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https://www.readbyqxmd.com/read/28097328/diabetes-outpatient-care-and-acute-complications-before-and-after-high-deductible-insurance-enrollment-a-natural-experiment-for-translation-in-diabetes-next-d-study
#1
J Frank Wharam, Fang Zhang, Emma M Eggleston, Christine Y Lu, Stephen Soumerai, Dennis Ross-Degnan
Importance: High-deductible health plans (HDHPs) have expanded under the Affordable Care Act and are expected to play a major role in the future of US health policy. The effects of modern HDHPs on chronically ill patients and adverse outcomes are unknown. Objective: To determine the association of HDHP with high-priority diabetes outpatient care and preventable acute complications. Design, Setting, and Participants: Controlled interrupted-time-series study using a large national health insurer database from January 1, 2003, to December 31, 2012...
January 9, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28097304/health-insurance-deductibles-and-their-associations-with-out-of-pocket-spending-and-affordability-barriers-among-us-adults-with-chronic-conditions
#2
Joel E Segel, Jeffrey T Kullgren
No abstract text is available yet for this article.
January 9, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28096206/racial-and-ethnic-differences-in-antihypertensive-medication-use-and-blood-pressure-control-among-us-adults-with-hypertension-the-national-health-and-nutrition-examination-survey-2003-to-2012
#3
Anna Gu, Yu Yue, Raj P Desai, Edgar Argulian
BACKGROUND: A key to reduce and eradicate racial disparities in hypertension outcomes is to understand their causes. We aimed at evaluating racial differences in antihypertensive drug utilization patterns and blood pressure control by insurance status, age, sex, and presence of comorbidities. METHODS AND RESULTS: A total of 8796 hypertensive individuals ≥18 years of age were identified from the National Health and Nutrition Examination Survey (2003-2012) in a repeated cross-sectional study...
January 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/28087902/a-review-of-the-preventability-of-maternal-mortality-in-one-hospital-system-in-louisiana-usa
#4
James J Morong, Jane K Martin, Robert S Ware, Alfred G Robichaux
OBJECTIVE: To determine preventability of in-hospital maternal mortality in the Ochsner Health System (OHS) in the US state of Louisiana. METHODS: A retrospective study was undertaken of all known cases of in-hospital maternal death (during pregnancy or within 42 days of termination) that occurred within OHS facilities in 1995-2013. Associations between characteristics and mortality and preventability were investigated. Incidence rate ratios (IRRs) were calculated in view of varying reference values...
December 9, 2016: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28074564/sustaining-sbirt-in-the-wild-simulating-revenues-and-costs-for-screening-brief-intervention-and-referral-to-treatment-programs
#5
Alexander J Cowell, William N Dowd, Michael J Mills, Jesse M Hinde, Jeremy W Bray
AIMS: To examine the conditions under which Screening, Brief Intervention and Referral to Treatment (SBIRT) programs can be sustained by health insurance payments. DESIGN: A mathematical model was used to estimate the number of patients needed for revenues to exceed costs. SETTING: Three medical settings in the United States were examined: in-patient, out-patient and emergency department. Components of SBIRT were delivered by combinations of health-care practitioners (generalists) and behavioral health specialists...
February 2017: Addiction
https://www.readbyqxmd.com/read/28069857/market-share-matters-evidence-of-insurer-and-provider-bargaining-over-prices
#6
Eric T Roberts, Michael E Chernew, J Michael McWilliams
Proposed mergers among large US health insurers and growing consolidation among providers have renewed concerns about the effects of market concentration on commercial health care prices. Using multipayer claims for physician services provided in office settings, we estimated that-within the same provider groups-insurers with market shares of 15 percent or more (average: 24.5 percent), for example, negotiated prices for office visits that were 21 percent lower than prices negotiated by insurers with shares of less than 5 percent...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28069160/implementing-lung-cancer-screening-the-us-experience
#7
REVIEW
D R Aberle
The reduced lung cancer mortality observed with low-dose computed tomography (LDCT) screening in the National Lung Screening Trial (NLST) has led to annual screening in the United States as a covered benefit by both private insurers and the federal health insurance programme, the Centers for Medicare and Medicaid Services. Reimbursement for screening requires data submission to a federal registry on all individuals, whether privately or federally insured. Data must document individual patient eligibility as well as shared decision-making regarding the benefits and risks of LDCT screening, smoking cessation counselling, and the importance of annual screening...
