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Health Affairs

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https://www.readbyqxmd.com/read/28637771/medicare-advantage-associated-with-more-racial-disparity-than-traditional-medicare-for-hospital-readmissions
#1
Yue Li, Xi Cen, Xueya Cai, Caroline P Thirukumaran, Jie Zhou, Laurent G Glance
We compared racial disparities in thirty-day readmissions between traditional Medicare and Medicare Advantage beneficiaries who underwent one of six major surgeries in New York State in 2013. We found that Medicare Advantage was associated with greater racial disparity, compared to traditional Medicare. After controlling for patient, hospital, and geographic characteristics in a propensity score based approach, we found that in traditional Medicare, black patients were 33 percent more likely than white patients to be readmitted, whereas in Medicare Advantage, black patients were 64 percent more likely than white patients to be readmitted...
June 21, 2017: Health Affairs
https://www.readbyqxmd.com/read/28615193/health-spending-by-state-1991-2014-measuring-per-capita-spending-by-payers-and-programs
#2
David Lassman, Andrea M Sisko, Aaron Catlin, Mary Carol Barron, Joseph Benson, Gigi A Cuckler, Micah Hartman, Anne B Martin, Lekha Whittle
As the US health sector evolves and changes, it is informative to estimate and analyze health spending trends at the state level. These estimates, which provide information about consumption of health care by residents of a state, serve as a baseline for state and national-level policy discussions. This study examines per capita health spending by state of residence and per enrollee spending for the three largest payers (Medicare, Medicaid, and private health insurance) through 2014. Moreover, it discusses in detail the impacts of the Affordable Care Act implementation and the most recent economic recession and recovery on health spending at the state level...
June 14, 2017: Health Affairs
https://www.readbyqxmd.com/read/28606993/aca-replacement-battle-moves-to-senate
#3
Timothy Stoltzfus Jost
As the Senate struggles to craft its version of legislation replacing Obamacare, the Trump administration puts its stamp on health care regulation.
June 12, 2017: Health Affairs
https://www.readbyqxmd.com/read/28424215/medical-marijuana-laws-may-be-associated-with-a-decline-in-the-number-of-prescriptions-for-medicaid-enrollees
#4
Ashley C Bradford, W David Bradford
In the past twenty years, twenty-eight states and the District of Columbia have passed some form of medical marijuana law. Using quarterly data on all fee-for-service Medicaid prescriptions in the period 2007-14, we tested the association between those laws and the average number of prescriptions filled by Medicaid beneficiaries. We found that the use of prescription drugs in fee-for-service Medicaid was lower in states with medical marijuana laws than in states without such laws in five of the nine broad clinical areas we studied...
April 19, 2017: Health Affairs
https://www.readbyqxmd.com/read/28404601/federal-funding-insulated-state-budgets-from-increased-spending-related-to-medicaid-expansion
#5
Benjamin D Sommers, Jonathan Gruber
As states weigh whether to expand Medicaid under the Affordable Care Act (ACA) and Medicaid reform remains a priority for some federal lawmakers, fiscal considerations loom large. As part of the ACA's expansion of eligibility for Medicaid, the federal government paid for 100 percent of the costs for newly eligible Medicaid enrollees for the period 2014-16. In 2017 states will pay some of the costs for new enrollees, with each participating state's share rising to 10 percent by 2020. States continue to pay their traditional Medicaid share (roughly 25-50 percent, depending on the state) for previously eligible enrollees...
April 12, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583985/preventing-newborn-deaths-in-romania-and-hungary
#6
EDITORIAL
Dorota Kuchna, Armine Hovsepyan, Sara Leonard
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583983/poverty-and-health-care-reform-the-author-replies
#7
LETTER
William M Sage
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583982/errata
#8
(no author information available yet)
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583981/poverty-and-health-care-reform
#9
LETTER
Thomas E Getzen
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583980/sugar-sweetened-beverage-tax-the-authors-reply
#10
LETTER
M Arantxa Colchero, Shu Wen Ng, Barry M Popkin
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583979/sugar-sweetened-beverage-tax-in-mexico
#11
LETTER
Cyprian M Mostert
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583978/mobile-health-apps-the-authors-reply
#12
LETTER
Karandeep Singh, Adam Landman, David W Bates
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583977/mobile-health-applications
#13
LETTER
Michael L Millenson
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583975/franchising-inequality
#14
Karina Christiansen
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583974/bridging-the-death-gap
#15
Damon Tweedy
No abstract text is available yet for this article.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583973/solving-disparities-through-payment-and-delivery-system-reform-a-program-to-achieve-health-equity
#16
Rachel H DeMeester, Lucy J Xu, Robert S Nocon, Scott C Cook, Andrea M Ducas, Marshall H Chin
Payment systems generally do not directly encourage or support the reduction of health disparities. In 2013 the Finding Answers: Solving Disparities through Payment and Delivery System Reform program of the Robert Wood Johnson Foundation sought to understand how alternative payment models might intentionally incorporate a disparities-reduction component to promote health equity. A qualitative analysis of forty proposals to the program revealed that applicants generally did not link payment reform tightly to disparities reduction...
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583972/a-black-alzheimer-s-patient-wants-to-be-part-of-the-cure
#17
Katti Gray
A daughter gets her mother into a clinical trial for an Alzheimer's drug, with few other black patients enrolled.
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583971/trends-in-inequalities-in-mortality-amenable-to-health-care-in-17-european-countries
#18
Johan P Mackenbach, Yannan Hu, Barbara Artnik, Matthias Bopp, Giuseppe Costa, Ramune Kalediene, Pekka Martikainen, Gwenn Menvielle, Bjørn H Strand, Bogdan Wojtyniak, Wilma J Nusselder
Little is known about the effectiveness of health care in reducing inequalities in health. We assessed trends in inequalities in mortality from conditions amenable to health care in seventeen European countries in the period 1980-2010 and used models that included country fixed effects to study the determinants of these trends. Our findings show remarkable declines over the study period in amenable mortality among people with a low level of education. We also found stable absolute inequalities in amenable mortality over time between people with low and high levels of education, but widening relative inequalities...
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583970/the-role-of-nonprofit-hospitals-in-identifying-and-addressing-health-inequities-in-cities
#19
Amy Carroll-Scott, Rosie Mae Henson, Jennifer Kolker, Jonathan Purtle
For nonprofit hospitals to maintain their tax-exempt status, the Affordable Care Act requires them to conduct a community health needs assessment, in which they evaluate the health needs of the community they serve, and to create an implementation strategy, in which they propose ways to address these needs. We explored the extent to which nonprofit urban hospitals identified equity among the health needs of their communities and proposed health equity strategies to address this need. We conducted a content analysis of publicly available community health needs assessments and implementation strategies from 179 hospitals in twenty-eight US cities in the period August-December 2016...
June 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28583969/organizational-change-management-for-health-equity-perspectives-from-the-disparities-leadership-program
#20
Joseph R Betancourt, Aswita Tan-McGrory, Karey S Kenst, Thuy Hoai Phan, Lenny Lopez
Leaders of health care organizations need to be prepared to improve quality and achieve equity in today's health care environment characterized by a focus on achieving value and addressing disparities in a diverse population. To help address this need, the Disparities Solutions Center at Massachusetts General Hospital launched the Disparities Leadership Program in 2007. The leadership program is an ongoing, year-long, executive education initiative that trains leaders from hospitals, health plans, and health centers to improve quality and eliminate racial and ethnic disparities in health care...
June 1, 2017: Health Affairs
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