81 results match your criteria 2014-2015 medicaid

Healthy Aging Data Reports: Measures of Community Health to Identify Disparities and Spur Age-Friendly Progress.

Gerontologist 2021 Jul 31. Epub 2021 Jul 31.

Department of Gerontology, John W. McCormack Graduate School of Policy & Global Studies, University of Massachusetts Boston, Boston, Massachusetts, USA.

Background And Objectives: This translational research had two aims. First, to analyze and translate data from multiple original data sources to provide accurate, unbiased local community and statewide information about healthy aging. Second, to work with stakeholders to use the tools to identify disparities in healthy aging and to support their efforts to advance healthy aging. Read More

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Use of Medications for Treatment of Opioid Use Disorder Among US Medicaid Enrollees in 11 States, 2014-2018.

JAMA 2021 07;326(2):154-164

AcademyHealth, Washington, DC.

Importance: There is limited information about trends in the treatment of opioid use disorder (OUD) among Medicaid enrollees.

Objective: To examine the use of medications for OUD and potential indicators of quality of care in multiple states.

Design, Setting, And Participants: Exploratory serial cross-sectional study of 1 024 301 Medicaid enrollees in 11 states aged 12 through 64 years (not eligible for Medicare) with International Classification of Diseases, Ninth Revision (ICD-9 or ICD-10) codes for OUD from 2014 through 2018. Read More

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Clinically integrated breastfeeding peer counseling and breastfeeding outcomes.

J Perinatol 2021 May 25. Epub 2021 May 25.

Department of Obstetrics and Gynecology, NorthShore University HealthSystem, Evanston, IL, USA.

Objective: To evaluate whether clinically integrated breastfeeding peer counseling (ci-BPC) improved breastfeeding outcomes for a diverse cohort of Medicaid-enrolled patients.

Study Design: Medical records were reviewed for a random subset of patients delivering 2014-2015 (baseline, N = 147) and 2017-2019 (post-implementation, N = 281). Chi-squared and logistic regression evaluated differences in breastfeeding initiation, exclusivity, and duration, and results were stratified by race/ethnicity. Read More

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The Association Between the Affordable Care Act and Insurance Status, Stage and Treatment in Patients with Testicular Cancer.

Urol Pract 2020 Jul 1;7(4):252-258. Epub 2020 Jul 1.

Yale Cancer Outcomes Public Policy and Effectiveness Research (COPPER) Center.

Purpose: We aimed to determine whether insurance expansions implemented through the Affordable Care Act (ACA) were associated with changes in coverage status, disease stage, and treatment of younger adults with testicular germ cell tumors (GCT).

Materials And Methods: We identified men aged 18-64 diagnosed with testicular GCTs between 2010 and 2015 in the National Cancer Data Base. We defined time periods as: pre-ACA (2010-2013) and post-ACA (2014-2015) and used difference-in-differences (DID) modeling to examine associations between state Medicaid expansion status and changes in insurance, stage at diagnosis, and treatment. Read More

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Drawbacks and aftermath of the Affordable Care Act: ex-ante moral hazard and inequalities in health care access.

Daniele Corso

J Public Health Res 2021 May 5. Epub 2021 May 5.

Department of Economics and Management, University of Pavia.

Background: Following the introduction of the Affordable Care Act, various studies have tried to identify the effects of the Reform, without reaching a clear consensus. The aim of this study was to investigate whether expansion of the Medicaid program has led to less inequality in access to health care and to a higher level of ex-ante moral hazard.

Design And Methods: The analysis was conducted on two-year longitudinal data (2014-2015) regarding a cohort of 15,898 individuals from a Medical Expenditure Panel Survey (MEPS). Read More

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Association of Medicaid expansion and insurance status, cancer stage, treatment and mortality among patients with cervical cancer.

Cancer Rep (Hoboken) 2021 May 2:e1407. Epub 2021 May 2.

Harvard Medical School, Boston, Massachusetts, USA.

Background: Currently, little is known about the effect of the Patient Protection and Affordable Care Act's Medicaid expansion on care delivery and outcomes in cervical cancer.

Aim: We evaluated whether Medicaid expansion was associated with changes in insurance status, stage at diagnosis, timely treatment, and survival outcomes in cervical cancer.

