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CBO Director May Help Determine Fate Of Health Care
Several newspapers had articles on major players in health care reform. Douglas W. Elmendorf, director of the Congressional Budget Office, has "toiled for much of his career in the anonymous bowels of the nation"s economic superstructure," the Washington Post reports. But now, some lawmakers "think he holds the fate of public policy in his hands." After delivering a "skeptical analysis of a stimulus package intended to rescue the U.S. economy" and forecasting "bigger-than-expected losses from a $700 billion bailout of the U.S. financial system, Elmendorf now "faces the toughest task of his brief tenure: attaching a price to a monumental overhaul of the nation"s health-care system." Sen. Max Baucus, D-Mont., has "publicly lectured Elmendorf, saying he has a moral duty to be "creative" and deliver the favorable budget estimates "we have to have" to win broad support." But Elmendorf says "his office will offer an objective analysis, "without regard to the political consequences."" Elmendorf told the Post that his office would provide the information, but the decision is in the hands of Congress. "CBO is not going to make or break health-care reform," he says.

Long-Distance Brain Waves Focus Attention
Just as our world buzzes with distractions - from phone calls to e-mails to tweets - the neurons in our brain are bombarded with messages. Research has shown that when we pay attention, some of these neurons begin firing in unison, like a chorus rising above the noise. Now, a study in the May 29 issue of Science reveals the likely brain center that serves as the conductor of this neural chorus.
News of the day
Experts Urge Increased Education About Diabetes During Pregnancy
The American College of Obstetricians and Gynecologists and the American Diabetes Association next month plan to launch a joint campaign designed to raise awareness about pregnancy-related risks from diabetes, USA Today reports. An increasing number of women are either beginning pregnancies with existing Type 1 or Type 2 diabetes -- known as pre-gestational diabetes -- or developing gestational diabetes, according to Sue Kirkman, vice president of clinical affairs for ADA. Kirkman said that diabetes increases the risk for miscarriage, delivery complications, maternal health problems and birth defects. However, these risks can be reduced through preconception counseling, controlling blood sugar and maintaining a healthy weight, she said. According to the Centers for Disease Control and Prevention, almost five of every 1,000 women ages 18 to 44 have diabetes. The majority of these women have Type 2 diabetes, which is linked to obesity, USA Today reports. Denise Charron-Prochownik, an associate professor of health promotion at the University of Pittsburgh Medical Center School of Nursing and Graduate School of Public Health, said that pre-conception education for women with existing diabetes should begin as early as age 13 but that "it"s not happening."Helain Landy, chair of the Department of Obstetrics and Gynecology at Georgetown University Hospital, said that gestational diabetes occurs in about 4% of pregnant women. Landy said, "From an epidemiological standpoint, that is a lot." Florence Brown, co-director of the Joslin Beth Israel Deaconess Medical Center"s Diabetes and Pregnancy Program, said that many women with gestational diabetes are unaware that they are more likely to develop cardiovascular disease later in life and have children who develop diabetes (Brophy Marcus, USA Today, 7/6).
Endocrinology

Recent Studies And Surveys

Georgetown Policy Report: Long-Term Care in Health Care Reform: Policy Options to Improve Both - Policy - Long-term care reform belongs in health care reform -- "The well-being and financial security of families depend not only on access to affordable medical services, but also on access to affordable, reliable long-term care - the daily assistance and supports that many individuals need because of serious medical conditions or disabilities." This policy brief presents four policy options that merit serious consideration in the current health care reform discussion. ... The first two options would improve long-term care for people with low incomes and limited financial res. These options would modernize Medicaid in important ways, tailoring services better to individual needs and using res more effectively. The third and fourth options aim to strengthen long-term care protections for the broader population; one with better coordination of medical and long-term care for Medicare enrollees; the other by establishing insurance protection for people of all ages and incomes" (Komisar, Tumlinson, Feder, Burke, 7/16). (Note: KHN"s coverage of aging and long term care issues is supported by a grant from The SCAN Foundation.) Health Affairs: Effects Of Childhood Obesity On Hospital Care And Costs, 1999-2005 -- "Childhood obesity is increasingly recognized as an epidemic, but the economic consequences have not been well quantified," write the authors of a Health Affairs study that examines "trends in obesity-associated hospitalizations, charges, and costs using 1999-2005 data from a nationally representative sample of admissions to U.S. hospitals." The authors report "a near-doubling in hospitalizations with a diagnosis of obesity between 1999 and 2005 and an increase in costs from $125.9 million to 237.6 million (in 2005 dollars) between 2001 and 2005." The study revealed that while Medicaid bears "a large burden of hospitalizations for conditions that occur along with obesity," "private payers pay a greater portion of hospitalization costs to treat obesity itself" (Trasande, Liu, Fryer and Weitzman, 7/9). Commonwealth Fund: How Health Care Reform Can Lower the Costs of Insurance Administration -- The U.S. could save "as much as $265 billion in administrative costs from 2010 to 2020" by "including both private and public insurance choices in a new insurance exchange," according to Commonwealth Fund description of the report. "A Commonwealth Fund analysis of three paths to reform found that an approach that includes a public plan in the exchange that would pay providers at Medicare rates would save about $265 billion in administrative costs over 2010-2020" compared to "an insurance exchange that provided a choice of private plans," resulting in an "increase in administrative costs by $32 billion over the same period" (Collins, Nuzum, Rustgi, Mika, Schoen and Davis, 7/16). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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