Stories about: health care delivery

Startup uses Uber to get patients to their medical appointments

Uber medical transportation Circulation

Getting to the doctor will soon get easier for some struggling patients. Boston Children’s Hospital has joined forces with the ride-hailing service Uber to pilot a non-emergency medical transportation platform.

The online, HIPAA-compliant tool, called Circulation, connects with health care information systems, enabling hospitals to schedule Uber rides for patients. The pilot will serve Boston Children’s, Mercy Health System in Pennsylvania and Nemours Children’s Health System in Wilmington, Delaware.

A 2005 study estimated that 3.6 million people miss medical appointments because they don’t have access to transportation. While Medicare and Medicaid and other payers provide non-emergency transportation benefits, such as taxi vouchers, patients may be unaware of the programs or have trouble navigating reimbursement rules for the rides. Frequently, the taxi or car service arrives late or doesn’t show up at all.

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Toward better care models for medically complex children

boy with cerebral palsyThe start of what promises to be a lengthy, multi-part endeavor has begun unfolding on Capitol Hill. It’s an attempt to reform the Medicaid program so that children with medical complexity (those with a single, serious medical condition, or multiple chronic conditions) can receive higher quality care with fewer emergency department visits and fewer hospital admissions.

When you think of medically complex children, think of children living with conditions such as spina bifida or cerebral palsy, children dependent on ventilators or feeding tubes, or children with genetic disorders. They represent just 6 percent of the 43 million children on Medicaid—yet they account for about 40 percent of Medicaid’s spending on children. Their care is often fragmented and poorly coordinated.

The reform effort, led by more than 60 participating pediatric hospitals and supported by the Children’s Hospital Association (CHA), focuses on Medicaid because it’s the single largest insurance provider for children. The backdrop is a cost-conscious Congress that’s the most politically polarized ever, passing the fewest bills ever.

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