Brad Spellberg's research interests are diverse, ranging from basic immunology and vaccinology, to pure clinical and outcomes research, to process improvement work related to delivery of care, focusing
on safety net hospitals.
Not exact matches
According to the legislation,
safety -
net hospitals would be defined as those where at least half of patients are
on Medicaid or uninsured, 40 percent of inpatient discharges are covered by Medicaid and no more than 25 percent of patients are commercially insured.
Gov. Andrew Cuomo once again
on Tuesday raised the possibility of a special session of the Legislature over cuts to
safety net hospitals in New York, costing the state $ 2.6 billion once fully in effect.
But it paves the way for an all - out lobbying effort from activists and labor unions such as DC - 37 and the New York State Nurses Association, which argue that the current definition of
safety net is overly broad and that dozens of
hospitals, which serve the state's poorest residents, are unable to survive
on the current Medicaid rates.
While there's no dollar figure yet attached, lawmakers passed an «enhanced
safety net hospital» measure that directs more state money to
hospitals where at least half the patients are
on Medicaid or are uninsured.
The bill, which passed unanimously in both chambers last June, would have narrowed the definition of a
safety net to include: a public
hospital, with the exception of SUNY; a federally designated critical access or sole community
hospital; or a
hospital that has at least 50 percent of its patients uninsured or
on Medicaid, 40 percent of its inpatient population covered by Medicaid, not more than 25 percent of its discharges using commercial insurance, and at least 3 percent of its patients uninsured.
These cuts will decimate New York's
hospitals and fall hardest
on its public and
safety net hospitals that are already strained and serve the neediest patient populations.
The largest urban health systems, which serve as
safety nets for large patient populations with lower socioeconomic status and greater likelihood to speak English as a second language, do worse
on government patient satisfaction scores than smaller, non-urban
hospitals likely to serve white customers with higher education levels, according to a new study by Mount Sinai researchers published this month in the Journal of
Hospital Medicine.
«
On the one hand, financially weak and
safety -
net hospitals continue to keep their doors open.
In order to serve all the women currently obtaining contraceptive services at Planned Parenthood health centers nationwide, other types of
safety -
net family planning providers would have to increase their client caseloads by 47 %,
on average.2 Federally qualified health center (FQHC) sites offering contraceptive care,
hospital sites and others would have to increase their capacity by more than half (see chart 1).2 Sites operated by public health departments nationwide would have to increase their contraceptive client caseloads by a lesser proportion.
There are also concerns that proposed changes to mainstream programs such as increased co-payments and
safety net threshold in health, reduced Commonwealth funding for public
hospitals, increased costs for higher education, and changes to the collection of census data will have a disproportionate impact
on Indigenous Australians.