The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 established a voluntary, outpatient prescription drug benefit under Medicare Part D, effective January 1, 2006. Medicare Part D provides coverage through private prescription drug plans (PDPs) that offer only drug coverage, or through Medicare Advantage (MA) prescription drug plans (MA-PDs) that offer coverage as part of broader, managed care plans. Private drug plans participating in Part D bear some financial risk, though federal subsidies cover most program costs in an effort to encourage participation and keep benefits affordable. This book discusses the prescription drug benefit of Medicare Part D. It also examines practices for promoting prescription drug program integrity, and the extent that CMS's oversight of Medicare Part D program integrity, including the program integrity contractors, reflects these practices.

This book is an essential guide and support to understanding of the science and policy, procedure and practice that underpins the REACH risk assessments required for the use and placing on the market of chemicals in the European Union. A clear understanding of information provision and how this affects the assessment of chemical safety is fundamentally important to the success of policy on chemicals and ultimately to the sustainability of the chemicals industry. Within the book, the scientific processes that underpin the policy are explained in a practical way. Importantly, it includes coverage of techniques to help solve the problems of using potentially risky and hazardous chemicals through the use of less hazardous alternatives and green chemistry , and also the analysis of the risks of the use of the most hazardous substances against the social and economic benefits of use. Chemical Risk Assessment: A Manual for REACH covers the following main themes: i) Assessment of chemical risk; ii) Risk management; iii) Hazard reduction, substitution and green chemistry; iv) Risk versus benefit socio-economic analysis. The book acts as a practical guide and overview to chemicals risk assessment and risk management (in the EU context), as well as a support text for planning for the challenges of the future, which will see ever-increasing pressure to withdraw hazardous substances from the EU (and global) market, balanced against opportunities for innovation in the development of less hazardous chemicals.

Medicaid is a federal-state entitlement program that pays for health care and related services on behalf of certain low-income individuals. Prescription drugs are an optional Medicaid benefit and all states cover outpatient drugs. States can create formularies, or lists of preferred drugs, but federal rules tend to result in comprehensive coverage, even for beneficiaries enrolled in Medicaid managed care plans. Pharmaceutical manufacturers that voluntarily participate in Medicaid are required to pay rebates to states on covered outpatient drugs, which help Medicaid receive manufacturers' lowest or best price. States then share the rebate they receive from pharmaceutical manufacturers with the federal government. This book discusses Medicaid prescription drug pricing and policies.

Treatment of the mentally ill in the UK is governed by the Mental Health Act (1983) and the Code of Pracitce (S.118) published in 1990 and reviewed periodically by the Secretary of State. Nurses in any speciality may encounter patients suffering from mental disorder and therefore need to have an understanding of the legal principles involved. Mental Health Law for Nurses provides an introduction and practical guide to the law and directives embodied in these. Nurses specialising in the care of the mentally ill or handicapped will find this a book for easy reference and directly relevant to their everyday practice. This book provides coverage for community care homes and institutional settings. It includes questions and exercises to encourage debate and discussion. A comprehensive bibliography enables practitioners to follow-up areas of interest.

The process of food inspection relies on an inspector's understanding of the intrinsic hazards associated with individual foods. Whereas spoilage can usually be determined through a simple organoleptic assessment, the judgment of whether a food is fit for human consumption requires an evaluation of health hazards, many of which may not be apparent through physical assessment. Instead the inspector must analyse and integrate scientific and handling information to evaluate the potential health risk. Adulteration of foods is also becoming an increasing problem, and the complexity of the food supply chain requires an understanding of risk points to allow targeted inspection and assessment. Food Safety and Inspection: An Introduction focuses on food categories and describes common hazards associated with each, using published peer-reviewed research to explain and evaluate the health risk. It is a practical textbook designed to support the role of food inspection in a modern food industry. There are seven chapters looking at specific aspects of food safety, including a chapter on fraud and adulteration. This book summarises relevant published research to provide a scientific context for specific food safety issues, and is an essential read for anyone interested in becoming a food inspector.

Why does US health care have such high costs and poor outcomes? Dr. David S. Guzick offers this critique of the American health care industry and argues that it could work more effectively by rebalancing care, cost, and access. For decades, the United States has been faced with a puzzling problem: Despite spending much more money per capita on health care than any other developed nation, its population suffers from notoriously poorer health. In comparison with 10 other high-income nations, in fact, the US has the lowest life expectancy at birth, the highest rates of infant and neonatal mortality, and the most inequitable access to physicians when adjusted for need. In An Introduction to the US Health Care Industry, Dr. David S. Guzick takes an in-depth look at this troubling issue. Bringing to bear his unique background as a physician, economist, former University of Rochester medical school dean, and former president of the University of Florida Health System, Dr. Guzick shows that what we commonly refer to as the US health care "system" is actually an industry forged by a unique collection of self-interested and disjointed stakeholders. He argues that the assumptions underlying well-functioning markets do not align with health care. The resulting market imperfections, combined with entrenched industry stakeholders, have led to a significant imbalance of care, cost, and access. Using a nontechnical framework, Dr. Guzick introduces readers to the economic principles behind the function-and dysfunction-of our health care industry. He shows how the market-based approach could be expected to remedy these problems while detailing the realities of imperfections, regulations, and wealth inequality on those functions. He also analyzes how this industry developed, presenting the conceptual underpinnings of the health care industry while detailing its history and tracing the creation and entrenchment of the current federation of key stakeholders-government, insurance companies, hospitals, doctors, employers, and drug and device manufacturers. In the final section of the book, Dr. Guzick looks to the future, describing the prevention, innovation, and alternative financing models that could help to rebalance the priorities of care, cost, and access that Americans need. An online supplement on COVID-19 is available, as is a discussion guide for instructors. To access this supplemental material, please visit www.jhupbooks.press.jhu.edu.

