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https://www.readbyqxmd.com/read/27861836/out-of-network-emergency-department-use-among-managed-medicaid-beneficiaries
#1
Maria C Raven, David Guzman, Alice H Chen, John Kornak, Margot Kushel
OBJECTIVE: Out-of-network emergency department (ED) use, or use that occurs outside the contracted network, may lead to increased care fragmentation and cost. We examined factors associated with out-of-network ED use among Medicaid beneficiaries. DATA SOURCES AND STUDY SETTING: Enrollment, claims, and encounter data for adult Medi-Cal health plan members with 1+ ED visits and complete Medicaid eligibility during the study period from 2013 to 2014. STUDY DESIGN: We analyzed the data to identify factors associated with out-of-network ED use classified by mode of arrival (ambulance vs...
November 11, 2016: Health Services Research
https://www.readbyqxmd.com/read/27581433/novel-approaches-to-undergraduate-oncology-education
#2
Francis J Ha, Sagun Parakh
With the increasing incidence of cancer and related survival, junior doctors are more commonly involved the management of oncology patients. A comprehensive oncology curriculum has been developed and adopted across medi-cal schools in Australia. However, it was not designed to inform how medical students should be taught, and whether curriculum content translates to knowledge and competency can depend on its implementation. We have conducted a literature review of PubMed, Embase and Cochrane databases to identify and summarise the evidence for novel approaches to delivering the undergraduate oncology curriculum...
September 1, 2016: Journal of Cancer Education: the Official Journal of the American Association for Cancer Education
https://www.readbyqxmd.com/read/27572144/increased-medicaid-financing-and-equalization-of-african-americans-and-whites-outpatient-and-emergency-treatment-expenditures
#3
Lonnie R Snowden, Neal Wallace, Kate Cordell, Genevieve Graaf
OBJECTIVE: We investigated whether a new funding opportunity to finance mental health treatment, provided to autonomous county-level mental health systems without customary cost sharing requirements, equalized African American and White children's outpatient and emergency treatment expenditure inequalities. Using Whites as a benchmark, we considered expenditure patterns favoring Whites over African Americans ("disparities") and favoring African Americans over Whites ("reverse disparities")...
September 2016: Journal of Mental Health Policy and Economics
https://www.readbyqxmd.com/read/27531011/reassessing-the-association-between-wic-and-birth-outcomes-using-a-fetuses-at-risk-approach
#4
Kathryn R Fingar, Sibylle H Lob, Melanie S Dove, Pat Gradziel, Michael P Curtis
Objectives Women with longer, healthier pregnancies have more time to enroll in the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), biasing associations between WIC and birth outcomes. We examined the association between WIC and preterm birth (PTB), low birth weight (LBW), and perinatal death (PND) using a fetuses-at-risk approach to address this bias, termed gestational age bias. Methods We linked California Medi-Cal recipients with a singleton live birth or fetal death from the 2010 Birth Cohort to WIC participant data (n = 236,564)...
August 16, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27475821/postpartum-contraception-and-interpregnancy-intervals-among-adolescent-mothers-accessing-public-services-in-california
#5
Sarah Isquick, Richard Chang, Heike Thiel de Bocanegra, Marina Chabot, Claire D Brindis
Objective To determine the association of age at index birth with postpartum contraceptive use and optimal interpregnancy interval (IPI, defined as delivery to next pregnancy >18 months), controlling for provider type and client demographics among adolescent mothers who have repeat pregnancies. Methods California's 2008 birth records were linked to California's Medi-Cal and Family PACT claims data to identify 26,393 women with repeat births between 2002 and 2008, whose index birth occurred as an adolescent, and who received publicly-funded services within 18 months after the index birth...
July 30, 2016: Maternal and Child Health Journal
https://www.readbyqxmd.com/read/27451544/getting-more-dentists-to-participate-in-medi-cal-insights-from-an-innovative-statewide-survey
#6
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Journal of the California Dental Association
https://www.readbyqxmd.com/read/27329688/risk-of-preterm-birth-by-subtype-among-medi-cal-participants-with%C3%A2-mental%C3%A2-illness
#7
Rebecca J Baer, Christina D Chambers, Gretchen Bandoli, Laura L Jelliffe-Pawlowski
BACKGROUND: Previous studies have demonstrated an association between mental illness and preterm birth (before 37 weeks). However, these investigations have not simultaneously considered gestation of preterm birth, the indication (eg, spontaneous or medically indicated), and specific mental illness classifications. OBJECTIVE: The objective of the study was to examine the likelihood of preterm birth across gestational lengths and indications among Medi-Cal (California's Medicaid program) participants with a diagnostic code for mental illness...
