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Safety-Net Emergency Departments: A Look at Current Experiences and Challenges

Safety-net hospital emergency departments (EDs) are an important part of our health care system, especially, but not only, for the uninsured and others with low income. With multiple major changes unfolding in our system today, including the development of new models of health care delivery, payment reforms, expanded insurance coverage, and increasing demand for primary care access, safety-net EDs are a sort of crucible in which these shifts and transitions can be seen playing out. To understand more about their current experiences and challenges as the Affordable Care Act (ACA) begins to takes hold, we conducted interviews with ED directors in a convenience sample of 15 safety-net hospitals around the country in June and July 2014.

Key Facts: Women and HIV/AIDS

Women comprise a growing share of new cases of AIDS in the United States. In 1986, women only represented 7% of new cases of AIDS. By 1999 that share had risen to nearly one quarter. Not only do women represent an increasing share of persons with AIDS, today they represent…

Low-Income and Uninsured: The Challenge for Extending Coverage

Diane Rowland, executive director of the Commission, testified to the Senate Committee on Finance about the low-income uninsured. The testimony provides a comprehensive description and analysis of the population and discusses the challenges of providing them health coverage. Please note: the video is no longer available.  If you have an urgent…

Women and HIV/AIDS in the United States: Setting an Agenda for the Future

Women represent almost one in three new HIV infections in the U.S. and the share of women among reported AIDS cases has more than tripled since 1986 from 7% to 26% of reported cases in 2001. Women of color, particularly African American women, have been hard hit, accounting for the…

Portraits of Women on Medicare: The Women of Friendship Terrace

This video features five older women who reside in an assisted living community in Washington, DC, as they share their experiences in the Medicare program and offer their insights on ways the program could be improved to better meet the health care needs of seniors. Please note: the video is…

The Role of Health Coverage for People with Disabilities

People with disabilities are at risk in the health-care system because of their wide-ranging health-care needs, their relatively heavy use of prescription drugs, health-care and support services, and typically low incomes. A new survey of people with permanent mental and/or physical disabilities explores their health-care experiences and challenges in accessing…

Medicare Spending Cuts and Hospital Productivity Gains

In this column for The Wall Street Journal’s Think Tank, Drew Altman and guest co-author Dana Goldman examine hospital productivity gains, and what they may mean for hospitals’ ability to absorb spending reductions.

Medicare Spending Cuts and Hospital Productivity Gains

In his latest column for The Wall Street Journal’s Think Tank, Drew Altman and guest co-author Dana Goldman examine hospital productivity gains, and what they may mean for hospitals’ ability to absorb spending reductions. All previous columns by Drew Altman are available online.

The Implications of a Loss in Public Health Coverage

A new Health Affairs article and a policy brief examine the implications of cuts to public coverage programs like Medicaid and SCHIP. The Health Affairs article finds that Medicaid and SCHIP cuts would increase emergency department visits by the uninsured, suggesting that cost containment actions on public coverage programs would…