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https://www.readbyqxmd.com/read/28933932/enrollment-in-california-s-medicaid-program-after-the-affordable-care-act-expansion
#1
Jing Wang, Amal N Trivedi
OBJECTIVES: To determine enrollment rates and predictors of enrollment for newly eligible low-income adults in California following the Affordable Care Act's (ACA's) Medicaid expansion. METHODS: We used data from the 2014 to 2015 California Health Interview Survey to examine post-ACA Medicaid enrollment rates and multivariable logistic regression to assess the association of demographic factors, income, and health with enrollment. RESULTS: We found a 78...
September 21, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28930763/a-new-community-health-center-academic-medicine-partnership-for-medicaid-cost-control-powered-by-the-mega-teaching-health-center
#2
Richard E Rieselbach, Ted Epperly, Aaron Friedman, David Keahey, Eleanor McConnell, Karen Nichols, Greg Nycz, Jeanette Roberts, Kenneth Schmader, Peter Shin, Derri Shtasel
Community health centers (CHCs), a principal source of primary care for over 24 million patients, provide high-quality affordable care for medically underserved and lower-income populations in urban and rural communities. The authors propose that CHCs can assume an important role in the quest for health care reform by serving substantially more Medicaid patients. Major expansion of CHCs, powered by mega teaching health centers (THCs) in partnership with regional academic medical centers (AMCs) or teaching hospitals, could increase Medicaid beneficiaries' access to cost-effective care...
September 14, 2017: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/28918678/the-affordable-care-act-medicaid-expansions-and-personal-finance
#3
Kyle J Caswell, Timothy A Waidmann
Using a novel data set from a major credit bureau, we examine the early effects of the Affordable Care Act Medicaid expansions on personal finance. We analyze less common events such as personal bankruptcy, and more common occurrences such as medical collection balances, and change in credit scores. We estimate triple-difference models that compare individual outcomes across counties that expanded Medicaid versus counties that did not, and across expansion counties that had more uninsured residents versus those with fewer...
September 1, 2017: Medical Care Research and Review: MCRR
https://www.readbyqxmd.com/read/28913876/an-assessment-of-participant-described-interprofessional-oral-health-referral-systems-across-rurality
#4
Sean G Boynes, Abigail Lauer, Mark Deutchman, Amy B Martin
PURPOSE: As a means to identify and quantify oral health interprofessional collaborative practice (IPP), we examined participant-described medical-to-dental (M2D) referral networks and how they function across rurality. METHODS: We conducted a cross-sectional survey on the appraisal of IPP referral systems in 2016. Secondarily, we examined if rural health clinics (RHCs) have different experiences with M2D referrals compared to other practice types. Independent variables included geographic and organizational indicators, referral system attributes, and respondent characteristics...
September 15, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28895830/california-dreamin-but-will-it-stay-that-way
#5
Jan Greene
Medicaid expansion and Covered California's $100 million marketing plan makes the individual insurance market viable. This, even though premiums have gone up in the past few years (4.2% in 2015, 4% in 2016, 13.3% in 2017), and a movement to install a single-payer system would blow up the private insurance market.
July 2017: Managed Care
https://www.readbyqxmd.com/read/28893813/uninsured-primary-care-visit-disparities-under-the-affordable-care-act
#6
Heather Angier, Megan Hoopes, Miguel Marino, Nathalie Huguet, Elizabeth A Jacobs, John Heintzman, Heather Holderness, Carlyn M Hood, Jennifer E DeVoe
PURPOSE: Health insurance coverage affects a patient's ability to access optimal care, the percentage of insured patients on a clinic's panel has an impact on the clinic's ability to provide needed health care services, and there are racial and ethnic disparities in coverage in the United States. Thus, we aimed to assess changes in insurance coverage at community health center (CHC) visits after the Patient Protection and Affordable Care Act (ACA) Medicaid expansion by race and ethnicity...
September 2017: Annals of Family Medicine
https://www.readbyqxmd.com/read/28885865/changes-in-insurance-coverage-and-stage-at-diagnosis-among-nonelderly-patients-with-cancer-after-the-affordable-care-act
#7
Ahmedin Jemal, Chun Chieh Lin, Amy J Davidoff, Xuesong Han
Purpose To examine change in the percent uninsured and early-stage diagnosis among nonelderly patients with newly diagnosed cancer after the Affordable Care Act (ACA). Patients and Methods By using the National Cancer Data Base, we estimated absolute change (APC) and relative change in percent uninsured among patients with newly diagnosed cancer age 18 to 64 years between 2011 to the third quarter of 2013 (pre-ACA implementation) and the second to fourth quarter of 2014 (post-ACA) in Medicaid expansion and nonexpansion states by family income level...
