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"Medicaid expansion"

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https://www.readbyqxmd.com/read/27920318/survey-highlights-differences-in-medicaid-coverage-for-substance-use-treatment-and-opioid-use-disorder-medications
#1
Colleen M Grogan, Christina Andrews, Amanda Abraham, Keith Humphreys, Harold A Pollack, Bikki Tran Smith, Peter D Friedmann
The Affordable Care Act requires state Medicaid programs to cover substance use disorder treatment for their Medicaid expansion population but allows states to decide which individual services are reimbursable. To examine how states have defined substance use disorder benefit packages, we used data from 2013-14 that we collected as part of an ongoing nationwide survey of state Medicaid programs. Our findings highlight important state-level differences in coverage for substance use disorder treatment and opioid use disorder medications across the United States...
December 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27920315/after-medicaid-expansion-in-kentucky-use-of-hospital-emergency-departments-for-dental-conditions-increased
#2
Natalia Chalmers, Jane Grover, Rob Compton
Access to oral health care is a critical need for the adult Medicaid population. Following the 2014 expansion of Medicaid eligibility in Kentucky, millions of adults became eligible to receive dental benefits. We examined the impact of the expansion on adult Medicaid enrollees' use of hospital emergency departments (EDs) for conditions related to dental or oral health in the period 2010-14. Based on our analysis of data for Kentucky from the State Emergency Department Databases, we found that the rate of discharges for these conditions from the ED increased significantly, from 1,833 per 100,000 population in 2013 to 5,635 in 2014...
December 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27920313/previous-medicaid-expansion-may-have-had-lasting-positive-effects-on-oral-health-of-non-hispanic-black-children
#3
Brandy J Lipton, Laura R Wherry, Sarah Miller, Genevieve M Kenney, Sandra Decker
Healthy tooth development starts early in life, beginning even before birth. We present new evidence suggesting that a historic public health insurance expansion for pregnant women and children in the United States in the 1980s and 1990s may have had long-lasting effects on the oral health of the children gaining eligibility. We estimated the relationship between adult oral health and the extent of state public health insurance eligibility for pregnant women, infants, and children throughout childhood separately for non-Hispanic whites, non-Hispanic blacks, and Hispanics...
December 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27906931/repeal-and-replace-of-affordable-care-a-complex-but-not-an-impossible-task
#4
Laxmaiah Manchikanti, Joshua A Hirsch
The Affordable Care Act (ACA), signature legislation of President Obama, was arguably the most consequential and comprehensive health care reform since Medicare was introduced as part of President Lyndon B. Johnson's great society. It has been claimed that many of the law's reforms are now so integrated in the health system that full repeal would be impractical, while others including President Elect Trump have rejected that idea and called for full repeal and replacement claiming ACA law cannot be fixed. A tsunami of increasing regulatory burden over the past 8 years, the current health care milieu has moved independent practitioners towards hospital employment in great numbers...
November 2016: Pain Physician
https://www.readbyqxmd.com/read/27902558/access-of-patients-with-lumbar-disc-herniations-to-spine-surgeons-the-effect-of-insurance-type-under-the-affordable-care-act
#5
Nidharshan S Anandasivam, Daniel H Wiznia, Chang-Yeon Kim, Ameya V Save, Jonathan N Grauer, Richard R Pelker
STUDY DESIGN: Prospective cohort study. OBJECTIVE: To determine the effects of insurance type (Medicaid vs. a specific private insurance) on patient access to spine surgeons for lumbar disc herniation as measured by (1) acceptance of insurance, (2) need for a referral, and (3) wait time for appointment. SUMMARY OF BACKGROUND DATA: Limited studies have been conducted to examine the issue of patient access to spine surgeons based on different insurance types (Medicaid vs...
November 29, 2016: Spine
https://www.readbyqxmd.com/read/27861816/early-impact-of-the-affordable-care-act-s-medicaid-expansion-on-dental-care-use
#6
Kamyar Nasseh, Marko Vujicic
OBJECTIVE: To examine the impact of the Affordable Care Act on dental care use among poor adults ages 21-64 in 2014. DATA: 2010-2014 Gallup-Healthways Wellbeing Index Survey. STUDY DESIGN: Among poor adults with income at or below 138% of the Federal Poverty Level, a differences-in-differences analysis was used to compare the changes in dental care use in states with different Medicaid expansion and adult dental policies. PRINCIPAL FINDINGS: Relative to the pre-reform period and other states, in Medicaid expansion states with adult dental benefits, dental care use increased between 2 and 6 percent points in the second half of 2014, but most of these changes were not statistically significant...
November 16, 2016: Health Services Research
https://www.readbyqxmd.com/read/27854535/gain-in-insurance-coverage-and-residual-uninsurance-under-the-affordable-care-act-texas-2013-2016
#7
Stephen Pickett, Elena Marks, Vivian Ho
OBJECTIVES: To examine the effects of the Affordable Care Act's (ACA's) Marketplace on Texas residents and determine which population subgroups benefited the most and which the least. METHODS: We analyzed insurance coverage rates among nonelderly Texas adults using the Health Reform Monitoring Survey-Texas from September 2013, just before the first open enrollment period in the Marketplace, through March 2016. RESULTS: Texas has experienced a roughly 6-percentage-point increase in insurance coverage (from 74...
