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US Children And Adolescents Had Fewer Annual Doctor And Dentist Contacts Than Their Dutch Counterparts, 2010-12 Comparative Primary Care
Children and adolescents in the United States have been found to be less healthy than their counterparts in other high-income countries. The contribution of pediatric health care use to health outcomes—either as an independent determinant or as a mediator of wider social factors—is not well understood. We found that, compared to their peers in the Netherlands, US children and adolescents had fewer annual doctor and dental contacts in 2012. In both countries, poorer health status was reported among low-income compared to high-income children; however, this status was accompanied by greater or equal number of doc...
Source: Health Affairs - December 7, 2015 Category: Global & Universal Authors: Hargreaves, D. S., Struijs, J. N., Schuster, M. A. Tags: Insurance Coverage - Children, Maternal And Child Health, Oral Health Care Comparative Primary Care Source Type: research

GAO Report Harshly Critical of Medicare Advantage Plans
This report follows an October 2014 audit by the GAO that was prompted by the Center for Public Integrity's "Medicare Advantage Money Grab" series. The series documented nearly $70 billion in improper payments to health plans, most of which were inflated fees from overstating patients' health risks, from 2008 through 2013 alone. The investigation performed by the Center for Public Integrity traced the overpayments to abuse of a billing formula known as a risk score, which pays higher rates for sicker patients and less for people in good health. Since 2004, that risk score has been used on the "honor system," despite crit...
Source: Policy and Medicine - June 19, 2016 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

PhRMA and Bio Sue Nevada
On September 2, 2017, Pharmaceutical Research and Manufacturers of America (PhRMA) and the Biotechnology Innovation Organization (BIO) filed a lawsuit challenging the constitutionality of Nevada’s first-in-the-nation insulin transparency law. The two groups allege that implementing the law would violate patient rights and nullify trade secret protections. PhRMA and BIO are asking the U.S. District Court to declare that provisions of the Nevada law, passed during the 2017 legislative session, are preempted by federal law and violate the U.S. Constitution. The complaint alleges that the law violates the Taking Clause of t...
Source: Policy and Medicine - September 18, 2017 Category: American Health Authors: Thomas Sullivan - Policy & Medicine Writing Staff Source Type: blogs

Influence of Insurance Type on the Access to Pediatric Care for Children With Distal Radius Torus Fractures
This study evaluated the willingness of pediatricians to provide care for minor orthopaedic injuries and whether or not the patient’s insurance status influenced the decision to provide care. Methods: Ninety-nine pediatric primary care offices were randomly selected from 2 regions in Florida. Each office was contacted twice, 2 to 3 months apart, and presented with a fictionalized account of a patient that had sustained a torus (“buckle”) fracture of the distal radius. In the first call, the patient was presented as having private insurance, and in the second call as having Medicaid insurance. If the patient was de...
Source: Journal of Pediatric Orthopaedics - April 12, 2019 Category: Orthopaedics Tags: Trauma Source Type: research

Reducing Churn to Increase Value in Health Care: Solutions for Payers, Providers, and Policymakers
Conclusion Churn has vexed insurance executives for decades and is considered by many at this point an inevitable challenge. But now that the value-based movement has led to a refocusing on social determinants of health, incentives are aligned to address this issue. This solution may be a key step towards a healthcare system focused on investing in health rather than in treating illness. Niko has a background in research and consulting and enjoys writing about and solving problems facing the US health care industry. Saeed has more than 25 years of health information technology experience, with a track record of ...
Source: The Health Care Blog - May 15, 2019 Category: Consumer Health News Authors: Christina Liu Tags: Economics The Business of Health Care Uncategorized Churn health innovation Health policy health20 niko lehman-white saeed aminzadeh Source Type: blogs

Health Insurance and Out-of-Pocket Costs in the Last Year of Life Among Decedents Utilizing the ICU
Conclusions: Across all categories of insurance coverage, out-of-pocket spending in the last 12 months of life is high and represents a significant portion of assets for many patients requiring intensive care and their families. Medicare fee-for-service alone does not insulate individuals from the financial burden of high-intensity care, due to lack of an out-of-pocket maximum and a relatively high co-payment for hospitalizations. Medicaid plays an important role in the social safety net, providing the most complete hospital coverage of all the insurance groups, as well as significantly financing long-term care.
Source: Critical Care Medicine - May 16, 2019 Category: Emergency Medicine Tags: Feature Articles Source Type: research