October 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27319228/-diagnostics-of-cystic-fibrosis-in-adults
#8
Libor Fila, Alžběta Grandcourtová, Lucie Valentová Bartáková, Zuzana Antušová, Eva Pokojová, Vladimír Herout, Petr Jakubec, Radka Bittenglová, Miloslav Marel
INTRODUCTION: There is an increasing number of cystic fibrosis (CF) patients with the diagnosis established in adulthood worldwide. AIM: To give an overview of our experience with the diagnostics of CF in adulthood in the Czech Republic. METHODS: CF patients with the diagnosis determined at the age 18 years during 2000-2014 period were selected from the Czech Registry of CF (www.cfregistr.cz). Demographic and clinical data were reported from medi-cal records at the time of diagnosis and as of 31st December 2014...
2016: Vnitr̆ní Lékar̆ství
https://www.readbyqxmd.com/read/27225252/health-benefits-mandates-and-their-potential-impacts-on-racial-ethnic-group-disparities-in-insurance-markets
#9
Shana Alex Charles, Ninez Ponce, Dominique Ritley, Sylvia Guendelman, Jennifer Kempster, John Lewis, Joy Melnikow
Addressing racial/ethnic group disparities in health insurance benefits through legislative mandates requires attention to the different proportions of racial/ethnic groups among insurance markets. This necessary baseline data, however, has proven difficult to measure. We applied racial/ethnic data from the 2009 California Health Interview Survey to the 2012 California Health Benefits Review Program Cost and Coverage Model to determine the racial/ethnic composition of ten health insurance market segments. We found disproportional representation of racial/ethnic groups by segment, thus affecting the health insurance impacts of benefit mandates...
May 25, 2016: Journal of Immigrant and Minority Health
https://www.readbyqxmd.com/read/27078901/-on-the-occasion-of-publication-of-production-of-articles-on-clinical-trials-and-medi-cal-ethics-required-for-clinical-trials
#10
Hideo Baba
No abstract text is available yet for this article.
January 2016: Nihon Geka Gakkai Zasshi
https://www.readbyqxmd.com/read/26564012/health-promotion-interventions-for-low-income-californians-through-medi-cal-managed-care-plans-2012
#11
Desiree R Backman, Neal D Kohatsu, Brian M Paciotti, Jennifer V Byrne, Kenneth W Kizer
INTRODUCTION: Prevention is the most cost-effective approach to promote population health, yet little is known about the delivery of health promotion interventions in the nation's largest Medicaid program, Medi-Cal. The purpose of this study was to inventory health promotion interventions delivered through Medi-Cal Managed Care Plans; identify attributes of the interventions that plans judged to have the greatest impact on their members; and determine the extent to which the plans refer members to community assistance programs and sponsor health-promoting community activities...
2015: Preventing Chronic Disease
https://www.readbyqxmd.com/read/26421486/pollution-poverty-and-potentially-preventable-childhood-morbidity-in-central-california
#12
Lauren N Lessard, Emanuel Alcala, John A Capitman
OBJECTIVE: To measure ecological relationships between neighborhood pollution burden, poverty, race/ethnicity, and pediatric preventable disease hospitalization rates. STUDY DESIGN: Preventable disease hospitalization rates were obtained from the 2012 California Office of Statewide Health Planning and Development database, for 8 Central Valley counties. US Census Data was used to incorporate zip code level factors including racial diversity and poverty rates. The pollution burden score was calculated by the California Office of Environmental Health Hazard Assessment using 11 indicators...
January 2016: Journal of Pediatrics
https://www.readbyqxmd.com/read/26220110/the-impact-of-postpartum-contraception-on-reducing-preterm-birth-findings-from-california
#13
Maria I Rodriguez, Richard Chang, Heike Thiel de Bocanegra
OBJECTIVE: Family planning is recommended as a strategy to prevent adverse birth outcomes. The potential contribution of postpartum contraceptive coverage to reducing rates of preterm birth is unknown. In this study, we examine the impact of contraceptive coverage and use within 18 months of a birth on preventing preterm birth in a Californian cohort. STUDY DESIGN: We identified records for second or higher-order births among women from California's 2011 Birth Statistical Master File and their prior births from earlier Birth Statistical Master Files...
November 2015: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/26164113/quality-and-safety-in-obesity-surgery-15-years-of-roux-en-y-gastric-bypass-outcomes-from-a-longitudinal-database
#14
Anna C Weiss, Ralitza Parina, Santiago Horgan, Mark Talamini, David C Chang, Bryan Sandler
BACKGROUND: Most population-based studies lack long-term data, making the reporting of true mortality and outcome rates difficult. An accurate estimate of these rates in a high-risk population is critical for obtaining informed consent, especially for an elective procedure such as Roux-en-Y gastric bypass (RYGB). OBJECTIVES: To examine the longitudinal outcomes of RYGB. SETTING: The California Office of Statewide Health Planning and Development (OSHPD) longitudinal database...
