SMJ articles in the category "Medicaid"

Original Article

Insurance Type Affects Access to Care for Young Football Athletes with Hip Labrum Tears

Objectives: Patients with Medicaid compared with private insurance have increased difficulty gaining access to orthopedic care. How insurance status affects access to care for young athletes (football; from here, all “young athletes” are football players) with hip labrum tears has yet to be assessed. The purpose of this study was…

Posted in: Medicaid 13

Original Article

The Evolution of Doula Care in Arkansas

Objective: Arkansas has significant health disparities for maternal and infant outcomes, including high rates of low birth weight, preterm birth, severe maternal morbidity, and both maternal and infant mortality. Multiple studies have identified advantages of including doulas in maternal care teams. The purpose of this article was to describe the…

Posted in: Medicaid 13

Original Article

Comparing ACL Reconstruction Postoperative Outcomes in Medicaid versus Private Insurance Patients: Is There a Difference?

Objectives: There has been growing evidence that insurance status is a major indicator of postoperative outcomes, which has been extensively reported in orthopedic procedures such as shoulder and knee arthroplasty. Patients with Medicaid public insurance had increased complications, longer lengths of stay, and increased costs compared with patients who had…

Posted in: ACL reconstruction 2 insurance status 3 Medicaid 13 postoperative outcomes 2

Original Article

STI Testing among Medicaid Enrollees Initiating PrEP for HIV Prevention in Six Southern States

Objectives: The purpose of this study was to measure sexually transmitted infection (STI) testing among Medicaid enrollees initiating preexposure prophylaxis (PrEP) to prevent human immunodeficiency virus. Secondary data are in the form of Medicaid enrollment and claims data in six states in the US South. Methods: Research partnerships in six…

Posted in: delivery of health care 2 health services research 10 HIV 30 Medicaid 13 Sexually Transmitted Infections 3

Original Article

Enhancing Tobacco Treatment for Medicaid Recipients

Objective: Medicaid recipients are vulnerable to increased morbidity and mortality secondary to high tobacco use prevalence and barriers to accessing tobacco treatment. The purpose of the pilot study was to explore managed care administrators’ perceptions of the facilitators and barriers to tobacco treatment for Medicaid recipients. Methods: Focus groups with…

Posted in: Medicaid 13 policy 3 smoking cessation 5 tobacco use 4

Original Article

Comparison between Rural and Urban Appalachian Children in Hospice Care

 Objective: The goal of this study was to compare rural and urban pediatric hospice patients in Appalachia. Methods: Using a retrospective, nonexperimental design, we sought to compare characteristics of Appalachian rural and urban children younger than 21 years enrolled in the Medicaid hospice benefit. Descriptive statistics were calculated on the…

Posted in: Appalachia 19 Medicaid 13

Original Article

Do Geographic Region, Pathologic Chronicity, and Hospital Affiliation Affect Access to Care Among Medicaid- and Privately Insured Foot and Ankle Surgery Patients?

Objectives: Studies have shown that patients enrolled in Medicaid have difficulty obtaining access to care compared with patients with private insurance. Whether variables such as geographic location, state expansion versus nonexpansion, and private versus academic affiliation affect access to care among foot and ankle surgery patients enrolled in Medicaid has…

Posted in: access to care 5 insurance 5 Medicaid 13

Review Article

PPACA and Low-Income People Living with HIV: 2014 Qualified Health Plan Enrollment in a Medicaid Nonexpansion State

: People living with human immunodeficiency virus (HIV) or acquired immunodeficiency syndrome (AIDS) often are uninsured or underinsured, and they may benefit from the Patient Protection and Affordable Care Act (PL 111-148) and its improved access to medical care. Safety net programs, such as AIDS Drug Assistance Programs (ADAP) funded…

Posted in: health services research 10 healthcare delivery 2 human immunodeficiency virus 23 Medicaid 13 Patient Protection and Affordable Care Act 3

Original Article

Access to Primary Care Physicians Differs by Health Insurance Coverage in Mississippi

Objectives: The objective of the study was to measure how access to primary health care in Mississippi varies by type of health insurance. Methods: We called primary care physician (general practitioner, family practice, internal medicine, obstetrics/gynecology, and pediatric) offices in Mississippi three times, citing different types of health insurance coverage…

Posted in: health insurance 4 Medicaid 13 medicare 3 Patient Protection and Affordable Care Act 3

Review

Expanding Medicaid Managed Care: The Right Choice for Texas?

We set out to determine whether expanding Medicaid managed care in Texas is the solution to the challenges faced by the state of meeting the healthcare needs of a rapidly growing Medicaid population while addressing its own fiscal limitations. We reviewed the Texas Medicaid program, the potential effects of federal…

Posted in: Medicaid 13 underserved populations 3

Original Article

Well-Child Care in Infancy and Emergency Department Use by South Carolina Medicaid Children Birth to 6 Years Old

Objectives: This analysis tests the hypothesis that children enrolled in Medicaid with the recommended early and periodic screening, diagnosis and treatment (EPSDT) visits in the first 24 months utilize fewer emergency department (ED) services birth to 6 years old than children with fewer visits. Methods: Data represent all health encounters…

Posted in: emergency department 21 Medicaid 13 primary care provider 2

Original Article

Infant Health Outcomes Associated with Voluntary Health Care Model Change in a Choice-Based Medicaid System

Background:Medicaid health plan enrollment changes may be a barrier to optimal care and may increase costs.Methods:Data represented 45,768 infants enrolled in Medicaid in South Carolina, 2000–2002. We examined associations between health plan changes and preventive health care, sick infant doctor visits, emergency department (ED) visits, and hospitalizations.Results:In adjusted results, compared…

Posted in: ambulatory care sensitive conditions 2 Medicaid 13 socioeconomic status 7

Original Article

Physical and Behavioral Health of Medicaid Children in Two Southern States

Objectives: As the primary insurer of children in the United States, Medicaid covers at least one in four US children. Information on the health and behavioral health needs of this group of children is critical to plan, deliver, and monitor services accordingly. Methods: Parent interview data from a representative sample…

Posted in: Adolescent 5 child 2 Health 4 Medicaid 13 mental health 22
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