Few days ago, I asked #MedTwitter : tell me what is on your #wishlist for 2021 US Health Policy?

Here is a quick review of all the requests
(a 🧵)

#PolicyCapsule
.@PolicyCapsule
🌟#Science & Trust🌟

👉Restrict tangible & intangible barriers to evidence based policy
👉Restrict dismantling of public health structures & policies w. evidence based support
👉Leverage scientific, clinical & public health expertise for rapid response to public emergencies

2/
🌟Better #Medical care🌟

👉Equitable $$ for Primary Care (inc. peds, adult, geri, OB/GYN, family med) vs. procedural specialties
👉⬇️paperwork for clinicians in caring for patients (DME forms, Prior authorizations..)

3/
🌟Better #Medical care🌟 (cont.)

👉Incentivize for-profit companies (ie. EMRs) to pass standardized testing for usability
👉Implement requirement for EMRs to offer clinical decision support tools & patient reported outcome capture as standard

4/
🌟Better #Medical care🌟

👉Incentivize care delivery in the Home
👉Increase $$ for RN care in the home
👉Expand Hospice qualifications
👉Increase funding for Home Health Assistance
👉Create a National resource guide for Caregivers’ support

5/
🌟Decrease #Healthcare cost to Patients🌟

👉Affordable care plans or single payor
👉Decrease cost sharing/deductible burden
👉Improve the process through which persons can obtain plan coverage (non-employment based)

6/
🌟Make #Prescriptions Affordable🌟

👉Incorporate Part D Medicare into standard Medicare
👉Allow federal negotiation with Pharma
👉Expire the Donut Hole
👉Restrict PBMs

7/
🌟Public Health #Priorities 🌟

👉Implement systematic changes to combat racism
👉Increase investment in communities & engagement for addressing SDOH
👉Implement systematic changes to combat climate change
👉Implement systematic changes for maternal mortality prevention

8/
🌟 #HumanRights 🌟

👉Prohibit child separation at Detention Centers
👉Protect right to choose options for women
👉Improve access to healthcare & wellness of incarcerated persons
👉Prioritize clinician suicide prevention
👉Prioritize firearm related injury/violence prevention
9/
Thank you to all who contributed, inc .@GIMaPreceptor , .@EricLast3 .@MCarneyMD .@MParshleyMD .@meggerber .@DoctorVig .@AmmahStarr .@KhanijoMD .@drsusan

Please consider adding to this list - there is ALWAYS room for more on this wishlist

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More from @sagar_ankita

21 Oct
1/ Let’s talk America's Health Care Plan
This week, we focus on:
-Cost of Care
-Medicaid & who it covers

Next week, we focus on:
-Women’s health care
-LGBTQA health care
-Behavioral health care
-Firearm injury
-Climate Change
#PolicyCapsule #VoteHealth
#MedTwitter
2/ Cost of care:
-Monetary pre-COVID: $3.6 trillion in 2018
-Lives lost from COVID: >220,000 (greatest in comparison to other nations per capita)

#PolicyCapsule #VoteHealth
3/ Cost of plan to individuals/families:
-$20,000-21,000 family coverage cost annually
#PolicyCapsule #VoteHealth
Read 12 tweets
3 Mar
#MedicarePartD --- we wrap up the #tweetorial series on Medicare with Medicare 103 - Part D
Part D - D for drugs (as in meds)!

#PolicyCapsule @policycapsule

1/
2/ #MedicarePartD is an extension of #Medicare to allow coverage for medication for Medicare enrollees. But it is an optional or opt-in program, with a premium (monthly)

#MedicarePartD #PolicyCapsule @policycapsule
3/ Formulary - used in Part D plans; must cover at least 2 medications per category; formulary change time to time causing concern for clinicians + patients
Tiers are also used within formulary to delineate coverage

#MedicarePartD #PolicyCapsule @policycapsule
Read 10 tweets
23 Feb
#MedicareAdvantage --- you asked, we deliver Medicare 102!
Part C - let’s make it move from confusion to clarity!

#PolicyCapsule @PolicyCapsule
1/ Image
2/ #MedicareAdvantage is an alternative to the mother program #Medicare.
This allows Medicare to pay private health plans for providing services/managing Medicare beneficiaries

#MedicareAdvantage #PolicyCapsule @PolicyCapsule Image
3/ Benefits under #MedicareAdvantage are similar and sometime more encompassing: dental, vision, wellness, hearing, and Part D prescription
#MedicareAdvantage #PolicyCapsule @PolicyCapsule Image
Read 8 tweets
18 Feb
#Medicare ... such a tiny name for such a BIG program.
The mammoth size program definitely deserves a 101, 102, 103 and many more.
Today, let’s start with #Medicare101

#PolicyCapsule @PolicyCapsule
1/ Image
2/ #Medicare is federally sponsored insurance - has 4 parts : A, B, C, D
Inpatient + Prescription Drug payments account for the largest benefit payments for Medicare!

#Medicare101 #PolicyCapsule @PolicyCapsule ImageImageImage
3/ #Medicare covers about 60 million persons - Age 65 or older and those under age 65 with certain disabilities, ESRD, or ALS
#Medicare101 #PolicyCapsule @PolicyCapsule Image
Read 8 tweets

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