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"Medical Expenditure Panel Survey"

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https://www.readbyqxmd.com/read/28720623/prescription-opioid-use-among-adults-with-mental-health-disorders-in-the-united-states
#1
Matthew A Davis, Lewei A Lin, Haiyin Liu, Brian D Sites
BACKGROUND: The extent to which adults with mental health disorders in the United States receive opioids has not been adequately reported. METHODS: We performed a cross-sectional study of a nationally representative sample of the noninstitutionalized U.S. adult population from the Medical Expenditure Panel Survey. We examined the relationship between mental health (mood and anxiety) disorders and prescription opioid use (defined as receiving at least 2 prescriptions in a calendar year)...
July 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28719488/the-impact-of-the-affordable-care-act-s-dependent-coverage-mandate-on-use-of-dental-treatments-and-preventive-services
#2
Dan M Shane, George L Wehby
BACKGROUND: Oral health problems are the leading chronic conditions among children and younger adults. Lack of dental coverage is thought to be an important barrier to care but little empirical evidence exists on the causal effect of private dental coverage on use of dental services. We explore the relationship between dental coverage and dental services utilization with an analysis of a natural experiment of increasing private dental coverage stemming from the Affordable Care Act's (ACA)-dependent coverage mandate...
July 17, 2017: Medical Care
https://www.readbyqxmd.com/read/28712798/region-and-insurance-plan-type-influence-discharge-disposition-after-hip-and-knee-arthroplasty-evidence-from-the-privately-insured-us-population
#3
Marina Soley-Bori, Rene Soria-Saucedo, Bora Youn, Alex B Haynes, Ryan Macht, Colleen M Ryan, Jeffrey C Schneider, Lewis E Kazis
BACKGROUND: Little is known about regional variation in the use of postacute care services after elective procedures, such as total hip or knee arthroplasty (THA/TKA), and how insurance type may influence it. The goal of this study is to assess the influence of region and insurance arrangements on discharge disposition. METHODS: A representative sample of the privately insured US population with THA or TKA in 2009 or 2010 was obtained from the MarketScan database applying individual-level weights from the Medical Expenditure Panel Survey...
June 13, 2017: Journal of Arthroplasty
https://www.readbyqxmd.com/read/28702865/public-health-insurance-and-health-care-utilization-for-children-in-immigrant-families
#4
Christine Percheski, Sharon Bzostek
Objectives To estimate the impacts of public health insurance coverage on health care utilization and unmet health care needs for children in immigrant families. Methods We use survey data from National Health Interview Survey (NHIS) (2001-2005) linked to data from Medical Expenditures Panel Survey (MEPS) (2003-2007) for children with siblings in families headed by at least one immigrant parent. We use logit models with family fixed effects. Results Compared to their siblings with public insurance, uninsured children in immigrant families have higher odds of having no usual source of care, having no health care visits in a 2 year period, having high Emergency Department reliance, and having unmet health care needs...
July 12, 2017: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/28694266/comparing-medical-ecology-utilization-and-expenditures-between-1996-1997-and-2011-2012
#5
Michael E Johansen
PURPOSE: This study compared ecology (number of individuals using a service), utilization (number of services used), and expenditures (dollars spent) for various categories of medical services between primarily 1996-1997 and 2011-2012. METHODS: A repeated cross-sectional study was performed using nationally representative data mainly from the 1996, 1997, 2011, and 2012 Medical Expenditure Panel Survey (MEPS). These data were augmented with the 2002-2003 MEPS as well as the 1999-2000 and 2011-2012 National Heath and Nutrition Examination Survey...
July 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28655491/effects-of-the-affordable-care-act-s-contraceptive-coverage-requirement-on-the-utilization-and-out-of-pocket-costs-of-prescribed-oral-contraceptives
#6
Nam Hyo Kim, Kevin A Look
BACKGROUND: The Affordable Care Act (ACA) mandated that private health insurance plans cover prescribed contraceptive services for women, including oral contraceptives (OCs), without charging a patient any cost-sharing beginning in August 2012. OBJECTIVE: To evaluate the effects of the ACA's contraceptive coverage requirement on the utilization and out-of-pocket costs of prescribed OCs after two years of implementation. METHODS: A retrospective, cross-sectional study was designed using data from the 2010 to 2014 waves of the Medical Expenditure Panel Survey...
June 17, 2017: Research in Social & Administrative Pharmacy: RSAP
https://www.readbyqxmd.com/read/28645769/access-to-preventive-services-for-working-age-adults-with-physical-limitations
#7
Gilbert Gimm, Elizabeth Wood, Preeti Zanwar
OBJECTIVE: To examine differences in access to preventive services for working-age adults with physical limitations, non-physical limitations, and no limitations. DESIGN: Observational data were pooled across calendar years 2003-2012 from the Medical Expenditure Panel Survey (MEPS), a nationally representative survey of non-institutionalized U.S. adults. SETTING: Community. PARTICIPANTS: Working-age adults (18-64 years of age) who responded to all five rounds in MEPS during 2003 through 2012...