Why medicine adopts ineffective or harmful medical practices only to abandon them-sometimes too late. Medications such as Vioxx and procedures such as vertebroplasty for back pain are among the medical "advances" that turned out to be dangerous or useless. What Dr. Vinayak K. Prasad and Dr. Adam S. Cifu call medical reversal happens when doctors start using a medication, procedure, or diagnostic tool without a robust evidence base-and then stop using it when it is found not to help, or even to harm, patients. In Ending Medical Reversal, Drs. Prasad and Cifu narrate fascinating stories from every corner of medicine to explore why medical reversals occur, how they are harmful, and what can be done to avoid them. They explore the difference between medical innovations that improve care and those that only appear to be promising. They also outline a comprehensive plan to reform medical education, research funding and protocols, and the process for approving new drugs that will ensure that more of what gets done in doctors' offices and hospitals is truly effective.

Research findings showed that secondary school students in Hong Kong face many challenges. In particular, morbid emphasis on academic excellence has created much competition and stress in high school students. It was estimated that around one-fifth of secondary school students in Hong Kong had different forms of mental disorders. In a three-year longitudinal study, it was found that the prevalence rates of Internet addiction in Secondary 1, Secondary 2 and Secondary 3 students were 26.4%, 26.6% and 22.5%, respectively. In the same study, suicidal ideation in junior secondary school students was found in more than one-tenth of the students. At the same time, there were more than two-tenths of students showing signs of self-harm and suicidal behaviour in junior secondary years. The number of adolescents experiencing economic disadvantage has increased while family solidarity has dropped in recent years. In spite of these adolescent developmental issues, the lack of life education and life skills training in secondary school students has made the situation worse. Although moral and civic education is one of the pillars in the new 6-year secondary school curriculum, there are several problems involved. First, the coverage on social and emotional learning in the curriculum guide is very thin. Second, although there are curricula materials on life skills training in the field, validated curricula are almost non-existent. In fact, in a review of adolescent prevention and positive youth development programs in Asia, Shek and Yu pointed out that there were very few validated evidence-based programs in Hong Kong. Third, training in social-emotional learning and adolescent prevention programs is grossly inadequate in Hong Kong. Finally, while nobody would dispute the importance of life skills and psychosocial competence, such topics are seldom taught in depth in the school contexts.

This book provides an overview of the voluntary performance standard document for bomb suits for use by certified public safety bomb technicians while performing render safe procedures and disposal activities. It defines both performance requirements and the methods used to test performance. In order for a manufacturer, supplier, or other entity to claim that a particular bomb suit model satisfies this National Institute of Justice (NIJ) standard, the model must be in compliance with the requirements outlined in this standard.

The Globalization of Health Care is the first book to offer a comprehensive legal and ethical analysis of the most interesting and broadest reaching development in health care of the last twenty years: its globalization. It ties together the manifestation of this globalization in four related subject areas - medical tourism, medical migration (the physician "brain drain"), telemedicine, and pharmaceutical research and development, and integrates them in a philosophical discussion of issues of justice and equity relating to the globalization of health care.
The time for such an examination is right. Medical tourism and telemedicine are growing multi-billion-dollar industries affecting large numbers of patients. The U.S. heavily depends on foreign-trained doctors to staff its health care system, and nearly forty percent of clinical trials are now run in the developing world, with indications of as much of a 10-fold increase in the past 20 years. NGOs across the world are agitating for increased access to necessary pharmaceuticals in the developing world, claiming that better access to medicine would save millions from early death at a relatively low cost. Coming on the heels of the most expansive reform to U.S. health care in fifty years, this book plots the ways in which this globalization will develop as the reform is implemented.

Mobile phone use in the United States has risen dramatically over the last 20 years, and Americans increasingly rely on mobile phones as their sole or primary means of telephone communication. The rapid adoption of mobile phones has occurred amidst controversy over whether the technology poses a risk to human health. Like other devices that transmit radio signals, mobile phones emit radio-frequency (RF) energy. At high power levels, RF energy can heat biological tissue and cause damage. Though mobile phones operate at power levels well below the level at which this thermal effect occurs, the question of whether long-term exposure to RF energy emitted from mobile phones can cause other types of adverse health effects, such as cancer, has been the subject of research and debate. This book examines what is known about the health effects of RF energy from mobile phones, with a focus on the FCC and FDA's regulatory responsibilities; and other scientific research.

The Robert T Stafford Disaster Relief and Emergency Assistance Act (the Stafford Act) authorises the President to issue major disaster or emergency declarations in response to catastrophes in the United States that overwhelm state and local governments. This book examines concerns expressed by policymakers and experts that current Stafford Act declarations are inadequate to respond to, and recover from, and presents the arguments for and against amending the act to add a catastrophic declaration amendment.

Statutory Nuisance: Law and Practice offers a comprehensive resource for practitioners in the legal and environmental health professions, guiding the reader through the complex practical and legal issues associated with statutory nuisance. It focuses on the problems that local authorities face in enforcing this area, as well as the issues facing those advising defendants. This title examines the role, powers, and duties of the local authorities, and the problems associated with drafting abatement notices and with the prosecution of nuisances. It also covers defenses and proceedings brought by private individuals against neighbors and local authority landlords.
The book analyses what happens in court, considering in detail the procedure and requirements in appeals against notices and in prosecutions, as well as the grounds for bringing further appeals and judicial review. It covers important recent decisions and key legislation.
This new edition provides an update on the various types of statutory nuisance, additional chapters on new forms of statutory nuisance, and expanded material on adjacent areas of enforcement to statutory nuisance, notably those arising from the Anti-Social Behaviour agenda.