keyword
MENU ▼
Read by QxMD icon Read
search

"Medicaid expansion"

keyword
https://www.readbyqxmd.com/read/28806038/partnership-strategies-of-community-health-centers-building-capacity-in-good-times-and-bad
#1
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
#2
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
#3
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..
August 9, 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
#4
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
#5
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
https://www.readbyqxmd.com/read/28765069/prostate-cancer-screening-in-early-medicaid-expansion-states
#6
Jesse D Sammon, Emily C Serrell, Patrick Karabon, Jeffrey J Leow, Firas Abdollah, Joel S Weismann, Paul K J Han, Moritz Hansen, Mani Menon, Quoc-Dien Trinh
PURPOSE: The Affordable Care Act of 2010 included a provision to expand Medicaid by 2014. Six states and jurisdictions elected to expand Medicaid early, before 2012. This provided a natural experiment to test the association between expanded insurance coverage and preventive service utilization, including prostate cancer screening. METHODS: Using 2012 and 2014 Behavioral Risk Factor Surveillance System surveys, we identified men aged 40-64 years who reported prostate specific antigen (PSA) testing in the preceding 12 months...
July 29, 2017: Journal of Urology
https://www.readbyqxmd.com/read/28757308/scheduling-primary-care-appointments-online-differences-in-availability-based-on-health-insurance
#7
Gregory W Kurtzman, Megha A Keshav, Nikita P Satish, Mitesh S Patel
BACKGROUND: Digital platforms that allow patients to go online or use smartphone applications to view and schedule physician appointments have not been well evaluated. METHODS: We conducted systematic searches for primary care physician appointments in 20 cities using ZocDoc, an online appointment scheduling platform. Availability was determined for three insurance types (self-pay, Medicare, and Medicaid) in states with and without Medicaid expansion. We collected data on physician characteristics, number of appointments available, and distance to clinics...
July 27, 2017: Healthcare
https://www.readbyqxmd.com/read/28756636/medicaid-expansion-and-chronic-obstructive-pulmonary-disease-among-low-income-adults-in-the-united-states
#8
Dmitry Tumin, Edwin J Jackson, Don Hayes
INTRODUCTION: Chronic obstructive pulmonary disease (COPD) is common but often underdiagnosed in the United States (US). Public health insurance coverage expansion may increase the prevalence of diagnosed COPD due to improved access to care and diagnosis. OBJECTIVE: We sought to determine the effects of Medicaid expansion on the prevalence of diagnosed COPD among low-income US adults. METHODS: The 2011-2015 Behavioral Risk Factor Surveillance System survey data were used to identify adults with annual household income <$50 000...
July 29, 2017: Clinical Respiratory Journal
https://www.readbyqxmd.com/read/28751087/the-effect-of-medicaid-expansion-on-utilization-in-maryland-emergency-departments
#9
Eili Y Klein, Scott Levin, Matthew F Toerper, Michael D Makowsky, Tim Xu, Gai Cole, Gabor D Kelen
STUDY OBJECTIVE: A proposed benefit of expanding Medicaid eligibility under the Patient Protection and Affordable Care Act (ACA) was a reduction in emergency department (ED) utilization for primary care needs. Pre-ACA studies found that new Medicaid enrollees increased their ED utilization rates, but the effect on system-level ED visits was less clear. Our objective was to estimate the effect of Medicaid expansion on aggregate and individual-based ED utilization patterns within Maryland...
July 24, 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28685885/mental-health-and-substance-use-care-among-young-adults-before-and-after-affordable-care-act-aca-implementation-a-rural-and-urban-comparison
#10
Laura J Chavez, Kelly J Kelleher, Steven C Matson, Thomas M Wickizer, Deena J Chisolm
PURPOSE: Rural young adults experience greater unmet need for mental health (MH) and alcohol or drug (AOD) treatment and lower health insurance coverage than urban residents. It is unknown whether Affordable Care Act (ACA) reforms in 2010 (dependent coverage extended to age 26) or 2014 (Medicaid expansion) closed rural/urban gaps in insurance and treatment. The present study compared changes in rates of health insurance, MH treatment, and AOD treatment for rural and urban young adults over a period of ACA reforms...
