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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003. It was one thing to ask drivers to buy car insurance.

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Medicaid expansion is in the eye of the beholder

The Health Policy Exchange

Medicaid Expansion map courtesy of Avalere Health via The Washington Pos t Wonkblog 5/5/13 In last month's Georgetown University Health Policy seminar, we discussed the complex role of the Medicaid state-federal partnership (which currently provides health insurance to 1 in every 5 Americans ) in improving access to care and health outcomes.

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Caring for the underserved: The National Health Service Corps

The Health Policy Exchange

In this month's Georgetown University Health Policy Seminar, we critically evaluated the accomplishments and limitations of the NHSC in improving access to care for the medically underserved.

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Forecasting and adapting to the family medicine workforce shortage

The Health Policy Exchange

is actually experiencing a physician shortage that will worsen with population growth, the aging of the baby boomer generation, and an influx of newly insured from the Affordable Care Act. These questions were the subjects of two recent Georgetown University Health Policy seminars.

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Maryland's Primary Care Program: incremental progress or breakthrough?

The Health Policy Exchange

Since their continuity clinic continues to be located in Maryland, we decided that a great topic to revive this series of seminars was the Maryland Primary Care Program (MDPCP), which was recently featured in a Milbank Memorial Fund Issue Brief. Also, patients may not have a choice of specialists, depending on the insurer's network.

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Legislative passage of Medicare

The Health Policy Exchange

The legislative passage of Medicare was the subject of the first of a series of monthly one-hour health policy seminars for Family Medicine fellows and residents at Georgetown University School of Medicine. These seminars will be led by me and the current Robert L. These seminars will be led by me and the current Robert L.

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The sense and nonsense of CT screening for lung cancer

The Health Policy Exchange

Supporters of evidence-based preventive medicine cheered when the Affordable Care Act required Medicare and private health insurers to provide first-dollar coverage for all preventive services assigned an "A" or "B" recommendation grade by the U.S. Preventive Services Task Force.

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