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Does Anesthesia Quality Improvement Participation Lead to Incremental Savings in a Surgical Quality Collaborative Population? A Retrospective Observational Study
CONCLUSIONS: Participation in an anesthesiology CQI, ASPIRE, is associated with lower total episode payments for selected major, high-volume procedures. This analysis supports that participation in an anesthesia CQI can lead to reduced health care payments.PMID:37678254 | DOI:10.1213/ANE.0000000000006565
Source: Anesthesia and Analgesia - September 7, 2023 Category: Anesthesiology Authors: Allison M Janda Michelle T Vaughn Douglas A Colquhoun Graciela Mentz Kathryn Buehler Hari Nathan Scott E Regenbogen John Syrjamaki Sachin Kheterpal Nirav Shah Source Type: research
Racial and Ethnic Inequities in Development of Type 2 Diabetes After Gestational Diabetes Mellitus
CONCLUSION: Population-based racial and ethnic inequities are substantial in type 2 diabetes after GDM. Characteristics at the time of delivery partially explain disparities, creating an opportunity to intervene on life-course cardiometabolic inequities, whereas weak associations of common social or structural measures and BMI in Black, Hispanic and South and Southeast Asian individuals demonstrate the need for greater understanding of how structural racism influences postpartum cardiometabolic risk in these groups.PMID:37678923 | DOI:10.1097/AOG.0000000000005324
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Teresa Janevic Katharine McCarthy Shelley H Liu Mary Huyhn Joseph Kennedy Hiu Tai Chan Victoria L Mayer Luciana Vieira Bahman Tabaei Frances Howell Elizabeth Howell Gretchen Van Wye Source Type: research
Association Among Race, Ethnicity, Insurance Type, and Postpartum Permanent Contraception Fulfillment
CONCLUSION: In unadjusted models, we find marked racial disparities in fulfillment of permanent contraception. Controlling for individual- and facility-level factors eliminated associations among race, ethnicity, insurance type, and fulfillment, likely because covariates are mediators on the pathway between racism and fulfillment.PMID:37678912 | DOI:10.1097/AOG.0000000000005328
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Brooke W Bullington Kristen A Berg Emily S Miller Margaret Boozer Tania Serna Jennifer L Bailit Kavita Shah Arora Source Type: research
Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Financial risk protection in private health insurance: empirical evidence on catastrophic and impoverishing spending from Germany's dual insurance system
This study provides evidence on financial protection in PHI for the case of Germany's dual insurance system of PHI and SHI, where PHI covers 11% of the population. Linked survey and claims data of PHI insureds (n = 3105) and population-wide household budget data (n = 42,226) are used to compute the prevalence of catastrophic health expenditures (CHE), i.e. the share of households whose out-of-pocket payments either exceed 40% of their capacity-to-pay or push them (further) into poverty. Despite comparatively high out-of-pocket payments, CHE is low in German PHI. It only affects the poor. Key to low financial burden seems t...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Philipp Hengel Miriam Bl ümel Martin Siegel Katharina Achstetter Julia K öppen Reinhard Busse Source Type: research
Changing roles of health insurers in France, Germany, and the Netherlands: any lessons to learn from Bismarckian systems?
Health Econ Policy Law. 2023 Sep 7:1-15. doi: 10.1017/S1744133123000191. Online ahead of print.ABSTRACTBismarckian health systems are mainly governed by social health insurers, but their role, status, and power vary across countries and over time. We compare the role of health insurers in three distinct social health insurance systems in improving health systems' efficiency. In France, insurers work together as a single payer within a highly regulated context. Although this gives insurers substantial bargaining power, collective negotiations with providers are highly political and do not provide appropriate incentives for ...
