Impact of Medicaid Expansion on Trauma Patients at Extreme Risk of Mortality: A Time-Series Analysis
This study assessed how Medicaid expansion affected in-hospital mortality in patients with extreme risk of mortality (EROM) from traumatic injuries.METHODS: Data from inpatients aged 18-64 years, registered in the National Inpatient Sample between 2007 and 2020, and identified with trauma-related All-Patient Refined Diagnosis Related Groups (APRDRG) codes, were analyzed. Within this group, a subset of patients was selected based on the APRDRG classification identifying them as at EROM for the principal unit of analysis. The cohort was divided into high-implementation (HIR) and low-implementation (LIR) regions based on Medi...
Source: The American Surgeon - March 20, 2024 Category: Surgery Authors: Jos é A Acosta Source Type: research
Improving Equitable Postpartum Care in an Urban Private Clinic with Predominantly Black Patients
DiscussionThis quality initiative addressed a key factor in health equity for a predominantly Black, Medicaid-insured population in an urban clinic by raising PPV attendance rates above national standards of 90% and improving client satisfaction and the quality of care received during these visits. The project was low cost and created sustainable systems for maintaining evidence-based equitable care. Limitations included the coronavirus disease 19 pandemic, clinic staff turnover, and staff and client biases. Continued innovative research targeted at improving health equity is needed. (Source: Journal of Midwifery and Women's Health)
Source: Journal of Midwifery and Women's Health - March 20, 2024 Category: Midwifery Authors: Yannique Tello,
Kristin A. Gianelis Tags: Quality Improvement Source Type: research
Injury-related emergency department use among people with intellectual and developmental disabilities insured by Medicaid from 2010 to 2016
Conclusions
While rates and patterns of ED utilisation among Medicaid members with intellectual and developmental disabilities vary by age and gender, our findings suggest this group visits the ED due to injury at rates well above the general population. (Source: Injury Prevention)
Source: Injury Prevention - March 20, 2024 Category: Accident Prevention Authors: Williams, J., Royer, J., Lauer, E., Kurth, N. K., Horner-Johnson, W., McDermott, S., Levy, A., Hall, J. P. Tags: Original research Source Type: research
Neighborhood Socioeconomic Disadvantages Influence Outcomes Following Rotator Cuff Repair in the Non-Medicaid Population “Socioeconomic Impact on RC Outcomes”
Prior investigations have utilized various surrogate markers of socioeconomic status to assess how healthcare disparities impact outcomes after rotator cuff repair (RCR). When taken as individual markers, these factors have inconsistent associations. Medicaid insurance status is an accessible marker that has recently been correlated with less optimal outcomes after RCR. Socioeconomic disparities exist within the non-Medicaid population as well and are arguably more difficult to characterize. The Area Deprivation Index (ADI) uses seventeen socioeconomic variables to establish a spectrum of neighborhood healthcare disparity....
Source: Journal of Shoulder and Elbow Surgery - March 20, 2024 Category: Orthopaedics Authors: Gregory R. Sprowls, Branum O. Layton, Jordyn M. Carroll, Grace E. Welch, Michael J. Kissenberth, Stephan G. Pill Tags: Original Article Source Type: research
Old tech but not low tech: telephone-based treatment provision for substance use
The future of telemedicine for substance use treatment hangs by a thread, as the United States awaits approval of proposed regulations and laws to increase care access in light of the 2022 Centers for Medicare and Medicaid Services revisions allowing for audio-only care. Telemedicine improves patient care access and outcomes. Audio-only telemedicine can be an effective and viable modality for individuals without technology resources (devices, internet services, and literacy), those with reduced telehealth service utilization (Black individuals or those with unstable housing, who are older, with low income, or with low educ...
Source: Frontiers in Psychiatry - March 19, 2024 Category: Psychiatry Source Type: research
Biden Signs Spending Bill That Reverses Part of 2024 Medicare Physician Fee Cut
On March 9, President Bidensigned into law theConsolidated Appropriations Act, 2024 (HR 4366) to avert a partial government shutdown. The $460 billion spending package includes a 1.68% reduction to the 3.4% cut to theMedicare Physician Fee Schedule conversion factor that took effect on January 1. (The conversion factor is an element in the equation that determines physician reimbursement for every payment code.)The new payment rate went into effect on March 9; it is not retroactive to January 1. APA continues to work for full repeal of the physician pay cut, which was automatically enacted to offset overall increases...
