Author: Loren Anthes (Loren Anthes)

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Racism as a public health crisis and the economics of urban hospitals
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Racism as a public health crisis and the economics of urban hospitals

On September 14th, St. Vincent Charity Medical Center announced they will cease to provide emergency and inpatient services, including emergency psychiatric services, in Cleveland. In addition to the impact this will have on the local service delivery landscape, there is also the economic consequences of the loss of 600 jobs in the city’s Center. Ironically,...

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Unwinding the Public Health Emergency: Ohio Medicaid

On March 10, 2020, Ohio recorded its first case of Covid-19. In the two years after that case, the state Medicaid program played a critical role in ensuring access, providing coverage, and enabling budget stability as the state grappled with the complexities of the pandemic and its effects. And while the clinical science has not...

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Vaccination efforts in Ohio have saved Medicaid millions

  Benjamin Franklin once said “an ounce of prevention is worth a pound of cure.” The original goal of this commonplace idiom was to encourage Philadelphians to remain vigilant about fire awareness and prevention. Coal, the common source of heating in homes during the time, was often carried “live” from room to room, up and...

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Ohio Opioid Settlement of $800 Million Creates OneOhio Plan, and Need for Scrutiny 

Earlier this month, the United States hit a terrifying milestone with over 100,000 annual opioid related deaths.  According to an analysis by the Ohio Alliance for Population Health, Ohio’s overdose trends have reflected national data, with recent increases in mortality tied to fentanyl and an acceleration in those overdoses driven by access limitations induced by COVID. This trend, however, only...

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In Medicaid, Money Talks (If You Listen)

A mentor of mine once told me that if I wanted to understand the stakeholders in a given public policy issue, I must first figure out how who gets paid. While this may be a pessimistic lens through which we can understand policy, it’s useful. Ohio Medicaid represents 4 percent of our state’s economy. And...

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Feds reject Ohio’s Medicaid work requirement program

As of August 10th, 794,806 Ohioans received their primary source of health coverage through Ohio’s Medicaid expansion. On that same day, the Centers for Medicare and Medicaid Services (CMS) sent a letter to the Ohio Department of Medicaid notifying them that their previously approved 1115 Community Engagement (work requirements) waiver was withdrawn. As of August...

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Ohio General Assembly Must Protect Procurement, Not Contractor Profits

For years, The Center for Community Solutions has written about Ohio’s managed care program, with pieces outlining federal standards, current performance and value-based contracting. And, when Ohio Medicaid announced they were rebidding the contracts, we paid close attention, monitoring the feedback process, providing written comment and reviewing, in detail, the hundreds of pages worth of...

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Community Solutions consulting: Where advocacy and strategy meet

For more than 100 years, The Center for Community Solutions (Community Solutions) has served Cleveland and Northeast Ohio. Through our research, policy analysis, communications and advocacy, we endeavor to improve social and economic conditions for the community we serve – and there has been tremendous change during this last century of service. Two world wars,...

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