JAMA Netw Open 2021 Oct 1;4(10):e2128971. Epub 2021 Oct 1.
Division of Epidemiology, Biostatistics, and Environmental Health, School of Public Health, The University of Memphis, Memphis, Tennessee.
J Public Health Dent 2021 Nov 23. Epub 2021 Nov 23.
Department of Medicine, Massachusetts General Hospital, Boston, Massachusetts, USA.
Background: Individuals with opioid use disorder (OUD) are at higher risk of poor oral health. Medication for opioid use disorder (MOUD) has been shown to improve outcomes for patients with OUD, but it is unknown how initiation of MOUD affects access to oral health services.Methods: This was a retrospective analysis of all individuals in the Massachusetts All-Payer Claims Database prescribed oral buprenorphine-naloxone or injectable naltrexone from 2013 to 2016. Read More
Am Heart J 2021 Nov 20. Epub 2021 Nov 20.
Division of Cardiology, University of Colorado, Anschutz Medical Campus, Aurora, CO; Division of Cardiology, Denver Health Medical Center, Denver, CO.
Background: Uninsurance is a known contributor to racial/ethnic health inequities. Insurance is often needed for prescriptions and follow-up appointments. Therefore, we determined whether the Affordable Care Act(ACA) Medicaid Expansion was associated with increased receipt of guideline-directed medical treatment(GDMT) at discharge among patients hospitalized with heart failure(HF) by race/ethnicity. Read More
JAMA Netw Open 2021 Nov 1;4(11):e2135371. Epub 2021 Nov 1.
Department of Health Administration and Policy, College of Health and Human Services, George Mason University, Fairfax, Virginia.
Importance: The high and increasing expenditures for prescription medications in the US is a national problem.Objective: To explore the association of generic statin competition on relevant use and cost savings and to provide use and expenditure trends for all available statins for private and public payers and for out-of-pocket spending.Design, Setting, And Participants: This survey study evaluated data from the January 1, 2002, to December 31, 2018, Medical Expenditure Panel Survey by using a difference-in-differences analysis. Read More
Health Serv Res 2021 Nov 21. Epub 2021 Nov 21.
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health.
Objective: To examine non-profit hospitals' financial and spending allocations when the private sector payment rate is higher than the Medicare's payment rate.Data Sources: Hospital financial data for 2014 - 2018 from Center for Medicare and Medicaid Services Hospital Cost Reports, hospital characteristics from the American Hospital Association (AHA) Annual Survey.Study Design: Hospital and year level fixed effects regressions modeling each hospital's 1) operating net income per discharge equivalent (DE); 2) administrative cost per DE; 3) patient care cost per DE; 4) registered nurse per bed; charity care cost per DE; and 5) provision of unprofitable services as a function of the private sector to Medicare payment ratio (PMR). Read More
Dis Colon Rectum 2021 Nov 18. Epub 2021 Nov 18.
Resident in General Surgery, Department of Surgery, The Brody School of Medicine at East Carolina University, Greenville, North Carolina Assistant Professor, Division of Surgical Oncology, Department of Surgery & Department of Public Health, The Brody School of Medicine at East Carolina University, Greenville, North Caroling Professor, Department of Surgery and Department of Public Health, The Brody School of Medicine at East Carolina University, Greenville, North Carolina Professor, Division of Surgical Oncology, Department of Surgery, The Brody School of Medicine at East Carolina University, Greenville, North Carolina.
Background: The 2010 Affordable Care Act mandated preventative screening coverage and provided participating states support for Medicaid coverage. The association of Medicaid expansion with colon cancer stage at diagnosis is unknown.Objective: To determine whether the proportion of patients diagnosed with early stage colon cancer changed over time within states that expanded Medicaid compared to non-expansion states. Read More