Currently Viewing:
ACC 2017
Marijuana Use Linked to High Risk of Heart Failure, Stroke
March 09, 2017
Ceramides Can Predict Who Will Develop Heart Disease, Study Finds
March 10, 2017
Erectile Dysfunction Drugs Are Safe After Heart Attacks
March 11, 2017
When High Blood Pressure Means Lower Death Risk, but More Hospitalization
March 13, 2017
Repatha Found to Cut CV Death, Heart Attack, Stroke 25% After a Year
March 17, 2017
Bringing MACRA to Cardiologists, Ready or Not
March 17, 2017
Low-Dose Xarelto Beats Aspirin for Long-Term Prevention of Life-Threatening Blood Clots
March 18, 2017
Dr Robert P. Giugliano on the Results of the EBBINGHAUS Evolocumab Cognitive Study
March 18, 2017
Data Show It's Hard to Fill PCSK9 Prescriptions, Confirming Cardiologists' Complaints
March 19, 2017
Can SGLT2 Inhibitors Prevent Heart Failure in a Broad Population?
March 19, 2017
Dr Rob Nolan Discusses Findings From REACH Hypertension eCounseling Trial
March 19, 2017
Dr William Borden: Advice for Cardiologists on Adjusting to MACRA
March 19, 2017
Dr Janet Wright Outlines Goals and Roadblocks of Million Hearts Initiative
March 20, 2017
Currently Reading
Charting the Path to Health Equity: Steps for Providers
March 20, 2017
Dr Seth J. Baum on the Patient's Role in Getting PCSK9 Inhibitors Approved by Payers
March 20, 2017
Dr Robert P. Giugliano Discusses the Significance of the FOURIER and EBBINGHAUS Trials
April 06, 2017
Dr Janet Wright Discusses How Million Hearts Will Leverage Partnerships for Success
April 06, 2017
Dr Seth J. Baum Discusses Payers' Reluctance to Approve Coverage of PCSK9 Inhibitors
April 07, 2017
Dr Rob Nolan on the Future Directions of eCounseling Research
April 14, 2017
Dr Janet Wright on Cardiologists' Role in Public Health and Prevention Efforts
April 15, 2017
Dr William Borden Discusses MACRA Requirements From a Cardiologist's Perspective
May 08, 2017
Dr Seth J. Baum on the Patient's Role in Getting PCSK9 Inhibitors Approved by Payers
May 10, 2017
Dr Rob Nolan Explains Behavioral Principles Behind eCounseling Hypertension Program
May 15, 2017
Dr Rob Nolan Discusses Behavioral Foundations of eCounseling Programs
June 10, 2017

Charting the Path to Health Equity: Steps for Providers

Mary Caffrey
Heart disease is America’s top killer, and people living in poverty are affected at higher rates. With that in mind, the American College of Cardiology devoted devoted a 3-part intensive to this issue at the 66th Scientific Session.
All medicine is not delivered equally, and this unfortunate truth finds its way into data on health disparities. The Affordable Care Act (ACA), through its focus on better quality care and accountable care organizations (ACOs), sought to create both financial rewards and punishments for providers with a focus on population health—the idea of measuring the care of everyone covered by the health system.
This call for quality for all—first described in the 2001 Institute of Medicine report, Crossing the Quality Chasm—asks health systems to pay attention to those things like diet, poverty, and job status that keep people from getting care or make chronic disease worse, called “social determinants of health.”
Heart disease is America’s top killer, and people living in poverty are affected at higher rates, according to the CDC. With that in mind, at its 66th Scientific Session the American College of Cardiology devoted a 3-part intensive, “Health Equity’s Long Journey: Are We There Yet?” to this issue. The final portion covered how providers and health systems can take action to promote health equity in their own communities.
Act Locally to Create Chan
Tulane University Professor of Medicine Keith C. Ferdinand, MD, led off the session with a video of a 33-year-old New Orleans jazz musician, whose initial complaint of stomach pain—and a diagnosis of gallstones—escalated into surgery and a host of complications, including congestive heart failure that cost more than $500,00 to treat. Delays in getting the young man enrolled in ACA did not help.
For Ferdinand, the young man’s case was the type that would typically cost hospitals like his to run in the red, but Medicaid expansion is allowing for more preventive care and bringing more stability to the institutions that serve the poor. Ferdinand expressed frustration that Louisiana’s former governor, Bobby Jindal, declined Medicaid expansion. After a late start under Governor John Bel Edwards, more than 378,000 people have enrolled in Medicaid expansion in Louisiana, already exceeding first-year estimates.
But Medicaid expansion—and indeed, the look of Medicaid itself—faces uncertainty as Congress debates replacing the ACA with the American Health Care Act, which calls for converting Medicaid to a per capita grant program, something that worries cardiologist Robert Califf, MD, the recently departed FDA commissioner who has returned to Duke University. “There’s no magic bullet,” to solving the problems of healthcare disparities, and just as the causes are many, the solutions must be, too.

Copyright AJMC 2006-2020 Clinical Care Targeted Communications Group, LLC. All Rights Reserved.
Welcome the the new and improved, the premier managed market network. Tell us about yourself so that we can serve you better.
Sign Up