A "phone-a-thon" is seeking to address one of the main issues public officials have faced when trying to provide health coverage to low-income Americans: awareness. The event could help reach some of the estimated 15,000 children in southwest Ohio who are uninsured but qualify for Medicaid.
The event, which is being hosted by WCPO and the Legal Aid Society of Greater Cincinnati on May 29, will reach out to families with uninsured children who qualify for Medicaid. It's part of the Centers for Medicare and Medicaid Services (CMS) Connecting Kids to Coverage National Campaign, a nationwide effort to enroll more children into free and low-cost health insurance programs.
"Medicaid provides eligible children the coverage they need to address asthma and allergies, as well other benefits to keep children healthy," the event's release said. "Children in a family of four earning up to $47,100 a year may qualify for free or low-cost health insurance. Medicaid not only covers allergy and asthma treatment, but also regular check-ups, immunizations, doctor and dentist visits, hospital care, mental health services, prescriptions and more."
For public officials, raising awareness has been one of the biggest hurdles to ensuring widespread health coverage. As the Affordable Care Act ("Obamacare") kicks in, the problem is becoming even more pronounced as state and federal governments attempt to inform Americans of new insurance options, including health exchanges and expanded Medicaid programs.
"There's a segment of the population that hasn't interacted with these programs in the past," says Trey Daly, senior attorney at the Legal Aid Society of Greater Cincinnati. "Those folks don't typically know they're eligible."
Daly says there's also a segment of the population that has used Medicaid services but stopped after "bad experiences." For those situations, the Legal Aid Society of Greater Cincinnati explains the benefits of Medicaid coverage, but it also files forms and applications for participants to help them avoid the bureaucracy and paperwork required for enrolling into Medicaid.
The Legal Aid Society of Greater Cincinnati's efforts are funded by a federal grant. Since the program began in 2009, the seven counties in southwest Ohio covered by the Legal Aid Society of Greater Cincinnati — Hamilton, Butler, Warren, Clermont, Clinton, Brown and Highland — have increased their Medicaid enrollment of children by 12 percent. The rest of the state has increased enrollment by 4 percent.
At the legislative level, there is currently a bill in the Ohio House that would expand the state's Medicaid program with federal funds provided through Obamacare. Republican Gov. John Kasich originally proposed the expansion in his budget plan, but Republican legislators opposed the measure and took it out of their own budget bill.
Still, Kasich has continued pushing the expansion, along with Democratic support. A March report from the Health Policy Institute of Ohio found the expansion would save the state money and insure half a million Ohioans in the next decade.
To participate in the "phone-a-thon," call 513-749-9400. The event will be on Wednesday, May 29, between 11 a.m. and 8 p.m.
A group of Greenpeace protesters face burglary and vandalism charges after a stunt yesterday on the Procter & Gamble buildings. Protesters apparently teamed up with a helicopter to climb outside the P&G buildings to hang up a large sign criticizing the company for allegedly enabling the destruction of rainforests in Indonesia by working with an irresponsible palm oil supplier. P&G officials say they are looking into the protesters’ claims, but they already committed to changing how they obtain palm oil by 2015.
Cincinnati Center City Development Corp. (3CDC) will step in to resolve the status of a downtown grocery and apartment tower project. The previous city administration pushed the project as a means to bring more residential space downtown, but Mayor John Cranley refuses to pay to move a tenant in the parking garage that needs to be torn down as part of the project. Following Cranley and Councilman Chris Seelbach’s request for 3CDC’s help, the development agency will recommend a path forward and outline costs to the city should it not complete the project.
Meanwhile, the tenants in the dispute announced today that they will sue the city to force action and stop the uncertainty surrounding their salon business.
Cranley insists politics were not involved in an appointment to the Cincinnati Board of Health, contrary to complaints from the board official the mayor opted to replace. Cranley will replace Joyce Kinley, whose term expired at the end of the month, with Herschel Chalk. “Herschel Chalk, who(m) I’m appointing, has been a long-time advocate against prostate cancer, who's somebody I’ve gotten to know,” Cranley told WVXU. “I was impressed by him because of his advocacy on behalf of fighting cancer. I committed to appoint him a long time ago.”
