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Gerald Cochran, Adam J Gordon, Wei-Hsuan Lo-Ciganic, Walid F Gellad, Winfred Frazier, Carroline Lobo, Chung-Chou H Chang, Ping Zheng, Julie M Donohue
BACKGROUND: Health systems may play an important role in identification of patients at-risk of opioid medication overdose. However, standard measures for identifying overdose risk in administrative data do not exist. OBJECTIVE: Examine the association between opioid medication overdose and 2 validated measures of nonmedical use of prescription opioids within claims data. RESEARCH DESIGN: A longitudinal retrospective cohort study that estimated associations between overdose and nonmedical use...
March 2017: Medical Care
Lev M Berstein
No abstract text is available yet for this article.
January 2017: Future Oncology
Derek DeLia
BACKGROUND: Research on spending persistence has not focused on Medicaid and the Children's Health Insurance Program (Medicaid/CHIP), which includes a complex and growing population. OBJECTIVE OF THE STUDY: The objective of the study was to describe patterns of expenditure persistence, mortality, and disenrollment among nondually eligible Medicaid/CHIP enrollees and identify factors predicting these outcomes. RESEARCH DESIGN: The study is based on New Jersey Medicaid/CHIP claims data from 2011 to 2014...
March 2017: Medical Care
David R Vago, Fadel Zeidan
Mind wandering and mindfulness are often described as divergent mental states with opposing effects on cognitive performance and mental health. Spontaneous mind wandering is typically associated with self-reflective states that contribute to negative processing of the past, worrying/fantasizing about the future, and disruption of primary task performance. On the other hand, mindful awareness is frequently described as a focus on present sensory input without cognitive elaboration or emotional reactivity, and is associated with improved task performance and decreased stress-related symptomology...
June 2016: Annals of the New York Academy of Sciences
Zoran Josipovic
This paper discusses meditation from the unique perspective of the nondual approach and explores the possible relevance of this approach to applications of love and compassion meditation in clinical settings. It contrasts the nondual approach with the better known gradual or goal-oriented, dualistic view of meditation. This paper also introduces one of the central ideas of the nondual approach-that love and compassion, like other positive qualities that are ordinarily considered as goals of meditation practice, can be found to be already present within oneself as innate dimensions of one's authentic being...
June 2016: Annals of the New York Academy of Sciences
Angela M Dobes, Richard H Bernstein
Identifying strategies to reduce health care disparities is a national priority. This study examines factors within higher performing Medicare Advantage dual-eligible special needs plans (SNPs) that contribute to improved diabetic control. These structural and process elements include nonprofit status, interdisciplinary care teams, medication management, home visiting clinicians, and motivational interviewing. We suggest further research into the value of requiring all Medicare plans serving duals comply with standards for the SNP Model of Care...
January 2016: Journal of Ambulatory Care Management
Stefan Jaeger
This paper argues in favor of a specific type of confidence for use in computer-aided diagnosis and disease classification, namely, sine/cosine values of angles represented by points on the unit circle. The paper shows how this confidence is motivated by Chinese medicine and how sine/cosine values are directly related with the two forces Yin and Yang. The angle for which sine and cosine are equal (45°) represents the state of equilibrium between Yin and Yang, which is a state of nonduality that indicates neither normality nor abnormality in terms of disease classification...
2015: TheScientificWorldJournal
Larisa M Strawbridge, Jennifer T Lloyd, Ann Meadow, Gerald F Riley, Benjamin L Howell
Medicare began reimbursing for outpatient diabetes self-management training (DSMT) in 2000; however, little is known about program utilization. Individuals diagnosed with diabetes in 2010 were identified from a 20% random selection of the Medicare fee-for-service population (N = 110,064). Medicare administrative and claims files were used to determine DSMT utilization. Multivariate logistic regression analyses evaluated the association of demographic, health status, and provider availability factors with DSMT utilization...
August 2015: Health Education & Behavior: the Official Publication of the Society for Public Health Education
Amanda E Berman, Larry Stevens
The holistic experiential benefits of meditation among a widely ranging population have been well established within the empirical literature. What remain less clear are the underlying mechanisms of the meditative process. A large impediment to this clarity is attributable to the lack of a unified and comprehensive taxonomy, as well as to the absence of clear differentiation within the literature between method of practice and resulting state. The present study discusses and then attempts to identify within our sample a theoretically universal culminating meditative state known as Nondual Awareness, which is differentiated from the method or practice state...
January 2015: Consciousness and Cognition
Erkan Erdem
INTRODUCTION: Medicare beneficiaries who have chronic conditions are responsible for a disproportionate share of Medicare fee-for-service expenditures. The objective of this study was to analyze the change in the health of Medicare beneficiaries enrolled in Part A (hospital insurance) between 2008 and 2010 by comparing the prevalence of 11 chronic conditions. METHODS: We conducted descriptive analyses using the 2008 and 2010 Chronic Conditions Public Use Files, which are newly available from the Centers for Medicare and Medicaid Services and have administrative (claims) data on 100% of the Medicare fee-for-service population...
2014: Preventing Chronic Disease
Huai-Che Shih, Helena Temkin-Greener, Kathryn Votava, Bruce Friedman
The Balanced Budget Act (BBA) of 1997 changed the payment system for Medicare home health care (HHC) from cost-based to prospective reimbursement. We used Medical Expenditure Panel Survey data to assess the impact of the BBA on Medicare HHC patient case-mix measured by the Centers for Medicare and Medicaid Services Hierarchical Condition Categories (CMS-HCC) model. There was a significant increase in Medicare HHC patient case-mix between the pre-BBA and Prospective Payment System (PPS) periods. The increase in the standardized-predicted risk score from the Interim Payment System period to PPS was nearly 4 times greater for the dual eligibles (Medicare-Medicaid) than for the Medicare-only population...