January 2017: American Journal of Public Health
https://www.readbyqxmd.com/read/27818424/health-care-eligibility-and-availability-and-health-care-reform-are-we-addressing-rural-women-s-barriers-to-accessing-care
#8
Kristine Zimmermann, Leslie R Carnahan, Ellen Paulsey, Yamile Molina
BACKGROUND: Rural populations in the U.S. face numerous barriers to health care access. The Patient Protection and Affordable Care Act (PPACA) was developed in part to reduce health care access barriers. We report rural women's access barriers and the PPACA elements that address these barriers as well as potential gaps. METHODS: For this qualitative study, we analyzed two datasets using a common framework. We used content analysis to understand rural, focus group participants' access barriers prior to PPACA implementation...
2016: Journal of Health Care for the Poor and Underserved
https://www.readbyqxmd.com/read/27789732/new-medicaid-enrollees-see-health-and-social-benefits-in-pennsylvania-s-expansion
#9
Jeffrey K Hom, Charlene Wong, Christian Stillson, Jessica Zha, Carolyn C Cannuscio, Rachel Cahill, David Grande
Understanding how new Medicaid enrollees are approaching their own health and health care in the shifting health care landscape of the Affordable Care Act has implications for future outreach and enrollment efforts, as well as service planning for this population. The objective of this study was to explore the health care experiences and expectations of new Medicaid expansion beneficiaries in the immediate post-enrollment period. We conducted semistructured, qualitative interviews with a random sample of 40 adults in Philadelphia who had completed an application for Medicaid through a comprehensive benefits organization after January 1, 2015, when the Medicaid expansion in Pennsylvania took effect...
2016: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/27760245/implications-of-the-patient-protection-and-affordable-care-act-on-insurance-coverage-and-rehabilitation-use-among-young-adult-trauma-patients
#10
Cheryl K Zogg, Fernando Payró Chew, John W Scott, Lindsey L Wolf, Thomas C Tsai, Peter Najjar, Olubode A Olufajo, Eric B Schneider, Elliott R Haut, Adil H Haider, Joseph K Canner
Importance: Trauma is the leading cause of death and disability among young adults, who are also among the most likely to be uninsured. Efforts to increase insurance coverage, including passage of the Patient Protection and Affordable Care Act (ACA), were intended to improve access to care and promote improvements in outcomes. However, despite reported gains in coverage, the ACA's success in promoting use of high-quality care and enacting changes in clinical end points remains unclear...
October 19, 2016: JAMA Surgery
https://www.readbyqxmd.com/read/27727384/association-between-the-2014-medicaid-expansion-and-us-hospital-finances
#11
COMPARATIVE STUDY
Fredric Blavin
Importance: The Affordable Care Act expanded Medicaid eligibility for millions of low-income adults. The choice for states to expand Medicaid could affect the financial health of hospitals by decreasing the proportion of patient volume and unreimbursed expenses attributable to uninsured patients while increasing revenue from newly covered patients. Objective: To estimate the association between the Medicaid expansion in 2014 and hospital finances by assessing differences between hospitals in states that expanded Medicaid and in those states that did not expand Medicaid...
October 11, 2016: JAMA: the Journal of the American Medical Association
https://www.readbyqxmd.com/read/27702955/gaining-coverage-in-2014-new-estimates-of-marketplace-and-medicaid-transitions
#12
Jessica P Vistnes, Joel W Cohen
We used data from the Medical Expenditure Panel Survey-Household Component to examine coverage transitions for nonelderly US adults. We found that 71.5 percent of Marketplace enrollees in 2014 had some period of uninsurance before enrollment. In Medicaid expansion states, 17.4 percent of adults who were uninsured throughout 2013 gained Medicaid coverage in 2014, compared with only 5.6 percent in those states between 2012 and 2013.
October 1, 2016: Health Affairs
https://www.readbyqxmd.com/read/27663703/a-call-to-revisit-the-prenatal-period-as-a-focus-for-action-within-the-reproductive-and-perinatal-care-continuum
#13
Arden Handler, Kay Johnson
Objectives The broad maternal and child health community has witnessed increased attention to the entire continuum of reproductive and perinatal health concerns over the past few years. However, both recent discouraging trends in prenatal care access and utilization and a renewed understanding of prenatal care as a critical anchor of the reproductive/perinatal health continuum for women who do get pregnant demand a new effort to focus on the prenatal period as a gateway for maternal and infant health. Methods This commentary: describes the Medicaid expansions and the momentum for universal access to prenatal care of the 1980-1990s; examines the pivot away from this goal and its aftermath; provides a rationale for why renewed attention to prenatal care and the prenatal period is essential; and, explores the potential focus of an updated prenatal care agenda...
