PNS National Newscast

Audio Activation
"Siri, play the Public News Service (podcast)"
"Hey Google, play the Public News Service podcast"
"Alexa, play Public News Service podcast"
or "Alexa, what's my news flash?" once you set it up in the Alexa app


Audio Activation
"Siri, play the 2020Talks podcast"
"Hey Google, play the 2020Talks podcast"
"Alexa, play Two-Thousand-Twenty Talks podcast"
or "Alexa, what's my news flash?" once you set it up in the Alexa app


PNS Daily Newscast - August 14, 2020 

Trump rebuffs Biden's call for a national mask mandate; nurses warn of risks of in-person school.

2020Talks - August 14, 2020 

Responses to President Trump's suggestion that he opposes more Postal Service funding in part to prevent expanded mail-in voting; and Puerto Rico's second try at a primary on Sunday.

Prescribing “Promising Practices” for KY's Sick Medicaid Budget

November 24, 2010

LOUISVILLE, Ky. - As Kentucky's Medicaid rolls swell by about 3,000 new beneficiaries a month, and a legislative task force examines ways to control costs, a Kentucky group has some ideas to lend. Susan Zepeda, president and CEO of the Foundation for a Healthy Kentucky, says they're learning from rural health experts new ways to deliver higher-quality, patient-centered health care that saves money.

One way, she says, is to use a team approach in caring for patients, especially in under-served areas.

"The primary care physician is a team leader, with a team of effective nurses, social workers, psychologists and other necessary staff working together in the most cost-effective way."

Zepeda notes that most health expenses occur at the start and end of life. She says the state could benefit from a Western Kentucky program called Centering Pregnancy that has proven to offer savings in dollars and lives.

"In this program, groups of moms-to-be get together with a health educator. Not only are they getting their regular check-in, but they're also able to support each other with strategies to make sure they're doing everything they can to have a healthy baby. "

The Foundation for a Healthy Kentucky also urges that data be made available on how much patient care actually costs. Zepeda says Kentucky could benefit from having an all-payer and all-claims database. She also points to the importance of mental health services in delivering primary care and having a payment system that allows for these innovations.

"If you are treating a patient for a lot of aches and pains without finding out that there are underlying anxieties or depression that could be addressed, you may be spending money unnecessarily on tests and putting a patient through unnecessary procedures."

For months, a joint legislative panel has been collecting information to help them make recommendations in December on approaches to reining in Medicaid costs. Gov. Steve Beshear recently announced a plan to plug a $142 million hole in the Medicaid budget, in part by expanding managed care in the system. The $6 billion state and federal program serves roughly one in five Kentuckians.

Renee Shaw, Public News Service - KY