Methods And Results: Using the National Cancer Database, we performed a difference-in-differences (DID) cross-sectional analysis to compare insurance status, stage at diagnosis, timely treatment, and survival outcomes among cervical cancer patients residing in Medicaid expansion and nonexpansion states before (2011-2013) and after (2014-2015) Medicaid expansion. Read More

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Growing racial/ethnic disparities in buprenorphine distribution in the United States, 2007-2017.

Drug Alcohol Depend 2021 Jun 20;223:108710. Epub 2021 Apr 20.

RAND Corporation, 4570 Fifth Ave #600, Pittsburgh, PA, 15213, USA.

Objective: To assess whether per capita buprenorphine distribution varies by regional racial/ethnic composition, Medicaid expansion status, and time period.

Methods: Our unit of analysis -- three-digit ZIP codes ("ZIP3s") -- was classified into quintiles based on percentage of White residents. A weighted linear regression model of buprenorphine distribution -- including White resident quintile, waivered prescriber rate, overdose rate, sociodemographic factors, and year fixed effects -- was estimated using national buprenorphine distribution data from 2007 to 2017. Read More

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Joint Latent Class Analysis of Oral Anticoagulation Use and Risk of Stroke or Systemic Thromboembolism in Patients with Atrial Fibrillation.

Am J Cardiovasc Drugs 2021 Apr 12. Epub 2021 Apr 12.

Department of Pharmacy and Therapeutics, School of Pharmacy, University of Pittsburgh, 3609 Forbes Avenue, Room 103, Pittsburgh, PA, 15261, USA.

Background: Oral anticoagulation (OAC) is recommended to reduce the risk of stroke or systemic thromboembolism (TE) in atrial fibrillation (AF). In this study, we applied novel joint latent class mixed models to identify heterogeneous patterns of trajectories of OAC use and determined how these trajectories are associated with risks of thromboembolic outcomes.

Methods And Results: We used 2013-2016 claims data from a 5% random sample of Medicare beneficiaries, obtained from the Centers for Medicare and Medicaid Services. Read More

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Emergency department use for nontraumatic dental conditions among children and adolescents: NEDS 2014-2015.

Community Dent Oral Epidemiol 2021 Mar 23. Epub 2021 Mar 23.

Dental Public Health and Policy, School of Dentistry, Virginia Commonwealth University, Richmond, VA, USA.

Objectives: Despite great efforts to improve paediatric dental care access in the last two decades, the use of emergency departments (ED) for dental conditions among children that are more appropriately addressed in dental offices remains a public health concern in the United States. We examined factors associated with ED visits for nontraumatic dental conditions or NTDCs and ED visits for any other reason among children and adolescents.

Methods: A retrospective secondary data analysis of ED visits was conducted using the 2014-2015 Nationwide Emergency Department Sample (NEDS) data. Read More

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The Effects of ACA Medicaid Expansions on Health After 5 Years.

Med Care Res Rev 2020 Nov 20:1077558720972592. Epub 2020 Nov 20.

University of Iowa, Iowa City, IA, USA.

We examine the Affordable Care Act Medicaid expansion effects on self-rated health status over 5 years. The study uses data from the Behavioral Risk Factor Surveillance System for 2011-2018 and a difference-in-differences design. There is improvement in health status on a 1 to 5 point scale from poor to excellent health among individuals below 100% of the federal poverty line by 0. Read More

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November 2020

Can Regionalization of Care Reduce Socioeconomic Disparities in Breast Cancer Survival?

Med Care 2021 01;59(1):77-81

Department of Medicine.

Background: Breast cancer patients of low socioeconomic status (SES) have worse survival than more affluent women and are also more likely to undergo surgery in low-volume facilities. Since breast cancer patients treated in high-volume facilities have better survival, regionalizing the care of low SES patients toward high-volume facilities might reduce SES disparities in survival.

Objective: We leverage a natural experiment in New York state to examine whether a policy precluding payment for breast cancer surgery for New York Medicaid beneficiaries undergoing surgery in low-volume facilities led to reduced SES disparities in mortality. Read More

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January 2021

Medicaid Expansion and Low-Income Adults with Substance Use Disorders.

J Behav Health Serv Res 2021 Jul 6;48(3):477-486. Epub 2020 Nov 6.

Department of Health Policy and Management, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.

