Welfare Reform: The US Experience The reform of the cash-based welfare program for single mothers in the US which occurred in the 1990s was the most important since its inception in 1935. The reforms imposed credible and enforceable work requirements into the program for the first time, as well as establishing time limits on lifetime receipt. Research on the effects of the reform have shown it ...

The challenges imposed by healthcare reform are having an effect on the respiratory care landscape similar to the effect the tsunami had on the landscape of Japan; long established standards of care and traditional care delivery services cannot survive in such a financially challenging environment and are rapidly being assessed and modified to accommodate our new understanding of quality and ef...

Recent healthcare reform has focused on reducing excessive waste in the US healthcare system, with duplicate testing being one of the main culprits. We explore the factors associated with duplication of radiology tests when information sharing across healthcare providers is fragmented, and patients switch from one hospital to another. We hypothesize that patients’ switching behavior across hosp...

ealthcare in the US is in the midst of dramatic reform driven by unsustainable healthcare costs. To maintain the traditional missions of clinical care, research, and education, academic pediatric departments must plan for change. Yet, planning is difficult because along with declining clinical revenue there is an increasing burden of chronic disease, a changing workforce, and decreasing Federal...

The Catholic Health Association (CHA) Leadership Task Force on National Health Policy Reform has offered a proposal that, if enacted by Congress, would result in profound changes in the way providers deliver healthcare in the United States. The proposal would result in fewer acute healthcare facilities, challenge some acute care facilities to provide additional services and require each Catholi...

a s health systems prepare for healthcare reform, they are focusing significant resources on developing accountable care organizations and medical homes and on preparing for bundled payments and population-based reimbursement. However, current economic trends combined with an analysis of the impact of key healthcare reform initiatives will require health systems to take significant cost out of ...

We surveyed directors of medical technology (MT) and postdoctoral clinical chemistry (CC) training programs and of clinical pathology (CP) and combined anatomic/clinical pathology (AP/CP) residency programs regarding the number, quality, training emphasis, and job-placement experience of trainees for 1985-95 as well as the directors' opinions on the impact of "healthcare reform." Responses were...

The escalating costs of inpatient care have resulted in the increased utilization of outpatient facilities and home care. As the sites of care proliferate, the system of healthcare delivery must be integrated so that healthcare provision is both cost-effective and safe.

Hospitals constitute one of the core anchors of the U.S. healthcare value chain. Nearly half of the $2.7 trillion spent on healthcare are spent in or around the hospital in inpatient and outpatient settings, and for ancillary services associated with hospital services. One of the showcase elements of the Affordable Care Act (ACA) is the concept of the accountable care organization (ACO), and ho...