January 6, 2017: Clinical Radiology
https://www.readbyqxmd.com/read/28065558/the-availability-of-community-health-center-services-and-access-to-medical-care
#8
James B Kirby, Ravi Sharma
BACKGROUND: Community Health Centers (CHCs) funded by Section 330 of the Public Health Service Act are an essential part of the health care safety net in the US. The Patient Protection and Affordable Care Act expanded the program significantly, but the extent to which the availability of CHCs improve access to care in general is not clear. In this paper, we examine the associations between the availability of CHC services in communities and two key measures of ambulatory care access - having a usual source of care and having any office-based medical visits over a one year period...
January 5, 2017: Healthcare
https://www.readbyqxmd.com/read/28065438/using-health-care-claims-data-to-assess-the-prevalence-of-hodgkin-lymphoma-and-relapsed-or-refractory-hodgkin-lymphoma-in-the-united-states
#9
Jay Lin, Lisa R Siegartel, Melissa Lingohr-Smith, Brandy Menges, Dinara Makenbaeva
PURPOSE: Although most patients with Hodgkin lymphoma (HL) respond to primary therapy, some patients experience relapses or are refractory to treatment (RR-HL). The objectives of this study were to investigate the prevalence of HL and RR-HL in the United States by using a large health care claims database. METHODS: Patients with ≥1 diagnosis for HL between January 1, 2013, and September 30, 2014 (prevalence assessment period), in the MarketScan Commercial and Medicare databases were identified...
January 5, 2017: Clinical Therapeutics
https://www.readbyqxmd.com/read/28060966/health-needs-assessment-for-west-african-immigrants-in-greater-providence-ri
#10
Akosua Boadiwaa Adu-Boahene, Michael Barton Laws, Kwame Dapaah-Afriyie
: African immigrants in the United States may experience barriers to health-care access and effectiveness. This mixed-methods study used paper-based surveys of people (N=101) in the target population from Nigeria, Ghana, and Liberia, recruited through convenience and snowball sampling. Semi-structured interviews were conducted with 3 clergy members who pastor churches with large Nigerian, Ghanaian, and Liberian populations, respectively; and five physicians and a clinical pharmacist who serve African immigrants...
January 6, 2017: Rhode Island Medical Journal
https://www.readbyqxmd.com/read/28060084/can-we-identify-minority-patients-at-risk-of-nonadherence-to-antiplatelet-medication-at-the-time-of-coronary-stent-placement
#11
Ana M Palacio, Denise C Vidot, Leonardo J Tamariz, Claudia Uribe, Leslie Hazel-Fernandez, Hua Li, Sylvia D Garay, Olveen Carrasquillo
BACKGROUND: Lack of medication adherence is associated with significant morbidity and mortality, particularly among minorities. We aim to identify predictors of nonadherence to antiplatelet medications at the time of percutaneous coronary intervention (PCI) with stent among African American and Hispanic patients. METHODS: We used data collected for a randomized clinical trial that recruited 452 minority patients from a large US health insurance organization in 2010 post-PCI to compare telephone-based motivational interviewing by trained nurses with an educational video...
January 5, 2017: Journal of Cardiovascular Nursing
https://www.readbyqxmd.com/read/28058864/frequency-and-costs-of-pulmonary-exacerbations-in-patients-with-cystic-fibrosis-in-the-united-states
#12
Jaime L Rubin, Sarah Thayer, Angela Watkins, Jeffrey S Wagener, Paul S Hodgkins, Michael S Schechter
BACKGROUND: Information is limited regarding the cost of pulmonary exacerbations (PEx) among patients with cystic fibrosis in the United States. METHODS: To examine PEx costs, medical chart data were linked to insurance claims for patients aged ≥6 years who had commercial coverage from a large US health insurer affiliated with Optum during 2008-2013. A PEx was categorized as an episode requiring newly started 1) oral antibiotics (PEx-O) or 2) intravenous (IV) antibiotics and/or inpatient stay (PEx-IV)...
