Health and Wellness | Health News
Dental Reimbursements Could Improve Access for MN Kids
Health-Care Affordability in Spotlight During 2022 WA Session
Health Experts Advise Managing Kids' Screen Time
MI Researcher Takes Up the Genetics of Stuttering
Some dental providers in Minnesota's underserved communities say they have long waiting lists because of low reimbursement rates tied to public health programs. (Adobe Stock)
In 2020, nearly one in five Americans reported some level of medical debt. (zimmytws/Adobe Stock)
In a September report from the Pew Research Center, about 40% of parents said they've become less strict about managing their kids' screen time since the pandemic began. (Adobe Stock)
Using new genes associated with stuttering for a model, researchers have been able to predict the presence of stuttering 80% of the time. (Frogella.stock/Adobe Stock)
Jonah Chester,
This month, Minnesota has raised state reimbursement rates for dentists who accept patients enrolled in the state's Medicaid program.
Groups working with families in need believe it will get more young children into a dentist's office.
Kraig Gratke, executive director of the Minnesota Head Start Association, said roughly 88% of the kids signed up for Head Start around the state are covered by the Medical Assistance (MA) program.
To meet federal requirements, Head Start has to help ensure families are getting annual dental care for their kids, but he acknowledged it is not always easy.
"In outstate Minnesota, there's just not a lot of dentists," Gratke pointed out. "And then, not a lot of dentists were taking MA because reimbursement wasn't high enough."
The state said it is addressing what many described as notoriously low rates. As part of a $61 million package adopted last year, all dentists will receive the same rates for the same services under Medical Assistance and MinnesotaCare. In some situations, payment increases could reach 98%.
The Department of Human Services (DHS) said in 2019, more than 60% of Minnesota children living in poverty did not see a dentist.
Gratke suggested not having consistent dental care could end up being very disruptive to a child's development, especially if they're in need of serious care.
"It makes it very difficult to learn, to manage behavior," Gratke asserted. "It's very hard on little ones."
State officials say benchmarks for health plans are being applied to the new rate structure. This year, DHS wants at least 45% of public health program enrollees to have a dental visit. In 2024, the goal rises to 55%. If a managed-care organization cannot meet those benchmarks, the department said it will step in to provide direct dental coverage.
Disclosure: Minnesota Community Action Association Resource Fund contributes to our fund for reporting on Early Childhood Education, Health Issues, Housing/Homelessness, and Poverty Issues. If you would like to help support news in the public interest, click here.
Dental rates Minn. Dept. of Human Services 01/06/2022
With costs growing, health care is set to be a major theme in Olympia this year.
Sam Hatzenbeler, health policy associate for the Economic Opportunity Institute, said state lawmakers have made progress, but care is still becoming increasingly unaffordable.
Hatzenbeler pointed out some Washingtonians have to make tough decisions.
"They're forced to choose between getting needed medical care and buying food, putting food on the table, paying rent, paying their car bill," Hatzenbeler outlined. "People shouldn't be forced to choose between these necessary pieces of being a human."
Across the U.S., the average worker's premium contribution has increased almost 300% over the past two decades. And Americans spend more than $1,500 each year on prescription drugs.
To tackle drug prices, state lawmakers hope to establish the Prescription Drug Affordability Board. Lawmakers approved a similar board in 2020, but Gov. Jay Inslee vetoed it because of its price tag. The Senate version of the bill had a public hearing this week.
Another measure, Senate Bill 5688, would give the attorney general oversight to ensure market consolidations don't result in increased cost.
Hatzenbeler noted the attorney general also would ensure care is not restricted.
"For example, some Catholic mergers and acquisitions have resulted in reduced access to reproductive care, gender-affirming care, end-of-life care, things like that," Hatzenbeler explained. "We want to make sure that consolidations don't result in this diminishing of care."
The bill includes a health equity assessment as well. It had a public hearing this week.
Hatzenbeler added another important provision to her organization is in the budget, and would increase funding for health care to immigrants. She reported 105,000 immigrants in the state lack health care.
