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https://www.readbyqxmd.com/read/28528171/accountable-care-organizations-and-the-use-of-cancer-screening
#1
Christian P Meyer, Anna Krasnova, Jesse D Sammon, Stuart R Lipsitz, Joel S Weissman, Maxine Sun, Quoc-Dien Trinh
Cancer preventive services, when used appropriately, result in improved health, better quality of life and decreased costs. For these reasons, cancer preventive services represent important priorities within the Affordable Care Act (ACA). Among the many provisions to improve access to preventive services the ACA introduced Accountable Care Organizations (ACOs) as trajectory to deliver coordinated, high-quality care. In order to evaluate this benchmark, we analyzed (in 2016/Boston) screening prevalence of breast cancer, a recommended screening test according to the United States Preventive Services Task Force (USPSTF), and prostate cancer, for which screening is no longer recommended by the USPSTF, among traditional Medicare beneficiaries and those enrolled in ACOs...
May 17, 2017: Preventive Medicine
https://www.readbyqxmd.com/read/28525441/dance-your-heart-out-a-community-s-approach-to-addressing-cardiovascular-health-by-using-a-logic-model
#2
Karin L Becker
Cardiovascular health has been identified as a prioritized community health need according to recent community health needs assessment data. While the Affordable Care Act mandates that nonprofit hospitals conduct a community health needs assessment, little guidance exists on how to address the identified needs. Logic models provide systematic structure and necessary direction in how communities can start to address their identified health needs. Completing logic models in a nonlinear fashion is encouraged to employ a strengths-based approach and verify the logic...
July 2017: Family & Community Health
https://www.readbyqxmd.com/read/28521814/access-to-healthcare-insurance-and-healthcare-services-among-syringe-exchange-program-clients-in-massachusetts-qualitative-findings-from-health-navigators-with-the-idu-i-do-care-collaborative
#3
Thomas J Stopka, Marguerite Hutcheson, Ashley Donahue
BACKGROUND: Little is known about access to health insurance among people who inject drugs (PWID) who attend syringe exchange programs (SEPs). The goal of the current study was to assess perceptions of SEP staff, including health navigators and program managers, on access to health insurance and healthcare access among SEP clients following implementation of state and federal policies to enhance universal healthcare access in Massachusetts. METHODS: Between December 2014 and January 2015, we conducted in-depth interviews (n = 14) with SEP staff, including both program managers and health navigators, to assess knowledge, attitudes, and beliefs related to health insurance enrollment and access to enhanced referrals among SEP clients...
May 18, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/28520483/effect-of-the-affordable-care-act-on-disparities-in-breastfeeding-the-case-of-maine
#4
Summer Sherburne Hawkins, Alice Noble, Christopher F Baum
OBJECTIVES: To evaluate the Affordable Care Act (ACA) breastfeeding provision and test whether changes in coverage affected women differently according to health insurance status. METHODS: We used the All-Payer Claims Database from Maine (2012-2014) to compare health insurance claims for lactation classes and breast pumps between women with private insurance and women with Medicaid (1) before the ACA breastfeeding provision, (2) after the provision came into effect, and (3) after health insurance expansion through the Marketplace...
May 18, 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/28515140/three-year-impacts-of-the-affordable-care-act-improved-medical-care-and-health-among-low-income-adults
#5
Benjamin D Sommers, Bethany Maylone, Robert J Blendon, E John Orav, Arnold M Epstein
Major policy uncertainty continues to surround the Affordable Care Act (ACA) at both the state and federal levels. We assessed changes in health care use and self-reported health after three years of the ACA's coverage expansion, using survey data collected from low-income adults through the end of 2016 in three states: Kentucky, which expanded Medicaid; Arkansas, which expanded private insurance to low-income adults using the federal Marketplace; and Texas, which did not expand coverage. We used a difference-in-differences model with a control group and an instrumental variables model to provide individual-level estimates of the effects of gaining insurance...
May 17, 2017: Health Affairs
https://www.readbyqxmd.com/read/28513249/medicaid-expansion-produces-long-term-impact-on-insurance-coverage-rates-in-community-health-centers
#6
Nathalie Huguet, Megan J Hoopes, Heather Angier, Miguel Marino, Heather Holderness, Jennifer E DeVoe
BACKGROUND: It is crucial to understand the impact of the Affordable Care Act (ACA). This study assesses changes in insurance status of patients visiting community health centers (CHCs) comparing states that expanded Medicaid to those that did not. METHODS: Electronic health record data on 875,571 patients aged 19 to 64 years with ≥ 1 visit between 2012 and 2015 in 412 primary care CHCs in 9 expansion and 4 nonexpansion states. We assessed changes in rates of total, uninsured, Medicaid-insured, and privately insured primary care and preventive care visits; immunizations administered, and medications ordered...
