LaToya Thomas Nova Southeastern University. Health Information Exchange System. Overview:. Current tends in healthcare Rising costs Chronic illness Health care reform Medicaid expansion.
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“1/2 of the 32 million Americans expected to gain insurance by 2019 will be covered under state administered Medicaid programs”
(Summers & Epstein,2011)
“To make expansion of health insurance coverage truly meaningful, all individuals must have access to care that is timely, convenient and available in the community”
The transportation brokerage service will:
Creating company- managed transportation (Purchasing a fleet of handicapped accessible vehicles, hiring new employees $15,000 x 250 vehicles= $375,000)
Costly and potentially ineffective.
John Katter's Eight Step Change Model
Farber, N. & Rall, J. (2010). Human service transportation coordination state profile: Florida. Federal Transit Administration and the U.S. Department of Labor. Retrieved: http://www.ncsl.org/documents/transportation/FL-HSTCprofile.pdf
Kim, J., Norton, E., & Stearns, S. (2009). Transportation brokerage services and medical beneficiaries’ access to care. Health Services Research, 44(1), 145-161.
Roby, D., Kominski, G., & Pourat, N. (2008). Assessing the barriers to engaging challenging populations in disease management programs: the Medicaid experience. Disease Management & Health Outcomes, 16(6), 421-428.
Summers, B., & Epstein, A. (2010). Medicaid expansion - the soft underbelly of health care reform?. New England Journal Of Medicine, 363(22), 2085-2087.