January 2016: Surgery for Obesity and related Diseases: Official Journal of the American Society for Bariatric Surgery
https://www.readbyqxmd.com/read/26124303/growth-of-accountable-care-organizations-in-california-number-characteristics-and-state-regulation
#15
Brent D Fulton, Vishaal Pegany, Beth Keolanui, Richard M Scheffler
Accountable care organizations (ACOs) result in physician organizations' and hospitals' receiving risk-based payments tied to costs, health care quality, and patient outcomes. This article (1) describes California ACOs within Medicare, the commercial market, and Medi-Cal and the safety net; (2) discusses how ACOs are regulated by the California Department of Managed Health Care and the California Department of Insurance; and (3) analyzes the increase of ACOs in California using data from Cattaneo and Stroud...
August 2015: Journal of Health Politics, Policy and Law
https://www.readbyqxmd.com/read/25924245/one-stop-shopping-efforts-to-integrate-physical-and-behavioral-health-care-in-five-california-community-health-centers
#16
Nadereh Pourat, Max W Hadler, Brittany Dixon, Claire Brindis
More than 70 percent of behavioral health conditions are first diagnosed in the primary care setting. Yet physical and behavioral health care are typically provided separately, compelling many vulnerable patients to navigate the complexities of two separate systems of care. This policy brief examines five community health centers (CHCs) in California that have taken preliminary steps toward creating "one-stop shopping" for both physical and behavioral health care. The steps taken to increase integration by the CHCs include employing behavioral health providers, using a single electronic health record that includes both physical and behavioral health data, transforming the physical space, and developing mechanisms for effective transition of patients between providers...
January 2015: Policy Brief
https://www.readbyqxmd.com/read/25881196/%C3%AF-%C3%AF-%C3%AF-%C3%AF-%C3%AF-%C3%AF-%C3%AF-validation-of-a-novel-rodent-model-to-test-anti-scarring-therapeutics
#17
George Kokosis, Jennifer E Bond, Lei Chen, Licheng Ren, Maria Angelica Selim, Howard Levinson
UNLABELLED: Scar contracture is a debilitating disease that affects many people worldwide. There are currently no effective preventative medi- cal treatments. A pivotal step to attaining the goal of developing a treatment is the testing of anti-scarring agents in preclinical hierarchi- cal animal models of human scarring. METHODS: A 2-cm x 2-cm, full- thickness, excisional wound was created in the rats' mid-scapular area. Three experiments were performed. The first experiment determined the optimal dressing in wound contraction...
November 2011: Wounds: a Compendium of Clinical Research and Practice
https://www.readbyqxmd.com/read/25763418/guidelines-for-diagnosis-prevention-and-treatment-of-hand-eczema
#18
REVIEW
Thomas L Diepgen, Klaus E Andersen, Oliver Chosidow, Peter Jan Coenraads, Peter Elsner, John English, Manigé Fartasch, Ana Gimenez-Arnau, Rosemary Nixon, Denis Sasseville, Tove Agner
The guidelines aim to provide advice on the management of hand eczema (HE), using an evidence- and consensus-based approach. The guidelines consider a systematic Cochrane review on interventions for HE, which is based on a systematic search of the published literature (including hand-searching). In addition to the evidence- and consensus-based recommendation on the treatment of HE, the guidelines cover mainly consensus-based diagnostic aspects and preventive measures (primary and secondary prevention). Treatment recommendations include non-pharmacological interventions, topical, physical and systemic treatments...
January 2015: Journal der Deutschen Dermatologischen Gesellschaft, Journal of the German Society of Dermatology: JDDG
https://www.readbyqxmd.com/read/25732495/medicaid-beneficiaries-in-california-reported-less-positive-experiences-when-assigned-to-a-managed-care-plan
#19
Diana D McDonnell, Carrie L Graham
In 2011 California began transitioning approximately 340,000 seniors and people with disabilities from Medicaid fee-for-service (FFS) to Medicaid managed care plans. When beneficiaries did not actively choose a managed care plan, the state assigned them to one using an algorithm based on their previous FFS primary and specialty care use. When no clear link could be established, beneficiaries were assigned by default to a managed care plan based on weighted randomization. In this article we report the results of a telephone survey of 1,521 seniors and people with disabilities enrolled in Medi-Cal (California Medicaid) and who were recently transitioned to a managed care plan...
March 2015: Health Affairs
https://www.readbyqxmd.com/read/25560122/incidence-of-emergency-department-visits-and-complications-after-abortion
#20
Ushma D Upadhyay, Sheila Desai, Vera Zlidar, Tracy A Weitz, Daniel Grossman, Patricia Anderson, Diana Taylor
OBJECTIVE: To conduct a retrospective observational cohort study to estimate the abortion complication rate, including those diagnosed or treated at emergency departments (EDs). METHODS: Using 2009-2010 abortion data among women covered by the fee-for-service California Medicaid program and all subsequent health care for 6 weeks after having an abortion, we analyzed reasons for ED visits and estimated the abortion-related complication rate and the adjusted relative risk...
January 2015: Obstetrics and Gynecology
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