May 1, 2017: Journal of Primary Care & Community Health
https://www.readbyqxmd.com/read/28508011/mandated-health-insurance-and-provider-reimbursement-via-private-insurance-evidence-from-the-massachusetts-health-reform
#7
Andrew Friedson, Allison Marier
In 2006, Massachusetts passed a reform that required individuals to purchase health insurance and provided subsidized health insurance to low-income individuals. The US Patient Protection and Affordable Care Act (ACA) was modeled after this reform, making Massachusetts an ideal place to look at potential outcomes from the ACA. Postreform, the proportion of the health-insured population in Massachusetts greatly increased, which potentially changed physician reimbursement for procedures as usage of care, particularly preventative care for children increased...
January 2017: Health Services Research and Managerial Epidemiology
https://www.readbyqxmd.com/read/28500925/revisiting-racial-disparities-in-access-to-surgical-management-of-drug-resistant-temporal-lobe-epilepsy-post-implementation-of-affordable-care-act
#8
Kanika Sharma, Piyush Kalakoti, Miriam Henry, Vikas Mishra, Rosario Maria Riel-Romero, Christina Notarianni, Anil Nanda, Hai Sun
OBJECTIVES: Prior to enactment of the Affordable Care Act(ACA), several reports demonstrated remarkable racial disparities in access to surgical care for epileptic patients. Implementation of ACA provided healthcare access to 7-16 million uninsured Americans. The current study investigates racial disparity post ACA era in (1) access to surgical management of drug-resistant temporal lobe epilepsy (DRTLE); (2) short-term outcomes in the surgical cohort. PATIENT AND METHODS: Adult patients with DRTLE registered in the National Inpatient Sample (2012-2013) were identified...
May 2, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/28492594/improving-patient-satisfaction-in-dermatology-a-prospective-study-of-an-urban-dermatology-clinic
#9
Adam V Sutton, Charles N Ellis, Samantha Spragg, Joe Thorpe, Kai-Ya Tsai, Sachi Patel, Katharine Ozeki, Ashley B Crew
Patient satisfaction has become an important measure of quality under the Patient Protection and Affordable Care Act. In this study, we assessed and analyzed patient satisfaction, nonattendance rates, and cycle times in an outpatient dermatology clinic. This study provides a snapshot of patient satisfaction in an urban dermatology clinic. Under the Patient Protection and Affordable Care Act, providers will be challenged to increase access to care and to validate quality of care through patient satisfaction.
April 2017: Cutis; Cutaneous Medicine for the Practitioner
https://www.readbyqxmd.com/read/28488036/perceptions-of-health-care-and-access-to-preventive-services-among-young-adults
#10
Raffy R Luquis, Weston S Kensinger
The enactment of the Affordable Care Act increased the emphasis on health promotion and disease prevention by making preventive care accessible for many Americans, especially young adults, who could remain on their parents or legal guardians' health insurance until the age of 26. Yet, many Americans receive only half of the recommended preventive care services, which highlight the need for the improvement of health promotion and prevention services. The aim of this study was to assess the relationship among access to health care insurance, perceptions about health insurance, and use of preventive care services among young adults...
May 9, 2017: Journal of Community Health
https://www.readbyqxmd.com/read/28484059/funding-instability-reduces-the-impact-of-the-federal-teaching-health-center-graduate-medical-education-program
#11
Troy Kurz, Winston Liaw, Peter Wingrove, Stephen Petterson, Andrew Bazemore
The Teaching Health Center Graduate Medical Education (THCGME) program is a decentralized residency training component of the Affordable Care Act, created to combat critical shortages and maldistribution of primary care physicians. The Accreditation Council of Graduate Medical Education and federal data reveal that the THCGME program accounted for 33% of the net increase in family medicine residency positions between 2011 and 2015. However, amid concerns about the program's stability, the contribution of the THCGME program to the net increase fell to 7% after 2015...
May 2017: Journal of the American Board of Family Medicine: JABFM
https://www.readbyqxmd.com/read/28483811/expanding-medicaid-expanding-the-electorate-the-affordable-care-act-s-short-term-impact-on-political-participation
#12
Jake Haselswerdt
The Affordable Care Act is a landmark piece of social legislation with the potential to reshape health care in the United States. Its potential to reshape politics is also considerable, but existing scholarship suggests conflicting expectations about the law's policy feedbacks, especially given uneven state-level implementation. In this article I focus on the policy feedbacks of the law's Medicaid expansion on political participation, using district-level elections data for 2012 and 2014 US House races and cross-sectional survey data from 2014...
