December 17, 2018
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In This Issue
Federal Judge Rules ACA Unconstitutional
Trajectories — Trauma Informed Care: Improving Health and Resiliency
state and federal health policy developments
Staff Contact: Jane Drummond
In a lawsuit filed by 20 states, U.S. District Judge Reed O’Connor ruled the Affordable Care Act unconstitutional. The case centered on an argument that the ACA is unconstitutional because the 2017 Tax Cuts and Jobs Act eliminates the individual mandate penalty. Judge O’Connor ruled that, since the Supreme Court decided that the individual mandate is a tax and the tax act eliminated the penalty, the individual mandate requiring people to have health insurance “can no longer be sustained as an exercise of Congress’ tax power.” The White House issued a statement saying, “We expect this ruling will be appealed to the Supreme Court. Pending the appeal process, the law remains in place.”
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Quality and Population Health
Staff Contact: Leslie Porth
Across the health care continuum, policymakers, payers and providers are beginning to truly understand the importance of assessing and treating the whole person. Reflecting on Maslow's hierarchy of needs, the December 2018 issue of Trajectories explores how factors outside of the health care delivery system influence health outcomes. Integrating trauma awareness and documenting social determinants of health will transform systems of care, ultimately improving the health of patients and communities.
Organizations pursuing a trauma-informed culture must seek to integrate five core principles into their organization: safety, trustworthiness, choice, collaboration and empowerment. The five principles collectively create a path for building health equity. Organizations that advance along the journey to become trauma-informed have the opportunity to improve staff and patient satisfaction, as well as improve patient outcomes. Trauma-informed care aligns with the broader goals of reforming the health care system: safe, timely, efficient, effective, equitable and patient-centered. These principles are the essence of value-based payment reform.
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An annual survey found that twice as many high school students used nicotine-tinged electronic cigarettes this year compared with last year. It was the largest single-year increase in the survey’s 44-year history, far surpassing a mid-1970s surge in marijuana smoking.