June 20, 2017: Archives of Physical Medicine and Rehabilitation
https://www.readbyqxmd.com/read/28635981/patient-perceived-access-to-care-when-actively-seeking-treatment
#8
Zachary Pruitt, Susan Sportsman
PURPOSE/OBJECTIVES: To examine predictors of perceived access to care and reported barriers to care of patients with cancer actively seeking treatment.
. DESIGN: Retrospective secondary data analysis.
. SETTING: U.S. Medical Expenditure Panel Survey, a national survey with questions about healthcare coverage and access.
. SAMPLE: 1,170 adults with cancer actively seeking treatment.
. METHODS: A retrospective analysis of data...
May 1, 2017: Oncology Nursing Forum
https://www.readbyqxmd.com/read/28612178/treatment-for-depression-and-health-related-quality-of-life-among-adults-with-arthritis
#9
Drishti Shah, Pragya Rai, Nilanjana Dwibedi, Usha Sambamoorthi
Depression treatment has been proven to relieve depressive symptoms and pain and may therefore improve the health-related quality of life (HRQoL) among adults with arthritis. The objective of the current study was to examine the HRQoL associated with depression treatment among adults with arthritis and depression. A retrospective longitudinal cohort study design using data from the Medical Expenditure Panel Survey (2009-2012) was adopted. The study sample consisted of adults (≥ 21 years) with co-existing arthritis and depression (N = 1692)...
June 13, 2017: Psychiatric Quarterly
https://www.readbyqxmd.com/read/28608473/food-insecurity-and-health-care-expenditures-in-the-united-states-2011-2013
#10
Seth A Berkowitz, Sanjay Basu, James B Meigs, Hilary K Seligman
OBJECTIVE: To determine whether food insecurity, limited or uncertain food access owing to cost, is associated with greater health care expenditures. DATA SOURCE/STUDY SETTING: Nationally representative sample of the civilian noninstitutionalized population of the United States (2011 National Health Interview Survey [NHIS] linked to 2012-2013 Medication Expenditure Panel Survey [MEPS]). STUDY DESIGN: Longitudinal retrospective cohort. DATA COLLECTION/EXTRACTION METHODS: A total of 16,663 individuals underwent assessment of food insecurity, using the 10-item adult 30-day food security module, in the 2011 NHIS...
June 13, 2017: Health Services Research
https://www.readbyqxmd.com/read/28605678/trends-in-utilization-of-smoking-cessation-agents-before-and-after-the-passage-of-fda-boxed-warning-in-the-united-states
#11
Drishti Shah, Anuj Shah, Xi Tan, Usha Sambamoorthi
BACKGROUND: In 2009, the FDA required a black box warning (BBW) on bupropion and varenicline, the two commonly prescribed smoking cessation agents due to reports of adverse neuropsychiatric events. We investigated if there was a decline in use of bupropion and varenicline after the BBW by comparing the percent using these medications before and after BBW. METHODS: We conducted a retrospective observational study using data from the Medical Expenditure Panel Survey from 2007 to 2014...
May 18, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28600400/association-between-modifiable-risk-factors-and-pharmaceutical-expenditures-among-adults-with-atherosclerotic-cardiovascular-disease-in-the-united-states-2012-2013-medical-expenditures-panel%C3%A2-survey
#12
Joseph A Salami, Javier Valero-Elizondo, Oluseye Ogunmoroti, Erica S Spatz, Jamal S Rana, Salim S Virani, Ron Blankstein, Adnan Younus, Alejandro Arrieta, Michael J Blaha, Emir Veledar, Khurram Nasir
BACKGROUND: Atherosclerotic cardiovascular disease (ASCVD) causes most deaths in the United States and accounts for the highest healthcare spending. The association between the modifiable risk factors (MRFs) of ASCVD and pharmaceutical expenditures are largely unknown. METHODS AND RESULTS: We examined the association between MRFs and pharmaceutical expenditures among adults with ASCVD using the 2012 and 2013 Medical Expenditure Panel Survey. A 2-part model was used while accounting for the survey's complex design to obtain nationally representative results...
June 9, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28587646/trends-in-sex-differences-in-the-receipt-of-quality-of-care-indicators-among-adults-with-diabetes-united-states-2002-2011
#13
Joni S Williams, Kinfe G Bishu, Alessandra St Germain, Leonard E Egede
BACKGROUND: Evidence suggests disparities in quality of care (QoC) indicators based on sex exist in adults diagnosed with diabetes; however, this research is limited. Therefore, the objective of this research study was to assess differences in QOC indicators in a nationally representative sample of men and women with diabetes. METHODS: Cross-sectional study of 17,702 men and women (≥18 years of age) with diabetes from the 2002-2011 Medical Expenditure Panel Survey Household Component...
June 6, 2017: BMC Endocrine Disorders
https://www.readbyqxmd.com/read/28562311/refining-our-understanding-of-value-based-insurance-design-and-high-cost-sharing-on-children
#14
Randall P Ellis, Sara S Bachman, Hui Ren Tan
BACKGROUND: There is significant concern about the financial burdens of new insurance plan designs on families, particularly families with children and youth with special health care needs (CYSHCN). With value-based insurance design (VBID) plans growing in popularity, this study examined the implications of selected VBID cost-sharing features on children. METHODS: We studied children's health care spending patterns in 2 data sets that include high deductible and narrow network plans among others...