The costs for pausing the streetcar project back in December remain unknown, but city officials are already looking into what the next phase of the project would cost.
Troubled restaurant Mahogany’s must fully pay for rent and fees by March 10 or face eviction.
Through his new project, one scientist intends to “make 100 years old the next 60.”firstname.lastname@example.org.
To honor National HIV Testing Day — a day meant to raise awareness about the virus — Planned Parenthood Southwest Ohio region is offering free HIV testing at three locations in the Cincinnati area.
Free HIV testing is available today at from 10 a.m.-2 p.m. at Cincinnati's VA Medical Center (3200 Vine St.) and from 1-5 p.m. at the Lower Price Hill Health Center (2136 E. Eighth St.). The test is done quickly using a method called rapid HIV testing, which produces results immediately.
About 1.1 million people in the United States are living with HIV at any given time, and about one in five of those don't even realize they're infected.
That means those one in five could, at any time, be unknowingly transmitting the disease to their partners, or that they're missing out on taking important preventative measures that could keep the infection from developing into AIDS. The HIV virus is most commonly spread through unprotected sexual contact or sharing needles, or can be passed down from mother to child during pregnancy or shortly after birth. For more basic information about HIV, click here.
In 2012, Planned Parenthood Southwest Ohio provided 1,225 HIV tests amongst its eight facilities, among a number of other preventive services. Currently, Planned Parenthood branches across Ohio are being threatened by Ohio conservatives' efforts to defund the organization, which provides myriad health services in addition to abortion, including cancer and STD screenings, birth control, pregnancy testing and health care for both men and women. State and federal funds used by Planned Parenthood aren't used to fund abortions, which are instead funded by private donations.
If successful, the Republican-controlled Ohio legislature could pass a budget this weekend that would put Planned Parenthood at the back of the line for state funds. A separate set of federal funds would also go to crisis pregnancy centers, which have a history of using scare tactics and false information about abortion.
Under Obama's Affordable Care Act, which will go into effect in 2014, insurance providers will be required to cover HIV testing and birth control.
Mallory puts the issue in perspective on the proposal's page on The Huffington Post: "In Cincinnati, we have had more infant deaths in recent years than victims of homicide. Our community, justifiably, invests millions of dollars, immense political capital, and large amounts of media attention in reducing our homicide rate. It's time to start doing the same for our infant mortality rate."
Mallory's proposal would create an Infant Vitality Surveillance Network, which, according to a press release sent out by Mallory's office, has already been launched via a pilot version with significant success. Here's how it works: When a woman finds out she's pregnant, she's enrolled in First Steps, a care program that maintains a secure database of new mothers and monitors pregnancies.
The competition garnered applications from 305 cities, and Cincinnati was one of 20 finalists selected. If recognized, Cincinnati could win a $5 million prize or one of four $1 million prizes to help implement and sustain the Infant Mortality Network.
"City after city deals with this issue, but in Cincinnati, we are dealing with an infant mortality rate that is twice the national average. And half of those deaths occur in just five zip codes. So we know exactly where the problem is, we know exactly what community is having the issue. ... We're really trying to create a program in Cincinnati that can be replicated all across the country. So that in city after city, they can see the same type of success that we are seeing — continuing to drive that infant mortality rate down so that we are saving babies' lives," Mallory says in the Mayors Challenge finalist video below.
According to data from 2007-09 from the Cincinnati Health Department, the five zip codes experiencing the highest infant mortality rates are: 45219 (30.4), 45202 (24.2), 45246 (20.7), 45203 (20.1) and 45214 (19.2). For more detailed information from the Cincinnati Health Department, click here.
Watch the full finalist video:
The Ohio House yesterday offered overwhelming support for a
bill that would authorize local health boards across the state to
establish syringe-exchange programs with fewer roadblocks, which could pave the way for Cincinnati to establish myriad programs across its neighborhoods most afflicted by intravenous drug use and bloodborne pathogens.