Source: Health Economics, Policy, and Law - September 7, 2023 Category: Health Management Authors: Frederik T Schut Cornelia Henschke Zeynep Or Source Type: research
Does Anesthesia Quality Improvement Participation Lead to Incremental Savings in a Surgical Quality Collaborative Population? A Retrospective Observational Study
CONCLUSIONS: Participation in an anesthesiology CQI, ASPIRE, is associated with lower total episode payments for selected major, high-volume procedures. This analysis supports that participation in an anesthesia CQI can lead to reduced health care payments.PMID:37678254 | DOI:10.1213/ANE.0000000000006565
Source: Anesthesia and Analgesia - September 7, 2023 Category: Anesthesiology Authors: Allison M Janda Michelle T Vaughn Douglas A Colquhoun Graciela Mentz Kathryn Buehler Hari Nathan Scott E Regenbogen John Syrjamaki Sachin Kheterpal Nirav Shah Source Type: research
Racial and Ethnic Inequities in Development of Type 2 Diabetes After Gestational Diabetes Mellitus
CONCLUSION: Population-based racial and ethnic inequities are substantial in type 2 diabetes after GDM. Characteristics at the time of delivery partially explain disparities, creating an opportunity to intervene on life-course cardiometabolic inequities, whereas weak associations of common social or structural measures and BMI in Black, Hispanic and South and Southeast Asian individuals demonstrate the need for greater understanding of how structural racism influences postpartum cardiometabolic risk in these groups.PMID:37678923 | DOI:10.1097/AOG.0000000000005324
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Teresa Janevic Katharine McCarthy Shelley H Liu Mary Huyhn Joseph Kennedy Hiu Tai Chan Victoria L Mayer Luciana Vieira Bahman Tabaei Frances Howell Elizabeth Howell Gretchen Van Wye Source Type: research
Association Among Race, Ethnicity, Insurance Type, and Postpartum Permanent Contraception Fulfillment
CONCLUSION: In unadjusted models, we find marked racial disparities in fulfillment of permanent contraception. Controlling for individual- and facility-level factors eliminated associations among race, ethnicity, insurance type, and fulfillment, likely because covariates are mediators on the pathway between racism and fulfillment.PMID:37678912 | DOI:10.1097/AOG.0000000000005328
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Brooke W Bullington Kristen A Berg Emily S Miller Margaret Boozer Tania Serna Jennifer L Bailit Kavita Shah Arora Source Type: research
Racial and Ethnic Inequities in Development of Type 2 Diabetes After Gestational Diabetes Mellitus
CONCLUSION: Population-based racial and ethnic inequities are substantial in type 2 diabetes after GDM. Characteristics at the time of delivery partially explain disparities, creating an opportunity to intervene on life-course cardiometabolic inequities, whereas weak associations of common social or structural measures and BMI in Black, Hispanic and South and Southeast Asian individuals demonstrate the need for greater understanding of how structural racism influences postpartum cardiometabolic risk in these groups.PMID:37678923 | DOI:10.1097/AOG.0000000000005324
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Teresa Janevic Katharine McCarthy Shelley H Liu Mary Huyhn Joseph Kennedy Hiu Tai Chan Victoria L Mayer Luciana Vieira Bahman Tabaei Frances Howell Elizabeth Howell Gretchen Van Wye Source Type: research
Association Among Race, Ethnicity, Insurance Type, and Postpartum Permanent Contraception Fulfillment
CONCLUSION: In unadjusted models, we find marked racial disparities in fulfillment of permanent contraception. Controlling for individual- and facility-level factors eliminated associations among race, ethnicity, insurance type, and fulfillment, likely because covariates are mediators on the pathway between racism and fulfillment.PMID:37678912 | DOI:10.1097/AOG.0000000000005328
Source: Obstetrics and Gynecology - September 7, 2023 Category: OBGYN Authors: Brooke W Bullington Kristen A Berg Emily S Miller Margaret Boozer Tania Serna Jennifer L Bailit Kavita Shah Arora Source Type: research
Critical Lessons in Tailoring Interventions: Listening to WISEWOMAN Participants
CONCLUSION: The challenges that low-income and un-/under-insured women identified amplify the importance of having interventions that offer flexibility, options, and tailoring of supports and resources. The timeless challenges articulated by participants in this study completed just before the COVID-19 pandemic, remain relevant to be addressed through the pandemic and beyond.PMID:37670568 | DOI:10.1177/08901171231200779
Source: American Journal of Health Promotion : AJHP - September 6, 2023 Category: International Medicine & Public Health Authors: Yuae Park Jennifer King Molly M Eggleston Thistle I Elias Source Type: research
Geographic and Sociodemographic Variations in Prevalence of Mental Health Symptoms Among US Youths, 2022
Conclusions. There is an urgent need for attention to mental health challenges among youths, taking into account geographic and sociodemographic variations. (Am J Public Health. 2023;113(10):1116-1119. https://doi.org/10.2105/AJPH.2023.307355).PMID:37672739 | DOI:10.2105/AJPH.2023.307355
Source: American Journal of Public Health - September 6, 2023 Category: International Medicine & Public Health Authors: Junxiu Liu Zhiyang Zhou Xi Cheng Nita Vangeepuram Source Type: research
Critical Lessons in Tailoring Interventions: Listening to WISEWOMAN Participants
CONCLUSION: The challenges that low-income and un-/under-insured women identified amplify the importance of having interventions that offer flexibility, options, and tailoring of supports and resources. The timeless challenges articulated by participants in this study completed just before the COVID-19 pandemic, remain relevant to be addressed through the pandemic and beyond.PMID:37670568 | DOI:10.1177/08901171231200779
Source: American Journal of Health Promotion : AJHP - September 6, 2023 Category: International Medicine & Public Health Authors: Yuae Park Jennifer King Molly M Eggleston Thistle I Elias Source Type: research