Problems accessing affordable treatment are common among low-income adults with substance use disorders. A difference-in-differences analysis was performed to assess changes in insurance and treatment of low-income adults with common substance use disorders following the 2014 ACA Medicaid expansion, using data from the 2008-2017 National Surveys on Drug Use and Health. Lack of insurance among low-income adults with substance use disorders in expansion states declined from 34. Read More

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Opioid Prescribing Patterns among Retina Specialists in the United States.

Ophthalmol Retina 2021 Jul 28;5(7):696-701. Epub 2020 Oct 28.

Wills Eye Hospital, Mid Atlantic Retina, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, Pennsylvania. Electronic address:

Purpose: To determine the opioid prescribing patterns among retina specialists and to assess predictors for high-volume prescribing.

Design: Retrospective cohort study.

Participants: American Society of Retina Specialists (ASRS) members in the 2013 through 2016 Medicare Part D Prescriber database. Read More

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Vaccination Coverage by Age 24 Months Among Children Born in 2016 and 2017 - National Immunization Survey-Child, United States, 2017-2019.

MMWR Morb Mortal Wkly Rep 2020 Oct 23;69(42):1505-1511. Epub 2020 Oct 23.

Immunization Services Division, National Center for Immunization and Respiratory Diseases, CDC.

Immunization has been described as a "global health and development success story," and worldwide is estimated to prevent 2-3 million deaths annually.* In the United States, the Advisory Committee on Immunization Practices (ACIP) currently recommends vaccination against 14 potentially serious illnesses by the time a child reaches age 24 months (1). CDC monitors coverage with ACIP-recommended vaccines through the National Immunization Survey-Child (NIS-Child); data from the survey were used to estimate vaccination coverage at the national, regional, state, territorial, and selected local area levels among children born in 2016 and 2017. Read More

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October 2020

Has the Affordable Care Act Been Associated with Increased Insurance Coverage and Early-stage Diagnoses of Bone and Soft-tissue Sarcomas in Adults?

Clin Orthop Relat Res 2021 03;479(3):493-502

A. T. Malik, J. Alexander, S. N. Khan, T. J. Scharschmidt, The James Cancer Hospital and Solove Research Institute, the Ohio State University Wexner Medical Center, Columbus, OH, USA.

Background: Treatment of bone and soft-tissue sarcomas can be costly, and therefore, it is not surprising that insurance status of patients is a prognostic factor in determining overall survival. Furthermore, uninsured individuals with suspected bone and/or soft-tissue masses routinely encounter difficulty in obtaining access to basic healthcare (such as office visits, radiology scans), and therefore are more likely to be diagnosed with later stages at presentation. The Patient Protection and Affordable Care Act (ACA) mandate of 2010 aimed to increase access to care for uninsured individuals by launching initiatives, such as expanding Medicaid eligibility, subsidizing private insurance, and developing statewide mandates requiring individuals to have a prescribed minimum level of health insurance. Read More

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Did the Affordable Care Act Decrease Veteran Enrollment in the Veterans Health Administration?

Med Care 2020 08;58(8):703-709

Center of Innovation for Complex Chronic Healthcare, Hines VA Hospital, Hines.

Background: Provisions of the Affordable Care Act (ACA) provided nonelderly individuals, including Veterans, with additional health care coverage options. This may impact enrollment for health care through the Veterans Health Administration (VHA). National enrollment data was used to: (1) compare characteristics of enrollees at 3 time points in relation to the implementation of ACA insurance provisions (2012); and (2) examine enrollment trends. Read More

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Impact of insurance on hospital course and readmission after resection of benign meningioma.

J Neurooncol 2020 Aug 11;149(1):131-140. Epub 2020 Jul 11.

Center for Skull Base and Pituitary Surgery, Department of Neurosurgery, Brigham and Women's Hospital, Harvard Medical School, 60 Fenwood Road, Boston, MA, 02115, USA.

Introduction: Surgical outcomes and healthcare utilization have been shown to vary based on patient insurance status. We analyzed whether patients' insurance affects case urgency for and readmission after craniotomy for meningioma resection, using benign meningioma as a model system to minimize confounding from the disease-related characteristics of other neurosurgical pathologies.

Methods: We analyzed 90-day readmission for patients who underwent resection of a benign meningioma in the Nationwide Readmission Database from 2014-2015. Read More

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Change in stage of presentation of head and neck cancer in the United States before and after the affordable care act.

Cancer Epidemiol 2020 08 24;67:101763. Epub 2020 Jun 24.

