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Prenatal Care Utilization Challenges and Facilitators for a Growing Latino Community in the Midwest
Conclusions for PracticeResults from this study highlight important targets to improve PNC for Latina women. Participants called for various types of support to address identified challenges, ranging from information on social media about PNC services to broader efforts such as building trust from the community toward PNC providers and making PNC services affordable for women with gestational diabetes.
Source: Maternal and Child Health Journal - September 22, 2023 Category: Health Management Source Type: research

Hard Times in the Country
 The AP recently reported onthe disappearance of maternity wards in rural areas: Alisha Alderson placed her folded clothes and everything she needed for the last month of her pregnancy in various suitcases. She never imagined she would have to leave the comfort of her home in rural eastern Oregon just weeks before her due date. But following the abrupt closure in August of the only maternity ward within 40 miles, she decided to stay at her brother ’s house near Boise, Idaho — a two-hour drive through a mountain pass — to be closer to a hospital. . . .A growing number of rural hospitals have been shutt...
Source: Stayin' Alive - September 22, 2023 Category: American Health Source Type: blogs

Access to restorative oral health care for children living in Illinois with Medicaid vs private dental insurance: An audit study
CONCLUSIONS: Medicaid compares poorly with private insurance for providing access to pediatric oral health care. Regardless of insurance conditions, access is poor in less urban environments compared with metropolitan communities.PRACTICAL IMPLICATIONS: Even Medicaid-enrolled dental practices limit the care they extend to insured children. Providing Medicaid by itself cannot overcome large oral health care access disparities, which are greatest in rural communities.PMID:37737770 | DOI:10.1016/j.adaj.2023.07.018
Source: Journal of the American Dental Association - September 22, 2023 Category: Dentistry Authors: Charles W LeHew Yi-Fan Chen Patrick D Smith Brittaney Hill Flavia Lamberghini Alejandra Valencia Source Type: research

Prevalence of diagnosed depression, anxiety, and ADHD among youth with type 1 or type 2 diabetes mellitus
We examined the prevalence of diagnosed depression, anxiety, and ADHD among youth by diabetes type, insurance type, and race/ethnicity. These mental disorders were more prevalent among youth with diabetes, particularly those with type 2 diabetes, with non-Hispanic White youth with Medicaid and diabetes having a higher prevalence than other races/ethnicities.
Source: Primary Care Diabetes - September 22, 2023 Category: Primary Care Authors: Joohyun Park, Shichao Tang, Isabel Mendez, Catherine Barrett, Melissa L. Danielson, Rebecca H. Bitsko, Christopher Holliday, Kai McKeever Bullard Tags: Brief report Source Type: research

Nearly 500,000 in U.S. Will Regain Medicaid Coverage After State Errors
Low-income people who wrongly lost Medicaid or Children ’s Health Insurance Program coverage will keep their insurance, federal officials said.
Source: NYT Health - September 21, 2023 Category: Consumer Health News Authors: Noah Weiland Tags: Health Insurance and Managed Care States (US) Children and Childhood Medicaid State Children ' s Health Insurance Program (S-CHIP) Medicine and Health Health and Human Services Department United States Source Type: news

Following State Errors, Nearly 500,000 Americans Will Regain Health Insurance
Low-income people who wrongly lost Medicaid or Children ’s Health Insurance Program coverage will keep their insurance, federal officials said.
Source: NYT Health - September 21, 2023 Category: Consumer Health News Authors: Noah Weiland Tags: Health Insurance and Managed Care States (US) Children and Childhood Medicaid State Children ' s Health Insurance Program (S-CHIP) Medicine and Health Health and Human Services Department United States Source Type: news

State Variation in Severe Maternal Morbidity Among Individuals with Medicaid Insurance
Obstet Gynecol. 2023 Oct 1;142(4):990-991. doi: 10.1097/AOG.0000000000005365.NO ABSTRACTPMID:37734098 | DOI:10.1097/AOG.0000000000005365
Source: Obstetrics and Gynecology - September 21, 2023 Category: OBGYN Authors: Gabriella A Norwitz Errol R Norwitz Source Type: research

State Variation in Severe Maternal Morbidity Among Individuals With Medicaid Insurance
Obstet Gynecol. 2023 Oct 1;142(4):989-990. doi: 10.1097/AOG.0000000000005357.NO ABSTRACTPMID:37734097 | DOI:10.1097/AOG.0000000000005357
Source: Obstetrics and Gynecology - September 21, 2023 Category: OBGYN Authors: Chavi Eve Karkowsky Joseph J Apuzzio Damali Campbell Lisa Gittens-Williams Source Type: research