September 8, 2017: Journal of Clinical Oncology: Official Journal of the American Society of Clinical Oncology
https://www.readbyqxmd.com/read/28884818/the-effect-of-medicaid-on-dental-care-of-poor-adults-evidence-from-the-oregon-health-insurance-experiment
#8
Katherine Baicker, Heidi L Allen, Bill J Wright, Sarah L Taubman, Amy N Finkelstein
OBJECTIVE: To evaluate the effect of Medicaid coverage on dental care outcomes, a major health concern for low-income populations. DATA SOURCES: Primary and secondary data on health care use and outcomes for participants in Oregon's 2008 Medicaid lottery. STUDY DESIGN: We used the lottery's random selection to gauge the causal effects of Medicaid on dental care needs, medication, and emergency department visits for dental care. DATA COLLECTION: Data were collected for lottery participants over 2 years, including mail surveys (N = 23,777) and in-person questionnaires (N = 12,229)...
September 8, 2017: Health Services Research
https://www.readbyqxmd.com/read/28880062/following-the-aca-repeal-and-replace-effort-where-does-the-u-s-stand-on-insurance-coverage-findings-from-the-commonwealth-fund-affordable-care-act-tracking-survey-march-june-2017
#9
Sara R Collins, Munira Z Gunja, Michelle M Doty
Issue: After Congress's failure to repeal and replace the Affordable Care Act, some policy leaders are calling for bipartisan approaches to address weaknesses in the law’s coverage expansions. To do this, policymakers will need data about trends in insurance coverage, reasons why people remain uninsured, and consumer perceptions of affordability. Goal: To examine U.S. trends in insurance coverage and the demographics of the remaining uninsured population, as well as affordability and satisfaction among adults with marketplace and Medicaid coverage...
September 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/28874932/emergency-department-use-across-88-small-areas-after-affordable-care-act-implementation-in-illinois
#10
Joe Feinglass, Andrew J Cooper, Kelsey Rydland, Emilie S Powell, Megan McHugh, Raymond Kang, Scott M Dresden
INTRODUCTION: This study analyzes changes in hospital emergency department (ED) visit rates before and after the 2014 Affordable Care Act (ACA) insurance expansions in Illinois. We compare the association between population insurance status change and ED visit rate change between a 24-month (2012-2013) pre-ACA period and a 24-month post-ACA (2014-2015) period across 88 socioeconomically diverse areas of Illinois. METHODS: We used annual American Community Survey estimates for 2012-2015 to obtain insurance status changes for uninsured, private, Medicaid, and Medicare (disability) populations of 88 Illinois Public Use Micro Areas (PUMAs), areas with a mean of about 90,000 age 18-64 residents...
August 2017: Western Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28874493/medicaid-expansion-for-adults-had-measurable-welcome-mat-effects-on-their-children
#11
Julie L Hudson, Asako S Moriya
Before the implementation of the Affordable Care Act (ACA), most children in low-income families were already eligible for public insurance through Medicaid or the Children's Health Insurance Program. Increased coverage observed for these children since the ACA's implementation suggest that the legislation potentially had important spillover or "welcome mat" effects on the number of eligible children enrolled. This study used data from the 2013-15 American Community Survey to provide the first national-level (analytical) estimates of welcome-mat effects on children's coverage post ACA...
September 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28874492/newly-eligible-enrollees-in-medicaid-spend-less-and-use-less-care-than-those-previously-eligible
#12
Paul D Jacobs, Genevieve M Kenney, Thomas M Selden
Understanding the health care spending and utilization of various types of Medicaid enrollees is important for assessing the budgetary implications of both expansion and contraction in Medicaid enrollment. Despite the intense debate surrounding the Affordable Care Act (ACA), however, little information is available on the spending and utilization patterns of the nonelderly adult enrollees who became newly eligible for Medicaid under the ACA. Using data for 2012-14 from the Medical Expenditure Panel Survey, we compared health care spending and utilization of newly eligible Medicaid enrollees with those of nondisabled adults who were previously eligible and enrolled...
September 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28863060/socialized-risk-and-privatized-profit-what-addictions-nurses-need-to-know-about-the-potential-repeal-of-the-affordable-care-act
#13
Katherine S Fornili
The aim of this column is to provide an overview of the positive impacts of the Patient Protection and Affordable Care Act of 2010 (ACA) on improved health care access, quality, and outcomes for individuals with substance use disorders (SUDs), including opioid use disorders and opioid overdose deaths. Addictions nurses should be alerted to the serious, often lethal consequences that individuals with SUDs will experience if the ACA is repealed. Proposed legislation to reverse major provisions of the ACA include the American Health Care Act of 2017 (H...