Source: Psychiatr News - March 18, 2024 Category: Psychiatry Tags: appropriations fee schedule Joe Biden legislation Medicaid Medicare reimbursement substance use disorders SUPPORT Act Source Type: research
Treatment Patterns and Survival Outcomes in Patients With Breast Cancer on Medicaid, Pre- and Post-Expansion
CONCLUSIONS: Medicaid expansion in Ohio was associated with improvements in receipt of standard treatment of breast cancer and shorter TTI but not with improved survival outcomes. Future studies should elucidate the mechanisms at play.PMID:38498974 | DOI:10.6004/jnccn.2023.7104 (Source: Journal of the National Comprehensive Cancer Network : JNCCN)
Source: Journal of the National Comprehensive Cancer Network : JNCCN - March 18, 2024 Category: Cancer & Oncology Authors: Siran M Koroukian Weichuan Dong Jeffrey M Albert Uriel Kim Kirsten Eom Johnie Rose Cynthia Owusu Kristine M Zanotti Gregory Cooper Jennifer Tsui Source Type: research
Biomarker Testing, Targeted Therapy and Clinical Trial Participation by Race Among Patients With Lung Cancer: A Real-World Medicaid Database Study
CONCLUSIONS: Patients with metastatic lung cancer with Medicaid coverage were found to have exceedingly low biomarker testing rates; only 57% had evidence of any biomarker testing. Although no consistent differences between Black and White races were identified, this study calls attention to care experienced by socioeconomically disadvantaged patients with metastatic lung cancer in the United States.PMID:38496377 | PMC:PMC10941001 | DOI:10.1016/j.jtocrr.2024.100643 (Source: Clinical Lung Cancer)
Source: Clinical Lung Cancer - March 18, 2024 Category: Cancer & Oncology Authors: Debora S Bruno Xiaohong Li Lisa M Hess Source Type: research
Treatment Patterns and Survival Outcomes in Patients With Breast Cancer on Medicaid, Pre- and Post-Expansion
CONCLUSIONS: Medicaid expansion in Ohio was associated with improvements in receipt of standard treatment of breast cancer and shorter TTI but not with improved survival outcomes. Future studies should elucidate the mechanisms at play.PMID:38498974 | DOI:10.6004/jnccn.2023.7104 (Source: Journal of the National Comprehensive Cancer Network : JNCCN)
Source: Journal of the National Comprehensive Cancer Network : JNCCN - March 18, 2024 Category: Cancer & Oncology Authors: Siran M Koroukian Weichuan Dong Jeffrey M Albert Uriel Kim Kirsten Eom Johnie Rose Cynthia Owusu Kristine M Zanotti Gregory Cooper Jennifer Tsui Source Type: research
Biomarker Testing, Targeted Therapy and Clinical Trial Participation by Race Among Patients With Lung Cancer: A Real-World Medicaid Database Study
CONCLUSIONS: Patients with metastatic lung cancer with Medicaid coverage were found to have exceedingly low biomarker testing rates; only 57% had evidence of any biomarker testing. Although no consistent differences between Black and White races were identified, this study calls attention to care experienced by socioeconomically disadvantaged patients with metastatic lung cancer in the United States.PMID:38496377 | PMC:PMC10941001 | DOI:10.1016/j.jtocrr.2024.100643 (Source: Clinical Lung Cancer)
Source: Clinical Lung Cancer - March 18, 2024 Category: Cancer & Oncology Authors: Debora S Bruno Xiaohong Li Lisa M Hess Source Type: research
State Policies Associated with Availability of Mobile Crisis Teams
This study identified counties with mobile crisis teams and examined state policies associated with mobile crisis teams. Descriptive statistics and geographic information system software were used to quantify and map counties with mobile crisis teams in the United States. Relationships between state policies and mobile crisis teams were examined using an adjusted logistic regression model, controlling for county characteristics and accounting for clustering by state. Approximately 40% (n = 1,245) of all counties in the US have at least one mobile crisis team. Counties in states with legislation in place to fund the 98...
Source: Administration and Policy in Mental Health and Mental Health Services Research - March 18, 2024 Category: Psychiatry Source Type: research
Treatment setting and buprenorphine discontinuation: an analysis of multi-state insurance claims
CONCLUSION: Buprenorphine discontinuation is high across outpatient PCP, psychiatry, and SUD treatment facility settings, with potentially lower treatment retention among Medicaid enrollees receiving care from SUD facilities and PCPs.PMID:38493109 | DOI:10.1186/s13722-024-00450-0 (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 17, 2024 Category: Addiction Authors: Kevin Y Xu Alex K Gertner Shelly F Greenfield Arthur Robin Williams Richard A Grucza Source Type: research
Treatment setting and buprenorphine discontinuation: an analysis of multi-state insurance claims
CONCLUSION: Buprenorphine discontinuation is high across outpatient PCP, psychiatry, and SUD treatment facility settings, with potentially lower treatment retention among Medicaid enrollees receiving care from SUD facilities and PCPs.PMID:38493109 | PMC:PMC10943881 | DOI:10.1186/s13722-024-00450-0 (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 17, 2024 Category: Addiction Authors: Kevin Y Xu Alex K Gertner Shelly F Greenfield Arthur Robin Williams Richard A Grucza Source Type: research
STS Database Analysis: Comparing Sublobar Techniques in Stage IA Lung Cancer
CONCLUSIONS: In clinical stage IA lung cancer, relative to segmentectomy, wedge resection has comparable overall survival and lower perioperative morbidity, suggesting it is an equally effective option for the broader population of patients with clinical-stage IA lung cancer, not only those at highest risk of complications.PMID:38493921 | DOI:10.1016/j.athoracsur.2024.03.008 (Source: The Annals of Thoracic Surgery)
Source: The Annals of Thoracic Surgery - March 17, 2024 Category: Cardiovascular & Thoracic Surgery Authors: Christopher W Towe Maria V Grau-Sepulveda Matthew G Hartwig Lillian Kang Boxiang Jiang Jillian Sinopoli Leonidas Tapias Vargas Andrzej Kosinski Philip A Linden Source Type: research
Treatment setting and buprenorphine discontinuation: an analysis of multi-state insurance claims
CONCLUSION: Buprenorphine discontinuation is high across outpatient PCP, psychiatry, and SUD treatment facility settings, with potentially lower treatment retention among Medicaid enrollees receiving care from SUD facilities and PCPs.PMID:38493109 | PMC:PMC10943881 | DOI:10.1186/s13722-024-00450-0 (Source: Addiction Science and Clinical Practice)
Source: Addiction Science and Clinical Practice - March 17, 2024 Category: Addiction Authors: Kevin Y Xu Alex K Gertner Shelly F Greenfield Arthur Robin Williams Richard A Grucza Source Type: research
