How to Persuade the Young and the Healthy to Sign Up for Health Insurance


This post is by Samyukta Mullangi from HBR.org


Click here to view on the original site: Original Post




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One of the big challenges in both expanding the number of Americans with health care coverage and keeping premiums affordable for people with chronic or serious illnesses has been persuading young and healthy adults to obtain policies. Critics argue that the new U.S. tax law has made this task even harder with its elimination of the individual mandate for health insurance, a part of the Affordable Care Act that requires individuals to buy insurance or risk having to pay a tax penalty. But the effect of the mandate on coverage was never particularly impressive.

In 2014 only 28% of exchange members were between 18 and 34 years of age. That percentage stayed level into 2016, and with a shorter enrollment period in 2017, this year’s percentage may be lower. These numbers are well below the 40% enrollment rate that actuaries estimated was needed to allow for stable premiums.

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How Health Care Providers Can Ensure Patients’ End-of-Life Wishes Are Known


This post is by Samyukta Mullangi from HBR.org


Click here to view on the original site: Original Post




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Mr. M, an elderly man with chronic lung disease, was found on the floor of his kitchen by a neighbor, who spotted his prone body through an open window. Emergency medical personnel noted that he had a weak pulse and low oxygen level. Labs and imaging in the emergency department suggested that he was in respiratory failure from pneumonia, and he was quickly started on IV antibiotics and fluid support. However, his breathing grew more tenuous during his stay in the emergency department. The physician attending to him did not have access to the details of Mr. M’s medical history or end-of life-wishes, since his hospital and primary care physician had different electronic medical record (EMR) systems. Mr. M later experienced cardiopulmonary arrest in the emergency department, requiring a full resuscitation, intubation, and transfer to the intensive care unit.

No one present, not even Mr. M’s daughter, was

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