In: Nursing
compare and contrast medicaid between two states Hawaii and Wisconsin
Wisconsin
Wisconsin was the healthiest US state. The non-profit making Commonwealth Fund rated states on 32 health measures, and Hawaii came out best.
The federal agency focused on the quality of the health system's performance.
The Commonwealth Fund study also considered access to care and health outcomes, said Dina Belloff, senior policy analyst with the Rutgers Center for State Health Policy and an author of the Commonwealth Fund study.
The reports are part of efforts by the federal government, healthcare foundations, and other organisations to assess healthcare quality, push for improvements by hospitals and doctors, and inform the public.
The federal agency's third annual report was the first to release a score for each of the 50 states and the District of Columbia. Wisconsin came highest with 65.76; Louisiana came lowest with 29.16.
The agency compiled information on performance measures, such as antibiotics before surgery; colonoscopy or sigmoidoscopy to detect colon cancer for men over 50, foot examinations for patients with diabetes; ease of making medical appointments for Medicare patients (mostly patients aged 65 years and older),use of recommended care for heart attack ,avoiding hospital admission for children with asthma; and the number of low birthweight babies.
Wincosin have average medicaid services.
Hawaii
Hawaii were the top performers in the Commonwealth Fund's ratings.
Better access to care and higher rates of people with health insurance are closely associated with better quality of care, the report says.
Hawaii was the first state to require employers to provide health insurance to full time workers, in 1974. States in the bottom quartile lagged in insurance for adults and children and provision of preventive care and were high in rates of death before 75 years for conditions amenable to treatment.
The Commonwealth Fund's report says that states vary widely. And the report says that higher quality is not associated with higher costs across states. All states have significant room to improve.
The report notes that if all states did as well as the best in reducing mortality from conditions amenable to care almost 90 000 fewer people would die before the age of 75 years each year.
The best states, the number of uninsured people would drop by half, four million people with diabetes would receive basic recommended care and avoid preventable complications; and millions of dollars could be saved in reducing potentially preventable admissions or readmissions to hospital.
Hawaii have good medicaid services