Saint Louis University School of Medicine, Department of Otolaryngology-Head and Neck Surgery, Saint Louis, MO, USA; Saint Louis University Cancer Center, Saint Louis, MO, USA. Electronic address:

Objective/hypothesis: Early diagnosis and stage at presentation, two prognostic factors for survival among patients with head and neck cancer (HNC), are significantly impacted by a patient's health insurance status. We aimed to assess the impact of the Patient Protection and Affordable Care Act (ACA) on stage at presentation across socioeconomic and demographic subpopulations of HNC patients in the United States.

Study Design: Retrospective data analysis. Read More

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Associations between Medicaid expansion and nurse staffing ratios and hospital readmissions.

Wafa W Tarazi

Health Serv Res 2020 06 13;55(3):375-382. Epub 2020 Feb 13.

Division of Scientific Education and Professional Development, The U.S. Centers for Disease Control and Prevention, Atlanta, Georgia.

Objective: To examine the associations between Medicaid expansion and nurse staffing ratios and hospital-wide readmission rates.

Data Sources: Secondary data from the 2011-2016 Healthcare Cost Report Information System, the American Hospital Association Annual Survey, and the Hospital Compare data.

Study Design: Difference-in-difference models are used to compare outcomes in hospitals located in states that expanded Medicaid with those located in nonexpansion states. Read More

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Different levels of associations between medical co-morbidities and preterm birth outcomes among racial/ethnic women enrolled in Medicaid 2014-2015: retrospective analysis.

BMC Pregnancy Childbirth 2020 Jan 13;20(1):33. Epub 2020 Jan 13.

Grant Strategy, DentaQuest Partnership for Oral Health Advancement, 465 Medford Street, Boston, MA, 02129, USA.

Background: The causes of preterm birth are multi-dimensional, including delayed and inadequate prenatal services as well as other medical and socioeconomic factors. This study aimed to examine the different levels of association between preterm birth and major medical co-morbidities among various racial/ethnic women enrolled in Medicaid.

Methods: This is a retrospective analysis of 457,200 women aged between 15 and 44 with a single live birth from the IBM® MarketScan® Multi-State Medicaid Database from 2014 to 2015. Read More

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January 2020

Twin Births in Medicaid: Prevalence, Outcomes, Utilization, and Cost in Four States, 2014-2015.

Matern Child Health J 2020 May;24(5):546-551

Center for Medicare and Medicaid Innovation, Baltimore, MD, USA.

Objectives: Twin births have increased in prevalence. Twin births are more likely to have poorer outcomes than singleton births and are more costly. However, although Medicaid paid for approximately half of U. Read More

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The Affordable Care Act Medicaid Expansion and Smoking Cessation Among Low-Income Smokers.

Am J Prev Med 2019 12;57(6):e203-e210

Center for Social Epidemiology & Population Health, University of Michigan, Ann Arbor, Michigan; Department of Epidemiology, University of Michigan, Ann Arbor, Michigan.

Introduction: This study sought to empirically evaluate whether the Medicaid expansion under the Affordable Care Act increased smoking cessation among low-income childless adult smokers.

Methods: The effects of the Medicaid expansion on smoking quit attempts and the probability of 30- and 90-day smoking cessation were evaluated using logistic regression and data from the 2010-2011 and 2014-2015 waves of the Tobacco Use Supplement to the Current Population Survey. Using boosted logistic regression, the Tobacco Use Supplement was restricted to an analytic sample composed of childless adults with high probability of being <138% of the federal poverty level. Read More

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December 2019

Multipayer primary care transformation: impact for Medicaid managed care beneficiaries.

Am J Manag Care 2019 11 1;25(11):e349-e357. Epub 2019 Nov 1.

Michigan Public Health Institute, 2501 Jolly Rd, Ste 180, Okemos, MI 48864. Email:

Objectives: To evaluate the effects of Michigan Primary Care Transformation (MiPCT), a statewide multipayer patient-centered medical home (PCMH) demonstration in 2012-2015, on cost, utilization, and quality among Medicaid managed care beneficiaries.

Study Design: Observational longitudinal study with comparison groups.

Methods: Difference-in-differences (DID) analyses compared changes in outcomes among beneficiaries whose primary care providers participated in MiPCT, non-MiPCT PCMH, and non-PCMH practices. Read More

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November 2019

Evidence From a Multistate Cohort: Enrollment in Affordable Care Act Qualified Health Plans' Association With Viral Suppression.