July 7, 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28670682/identifying-homeless-medicaid-enrollees-using-enrollment-addresses
#11
Katherine D Vickery, Nathan D Shippee, Peter Bodurtha, Laura M Guzman-Corrales, Elyse Reamer, Dana Soderlund, Stephanie Abel, Danielle Robertshaw, Lillian Gelberg
OBJECTIVE: To design and test the validity of a method to identify homelessness among Medicaid enrollees using mailing address data. DATA SOURCES/STUDY SETTING: Enrollment and claims data on Medicaid expansion enrollees in Hennepin and Ramsey counties who also provided self-reported information on their current housing situation in a psychosocial needs assessment. STUDY DESIGN: Construction of address-based indicators and comparison with self-report data...
July 3, 2017: Health Services Research
https://www.readbyqxmd.com/read/28664993/medicaid-expansions-and-cervical-cancer-screening-for-low-income-women
#12
Lindsay M Sabik, Wafa W Tarazi, Stephanie Hochhalter, Bassam Dahman, Cathy J Bradley
OBJECTIVE: Medicaid coverage for low-income women may play an important role in ensuring access to preventive care. This study examines how Medicaid eligibility expansions to nonelderly adults impact cervical cancer screening among low-income women. DATA SOURCES: We use data from the Behavioral Risk Factor Surveillance System from 2000 to 2010. The primary outcome of interest is whether women in the relevant guideline consistent age range reported having a Pap test in the previous year...
June 30, 2017: Health Services Research
https://www.readbyqxmd.com/read/28664983/changes-in-hospital-inpatient-utilization-following-health-care-reform
#13
Gary Pickens, Zeynal Karaca, Eli Cutler, Michael Dworsky, Christine Eibner, Brian Moore, Teresa Gibson, Sharat Iyer, Herbert S Wong
OBJECTIVE: To estimate the effects of 2014 Medicaid expansions on inpatient outcomes. DATA SOURCES: Health Care Cost and Utilization Project State Inpatient Databases, 2011-2014; population and unemployment estimates. STUDY DESIGN: Retrospective study estimating effects of Medicaid expansions using difference-in-differences regression. Outcomes included total admissions, referral-sensitive surgical and preventable admissions, length of stay, cost, and patient illness severity...
June 30, 2017: Health Services Research
https://www.readbyqxmd.com/read/28661254/early-experience-with-the-aca-coverage-gains-pooling-of-risk-and-medicaid-expansion
#14
Linda J Blumberg, John Holahan
We provide an overview of the characteristics of those who have gained insurance coverage due to the ACA as well as the characteristics of the remaining uninsured. We also describe the implications for the broader sharing of health care risks required under the law, and how they vary by individuals' health status. Finally, we assess the implications of state decisions to expand or not expand Medicaid eligibility under the law, how those decisions affect state finances, health care providers, residents, and how the effects may vary for those states using waivers to expand eligibility using strategies designed to be more broadly politically acceptable...
December 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/28661251/making-health-care-truly-affordable-after-health-care-reform
#15
Timothy Stoltzfus Jost, Harold A Pollack
The Affordable Care Act (ACA) is an essential first step toward making health insurance more affordable for lower and moderate income Americans. It has accomplished historic reductions in the proportion of Americans who are uninsured. The number of Americans reporting delaying medical care for financial reasons has declined by approximately one-third since 2010. Medicaid expansions, in particular, have significantly reduced financial burdens and accompanying anxieties experienced by low-income Americans in states that have embraced this opportunity...