House Bill 92, sponsored jointly by Rep. Nickie Antonio (D-Lakewood) and Rep. Barbara Sears (R-Sylvania), would remove a restriction that stipulates programs can only be implemented when a local health emergency has been declared and lays out mandates for programs to protect the rights and educate the intravenous drug users who take advantage of the programs.
Syringe exchange programs have been the privy to significant controversy; opposers say that offering addicts the tools they need to fuel drug habits ultimately fuels destructive habits and sends the wrong message to drug abusers.
What’s helped turn the issue non-partisan, however, is overwhelming data supporting claims that the program saves lives. In 2004, the World Health Organization published a study on the effectiveness of syringe programming in reducing HIV/AIDS that found a “compelling case that (needle-exchange programs) substantially and cost effectively reduce the spread of HIV among (injection drug users) and do so without evidence of exacerbating injecting drug use at either the individual or societal level.”
Adam Reilly, who is an HIV project manager for a local
healthcare provider, says that a syringe exchange program is already in
the works for Springdale; the location is expected to open in about a
month. He says that project has been seven years in the making because of how entangled efforts to establish the program become in bureaucracy. Establishing a program is particularly laborious, he explains, because it requires citywide cooperation — including law enforcement — which has proven to be a challenge for programs in other states, where police officers are prone to harass participants entering or leaving an exchange facility.
The current bill would essentially take the issue out of
the political arena, Reilly says, and thrust the responsibility onto
health departments. The city of Cincinnati in 2012 already declared a public health emergency following significant proof of a citywide HIV/Hepatitis C epidemic sourced primarily from heroin abuse.
Cincinnati's now-defunct nonprofit agency STOP AIDS found through focus groups that the majority of intravenous drug users are Caucasian middle-aged males; 145 of 147 study subjects reported using ineffective methods to clean used equipment. Their data estimates that 4,000-6,000 people locally are currently living with HIV/AIDS.
STOP AIDS also estimated that spending $385,000 per year on a syringe exchange program has the potential to save nearly $50 million annually in health costs generated from contracting HIV or HCV infections.
To make the program as effective as possible, Reilly says other exchange programs offer participants assurance in writing that their identities will be protected; the House bill also says that future programs wold be required to encourage drug users to seek medical, mental health or social services, also offer counseling and other educational requirements.
Cincinnati and Hamilton County saw infant mortality rates drop to the lowest on record in 2013, but the city and county’s rates for infant deaths remained far above the national average, according to a report released Tuesday by advocacy group Cradle Cincinnati.
In 2013, the city saw 53 babies die before their first birthday, or 9.9 deaths per 1,000 live births. Throughout the county, the deaths of 95 babies put the rate at 8.9 deaths per 1,000 live births.
But in the past five years, the city’s infant mortality rate hit 12.4 deaths per 1,000 live births and the county’s rate reached 9.9 deaths per 1,000 live births.
Even worse, black families in Hamilton County were twice as likely as white families to have a baby die before his or her first birthday.
In comparison, the national average for infant mortalities was 6.1 deaths per 1,000 live births in 2011.
To help reduce the region’s high infant mortality rates, Cradle Cincinnati points to a few potential targets:
• Short pregnancy spacing, meaning 18 months or fewer between births, can lead to premature birth. It was associated with 33 percent of the county’s infant mortalities last year.
• Maternal smoking during pregnancy can lead to premature birth and birth defects. It was associated with 15 percent of the county’s infant mortalities last year.
• The local rate of sleep-related infant deaths in Hamilton County is triple the national average. Many of these deaths could be prevented by ensuring a baby sleeps alone, on his or her back and in a crib, Cradle Cincinnati found.Cincinnati’s high rate of infant mortalities are one of the many factors that help explain the city’s disparities in life expectancies, according to Cincinnati Health Department officials.
A CityBeat analysis of U.S. Census Bureau and Cincinnati Health Department data also tied neighborhood life expectancies to income levels. The strong correlation could suggest a connection between poverty and earlier death.
Through the Cradle Cincinnati initiative established last year, local officials hope to put an end to the disturbing trends.
