keyword
MENU ▼
Read by QxMD icon Read
search

"Medicaid expansion"

keyword
https://www.readbyqxmd.com/read/29021122/influencing-quality-of-outpatient-sud-care-implementation-of-alerts-and-incentives-in-washington-state
#1
Deborah W Garnick, Constance M Horgan, Andrea Acevedo, Margaret T Lee, Lee Panas, Grant A Ritter, Kevin Campbell, Jason Bean-Mortinson
Financial incentives for quality improvement and feedback on specific clients are two approaches to improving the quality of treatment for individuals with substance use disorders. We examined the impacts of these interventions in Washington State by randomizing outpatient substance use treatment agencies into intervention and control groups. From October 2013 through December 2015, agencies could earn financial incentives for meeting performance goals incorporating both achievement relative to a benchmark and improvement from agencies' own baselines...
November 2017: Journal of Substance Abuse Treatment
https://www.readbyqxmd.com/read/28987635/medicaid-expansion-and-disparity-reduction-in-surgical-cancer-care-at-high-quality-hospitals
#2
David Xiao, Chaoyi Zheng, Manila Jindal, Lynt B Johnson, Thomas DeLeire, Nawar Shara, Waddah B Al-Refaie
BACKGROUND: The Affordable Care Act's (ACA) Medicaid expansion has been heavily debated due to skepticism of Medicaid's ability to provide high-quality care. Particularly, little is known whether Medicaid expansion improves access to surgical cancer care at high-quality hospitals. To address this question, we examined the effects of the 2001 New York Medicaid expansion, the largest in pre-ACA era, on this disparity measure. METHODS: We identified 67,685 nonelderly adults from the New York State Inpatient Database who underwent select cancer resections...
September 28, 2017: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28983428/assessing-the-role-of-state-and-local-public-health-in-outreach-and-enrollment-for-expanded-coverage-a-case-study-on-west-virginia
#3
Julia Joh Elligers, Nazleen Bharmal, Laurie T Martin, Malcolm V Williams, Courtney Armstrong
The Patient Protection and Affordable Care Act (ACA) laid the groundwork for a substantial increase in the number of people who have access to health insurance through Medicaid expansion or health insurance marketplaces. During the first open-enrollment season, states used a variety of strategies to reach out to and enroll newly eligible people. Typically, they used federal and state funding to develop navigator programs. Program design differed by location, and, although many stakeholders were involved in these efforts, state and local health departments (LHDs) were, and remain, a relatively untapped resource...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28983427/assessing-the-role-of-state-and-local-public-health-in-outreach-and-enrollment-for-expanded-coverage-a-case-study-on-tacoma-pierce-county-washington
#4
Nazleen Bharmal, Malcolm V Williams, Laurie T Martin, Christian Lopez
The Patient Protection and Affordable Care Act (ACA) laid the groundwork for a substantial increase in the number of people who have access to health insurance through Medicaid expansion or health insurance marketplaces. During the first open-enrollment season, states used a variety of strategies to reach out to and enroll newly eligible people. Typically, they used federal and state funding to develop navigator programs. Program design differed by location, and, although many stakeholders were involved in these efforts, state and local health departments (LHDs) were, and remain, a relatively untapped resource...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28983426/assessing-the-role-of-state-and-local-public-health-in-outreach-and-enrollment-for-expanded-coverage-a-case-study-on-new-orleans-louisiana
#5
Malcolm V Williams, Christian Lopez, Laurie T Martin, Courtney Armstrong
The Patient Protection and Affordable Care Act (ACA) laid the groundwork for a substantial increase in the number of people who have access to health insurance through Medicaid expansion or health insurance marketplaces. During the first open-enrollment season, states used a variety of strategies to reach out to and enroll newly eligible people. Typically, they used federal and state funding to develop navigator programs. Program design differed by location, and, although many stakeholders were involved in these efforts, state and local health departments (LHDs) were, and remain, a relatively untapped resource...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28983425/assessing-the-role-of-state-and-local-public-health-in-outreach-and-enrollment-for-expanded-coverage-a-case-study-on-illinois
#6
Malcolm V Williams, Laurie T Martin, Christian Lopez, Courtney Armstrong
The Patient Protection and Affordable Care Act (ACA) laid the groundwork for a substantial increase in the number of people who have access to health insurance through Medicaid expansion or health insurance marketplaces. During the first open-enrollment season, states used a variety of strategies to reach out to and enroll newly eligible people. Typically, they used federal and state funding to develop navigator programs. Program design differed by location, and, although many stakeholders were involved in these efforts, state and local health departments (LHDs) were, and remain, a relatively untapped resource...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28983424/assessing-the-role-of-state-and-local-public-health-in-outreach-and-enrollment-for-expanded-coverage-a-case-study-on-boston-and-massachusetts
#7
Kate Heyer, Nazleen Bharmal, Laurie T Martin, Malcolm V Williams, Courtney Armstrong
The Patient Protection and Affordable Care Act (ACA) laid the groundwork for a substantial increase in the number of people who have access to health insurance through Medicaid expansion or health insurance marketplaces. During the first open-enrollment season, states used a variety of strategies to reach out to and enroll newly eligible people. Typically, they used federal and state funding to develop navigator programs. Program design differed by location, and, although many stakeholders were involved in these efforts, state and local health departments (LHDs) were, and remain, a relatively untapped resource...