July 2017: Journal of Addictions Nursing
https://www.readbyqxmd.com/read/28836751/reducing-racial-and-ethnic-disparities-in-access-to-care-has-the-affordable-care-act-made-a-difference
#14
Susan L Hayes, Pamela Riley, David C Radley, Douglas McCarthy
ISSUE: Prior to the Affordable Care Act (ACA), blacks and Hispanics were more likely than whites to face barriers in access to health care. GOAL: Assess the effect of the ACA’s major coverage expansions on disparities in access to care among adults. METHODS: Analysis of nationally representative data from the American Community Survey and the Behavioral Risk Factor Surveillance System. FINDINGS AND CONCLUSIONS: Between 2013 and 2015, disparities with whites narrowed for blacks and Hispanics on three key access indicators: the percentage of uninsured working-age adults, the percentage who skipped care because of costs, and the percentage who lacked a usual care provider...
August 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/28829534/how-medicaid-expansion-affected-out-of-pocket-health-care-spending-for-low-income-families
#15
Sherry Glied, Ougni Chakraborty, Therese Russo
ISSUE. Prior research shows that low-income residents of states that expanded Medicaid under the Affordable Care Act are less likely to experience financial barriers to health care access, but the impact on out-of-pocket spending has not yet been measured. GOAL. Assess how the Medicaid expansion affected out-of-pocket health care spending for low-income families compared to those in states that did not expand and consider whether effects differed in states that expanded under conventional Medicaid rules vs...
August 2017: Issue Brief of the Commonwealth Fund
https://www.readbyqxmd.com/read/28806038/partnership-strategies-of-community-health-centers-building-capacity-in-good-times-and-bad
#16
Maria-Elena Young, Steven P Wallace, Amy Bonilla, Nadereh Pourat, Michael Rodriguez
Federally Qualified Health Centers--commonly referred to as Community Health Centers (CHCs)--serve as critical safety net providers for those who are uninsured or who may become uninsured. This policy brief reports the findings from the Remaining Uninsured Access to Community Health Centers (REACH) research project, which sought to identify the impact of the Affordable Care Act (ACA) on the ability of CHCs to serve the remaining uninsured. We examined strategies undertaken by CHCs in four states to reinforce the local safety net through partnerships, improvements to the local health system, and advocacy...
July 2017: Policy Brief
https://www.readbyqxmd.com/read/28801463/shaping-health-policy-for-low-income-populations-an-assessment-of-public-comments-in-a-new-medicaid-waiver-process
#17
Marian Jarlenski, Philip Rocco, Renuka Tipirneni, Amy Jo Kennedy, Nivedita Gunturi, Julie Donohue
Since the Supreme Court decided that the Affordable Care Act's (ACA) Medicaid expansion is optional for the states, several have obtained federal approval to use Section 1115 waivers to expand Medicaid while changing its coverage and benefits design. There has long been concern that policy making for Medicaid populations may lack meaningful engagement with low-income constituents, and therefore the ACA established a new process under which the public can submit comments on pending Medicaid waiver applications...
August 11, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28792848/small-change-big-consequences-partial-medicaid-expansions-under-the-aca
#18
Adrianna McIntyre, Allan M Joseph, Nicholas Bagley
Though congressional efforts to repeal and replace the Affordable Care Act (ACA) seem to have stalled, the Trump administration retains broad executive authority to reshape the health care landscape. Perhaps the most consequential choices that the administration will make pertain to Medicaid, which..
September 14, 2017: New England Journal of Medicine
https://www.readbyqxmd.com/read/28771746/evaluation-of-enrollee-satisfaction-with-iowa-s-dental-wellness-plan-for-the-medicaid-expansion-population
#19
Julie C Reynolds, Susan C McKernan, Jennifer M C Sukalski, Peter C Damiano
BACKGROUND: Dental coverage for Iowa's Medicaid expansion population is provided through the Dental Wellness Plan (DWP), implemented in May 2014. The plan targets healthy behavior incentives via an earned benefits structure, whereby additional services are covered if enrollees return every 6-12 months for routine dental visits. This study examines enrollee satisfaction with the DWP. METHODS: We surveyed a random sample of DWP enrollees 1 year after program implementation about their experiences...
August 3, 2017: Journal of Public Health Dentistry
https://www.readbyqxmd.com/read/28771602/affordable-care-act-and-healthcare-delivery-a-comparison-of-california-and-florida-hospitals-and-emergency-departments
#20
Monique T Barakat, Aditi Mithal, Robert J Huang, Alka Mithal, Amrita Sehgal, Subhas Banerjee, Gurkirpal Singh
IMPORTANCE: The Affordable Care Act (ACA) has expanded access to health insurance for millions of Americans, but the impact of Medicaid expansion on healthcare delivery and utilization remains uncertain. OBJECTIVE: To determine the early impact of the Medicaid expansion component of ACA on hospital and ED utilization in California, a state that implemented the Medicaid expansion component of ACA and Florida, a state that did not. DESIGN: Analyze all ED encounters and hospitalizations in California and Florida from 2009 to 2014 and evaluate trends by payer and diagnostic category...
2017: PloS One
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