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Washington, D.C., Officials Urge 'Opt-Out' HIV Testing, Discuss Prevention
City council members and health officials in Washington, D.C., are asking "health care providers to make HIV testing part of routine patient treatment," the Washington Examiner reports. According to the Examiner, "Health officials want all medical providers in the city to implement an "opt-out" policy in which patients would be tested automatically for HIV unless they choose to refuse the test." Shannon Hader, director of the HIV/AIDS Administration, said 70 percent of district residents newly diagnosed with HIV had been to a medical provider in the previous 12 months and were not offered HIV testing. "Health officials also are working to improve condom access and distribution, one the most critical preventative measures in combating HIV," and "the city has asked for $4 million from [CDC] to support a campaign aimed at encouraging people to get tested and practice safe sex," the Examiner reports (7/9).
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Mass. Panel Recommends Scrapping Doctors, Hospitals Payment System
The Boston Globe: "A state commission recommended yesterday that Massachusetts dramatically change how doctors and hospitals are paid, essentially putting providers on a budget as a way to control exploding healthcare costs and improve the quality of care. The 10-member commission, which includes key legislators and members of Governor Deval Patrick"s administration, voted unanimously to largely scrap the current system, in which insurers typically pay doctors and hospitals a negotiated fee for each individual procedure or visit. That arrangement is widely seen as leading to unneeded tests and procedures. Instead, the group wants private insurers and the state and federal Medicaid program to pay providers a set payment for each patient that covers all that person"s care for an entire year and to make the radical shift within five years" (Kowalczyk, 7/17).
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Joint Commission Offers Seasonal Flu Immunization Strategies
Seasonal influenza in health care workers is a personal health threat, but also poses a significant risk to the patients in their care. In an effort to help health care organizations improve the rate of health care worker influenza vaccinations, The Joint Commission is releasing a monograph "Providing a Safer Environment for Health Care Personnel and Patients Through Influenza Vaccination: Strategies from Research and Practice."
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White House Refines Health Reform Message

As the White House declines direct comment on pending health care reform bills in Congress, President Obama is readying his message ahead of his second town hall meeting in as many weeks, Roll Call reports. The White House"s avoidance of comment is a "policy of non-interference" being used by the White House, according to Roll Call, in hopes that it "will help staffers complete work on legislation in the Senate Finance and Health, Education, Labor and Pensions committees." Also, the president"s spokesman, Robert Gibbs, refused to discuss Obama"s campaign pledge to not tax health care benefits or the possibility of using reconciliation to pass a reform package. "Gibbs also sought to explain the frustration that Obama expressed last week with Congressional Budget Office scoring of the health bill. Gibbs said it was not impatience with CBO itself, but rather unhappiness that CBO"s mission does not allow it to incorporate certain health system savings that Obama believes would eventually save on government spending and reduce the cost of the legislation" (Koffler, 6/30). People are increasingly taking to the Internet and bypassing the White House in discussing reform, CongressDaily reports. "But influential physicians, health IT vendors, insurers and patients have bypassed the White House to take the debate over health care reform to other Web sites. Popular interactive sites include Patients.net, which advocates patients empower themselves by becoming more informed about their illnesses; The Health Care Blog, where well-known health care experts post opinion pieces; and Fix Health Care Policy, a site supported by the conservative policy think tank the Heritage Foundation" (Sternstein, 7/1). The National Journal reports that the notion that Obama is hanging his popularity and presidential latitude on reform is overblown: "But those who observe the current push for health care reform and see dē©jē  vu all over again for a young Democratic president may be overlooking some important inconsistencies in the parallel. Lawmakers are still trying to find common ground on the shape of the legislation, but polls show public support remains squarely behind health care reform, and there are now 60 Democrats in the Senate, many of whom campaigned on passing it. No matter the bill"s final language, the bottom line is unchanged: Congress will almost certainly pass some sort of bill, and Obama will almost certainly sign it" (Herbert, 7/1). Obama also is preparing for his town hall meeting at the Northern Virginia Community College in Annandale, Va. Wednesday, where he will take questions from the public via the Internet, USA Today reports (Jackson, 6/29). The White House, however, will be choosing the online questions for the president to answer, Politico reports: "In March, the White House designated questions through an online voting process. When users flooded the site with support for questions about marijuana legalization, it put White House aides in an awkward position. In the end, a drug-related (question) was asked and Obama laughed it off" (Parnes, 7/1). Voters remain split on Obama and congressional Democrats" reform proposal, according to a separate story by Politico, which quotes a new Rasmussen Reports poll: "The survey found 50 percent of U.S. voters at least somewhat favor the Democrats" health care reform plan, while 45 percent are at least somewhat opposed" (Allen 6/30). This information was reprinted from kaiserhealthnews.org with kind permission from the Henry J. Kaiser Family Foundation. You can view the entire Kaiser Daily Health Policy Report, search the archives and sign up for email delivery at kaiserhealthnews.org. © Henry J. Kaiser Family Foundation. All rights reserved.


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