January 6, 2017: Current Medical Research and Opinion
https://www.readbyqxmd.com/read/28048634/tu-h-brb-01-physics-and-dosimetry-for-radiation-countermeasure-research
#13
J Bourland
: The US government has substantial research and development activities underway for medical countermeasures that will insure the long-term safety and survival of the country's population after unfortunate large-scale biological, chemical and radiological and nuclear events. Preparedness includes research and development of medical countermeasures to address radiation-induced cutaneous and internal injury from radiation and nuclear events as well as for minimizing radiation risks incurred during and after travel in space...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28048539/tu-h-brb-04-radiation-countermeasures-and-the-nci-radiation-research-program
#14
P Prasanna
: The US government has substantial research and development activities underway for medical countermeasures that will insure the long-term safety and survival of the country's population after unfortunate large-scale biological, chemical and radiological and nuclear events. Preparedness includes research and development of medical countermeasures to address radiation-induced cutaneous and internal injury from radiation and nuclear events as well as for minimizing radiation risks incurred during and after travel in space...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047970/tu-h-brb-02-the-niaid-radiation-nuclear-medical-countermeasures-program
#15
L Taliaferro
: The US government has substantial research and development activities underway for medical countermeasures that will insure the long-term safety and survival of the country's population after unfortunate large-scale biological, chemical and radiological and nuclear events. Preparedness includes research and development of medical countermeasures to address radiation-induced cutaneous and internal injury from radiation and nuclear events as well as for minimizing radiation risks incurred during and after travel in space...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28047879/tu-h-brb-05-radiation-countermeasures-and-the-nasa-space-radiation-program
#16
J Huff
: The US government has substantial research and development activities underway for medical countermeasures that will insure the long-term safety and survival of the country's population after unfortunate large-scale biological, chemical and radiological and nuclear events. Preparedness includes research and development of medical countermeasures to address radiation-induced cutaneous and internal injury from radiation and nuclear events as well as for minimizing radiation risks incurred during and after travel in space...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046580/tu-h-brb-00-radiation-countermeasures-research-and-development
#17
J Daniel
: The US government has substantial research and development activities underway for medical countermeasures that will insure the long-term safety and survival of the country's population after unfortunate large-scale biological, chemical and radiological and nuclear events. Preparedness includes research and development of medical countermeasures to address radiation-induced cutaneous and internal injury from radiation and nuclear events as well as for minimizing radiation risks incurred during and after travel in space...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28046476/tu-h-brb-03-the-barda-chemical-radiological-nuclear-countermeasures-effort
#18
T Hu
: The US government has substantial research and development activities underway for medical countermeasures that will insure the long-term safety and survival of the country's population after unfortunate large-scale biological, chemical and radiological and nuclear events. Preparedness includes research and development of medical countermeasures to address radiation-induced cutaneous and internal injury from radiation and nuclear events as well as for minimizing radiation risks incurred during and after travel in space...
June 2016: Medical Physics
https://www.readbyqxmd.com/read/28040684/assessment-of-the-french-national-health-insurance-information-system-as-a-tool-for-epidemiological-surveillance-of-malaria
#19
François Delon, Aurélie Mayet, Marc Thellier, Eric Kendjo, Rémy Michel, Lénaïck Ollivier, Gilles Chatellier, Guillaume Desjeux
OBJECTIVE: Epidemiological surveillance of malaria in France is based on a hospital laboratory sentinel surveillance network. There is no comprehensive population surveillance. The objective of this study was to assess the ability of the French National Health Insurance Information System to support nationwide malaria surveillance in continental France. MATERIALS AND METHODS: A case identification algorithm was built in a 2-step process. First, inclusion rules giving priority to sensitivity were defined...
December 31, 2016: Journal of the American Medical Informatics Association: JAMIA
https://www.readbyqxmd.com/read/28040620/the-long-term-health-impacts-of-medicaid-and-chip
#20
Owen Thompson
This paper estimates the effect of US public health insurance programs for children on health. Previous work in this area has typically focused on the relationship between current program eligibility and current health. But because health is a stock variable which reflects the cumulative influence of health inputs, it would be preferable to estimate the impact of total program eligibility during childhood on longer-term health outcomes. I provide such estimates by using longitudinal data to construct Medicaid and CHIP eligibility measures that are observed from birth through age 18 and estimating the effect of cumulative program exposure on a variety of health outcomes observed in early adulthood...
December 23, 2016: Journal of Health Economics
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