s summer at last. Time to read a good book, and catch up on some podcasts. Here’s one we like – it’s about the cost of healthcare. How much does healthcare cost in the U.S.? An Arm and a Leg, started in November by former WBEZ reporter Dan Weissmann, explores that. “Entertaining, empowering, and even useful” – rather than political – it’s about “the way that healthcare runs our lives.”
“The minute I started telling people I was thinking of doing this show,” Dan says in the first episode, “everyone had a story of their own.” They can be pretty riveting. Continue reading “Beach Reads, Pods, and Healthcare Costs”
Most female veterans don’t get their health care at the VA. As many as 72%, in fact. Among the many reasons: the VA does not have all the services for women; it doesn’t treat their whole family; it can be uncomfortable to get care in a male-dominated environment; they are tired of VA staff assuming they’re a spouse rather than a service member; it isn’t always conveniently located. The list goes on.
But as the VA’s own data shows, female veterans are more likely to experience military sexual trauma, domestic violence, wage disparity or discrimination, PTSD, substance use disorders, and homelessness than their male counterparts. So having care that is informed by their military status can be crucial.
What can health care systems do to better serve women vets? They can start by identifying them. Continue reading “How To Improve Healthcare for Women Vets? First, You Have to Ask”
Our new online Continuing Education Center is open, and the first course is live. It’s our exciting new interactive Warrior Stories training.
Online training is not just another thing we’re doing – it’s fundamental. We have always tried to hold a number of trainings every year – to share what we know, and empower others. But we’re a small shop. Maybe so are you. And even in our largest military establishments, or in a major medical center, the number of people in a specific area, and the resources available vs. the work to be done, can be dauntingly not enough. Continue reading “Pack Your Bags. No, Wait, It’s Online Now!”
It’s hard to believe, but true – the omnibus Medicaid reform bill headed to Gov. Pritzker was passed without a single dissenting vote in either of Illinois’ famously disputatious legislative chambers.
It might be because the need for change was so unambiguously clear: the difficulty people had enrolling and in the program, the vast backlog of applications, the likelihood of losing your coverage in the course of the renewal – or “redetermination” – process, and growing frequency of claims denials. It also represents many months of negotiation and compromise by all parties. Continue reading “A Medicaid Reform that Passed Unanimously”
On April 11, the Freedom from Aggressive Insurance Increases Review Act passed the Illinois House on a bipartisan 73-41 vote. The bill ( HB 471 ), known as the FAIIR Act, would give the Department of Insurance the authority to approve or deny unreasonable health insurance rates. This kind of meaningful rate review is practiced in 37 states and has been shown to curb outrageous rate hikes.
In terms of health insurance, Illinois is what is known as a “file and use” state, which means that insurance companies must file their intended premium rates, which then go into effect without having to be approved by the Department of Insurance. In “prior approval” states, the insurance commissioner can approve, reject, or reduce rates, often actively negotiating with the insurer. Continue reading “Rate Review – What a Difference!”
A person who has been sexually assaulted often finds the experience difficult to talk about, for many reasons. There are feelings of shame and self-blame associated with the assault. But studies suggest that not talking may be ok as long as the traumatic memories are addressed through nonverbal treatment.
Art therapy is a way to tap into such memories, as they may be better accessed by sensory means. It is often combined with narrative therapy, which allows someone to express their story and see the problems in it as separate from themselves, making them easier to work through.
The Defense Department-sponsored Warrior Stories app was designed for processing combat trauma. Continue reading “Art + Narrative Therapy for PTSD – There’s An App for That!”
Gov. Pritzker’s budget proposal delivered last month calls for new taxes on cigarettes and insurance companies to fund Medicaid. Here is some context on where it came from and the challenges it faces.
The Department of Healthcare and Family Services operating budget of $25.1 billion is about $900 million more than for the current year. The vast majority of it is earmarked for Medicaid. The program, which covers 1 in 4 Illinois residents, accounts for close to a third of total state spending. Continue reading “Rules May Complicate Pritzker Plan to Tax MCOs”
Sen. Martha McSally of Arizona captured the attention of Congress, and of the nation, last week when she revealed in a hearing that she had been raped by a superior officer while serving in the Air Force. It was a top story from NPR to Fox News.
“Like you, I am also a military sexual assault survivor,” she told the witnesses at a hearing of Senate Armed Services subcommittee on personnel, of which she is a member, on March 6th. She did not report the incidents, she testified, because she was ashamed and confused, and in later attempts to talk to Air Force officials about them felt “like the system was raping me all over again.” Continue reading “Bringing MST home, to Congress”