Hatzenbeler emphasized low-income people, people of color and front-line workers in particular have shouldered a disproportionate impact from the pandemic.
"We have an opportunity this session to correct some of those long-standing inequities," Hatzenbeler asserted. "And make sure that health care is not only more affordable and higher quality for those people who are disproportionately impacted, but for all of us."
Disclosure: Economic Opportunity Institute contributes to our fund for reporting on Budget Policy and Priorities, Early Childhood Education, Livable Wages/Working Families, Senior Issues. If you would like to help support news in the public interest, click here.
Health care costs report Economic Opportunity Institute 01/07/2022
Senate Bill 5532 2022
Excessive screen time can cause a host of negative side effects in kids, but as some Indiana schools go virtual because of the omicron variant, prolonged interaction with technology can be unavoidable.
Dr. Derek Sprunger, a professor of clinical ophthalmology in the Indiana University School of Medicine's Ophthalmology Department, said parents still can still use several methods to moderate their kids' screen time. He advised limiting kids' exposure to non-education-related technology.
"I don't say eliminate, but cut back," he said, "and there's no exact amount of time that you should or shouldn't be doing this, but if you're doing a lot through school, more than typical, cut back on your outside-of-school time, like gaming and things like that."
Sprunger said excessive screen time can cause several short-term health effects, including eye fatigue, blurred vision and headaches. According to the Mayo Clinic, it also can lead to irregular sleep and impaired academic performance.
In addition to those side effects, Sprunger added that overusing technology also can advance long-term nearsightedness.
"This is a more permanent thing," he said. "The things we talked about earlier, if you cut usage of your screen time, that will reverse. Once you induce nearsightedness, that can be a more permanent problem."
Dr. Scott Edmonds, chief eye-care officer at United Healthcare, recommended the "20-20-20" rule, breaking up screen time to limit eye strain: For every 20 minutes folks spend staring at a computer, he said, they should take 20 seconds to observe something at least 20 feet away.
"That break takes you away from the blue light, lets your pupil go to its normal size, lets your muscles in your eye relax, lets your focusing muscle relax," he said. "All that, every 20 minutes, will really help you be more comfortable with screen time."
In a September report from the Pew Research Center, about 70% of parents said their children are spending more time in front of screens than they did pre-pandemic.
Disclosure: United Healthcare contributes to our fund for reporting on Health Issues. If you would like to help support news in the public interest, click here.
Data: Parents, their children and school during the pandemic Pew Research Center 9/1/2021
20-20-20 Rule American Optometric Association 2022
Guidelines for kids United Healthcare 2021
More than 2.5 million Americans stutter at some point in their lives, and a Michigan researcher is among those learning more about the genetics of stuttering.
There is no known cure for it, but experts say newly identified genes associated with stuttering can help them find out if there are links to other conditions or possible treatments.
Shelly Jo Kraft, who directs the Behavior, Speech and Genetics lab at Wayne State University, said the new genes are helping researchers learn more about the factors that contribute to stuttering, or protect people from risk.
"We've known stuttering is inherited for a long time," she said, "but there's been a lot of community misinformation about stuttering, a lot of stigma, a lot of misconception about why someone stutters."
She said having more information about how the genes operate that lead people to stutter can help push back against those misconceptions - to show that stuttering isn't a personality trait, or caused by a traumatic event.
In addition to learning more about the genetics of stuttering, Kraft said, the research is showing that the condition is much more prevalent than once thought. At least 5% to 6% of children and 1% of adults experience stuttering, but she said that may be an undercount.
"A lot of children do stutter for a transient amount of time during childhood," she said, "and with the help of therapy, with the help of their parents and natural things that parents do in response to stuttering, the stuttering goes away."
Kraft, who has collected DNA samples from roughly 1,800 people who stutter from 250 families globally, has partnered with a research lab at Vanderbilt University to expand their reach to a worldwide repository of DNA information.
Disclosure: Wayne State University contributes to our fund for reporting on Civic Engagement, Education, Health Issues, Social Justice. If you would like to help support news in the public interest, click here.
Global collaboration International Stuttering Project 2022
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