The United States

Health care in the United States is provided by many distinct organisations. Health care facilities are largely owned and operated by private sector businesses. 58% of US community hospitals are non-profit, 21% are government owned, and 21% are for-profit. According to the World Health Organization (WHO), the United States spent more on health care per capita ($9,403), and more on health care as percentage of its GDP (17.1%), than any other nation in 2014. 64% of health spending was paid for by the government in 2013, funded via programs such as Medicare, Medicaid, the Children’s Health Insurance Program, and the Veterans Health Administration. People aged under 67 acquire insurance via their or a family member’s employer, by purchasing health insurance on their own, or are uninsured. Health insurance for public sector employees is primarily provided by the government in its role as employer. In 2010 the Patient Protection and Affordable Care Act (PPACA) became law, providing for major changes in health insurance. Under the act, hospitals and primary physicians would change their practices financially, technologically, and clinically to drive better health outcomes, lower costs, and improve their methods of distribution and accessibility. The Supreme Court upheld the constitutionality of most of the law in June 2012 and affirmed insurance exchange subsidies in all states in June 2015.


Payer Housing Partnership Addresses Social Determinants of Health

Source: Thinkstock By Thomas Beaton February 20, 2018 – Health Partners Plans (HPP) and two community programs in Philadelphia announced a partnership to address housing-related social determinants of health by connecting homeless individuals to healthcare services, free clinics, free meals, and social engagement professionals. HPP is working with Broad Street Ministry […]


Vision for value-based care must include clinical decision support integrated into EHR

Healthcare recognizes the role that evidence-based medicine plays in improving outcomes and lowering costs. The use of clinical decision support tools incorporating evidence-based medicine at the point of care provides physicians with access to translational research and current recommendations. Kaiser Permanente recently completed a large-scale, electronic health record-based integration of […]


A look at the Digital Bridge Cerner, Epic, CDC and others forged to connect EHRs to public health

Digital Bridge, a collaboration among healthcare, public health and health information technology organizations, works on the premise that improving information sharing can improve the nation’s health. To that end, the collaborative has designed an approach to electronic case reporting, or eCR, that is being rolled out in states and cities across […]


Updated Summary: Practice guidelines for preoperative fasting and the use of pharmacologic agents to reduce the risk of pulmonary aspiration: application to healthy patients undergoing elective procedures: an updated report by the American Society of Anesthesiologists Task Force on Preoperative Fasting and the Use of Pharmacologic Agents to Reduce the Risk of Pulmonary Aspiration. [American Society of Anesthesiologists]

Availability of Evidence Preparation of these guidelines followed a rigorous methodological process. Evidence was obtained from two principal sources: scientific evidence and opinion-based evidence (see appendix 2 in the original guideline document for detailed methods and analyses). Scientific evidence used in the development of these updated guidelines is based on […]


EHR interoperability, connectivity a big challenge around globe new study finds

Ninety percent of healthcare professionals participating in a new survey confessed to being confused about what makes a highly interoperable EHR. Black Book Research, in fact, surveyed 11,838 doctors, healthcare administrators, technology managers and clinical leaders around the world. What’s more, 72 percent stated that their preferred strategy for EHRs […]