The Affordable Care Act helps to address health disparities by making prevention more affordable and accessible, requiring many health insurance plans to cover recommended prevention and wellness benefits with no cost-sharing (such as a co-payment or deductible). 16 The services that many insurers are now required to cover with no cost-sharing in
Compared with other Americans, African Americans are less likely to receive preventive care and more likely to have chronic diseases such as diabetes and certain cancers. 12,13 Heart disease and stroke account for the largest proportion of disparities in life expectancy between African Americans and non-Latino Whites, despite the existence of p
The National Survey of Residential Care Facilities (NSRCF) is a first-ever national data collection effort to gather information about the characteristics of residential care facilities, including assisted living residences, board and care homes, congregate care, enriched housing programs, homes for the aged, personal care homes, and shared housin
The National Survey of Residential Care Facilities (NSRCF) was made possible through the hard work and dedication of a number of key people both within and outside the National Center for Health Statistics (NCHS). Our federal partners in this NSRCF initiative include: Office of the Assistant Secretary for Planning and Evaluation (ASPE); Agency for
Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009. C. LTSS System Performance Indicators by System Type (Aged, ID/DD, Non-ID/DD)
As found in the 2006 analysis, HCBS use and expenditures were greater among younger enrollees with disabilities than among enrollees age 65 or older. HCBS accounted for an average of 30 percent of LTSS spending among all enrollees age 65 and older, compared with 59 percent for those under 65. Breaking down these age groups, the percentage of total
Interstate Variation and Progress Toward Balance in Use of and Expenditure for Long-Term Services and Supports in 2009. 2. What Do We Know About the Progress in LTSS System Transformation?
As noted earlier, LTSS systems have increasingly emphasized and relied on HCBS (Doty 2010; KFF 2012). However, studies have shown substantial interstate and intrastate variations in this progress. Some states -- for example, Alaska, New Mexico, Oregon, and Washington -- have been identified as making these transitions successfully, whereas others
The availability of high-quality diabetes care services is crucial to support persons with diabetes in their efforts to manage the disease and prevent complications. Agencies within HHS support a variety of programs intended to measure and inform the quality of diabetes care in the United States.
Various agencies within the U.S. Department of Health and Human Services (HHS) have developed health communication campaigns to raise awareness of diabetes and educate patients, providers, employers, and school personnel about how to prevent or delay complications from diabetes.
Diabetes: A National Plan for Action. Medicare Modernization Act of 2003 Improvements for Individuals with Diabetes
The new law enhances diabetes coverage for beneficiaries by adding several improvements.
|AADE||American Association of Diabetes Educators|
|ACOG||American College of Gynecologists and Obstetricians|
|ADA||American Diabetes Association|
|AHRQ||Agency for Healthcare Research and Quality|
|AoA||Administration on Aging|
|ASPE||Assistant Secretary for Planning and Evaluation|
|BPHC||Bureau of Primary Health Care, HRSA|
|CDC||Centers for Disease Control and Prevention|
Americans at risk for type 2 diabetes (please see Appendix D—Are You At Risk For Diabetes?) can take important steps to prevent or delay the disease by losing a small amount of weight by eating a reduced fat, low-calorie diet and increasing their physical activity. The goal is to eat fewer calories and increase physical activity to lose a small
The causes of type 1 diabetes are under investigation, and researchers are working to learn how to prevent the disease. While the causes of type 2 diabetes are not well understood, recent research has demonstrated that it often can be prevented or delayed through lifestyle changes in at risk persons. 42 This section focuses on the prevention of t
Diabetes is approaching epidemic proportions in the United States. More than 18 million Americans today have diabetes. Approximately 41 million Americans have pre-diabetes, 8 which means they are at high risk for developing type 2 diabetes. 9 For people with diabetes, blood glucose (sugar) levels are elevated either because the body cannot make
Currently, more than 18 million Americans have diabetes and projections show that the number of persons with the disease will continue to grow without public health intervention. 1 Diabetes consists of a group of diseases in which the body is unable to produce insulin (type 1 diabetes) or makes too little insulin and resists its action (type 2 di
Performance Improvement 2013-2014. Do Grantees Implement the Chronic Disease Self-Management Program With Fidelity and Provide a High Quality, Sustainable Program For Older Americans?
The Chronic Disease Self Management Program (CDSMP) teaches consumers skills to manage their conditions and build self-confidence so they can be successful in adopting healthy behaviors, improving communications with their physician, and enhancing their quality of life. The evaluation provided information about characteristics of State grantees, C
Performance Improvement 2013-2014. What Evaluation Method can be Designed to Examine the Effectiveness of the Stanford University Chronic Disease Self-Management Program for Improving Participant Health Status?
The Stanford University Chronic Disease Self-Management Program (CDSMP), an evidence-based disease prevention model, helps people with chronic diseases better self-manage their conditions, improve their health status, and reduce their need for more costly medical care. The evaluation sought to develop a research design that estimates the effect of
Performance Improvement 2011-2012. What Is The Status Of Health Disparities, and What Community Based Interventions Are Effective In Eliminating Health Disparities In Minority Communities?
Racial and Ethnic Approaches to Community Health (REACH US) is a community-based multilevel program that approaches the elimination of racial and ethnic health disparities. REACH U.S. Risk Factor Survey is a program evaluation done through an annual survey in 28 minority communities. Within each community, a total of 900 residents are surveyed ea
Performance Improvement 2011-2012. What are Proximal Performance Indicators for the National Diabetes Prevention and Control Program Efforts Towards Achieving the Diabetes National Goals?
CDC, through its Proximal Indicators Project, developed a set of rated and ranked indicators for planning implementation strategies and measuring the impact of Diabetes Prevention and Control Program's (DPCP) core interventions. Proximal indicators are the short and intermediate-term indicators that map to the outcomes articulated on the Program