“We are cautiously optimistic that these numbers are going down, but we still have a very long way to go,” said Hamilton County Commissioner Todd Portune, founder and co-chair of Cradle Cincinnati, in a statement. “We cannot rest until every child born in Hamilton County lives to see his or her first birthday.”
Cradle Cincinnati’s full report:
Flaherty & Collins, the developer that wants to tear down a garage as part of its downtown grocery and apartment tower project, offered to pay for a tenant’s move to keep the deal moving forward. The tenant, Paragon Salon, recently announced its intent to sue the city after Mayor John Cranley’s refusal to pay for the salon business’s move left the development project and Paragon in a limbo of uncertainty. With Flaherty & Collins’ offer, the development deal should be able to advance without extra costs to the city.
But Cranley says he still wants 3CDC to review the downtown development project to set the best path forward.
Federal money will help Cincinnati keep and hire more
firefighters. The Staffing for Adequate Fire and Emergency Response
(SAFER) grant provides nearly $8.1 million — about 2 percent of the
city’s $370 million operating budget — to pay the salaries and benefits
of 50 firefighters for two years. Afterward, the city will need to pick
up the costs, which could worsen an operating budget gap that currently
sits at $22 million for fiscal 2015. The move would increase the
Cincinnati Fire Department’s staffing levels from 841 to 879 and help prevent brownouts, according to the firefighting agency.
The Cincinnati Board of Health defied Mayor Cranley by
unilaterally pursuing a $1.3 million grant that will provide
preventative and primary care services to underserved populations. Rocky
Merz, spokesperson for the board, says the grant application complies
with guidance from the city’s top lawyer. Cranley opposes the grant because the extra services it enables could push up costs for the city down the line.
Hamilton County officials will look for outside legal help in their fight against the city’s job training rules for Metropolitan Sewer District projects. CityBeat covered the rules, known as “responsible bidder,” in further detail here.
Smale Riverfront Park will receive $4.5 million in federal funding from the U.S. Army Corps of Engineers to control erosion and prevent flooding.
Crime around Cincinnati’s Horseshoe Casino never materialized, despite warnings from critics prior to casinos’ legalization in Ohio.
Ohio’s prison re-entry rate declined and sits well below the national average, according to a study from the Ohio Department of Rehabilitation and Correction. The study found 27.1 percent of inmates released in 2010 ended up back up in prison, down from 28.7 percent of individuals released in 2009. In comparison, the national average is 44 percent.
Hundreds of Ohio school districts plan to test out the state’s new online assessments for math, language arts, social studies and science.
The cold winter is pushing up natural gas prices, according to Ohio’s largest natural gas utility.
A second baby might have been cured of HIV, the sexually transmitted disease that causes AIDS. Even with the potential successes, doctors caution it’s still very much unclear whether the treatment provides a definitive cure for the deadly disease.
Meanwhile, a first-of-its-kind intravaginal ring could prevent pregnancy and HIV.email@example.com.
As Ohio debates the Medicaid expansion, a new study from Harvard researchers revealed access to Medicaid in Oregon led to better mental health outcomes and reduced financial strain, but no short-term gains were found in physical health outcomes.
The study, which was released Wednesday by The New England Journal of Medicine, had its most positive findings in mental health outcomes, with Medicaid recipients showing 30 percent lower rates of depression in comparison to people without health coverage. Medicaid recipients had a rate of depression of 21 percent, while those without coverage had a rate of 30 percent.
But the gains did not apply to physical health outcomes. When looking at cholesterol, blood pressure and blood sugar levels, there was no significant difference between Medicaid recipients and people without coverage. The three measures were chosen because they typically reveal better health results within two years and they're easy to obtain.
Still, the study doesn't rule out the possibility of long-term gains. The study found increased rates of diabetes detection and management, which could lead to better physical health outcomes in the future.
Medicaid enrollment also reduced financial strain, allowed patients to use more preventive services and nearly eliminated catastrophic out-of-pocket medical expenses, according to the study.
The study was conducted by looking at Medicaid recipients in Oregon, which enrolled 10,000 people into Medicaid out of nearly 90,000 applicants through a lottery approximately two years ago, giving researchers the first major randomized pool of Medicaid recipients to study.