December 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/28661245/medicaid-s-role-in-health-reform-and-closing-the-coverage-gap
#16
Diane Rowland, Barbara Lyons
Medicaid coverage matters for millions of low-income Americans, and especially for those with ongoing and serious health challenges. A source of comprehensive and affordable coverage, Medicaid has long been a cornerstone of federal and state efforts to improve access and health outcomes for very poor and medically vulnerable populations. The Affordable Care Act (ACA) leveraged Medicaid's role in serving the poor to broaden the program's reach to millions of low-income uninsured adults, and positioned the program as a fundamental component of the newly established continuum of public and private coverage...
December 2016: Journal of Law, Medicine & Ethics: a Journal of the American Society of Law, Medicine & Ethics
https://www.readbyqxmd.com/read/28660697/intra-ethnic-coverage-disparities-among-latinos-and-the-effects-of-health-reform
#17
Sergio Gonzales, Benjamin D Sommers
OBJECTIVE: To examine the patterns of insurance coverage among nine Latino subgroups and assess heterogeneous effects of the Affordable Care Act (ACA) among these groups. DATA SOURCES: American Community Survey (2010-2014). STUDY DESIGN: We examined pre-ACA disparities in coverage using linear probability models. Then, we used interrupted time series and triple-difference models to evaluate coverage changes associated with the ACA and Medicaid expansion, respectively...
June 28, 2017: Health Services Research
https://www.readbyqxmd.com/read/28658482/association-of-expanded-medicaid-coverage-with-hospital-length-of-stay-after-injury
#18
Jeremy L Holzmacher, Kerry Townsend, Caleb Seavey, Stephanie Gannon, Mary Schroeder, Stephen Gondek, Lois Collins, Richard L Amdur, Babak Sarani
Importance: The expansion of Medicaid eligibility under the Affordable Care Act is a state-level decision that affects how patients with traumatic injury (trauma patients) interact with locoregional health care systems. Washington, DC; Maryland; and Virginia represent 3 unique payer systems with liberal, moderate, and no Medicaid expansion, respectively, under the Affordable Care Act. Characterizing the association of Medicaid expansion with hospitalization after injury is vital in the disposition planning for these patients...
June 28, 2017: JAMA Surgery
https://www.readbyqxmd.com/read/28653821/effects-of-aca-medicaid-expansions-on-health-insurance-coverage-and-labor-supply
#19
Robert Kaestner, Bowen Garrett, Jiajia Chen, Anuj Gangopadhyaya, Caitlyn Fleming
We examined the effect of the expansion of Medicaid eligibility under the Affordable Care Act on health insurance coverage and labor supply of low-educated and low-income adults. We found that the Medicaid expansions were associated with large increases in Medicaid coverage, for example, 50 percent among childless adults, and corresponding decreases in the proportion uninsured. There was relatively little change in private insurance coverage, although the expansions tended to decrease such coverage slightly...
2017: Journal of Policy Analysis and Management
https://www.readbyqxmd.com/read/28649732/impact-of-medicaid-disenrollment-in-tennessee-on-breast-cancer-stage-at-diagnosis-and-treatment
#20
Wafa W Tarazi, Cathy J Bradley, Harry D Bear, David W Harless, Lindsay M Sabik
BACKGROUND: States routinely may consider rollbacks of Medicaid expansions to address statewide economic conditions. To the authors' knowledge, little is known regarding the effects of public insurance contractions on health outcomes. The current study examined the effects of the 2005 Medicaid disenrollment in Tennessee on breast cancer stage at the time of diagnosis and delays in treatment among nonelderly women. METHODS: The authors used Tennessee Cancer Registry data from 2002 through 2008 and estimated a difference-in-difference model comparing women diagnosed with breast cancer who lived in low-income zip codes (and therefore were more likely to be subject to disenrollment) with a similar group of women who lived in high-income zip codes before and after the 2005 Medicaid disenrollment...
June 26, 2017: Cancer
keyword
keyword
49580
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"