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483807/closing-kynect-and-restructuring-medicaid-threaten-kentucky-s-health-and-economy
#13
Charles B Wright, Nathan L Vanderford
Following passage of the Patient Protection and Affordable Care Act (ACA) in the United States, the Kentucky Health Benefit Exchange, Kynect, began operating in Kentucky in October 2013. Kentucky expanded Medicaid eligibility in January 2014. Together, Kynect and Medicaid expansion provided access to affordable health care coverage to hundreds of thousands of individuals in Kentucky. However, following the Kentucky gubernatorial election in 2015, the newly inaugurated governor moved to dismantle Kynect and restructure the Medicaid expansion, jeopardizing public health gains and the state economy...
May 8, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28483749/us-representatives-vote-to-repeal-affordable-care-act
#14
Michael McCarthy
No abstract text is available yet for this article.
May 8, 2017: BMJ: British Medical Journal
https://www.readbyqxmd.com/read/28480588/racial-ethnic-and-gender-disparities-in-health-care-use-and-access
#15
Jennifer I Manuel
OBJECTIVE: To document racial/ethnic and gender differences in health service use and access after the Affordable Care Act went into effect. DATA SOURCE: Secondary data from the 2006-2014 National Health Interview Survey. STUDY DESIGN: Linear probability models were used to estimate changes in health service use and access (i.e., unmet medical need) in two separate analyses using data from 2006 to 2014 and 2012 to 2014. DATA EXTRACTION: Adult respondents aged 18 years and older (N = 257,560)...
May 8, 2017: Health Services Research
https://www.readbyqxmd.com/read/28473447/insurance-and-cardiovascular-health-time-for-evidence-to-trump-politics
#16
Rishi K Wadhera, Karen E Joynt
The United States is entrenched in a fierce debate over health care reform. The Affordable Care Act (ACA) strove to reduce the number of uninsured, and following its implementation, twenty million Americans gained insurance coverage. Ongoing shifts in health policy imperil these gains. As options for repealing, replacing, or revising the ACA are debated, we aim to outline what is known about the relationship between insurance coverage and cardiovascular (CV) care, the impact of the ACA on CV care, and areas where gaps in our knowledge remain...
May 4, 2017: Circulation
https://www.readbyqxmd.com/read/28471239/does-question-wording-predict-support-for-the-affordable-care-act-an-analysis-of-polling-during-the-implementation-period-2010-2016
#17
Kristen Holl, Jeff Niederdeppe, Jonathon P Schuldt
The Patient Protection and Affordable Care Act (ACA) continues to be the subject of fierce political debate in the United States. Drawing on issue framing theory, together with research on wording effects in survey responding, we tested how common differences in the wording of ACA surveys relate to apparent public support for the law. We report on a content analysis of N = 376 U.S. national opinion surveys fielded during a more than six-year period, beginning 23 March 2010 (when President Obama signed the bill into law) and ending 8 November 2016 (Election Day), and use ordinary least squares (OLS) regression models to predict public support for the law as a function of variation in question wording...
May 4, 2017: Health Communication
https://www.readbyqxmd.com/read/28462901/-canaries-in-the-mine-the-impact-of-affordable-care-act-implementation-on-people-with-disabilities-evidence-from-interviews-with-disability-advocates
#18
Stephan Lindner, Ruth Rowland, Margaret Spurlock, Stan Dorn, Melinda Davis
BACKGROUND: The Affordable Care Act (ACA) has many provisions that could improve health care for people with disabilities, including Medicaid expansion and the ability to purchase qualified health plans (QHPs). OBJECTIVE: To explore how ACA provisions affected people with disabilities' health care experiences during the first enrollment period and to suggest hypotheses for future research. METHOD: We conducted semi-structured interviews with disability community leaders (N = 16) from a maximum variation sample of 10 U...
April 12, 2017: Disability and Health Journal
https://www.readbyqxmd.com/read/28461357/most-hospitals-received-annual-penalties-for-excess-readmissions-but-some-fared-better-than-others
#19
Michael P Thompson, Teresa M Waters, Cameron M Kaplan, Yu Cao, Gloria J Bazzoli
The Hospital Readmissions Reduction Program (HRRP) initiated by the Affordable Care Act levies financial penalties against hospitals with excess thirty-day Medicare readmissions. We sought to understand the penalty burden over the program's first five years, focusing on characteristics of hospitals that received penalties during all five years, how penalties changed over time, and the relationship between baseline and subsequent performance. More than half of participating hospitals were penalized by the Centers for Medicare and Medicaid Services in all five years of the program...
May 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28461349/medical-financial-burden-declined-for-consumers-in-the-nongroup-market
#20
Michel H Boudreaux, Gilbert Gonzales, Brendan Saloner
The share of consumers in the nongroup health insurance market who spent more than 10 percent of family income on medical expenses declined by 6.7 percentage points after Affordable Care Act implementation (2013-15), and after adjustments for other factors. Average family medical expenses declined by $811 for nongroup consumers.
May 1, 2017: Health Affairs
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