End-of-life milieu of critically sick children admitted to a pediatric hospital: A comparative study of survivors versus nonsurvivors
Conclusions: The study offers useful insight about social, financial, and religious “end-of-life” needs among terminally sick children and thereby sensitizes the health-care providers to optimize their care at this niche period.
Source: Indian Journal of Palliative Care - October 10, 2019 Category: Palliative Care Authors: Asmita Das Bhavneet Bharti Prahbhjot Malhi Sunit Singhi Source Type: research

Racial Minority Families' Preferences for Communication in Pediatric Intensive Care Often Overlooked.
CONCLUSION: In general, families of PICU patients prefer meeting with the medical team during rounds or unplanned bedside meetings as opposed to formal family meetings. Despite this preference, minority families are less likely to receive communication from the medical team in their preferred settings. Meeting all families' communication setting needs may improve their communication experiences in the PICU. PMID: 31653328 [PubMed - as supplied by publisher]
Source: Journal of the National Medical Association - October 29, 2019 Category: General Medicine Tags: J Natl Med Assoc Source Type: research

Neighborhoods with Greater Prevalence of Minority Residents Have Lower CPAP Adherence
CONCLUSIONS: CPAP adherence is lower in neighborhoods with greater proportions of Black and Hispanic residents independent of education or poverty. These differences lead to a lower likelihood of meeting insurance coverage requirements for CPAP therapy, potentially exacerbating sleep health disparities.PMID:33689593 | DOI:10.1164/rccm.202009-3685OC
Source: American Journal of Respiratory and Critical Care Medicine - March 10, 2021 Category: Respiratory Medicine Authors: Priya V Borker Emely Carmona Utibe R Essien Gul Jana Saeed S Mehdi Nouraie Jessie P Bakker Christy J Stitt Mark S Aloia Sanjay R Patel Source Type: research

Are There Differences in Pediatric Psychiatric Emergency Department Patients Related to Utilization Frequency?
Conclusions The greater emergency department use by younger children found in this study may be an indicator of insufficient treatment at other levels of care. Additional research examining more demographic variables and demographic characteristics in greater detail is needed to fully characterize the most frequent users of costly pediatric psychiatric emergency department care.
Source: Pediatric Emergency Care - December 1, 2021 Category: Emergency Medicine Tags: Original Articles Source Type: research

Patient and Visit Characteristics of Pediatric Patients With High-frequency Low-acuity Emergency Department Visits
Conclusions In our sample, most high-frequency low-acuity ED patients were infants, African American and have public insurance. Many are seen during clinic hours and are paneled at affiliated clinics. Among superusers, the majority of the visits did not require any testing, intervention, or treatment.
Source: Pediatric Emergency Care - January 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Evaluation of an Integrated Psychology Service in a Pediatric Emergency Department and Urgent Care
Objectives Children visiting emergency departments (EDs) are disproportionately affected by mental health disorders. Integrated behavioral health models hold promise for improving care among ED patients. We implemented and evaluated a novel behavioral health service integrated psychology trainees in a safety net hospital's pediatric ED and urgent care. Methods Consultations and interventions provided were identified from the service's patient registry. Patients treated by the service were matched based on age, sex, day, and month of presentation to control patients who received a brief assessment by a specialize...
Source: Pediatric Emergency Care - February 1, 2022 Category: Emergency Medicine Tags: Original Research Article Source Type: research

Comparing Firearm and Stabbing Injuries in the Pediatric Trauma Population Using Propensity Matching
Conclusions Pediatric victims of firearm violence were more likely to die or need additional care outside the home than victims of other types of penetrating injury when accounting for confounding characteristics to minimize bias.
Source: Pediatric Emergency Care - April 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research

Assault-Related Concussion in a Pediatric Population
Objectives The aim of this study was to compare demographic characteristics, medical care, and outcomes among patients with assault-related concussion (ARC) versus sports and recreation–related concussion (SRC). Methods We conducted a retrospective chart review of 124 patients (62 ARC, 62 SRC) aged 8 to 17 years presenting to the care network of a large tertiary care pediatric hospital between July 1, 2012, and June 30, 2014 with a concussion diagnosis at time of presentation. We abstracted patient demographics, initial medical care visit characteristics, and outcome data, and compared proportions using χ2 te...
Source: Pediatric Emergency Care - September 1, 2022 Category: Emergency Medicine Tags: Original Articles Source Type: research