California women age 65 and older who are unmarried or lack a partner are 40 percent more likely than older women who are partnered to have mild to severe psychological distress, according to California Health Interview Survey data cited in a California Research Bureau study.
About 15 percent of the unpartnered older women who sought or thought they needed help with their mental health lacked insurance or had a health plan that didn’t cover mental health care. Economically, older unpartnered women were much less financially secure than women who were partnered, with 45 percent living below 200 percent of the federal poverty level, compared to 25 percent of partnered older women.
Read the study.
About 450,000 frail, elderly “dual eligibles” – those who had health benefits under both Medi-Cal and Medicare – are being moved into a managed care pilot program, as outlined in a study by HOME Project director Kathryn Kietzman. But a story in New American Media says many in the program are struggling with the change and don’t understand their health care choices and rights.
The story highlights problems encountered by dual eligible Filipinos, some with limited English skills and lower educational levels, who were unaware they had to choose to opt out of the three-year pilot program, which enrolled beneficiaries automatically. The story said advocacy groups have unsuccessfully tried to sue the state to halt the program until problems are resolved.
Read the story.
Hospital administrative costs in the U.S. account for 25.3 percent of total hospital costs, compared to 15.5 percent in England’s single-payer health care system, according to a study cited by WBUR-Boston.
The Health Affairs study looked at several countries in 2010 and found that Scotland had the smallest proportion of hospital costs going to administration, 11.7 percent, followed by Canada with 12.4 percent, Wales with 14.2, England with 15.5 percent and the Netherlands with 19.8 percent.
The Center’s Dylan Roby says a solution to the “very fragmented and complex” U.S. health system could be a single-payer system that is “somewhat market-driven … if there’s political support for it.”
Read the story.
The state’s public health department has a road map to promote health and prevent chronic disease in California Wellness Plan, 2014.
CHIS data will be used as a baseline and a measuring tool in more than a dozen objectives, from gauging kids’ consumption of sugary drinks to tracking whether seniors feel their overall health has improved.
The plan’s emphasis is on the elimination of preventable chronic disease, such as cancer, stroke, diabetes, asthma, cardiovascular and other diseases.
Read the report.
About 1 in 4 white Californian adults reported having delayed getting prescription drugs or medical services in the past year, significantly higher than California overall, at 21.5 percent. This graphic is from the Center’s new 2011-2012 Race and Ethnicity Health Profiles, a report on the health status of the state’s diverse population.