Clin Infect Dis 2020 12;71(10):2572-2580

Division of Infectious Diseases and International Health, University of Virginia, Charlottesville, Virginia, USA.

Background: Healthcare delivery changes associated with viral suppression (VS) could contribute to the United States' "Ending the HIV Epidemic" (EtHE) initiative. This study aims to determine whether Qualified Health Plans (QHPs) purchased by AIDS Drug Assistance Programs (ADAPs) are associated with VS for low-income people living with HIV (PLWH) across 3 states.

Methods: A multistate cohort of ADAP clients eligible for ADAP-funded QHPs were studied (2014-2015). Read More

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December 2020

National Patterns of Emergency Department Use for Women with Endometriosis, 2006-2015.

J Womens Health (Larchmt) 2020 03 13;29(3):420-426. Epub 2019 Nov 13.

Medicus Economics, LLC, Milton, Massachusetts.

Endometriosis is a burdensome chronic condition for which conservative management is often recommended when indicated. Nonetheless, some women seek care for endometriosis in the emergency department (ED). We evaluated trends in ED visits for endometriosis from 2006 to 2015. Read More

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Insurance Differences in Preventive Care Use and Adverse Birth Outcomes Among Pregnant Women in a Medicaid Nonexpansion State: A Retrospective Cohort Study.

J Womens Health (Larchmt) 2020 01 9;29(1):29-37. Epub 2019 Aug 9.

Department of Population Health Science and Policy, Department of Obstetrics, Gynecology, and Reproductive Science, and the Blavatnik Family Women's Health Research Institute at the Icahn School of Medicine at Mount Sinai, New York, New York.

Lack of quality preventive care has been associated with poorer outcomes for pregnant women with low incomes. Health policy changes implemented with the Affordable Care Act (ACA) were designed to improve access to care. However, insurance coverage remains lower among women in Medicaid nonexpansion states. Read More

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January 2020

Use of a Preventive Index to Examine Clinic-Level Factors Associated With Delivery of Preventive Care.

Am J Prev Med 2019 08;57(2):241-249

Department of Family Medicine, Oregon Health & Science University, Portland, Oregon; OCHIN, Inc., Portland, Oregon.

Introduction: There is an increasing need for the development of new methods to understand factors affecting delivery of preventive care. This study applies a new measurement approach and assesses clinic-level factors associated with preventive care delivery.

Methods: This retrospective longitudinal cohort study of 94 community health centers used electronic health record data from the OCHIN community health information network, 2014-2015. Read More

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Effect of Age on Relative Effectiveness of High-Dose Versus Standard-Dose Influenza Vaccines Among US Medicare Beneficiaries Aged ≥65 Years.

J Infect Dis 2019 09;220(9):1511-1520

Center for Biologics Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland.

Background: Studies have found that the high-dose influenza vaccine has a higher relative vaccine effectiveness (RVE) versus standard-dose vaccines in some seasons. We evaluated the effect of age on the RVE of high-dose versus standard-dose influenza vaccines among Medicare beneficiaries.

Methods: A 6-season retrospective cohort study from 2012 to 2018 among Medicare beneficiaries aged ≥65 years was performed. Read More

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September 2019

Contemporary Trends in Clinical Outcomes among Dialysis Patients with Medicare Coverage.

Am J Nephrol 2019 14;50(1):63-71. Epub 2019 Jun 14.

NxStage Medical, Medical Affairs, Lawrence, Massachusetts, USA.

Background: The dialysis patient population in the United States continues to grow. Trends in rates of death and hospitalization among dialysis patients have important consequences for outpatient dialysis capacity and Medicare spending.

Objectives: To estimate contemporary trends in rates of death and hospitalization among dialysis patients in the United States, overall and within subgroups. Read More

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Medicaid Coverage of Sexually Transmitted Disease Service Visits.

Am J Prev Med 2019 07 22;57(1):51-56. Epub 2019 May 22.

Department of Population Science and Policy, Southern Illinois University School of Medicine, Springfield, Illinois.

Introduction: Chlamydia and gonorrhea are the most commonly reported notifiable infections in the U.S., with direct medical costs for the treatment of these infections exceeding $700 million annually. Read More

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