State Variation in Severe Maternal Morbidity Among Individuals with Medicaid Insurance
Obstet Gynecol. 2023 Oct 1;142(4):989. doi: 10.1097/AOG.0000000000005356.NO ABSTRACTPMID:37734096 | DOI:10.1097/AOG.0000000000005356
Source: Obstetrics and Gynecology - September 21, 2023 Category: OBGYN Authors: Ashley H Hirai Catherine J Vladutiu Elliott K Main Jennifer Moore Source Type: research

Racism, not race, impacts surgical outcomes
We read with interest the paper by Li et al. (May 2023), which analyzed patient outcomes following abdominal aortic aneurysm (AAA) rupture.1 In the authors ’ description of racial inequities, they document that Black patients were more likely to be uninsured or Medicaid insured, suffer from a larger burden of cardiovascular risk factors while not being more likely to be on appropriate risk reduction medications, and have longer "door-to-intervention” times.1 We agree with some of the strategies suggested by the authors to reduce health inequities such as “redesigning health care infrastructure to improve transportati...
Source: Journal of Vascular Surgery - September 21, 2023 Category: Surgery Authors: Francois G. Rollin, Surabhi Beriwal, Olivia Veira, Olamide Alabi Source Type: research

Measuring continuity of care for diabetes: which visits to include?
CONCLUSIONS: Continuity values differed substantially depending on which provider specialties were included. The importance of this variation is uncertain, as continuity was weakly associated with ED visits using each of the measures.PMID:37729533 | DOI:10.37765/ajmc.2023.89431
Source: The American Journal of Managed Care - September 20, 2023 Category: Health Management Authors: Kevin R Riggs Caroline A Presley April A Agne Carrie R Howell Lei Huang Michael J Mugavero Emily B Levitan Andrea L Cherrington Source Type: research

Comparison of primary payer in cancer registry and discharge data
CONCLUSIONS: Findings suggest caution in conducting and interpreting research using insurance variables in cancer registries.PMID:37729528 | DOI:10.37765/ajmc.2023.89425
Source: The American Journal of Managed Care - September 20, 2023 Category: Health Management Authors: Youngmin Kwon Marcelo C Perraillon Coleman Drake Bruce L Jacobs Cathy J Bradley Lindsay M Sabik Source Type: research

How Will Rural Americans Fare During Medicaid Unwinding? Experts Fear They're on Their Own
Describes the role of navigators tasked with helping guide people through health insurance enrollment, particularly during the Medicaid unwinding process. Notes that disenrollment could disproportionately impact rural residents who already disproportionately experience barriers to care. Navigators are more likely to be located in urban areas or cover large regions. States that other methods for receiving assistance have proven unreliable. Discusses data gathering techniques that make it challenging to understand rural and urban differences.
Source: News stories via the Rural Assistance Center - September 20, 2023 Category: Rural Health Source Type: news

Healthcare IT Regulations – What Needs to Be Added and What Needs to Be Removed
There are a lot of rules and regulations in place in the world of healthcare. These are put into place in order to protect patients and organizations. However, the world of healthcare is constantly changing and evolving as we come up with new ideas and solutions. Have the regulations done the same though? Or are there areas that are missing regulations? Or are there areas in healthcare where past regulations are now too restrictive and are holding us back? In search of answers to these questions, we reached out to our incredibly beautiful Healthcare IT Today Community to see what areas they would add, remove, or update re...
Source: EMR and HIPAA - September 19, 2023 Category: Information Technology Authors: Grayson Miller Tags: Administration Ambulatory C-Suite Leadership Health IT Company Healthcare IT Hospital - Health System LTPAC Regulations 1upHealth 4medica Amanda Heidemann Andrea Mazzoccoli Andrew Norden MD Bill Charnetski Cheryl Cheng Commur Source Type: blogs

Predicting Pediatric Severe Asthma Exacerbations: An Administrative Claims-Based Predictive Model
CONCLUSIONS: Predictive models for asthma-related exacerbation achieved moderate accuracy, but race and ethnicity, ICD-10 SDOH, RUCA codes, and COI measures were not important in improving model accuracy.PMID:37725084 | DOI:10.1080/02770903.2023.2260881
Source: Journal of Asthma - September 19, 2023 Category: Respiratory Medicine Authors: Mandana Rezaeiahari Clare C Brown Arina Eyimina Tamara T Perry Anthony Goudie Melanie Boyd J Mick Tilford Akilah A Jefferson Source Type: research