May 2017: Pediatrics
https://www.readbyqxmd.com/read/28557627/a-nonresponse-bias-analysis-of-the-health-information-national-trends-survey-hints
#15
Aaron Maitland, Amy Lin, David Cantor, Mike Jones, Richard P Moser, Bradford W Hesse, Terisa Davis, Kelly D Blake
We conducted a nonresponse bias analysis of the Health Information National Trends Survey (HINTS) 4, Cycles 1 and 3, collected in 2011 and 2013, respectively, using three analysis methods: comparison of response rates for subgroups, comparison of estimates with weighting adjustments and external benchmarks, and level-of-effort analysis. Areas with higher concentrations of low socioeconomic status, higher concentrations of young households, and higher concentrations of minority and Hispanic populations had lower response rates...
May 30, 2017: Journal of Health Communication
https://www.readbyqxmd.com/read/28557519/does-medicare-managed-care-reduce-racial-ethnic-disparities-in-diabetes-preventive-care-and-healthcare-expenditures
#16
Elham Mahmoudi, Wassim Tarraf, Brianna L Maroukis, Helen G Levy
OBJECTIVES: Large and persistent racial/ethnic disparities exist in diabetes care. Considering the rapid rate of growth of Medicare Managed Care (MMC) plans among minority populations, our aim was to investigate whether disparities in diabetes management and healthcare expenditures are smaller in MMC versus Medicare fee-for-service (MFFS) plans. We hypothesized that racial/ethnic disparities in diabetes care and in health expenditures would be less pronounced in MMC compared with MFFS plans...
October 1, 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/28557518/benchmarking-health-related-quality-of-life-data-from-a-clinical-setting
#17
Janel Hanmer, Rachel Hess, Sarah Sullivan, Lan Yu, Winifred Teuteberg, Jeffrey Teuteberg, Dio Kavalieratos
OBJECTIVES: Health-related quality of life (HRQoL) is an important clinical outcome, yet there is little guidance for its interpretation in clinical settings. One approach would use benchmarking to contextualize HRQoL results. Our objective was to construct a nationally representative HRQoL benchmark for use with a clinical sample. STUDY DESIGN: Cross-sectional analysis of HRQoL scores from: 1) the 2011 Medical Expenditures Panel Survey (MEPS), a representative sample of the noninstitutionalized US population; and 2) outpatient academic and community cardiology clinics within a large health system in 2012 and 2013...
October 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/28550403/healthcare-utilization-and-costs-in-ards-survivors-a-1-year-longitudinal-national-us-multicenter-study
#18
A Parker Ruhl, Minxuan Huang, Elizabeth Colantuoni, Taruja Karmarkar, Victor D Dinglas, Ramona O Hopkins, Dale M Needham
PURPOSE: To evaluate (1) post-discharge healthcare utilization and estimated costs in ARDS survivors, and (2) the association between patient and intensive care-related variables, and 6-month patient status, with subsequent hospitalization and costs. METHODS: Longitudinal cohort study enrolling from four ARDSNet trials in 44 US hospitals. Healthcare utilization was collected via structured interviews at 6 and 12 months post-ARDS, and hospital costs estimated via the Medical Expenditure Panel Survey...
July 2017: Intensive Care Medicine
https://www.readbyqxmd.com/read/28532412/trends-in-healthcare-expenditure-in-united-states-adults-with-chronic-kidney-disease-2002-2011
#19
Mukoso N Ozieh, Kinfe G Bishu, Clara E Dismuke, Leonard E Egede
BACKGROUND: This study examines trends in healthcare expenditure in adults with chronic kidney disease (CKD) and other kidney diseases (OKD) in the U.S. from 2002 to 2011. METHODS: One hundred and eighty-seven thousand, three hundred and fourty-one adults aged ≥18 from the Medical Expenditure Panel Survey (MEPS) Household Component were analyzed. CKD and OKD were based on ICD-9 or CCC codes. A novel two-part model was used to estimate the likelihood of any healthcare use and total expenditures...
May 22, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28515272/racial-disparities-in-neurologic-health-care-access-and-utilization-in-the-united-states
#20
Altaf Saadi, David U Himmelstein, Steffie Woolhandler, Nicte I Mejia
OBJECTIVE: To evaluate racial and ethnic differences in the utilization of neurologic care across a wide range of neurologic conditions in the United States. METHODS: We analyzed nationally representative data from the 2006-2013 Medical Expenditure Panel Survey (MEPS), including information on demographics, patient-reported health conditions, neurology visit rates, and costs. Using diagnostic codes, we identified persons with any self-identified neurologic disorder except back pain, as well as 5 subgroups (Parkinson disease, multiple sclerosis, headache, cerebrovascular disease, and epilepsy)...
June 13, 2017: Neurology
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