PA’RRIBA Blog & Briefs

The Perfect Storm: Putting America’s Health Care in Peril The American Health Care Act & the President’s Proposed Budget

May 25, 2017 Comments: 0 Topics: AHCA , Medicaid , ACA , Health Insurance Marketplace , Obamacare , CBO Report



The AHCA cuts $1.5 trillion dollars[1] in federal funding over 10 years by slashing state Medicaid (-$830B), eliminating Marketplace subsidies (-$665B) to individuals and families, and causing 23 million Americans to become uninsured over 10 years. The President’s budget cuts $2 trillion dollars[2] in health spending over 10 years, disproportionately affecting low-income, elderly and rural Americans. 

 


Health Coverage and Access to Care in the United States-Mexico Border Region: Implications of the Affordable Care Act (ACA)




A multifactorial approach is necessary to improve health outcomes and reduce health disparities for populations living in the US-Mexico border region. Key factors include building on health insurance coverage gains, enhancing the rural health workforce and infrastructure, and assuring accessible, cost effective, culturally and linguistically appropriate health services for a growing border population.


University of Arizona Teams up with Produce Growers in Northern Mexico to Help Migrant Farmworkers

Oct 4, 2016 Comments: 0 Topics: Public Health , Migrant Farm Workers , Mexico



  • The Los Angeles Times released a large expose on the conditions of farm workers on large corporate farms in Northern Mexico. The travesties named included: inadequate living conditions, company stores that create indentured servitude to pay off debts and accusations of child labor. Overall, the article calls on changes made by the corporate farms exposed but also, the American corporations that contract with those growers.
  • Recent strikes during spring harvest amongst produce farms in Baja California has drawn even more attention on the alleged abuses of agribusiness farm workers.
  • These workers are only marginally protected by national labor and housing laws; this collaboration creates a unique opportunity for mixed scientific methods to improve the health of this population.


Arizona Trauma Program Managers’ Efforts Underway



Photo Credit: Matt Eckhoff, Program Director of Community Integrated Paramedicine for the Rio Rico Medical & Fire District

The Arizona Trauma Program Managers Workgroup continues to meet face-to-face quarterly focused on enhancing performance improvement strategies. Scheduled for August 19, 2016 is the next scheduled workshop being hosted by Flagstaff Medical Center. Also, a statewide Trauma Program Manager Listserve continues to be very active with over 100 members.


AZ Center for Rural Health, Preparing for Round 3 ACA Open Enrollment




“Of those eligible for a tax credit to help individuals buy a health plan on Arizona’s Marketplace in the last cycle, 38% participated – and lower in Arizona’s rural, Latino, American Indian, disabled and special populations,” said Dr. Daniel Derksen, the Director of the Center for Rural Health at the University of Arizona, and the project’s principal investigator.


Leadership Training for Rural Health Professionals

Sep 25, 2012 Comments: 0 Topics: Management , Education , Administration , Certificate Program

Rural health professionals who are in, or aspire to, leadership and/or management positions may be challenged to find formalized health administration training to fit their lifestyles and schedules. For many individuals, going back to university full-time for two or more years for a Master’s degree is not feasible.


Practice-Based Research Networks

Sep 5, 2012 Comments: 0 Topics: PBRN , Practice Based Research Network , Research , Primary Care

One challenge in healthcare today is how best to bridge the gap between research and practice. Practice-based research networks or PBRNs are one of the measures being taken to help bridge this gap.


Nurse Practitioners and Rural Healthcare

Aug 28, 2012 Comments: 0 Topics: Nurse Practitioner , Workforce , 3RNET

A vital yet often underappreciated group of health professionals in rural healthcare delivery is nurse practitioners (NPs). While the nature and scope of practice of NPs has evolved over recent years, they are now firmly established as a key component of primary care health care and in some rural communities, are among the most accessible primary care health professionals.


Safety-Net providers and integrated delivery systems


The Commonwealth Fund has released a new issue brief which focuses on the topic of Safety-Net providers and their inclusion in integrated delivery systems.


Financial Bonuses for Rural Health Professionals

Aug 21, 2012 Comments: 0 Topics: Rural Workforce , Workforce , Critical Access Hospital

Recruiting and retaining health workers is an ongoing challenge that rural communities face. South Dakota is begining a new program to directly address this issue with a generous incentive.


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