A previous study from Harvard researchers, including the lead author of the Oregon study, found that Medicaid expansions improved mortality rates, coverage, access to care and self-reported health. That study looked at three states that expanded Medicaid and compared them to neighboring states that did not.
The Oregon study comes at a time when legislators are debating whether Ohio should use federal funds to expand its Medicaid program. Even though Republican Gov. John Kasich supports the expansion, Republican legislators say they're concerned the federal funds will eventually dry up, leaving the state to find a solution for hundreds of thousands of new Medicaid enrollees. Democrats are joining Kasich in supporting the expansion, with Ohio Senate Minority Leader Eric Kearney recently calling it a "no-brainer."
The Health Policy Institute of Ohio found the Medicaid expansion would insure nearly half a million Ohioans and save the state money in the next decade.
The budget bill that recently passed the Republican-controlled Ohio House would forgo the Medicaid expansion while leaving room to consider further Medicaid reforms down the line ("The Chastity Bunch," issue of April 24).
Ohio House Republicans released their own budget proposal yesterday that does away with many of Gov. John Kasich’s proposed policies. The budget gets rid of the Medicaid expansion, the oil and gas severance tax and the sales tax expansion. It also reduces the state income tax cut to 7 percent, down from 20 percent in Kasich’s plan. The amount of schools getting no increased funding under a new school funding formula decreased from 368 in Kasich’s plan to 175 in the House plan, addressing issues that selective wealthy schools were benefiting too much from Kasich’s proposed school funding formula. CityBeat covered Kasich’s budget proposal in detail here.
NARAL Pro-Choice Ohio is criticizing the Ohio House’s proposed budget for defunding Planned Parenthood and redirecting federal funds to anti-abortion crisis pregnancy centers (CPCs). A study from NARAL Pro-Choice Ohio, which is highly supportive of abortion rights, found 47 percent of CPCs gave inaccurate medical information regarding a link between mental health problems and abortion, and 38 percent provided false information about the connection between breast cancer, infertility and abortion, among other findings.
The city of Cincinnati is asking Judge Robert Winkler to stay his previous ruling so the city can use emergency clauses to expedite legislation. City Solicitor John Curp says the city needs emergency clause powers in case of natural disasters and to advance economic development deals that need to be implemented before 30 days. The city previously used emergency clauses to avoid a 30-day waiting period for implementing laws, but Winkler ruled the clauses do not nullify the right to referendum, effectively eliminating the use of emergency clauses because the city now always has to wait 30 days in case of a referendum effort. The ruling was given after City Council used an emergency clause to expedite the lease of the city’s parking assets to the Port Authority to help balance deficits and fund economic development.
With the support of Councilwoman Yvette Simpson, City Council is looking to study youth poverty, homelessness and other issues to better prioritize city policy. The $175,000 study, which will be mostly privately funded, will look at multiple factors affecting the city’s youth, including crime, poverty, homelessness and educational opportunities. Simpson says the study will be the first comprehensive look at the city’s youth.
Democratic Ohio Sen. Sherrod Brown’s bill to end Too Big to Fail was leaked to the press Friday, and The Washington Post has an analysis on what it does here. While the bill doesn’t explicitly break up big banks, it does severely limit big banks in a way that may encourage them to downsize. Brown will co-sponsor the bill with Republican La. Sen. David Vitter, making it a bipartisan compromise. CityBeat covered Brown’s efforts in further detail here.
Ky. Sen. Mitch McConnell’s re-election campaign is complaining someone bugged a meeting to listen in on staff’s plans for the 2014 election. Jesse Benton, campaign manager for McConnell, said in a statement, “Today’s developments ... go far beyond anything I’ve seen in American politics and are comparable only to Richard Nixon’s efforts to bug Democratic Party Headquarters at the Watergate 40 years ago.” During the meeting, McConnell’s staff alluded to labeling potential opponent Ashley Judd as “unbalanced” by bringing up past mental health problems. Meanwhile, recent polling found McConnell is no lock for re-election.
Scientists discovered evidence of “dark lightning,” which may emanate from thunderstorms alongside visible lightning.