September 23, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27659123/states-influences-on-medicaid-investments-to-address-patients-social-needs
#14
Laura M Gottlieb, Andrea Quiñones-Rivera, Rishi Manchanda, Holly Wing, Sara Ackerman
INTRODUCTION: Relationships between socioeconomic adversity and poor health have been well documented. Given these associations, Medicaid MCOs (MMCOs) have shown increasing interest in addressing social determinants of health (SDH) to improve health and decrease healthcare costs. The authors sought to better understand how contractual relationships with State Medicaid Agencies influence MMCO investments in addressing members' SDH. METHODS: In 52 semi-structured key informant interviews, MMCO executives representing 17 geographically diverse MMCOs ranging in size, commercial status, and state participation in Medicaid expansion were asked to describe existing state and other influences on MMCO SDH-related activities...
September 14, 2016: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/27651271/medicaid-expansion-and-healthcare-access-lessons-from-asian-american-and-pacific-islander-experiences-in-california
#15
Won Kim Cook, Iyanrick John, Corina Chung, Winston Tseng, Juliet P Lee
Medicaid coverage increases access to care and improves health outcomes for disadvantaged populations. Yet disparities in enrollment and access to care persist. To understand the facilitators and barriers of Medicaid enrollment and accessing care under the Affordable Care Act for disadvantaged Asian Americans and Pacific Islanders. Focus groups and key informant interviews were conducted. Informational barriers to accessing care were pervasive among most new enrollees. Immigrants with limited English proficiency experienced disproportionate difficulties in enrolling and accessing care post enrollment...
September 20, 2016: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/27638837/health-insurance-trends-and-access-to-behavioral-healthcare-among-justice-involved-individuals-united-states-2008-2014
#16
Tyler N A Winkelman, Edith C Kieffer, Susan D Goold, Jeffrey D Morenoff, Kristen Cross, John Z Ayanian
BACKGROUND: A large proportion of justice-involved individuals have mental health issues and substance use disorders (SUD) that are often untreated due to high rates of uninsurance. However, roughly half of justice-involved individuals were estimated to be newly eligible for health insurance through the Affordable Care Act (ACA). OBJECTIVE: We aimed to assess health insurance trends among justice-involved individuals before and after implementation of the ACA's key provisions, the dependent coverage mandate and Medicaid expansion, and to examine the relationship between health insurance and treatment for behavioral health conditions...
December 2016: Journal of General Internal Medicine
https://www.readbyqxmd.com/read/27635601/linkages-between-patient-centered-medical-homes-and-addiction-treatment-organizations-results-from-a-national-survey
#17
Thomas D'Aunno, Harold Pollack, Qixuan Chen, Peter D Friedmann
BACKGROUND: To meet their aims of providing comprehensive and coordinated care, patient-centered medical homes (PCMHs) need to coordinate services for individuals with substance use disorders. Yet, the 14,000 addiction treatment (AT) organizations across the United States that provide services for more than 1 million individuals daily are generally ill-prepared to work with PCMHs (eg, AT organizations often lack electronic health records). OBJECTIVES: To examine the extent to which AT organizations have formal linkages through contracts with PCMHs; to identify key dimensions of linkages between PCMHs and AT organizations (eg, shared use of electronic health records); to identify characteristics of AT organizations and their environments associated with these linkages...
September 15, 2016: Medical Care
https://www.readbyqxmd.com/read/27635597/who-and-where-are-kentucky-s-remaining-uninsured
#18
Joseph A Benitez, Liza M Creel, J'Aime C Jennings
BACKGROUND: While most research has focused on insurance uptake and describing the makeup of the newly insured, less is known about the characteristics among the remaining uninsured in expansion states. OBJECTIVES: Using Kentucky as a case study, we evaluate individual and contextual characteristics to learn more about groups who-despite expanded access to coverage options through US health care reform-reported being uninsured at the end of 2014. RESEARCH DESIGN: Cross-sectional data from Kentucky's Behavioral Risk Factor Surveillance System was linked to county data from the Area Health Resource File, and we used logistic regression models to assess relationships between both person-level and county-level characteristics with uninsured status...
September 15, 2016: Medical Care
https://www.readbyqxmd.com/read/27628834/re-kentucky-s-medicaid-expansion-showing-early-promise-on-coverage-and-access-to-care
#19
David F Penson
No abstract text is available yet for this article.
October 2016: Journal of Urology
https://www.readbyqxmd.com/read/27624635/trends-in-hospital-inpatient-admissions-following-early-medicaid-expansion-in-california
#20
Peter Cunningham, Lindsay M Sabik, Ali Bonakdar Tehrani
The Affordable Care Act is expected to profoundly affect inpatient hospital utilization, both as a result of expansions in insurance coverage as well as payment and delivery system reforms. The objective of this study is to examine changes in inpatient utilization between 2010 and 2013 in California, following a Medicaid expansion and implementation of the Delivery System Reform Incentive Payment program. Findings show that between 2010 and 2013: (a) the overall number of inpatient admissions increased, mainly because an increase in Medicaid admissions exceeded the decrease in uninsured admissions; (b) the number of preventable admissions did not change; (c) preventable admissions decreased at safety net hospitals that received Delivery System Reform Incentive Payment funds relative to other safety net hospitals...
September 12, 2016: Medical Care Research and Review: MCRR
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