The percentage of US adults with diabetes rose from 10.8% in 2008 to 2009 to 11.5% in 2016 to 2017, while obesity rates increased from 26.0% to 28.3%, according to the Gallup-Sharecare Well-Being Index. West Virginia had the highest diabetes rate at 17.9%, compared with less than 9% in Alaska, Colorado and Montana.
Health care IT leaders are not expecting many changes due to results of the midterm elections but noted Medicaid expansion and the importance of health care overall. "What's most important about this moment in our nation's history is that the political focus on solving the health care crisis is stronger than ever before," said DrFirst President G. Cameron Deemer.
Data-sharing between government units in child welfare remains underdeveloped even though it would immensely benefit recipients through evidence-based care, writes Shell Culp of Public Consulting Group. Funding and direction for modernization are available through the Comprehensive Child Welfare Information System Final Rule and the Family First Prevention Services Act, Culp writes.
Voluntary benefits in 2019 will focus on student loan debt, caregivers, increasing savings, employee communications and encouraging the use of financial wellness benefits, according to Purchasing Power Chief Operating Officer Elizabeth Halkos. "2019 is going to see even more growth and refinement of these benefits that provide so many options that resonate with employees," Halkos said.
Researchers used a cohort of 80 adults with and without overweight or obesity and found those who maintained weight loss had the same amounts of physical activity throughout the week and weekend, compared with a decline in physical activity over the weekend among those in the overweight/obesity group. The findings, presented at ObesityWeek, revealed that weight-loss maintainers were also more active within three hours of waking up and in the early morning and early afternoon during the week than the normal-weight and overweight/obesity groups.
Australian researchers found that parents of children with type 1 diabetes had significantly lower Hypoglycemia Fear Survey scores when their children used a remote continuous glucose monitoring system over three months, compared with when the children used conventional blood glucose monitoring for three months. The findings in Diabetes Care, based on 49 children ages 2 to 12 and their parents, also revealed an improved quality of life and parental sleep, as well as lower parental stress levels, after the remote monitoring period than the control period.
A study in The BMJ showed that diabetes patients who took SGLT2 inhibitors, such as canagliflozin, dapagliflozin and empagliflozin, were at a twofold higher risk of lower limb amputation and diabetic ketoacidosis, compared with users of GLP-1 receptor agonists. Researchers analyzed data on 34,426 diabetes patients from Sweden and Denmark and noted that, based on their findings, patients at high amputation risk "might be monitored more closely if SGLT2 inhibitors are used, and the risk of this adverse event may be considered when deciding on which drugs to use," said lead researcher Dr. Peter Ueda.
Walmart is moving forward with its strategy of using direct-contracting relationships with hospitals and health systems that treat its more than 1 million employees in the US, sending a stream of patients to those providers. Walmart has begun offering health plans from accountable care organizations tied to other providers and plans to report back lessons it learns.
With unique investments in big data and cloud computing, physicians and public health experts have joined forces with expert engineers to design frameworks capable of performing large-scale population health research. These teams are developing predictive models utilizing the most cutting-edge advanced analytics tools today.
Despite a strong economy, Americans' confidence about retirement has declined, according to a survey from the Certified Financial Planner Board of Standards and Heart + Mind Strategies. More than 60% of survey respondents said it is more difficult to retire on time now than it was five years ago.
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