Commercial customers are demanding discounts on medical care for providing hospitals with a large volume of business. State hospitals respond that this discriminates against other, individual customers who don't have this same bargaining leverage.
Health maintenance organizations are forcing many Triangle area hospitals to cut costs through such approaches as shorter patient stays and job reductions. For patients, loss of registered nurses and other care givers could be critical.
Managed care's emphasis on cost reduction will affect the way hospitals and doctor's offices use nurses, placing them as team managers, supervisors, and planners in providing most of the patient's basic care.
Health disparities for many diseases are large and longstanding in North Carolina and the nation. This study examined medical care costs for diabetes associated with health disparities among adults enrolled in Medicaid in North Carolina during state fiscal year 2007-2008. The impacts of racial and economic health disparities on medical care costs were also compared.
Children with serious and complicated medical conditions often require intensive medical treatment and have very high medical care costs. This study examined the total number of children in North Carolina of pre-school age who are medically fragile and profiled their medical care costs.
Obesity is recognized as a serious public health epidemic and a significant underlying cause of morbidity and mortality. This study examined medical care expenditure and utilization patterns in a sample of adolescents in North Carolina enrolled in Medicaid. Results show negative health consequences of overweight as early as adolescence.