2014: Home Health Care Services Quarterly
Zoran Josipovic
Dualities such as self versus other, good versus bad, and in-group versus out-group are pervasive features of human experience, structuring the majority of cognitive and affective processes. Yet, an entirely different way of experiencing, one in which such dualities are relaxed rather than fortified, is also available. It depends on recognizing, within the stream of our consciousness, the nondual awareness (NDA)--a background awareness that precedes conceptualization and intention and that can contextualize various perceptual, affective, or cognitive contents without fragmenting the field of experience into habitual dualities...
January 2014: Annals of the New York Academy of Sciences
Herman H M Lo, Siu Man Ng, Cecilia L W Chan, K F Lam, Bobo H P Lau
OBJECTIVES: Previous studies have identified different, but highly correlated variables explaining the effects of mindfulness training. Many of them are limited by tautological explanation. Under the framework of the mind-body connection, mindfulness training cultivates body awareness and promotes self-management of illness. Stagnation, a concept from Chinese medicine, may help explain the mechanism of change in mindfulness training. METHODS: Individuals with depressive and anxiety symptoms (n=82) were randomized to either a Compassion-Mindfulness Therapy (C-MT) program or a waitlist control condition...
August 2013: Complementary Therapies in Medicine
Annette Beyea, Jonathan Fischer, Anna Schenck, Laura C Hanson
BACKGROUND: Hospice and palliative care (PC) remain underutilized by Medicaid patients. OBJECTIVE: Our aim was to evaluate an intervention to improve communication about advance care planning (ACP) and symptom distress, and to facilitate referral to PC and hospice. METHODS: We conducted a study in a statewide Medicaid primary care network with 510 Medicaid care managers (CMs). PC experts collaborated with leaders in the statewide primary care network on a quality improvement intervention...
April 2013: Journal of Palliative Medicine
Bruce Stuart, Xianghua Yin, Amy Davidoff, Linda Simoni-Wastila, Ilene Zuckerman, J Samantha Shoemaker, Jalpa Doshi
BACKGROUND: It is not known whether low-income subsidies (LIS) under Medicare Part D help beneficiaries overcome impediments to medication use associated with poor socioeconomic status and high disease burden. OBJECTIVES: To compare Medicare beneficiaries with LIS and Medicaid (duals), LIS without dual eligibility, and non-LIS recipients on use of medications recommended in diabetes treatment. RESEARCH DESIGN: Fixed-effect comparisons among beneficiaries in the same Part D plans in 2006-2007...
November 2012: Medical Care
Carrie H Colla, David E Wennberg, Ellen Meara, Jonathan S Skinner, Daniel Gottlieb, Valerie A Lewis, Christopher M Snyder, Elliott S Fisher
CONTEXT: The Centers for Medicare & Medicaid Services (CMS) recently launched accountable care organization (ACO) programs designed to improve quality and slow cost growth. The ACOs resemble an earlier pilot, the Medicare Physician Group Practice Demonstration (PGPD), in which participating physician groups received bonus payments if they achieved lower cost growth than local controls and met quality targets. Although evidence indicates the PGPD improved quality, uncertainty remains about its effect on costs...
September 12, 2012: JAMA: the Journal of the American Medical Association
Siran M Koroukian, Paul M Bakaki, Heather Beaird, Craig C Earle, Gregory S Cooper
BACKGROUND: Dual-eligibility status for both Medicare and Medicaid is associated with unfavorable cancer stage outcomes. However, given the reduced financial barriers, duals enrolled in Medicaid prior to cancer diagnosis-or those using Medicaid as a supplemental health insurance program (Dual/SHIP)-may have improved access to preventive services compared with low-income nonduals (LI/nondual), therefore, be more likely to be diagnosed at earlier stages of cancers amenable to screening...
November 2011: Journal of Public Health Management and Practice: JPHMP
David L Smith
This article offers a fresh approach to the religious thought of Ralph Waldo Emerson, exploring (1) the particular conception of secrecy in connection with which he understands the human spiritual predicament and (2) his response to this predicament by means of a self-reflexive turn in his writing-a procedure designed to undermine quests for truth elsewhere and so to restore the self to the wholeness implicit in its initial conditions. The operation of this method will be traced through a number of Emerson's major works, including the second "Nature" (from Essays: Second Series), "History," and the poem "The Sphinx...
2003: Journal of the American Academy of Religion
Zoran Josipovic
The great variety of meditation techniques found in different contemplative traditions presents a challenge when attempting to create taxonomies based on the constructs of contemporary cognitive sciences. In the current issue of Consciousness and Cognition, Travis and Shear add 'automatic self-transcending' to the previously proposed categories of 'focused attention' and 'open monitoring', and suggest characteristic EEG bands as the defining criteria for each of the three categories. Accuracy of current taxonomies and potential limitations of EEG measurements as classifying criteria are discussed...
December 2010: Consciousness and Cognition
Frédéric Mustière, Miodrag Bolić, Martin Bouchard
Motivated by the reportedly strong performance of particle filters (PFs) for noise reduction on essentially linear speech production models, and the mounting evidence that the introduction of nonlinearities can lead to a refined speech model, this paper presents a study of PF solutions to the problem of speech enhancement in the context of nonlinear, neural-type speech models. Several variations of a global model are presented (single/multiple neurons; bias/no bias), and corresponding PF solutions are derived...
December 2009: IEEE Transactions on Neural Networks
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