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Obama Administration's Filings On Asylum For Abused Foreign Women Brings 'Overdue Dose Of Clarity,' Editorial Says
The Obama administration recently laid out "a clear but narrow pathway" toward asylum for foreign women who have experienced severe physical or sexual abuse, a New York Times editorial states, noting that the U.S. government has debated the issue for 15 years. According to the editorial, the "question is not the fact of persecution, but whether the women would qualify for protection under the law, which limits asylum to those who suffer due to their race, religion, nationality, political opinion or "membership in a particular social group."" It adds that attorneys general under former Presidents Clinton and George W. Bush "have gone both ways and in circles" in their decisions.Although "[n]ot all victims will qualify," the Obama administration "made it clear that some could," the editorial states. "A petitioner would have to demonstrate to a judge that domestic violence was widely tolerated by society and government in her country, that women were viewed as subordinate to men and that she had no place within its borders to find a safe haven," the editorial adds.Department of Homeland Security lawyers say the new definition could apply to a severely abused Mexican woman, identified only by her initials, whose asylum petition is before a San Francisco immigration court. The editorial notes that DHS "did not immediately recommend asylum" for the woman, but "it did urge that she be allowed to continue to gather evidence and to refine her case according to the standards it proposed." The editorial concludes, "Advocates who have fought for years to advance women"s rights are celebrating the department"s action, which brings reasoned compassion, and an overdue dose of clarity, to an issue of anguish and difficulty" (New York Times, 7/19).
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Most Neuropsychological Tests Don't Tell Alzheimer's Disease From Vascular Dementia
Most of the cognitive tests that have been used to decide whether someone has Alzheimer"s disease or vascular dementia have not been very helpful when used alone. A new report published by the American Psychological Association concluded that when older people are confused and forgetful, doctors should base their diagnoses on many different types of information, including medical history and brain imaging.
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New Study Reveals Wide Variations In Depression Diagnoses Among Ethnic Groups
Whites experiencing depression are far more likely to be diagnosed by a physician than other ethnic groups, according to a new Consumer Health Sciences (CHS) study presented today at the 14th Annual ISPOR (International Society for Pharmacoeconomic and Outcomes Research) Conference in Orlando, Florida. The study reveals that 76% of whites with self-reported depression symptoms are officially diagnosed, compared to just 58.7% of blacks, 62.7% of Hispanics and 47.4% of Asians.
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States To Pursue New Integrated Care Approaches For Dual Eligibles

As the nation debates health reform options, the Center for Health Care Strategies (CHCS) is launching Transforming Care for Dual Eligibles , a state initiative to test innovative care models for people who are dually eligible for Medicare and Medicaid ("dual eligibles"). Colorado, Maryland, Massachusetts, Michigan, Pennsylvania, Texas, and Vermont will implement strategies to improve care and control costs for dual eligibles, a high-need population with health care costs nearly five times those of other Medicare beneficiaries. The program is made possible through support from The Commonwealth Fund. "As we look toward reforming our health care system, there are significant opportunities to improve the quality and cost-effectiveness of care for people who are eligible for both Medicaid and Medicare coverage," said Karen Davis, President, The Commonwealth Fund. "The work of these seven states in designing patient-centered delivery models for this critical, yet often overlooked, population will help pave the way for other states looking to improve care for duals." The more than eight million adults who are dually eligible represent approximately 18% of the Medicaid population, but account for 46% of the program"s costs due to their complex array of medical, behavioral, and long-term care needs. A majority of dual eligibles are in fragmented fee-for-service systems, with little to no care coordination. Integrating the financing, delivery, and administration of services across Medicaid and Medicare could significantly reduce unnecessary hospitalizations and decrease the use of institutional care over time. The Transforming Care for Dual Eligibles initiative will work with states to eliminate the barriers to integrating Medicaid- and Medicare-covered services via Medicare Advantage Special Needs Plans (SNPs) and will support the development of alternative models for integration. CHCS will work closely with the Centers for Medicare and Medicaid Services (CMS) to identify new avenues for integrating care. Through the 18-month program, participating states will receive in-depth technical assistance addressing program design, care models, financing mechanisms, and contracting strategies. "With growing momentum regarding Congressional support for integrating care, it is an ideal time to develop and test new state approaches to improve the quality of care for duals," said Melanie Bella, Senior Vice President at CHCS. "We look forward to partnering with state and federal policymakers to establish practical and replicable solutions for integrating Medicaid and Medicare." The Transforming Care initiative continues the work begun by CMS and five states under CHCS" earlier Integrated Care Program to address operational hurdles to integrating care by contracting with SNPs. The new program"s goal is to develop a range of integrated delivery models for dual eligibles that can be implemented by other states across the country. Lessons from participating states will be disseminated to Medicaid stakeholders throughout the course of the initiative. The Commonwealth Fund


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