January 2017: Rand Health Quarterly
https://www.readbyqxmd.com/read/28972017/expanding-medicaid-access-without-expanding-medicaid-why-did-some-nonexpansion-states-continue-the-primary-care-fee-bump
#8
Adam S Wilk, Leigh C Evans, David K Jones
Six states that have rejected the Patient Protection and Affordable Care Act's (ACA) Medicaid expansion nonetheless extended the primary care "fee bump," by which the federal government increased Medicaid fees for primary care services up to 100 percent of Medicare fees during 2013-14. We conducted semistructured interviews with leaders in five of these states, as well as in three comparison states, to examine why they would continue a provision of the ACA that moderately expands access at significant state expense while rejecting the expansion and its large federal match, focusing on relevant economic, political, and procedural factors...
September 28, 2017: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/28971922/early-medicaid-expansion-associated-with-reduced-payday-borrowing-in-california
#9
Heidi Allen, Ashley Swanson, Jialan Wang, Tal Gross
We examined the impact of California's early Medicaid expansion under the Affordable Care Act on the use of payday loans, a form of high-interest borrowing used by low- and middle-income Americans. Using a data set for the period 2009-13 (roughly twenty-four months before and twenty-four months after the 2011-12 Medicaid expansion) that covered the universe of payday loans from five large payday lenders with locations around the United States, we used a difference-in-differences research design to assess the effect of the expansion on payday borrowing, comparing trends in early-expansion counties in California to those in counties nationwide that did not expand early...
October 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28968625/more-rhode-island-adults-have-dental-coverage-after-the-medicaid-expansion-did-more-adults-receive-dental-services-did-more-dentists-provide-services
#10
Samuel Zwetchkenbaum, Junhie Oh
OBJECTIVE: Under the Affordable Care Act (ACA) Medicaid expansion since 2014, 68,000 more adults under age 65 years were enrolled in Rhode Island Medicaid as of December 2015, a 78% increase from 2013 enrollment. This report assesses changes in dental utilization associated with this expansion. METHODS: Medicaid enrollment and dental claims for calendar years 2012-2015 were extracted from the RI Medicaid Management Information System. Among adults aged 18-64 years, annual numbers and percentages of Medicaid enrollees who received any dental service were summarized...
October 2, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28957347/changes-in-inpatient-payer-mix-and-hospitalizations-following-medicaid-expansion-evidence-from-all-capture-hospital-discharge-data
#11
Seth Freedman, Sayeh Nikpay, Aaron Carroll, Kosali Simon
CONTEXT: The Affordable Care Act resulted in unprecedented reductions in the uninsured population through subsidized private insurance and an expansion of Medicaid. Early estimates from the beginning of 2014 showed that the Medicaid expansion decreased uninsured discharges and increased Medicaid discharges with no change in total discharges. OBJECTIVE: To provide new estimates of the effect of the ACA on discharges for specific conditions. DESIGN, SETTING, AND PARTICIPANTS: We compared outcomes between states that did and did not expand Medicaid using state-level all-capture discharge data from 2009-2014 for 42 states from the Healthcare Costs and Utilization Project's FastStats database; for a subset of states we used data through 2015...
2017: PloS One
https://www.readbyqxmd.com/read/28953421/the-effects-of-state-medicaid-expansion-on-low-income-individuals-access-to-health-care-multilevel-modeling
#12
Sunha Choi, Sungkyu Lee, Jason Matejkowski
This study aimed to examine how states' Medicaid expansion affected insurance status and access to health care among low-income expansion state residents in 2015, the second year of the expansion. Data from the 2012 and 2015 Behavioral Risk Factor Surveillance System were linked to state-level data. A nationally representative sample of 544,307 adults (ages 26-64 years) from 50 states and Washington, DC were analyzed using multilevel modeling. The results indicate substantial increases in health care access between 2012 and 2015 among low-income adults in Medicaid expansion states...
September 27, 2017: Population Health Management
https://www.readbyqxmd.com/read/28940790/the-affordable-care-act-s-insurance-market-regulations-effect-on-coverage
#13
Gal Wettstein
Much of the debate surrounding reform of the Patient Protection and Affordable Care Act (ACA) revolves around its insurance market regulation. This paper studies the impact on health insurance coverage of those provisions. Using data from the American Community Survey, years 2008-2015, I focus on individuals, ages 26 to 64, who are ineligible for the subsidies or Medicaid expansions included in the ACA to isolate the effect of its market regulation. To account for time trends, I utilize a differences-in-differences approach with a control group of residents of Massachusetts who were already subject to a similarly regulated health insurance market...
September 21, 2017: Health Economics
https://www.readbyqxmd.com/read/28933932/enrollment-in-california-s-medicaid-program-after-the-affordable-care-act-expansion
#14
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...
November 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
#15
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
#16
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
#17
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 2017: Journal of Rural Health
https://www.readbyqxmd.com/read/28895830/california-dreamin-but-will-it-stay-that-way
#18
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
#19
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
#20
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
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"