JAMA Internal Medicine: Quality of Care for White and Hispanic Medicare Advantage Enrollees in the United States and Puerto Rico.
Rivera-Hernandez M, Leyva B, Keohane LM, Trivedi AN. Quality of Care for White and Hispanic Medicare Advantage Enrollees in the United States and Puerto Rico. JAMA Intern Med. Published online April 25, 2016. doi:10.1001/jamainternmed.2016.0267
Women's Health Issues: Federal Support for Family Planning Clinics Associated with Dramatic Gains in Cervical Cancer Screening
Author: Sayeh S. Nikpay, PhD, MPH
Abstract
Background
Since the 1990s, policymakers have successfully increased cervical cancer screening through federal and state public policies. However, the most dramatic gains in Pap smear use occurred in the 1960's and 70's, during the establishment of federal support for family planning clinics through the War on Poverty and Title X. This study estimated the effect of this support on cervical cancer screening, and quantified its role in dramatic increases in Pap smear use.
Methods
Health Affairs: Affordable Care Act Medicaid Expansion Reduced Uninsured Hospital Stays In 2014
Authors:
Sayeh Nikpay
Thomas Buchmueller
Helen G. Levy
Abstract:
In states that expanded Medicaid, uninsured hospital stays decreased sharply and Medicaid stays increased sharply in the first two quarters of 2014. There was no change in payer mix in states that did not expand Medicaid.
Fast & sharp: Medicaid expansion gives hospitals immediate relief from uninsured care, study finds
50 percent drop in uninsured hospital stays seen in expansion states, compared with no change in non-expansion states
Medical Care: Role of Geography and Nurse Practitioner Scope-of-Practice in Efforts to Expand Primary Care System Capacity: Health Reform and the Primary Care Workforce
Authors: Graves, John A. PhD; Mishra, Pranita MPP; Dittus, Robert S. MD, MPH; Parikh, Ravi MD, MPH; Perloff, Jennifer PhD; Buerhaus, Peter I. PhD, RN, FAAN
Objective: We investigated whether geographic accessibility to primary care clinicians (PCCs) differed across urban and rural areas and across states with more or less restrictive scope-of-practice laws.
American Journal of Public Health: Health Care Disparities in the Post–Affordable Care Act Era
Abstract: Disparities in health care have been targeted for elimination by federal agen- cies and professional orga- nizations, including the American Public Health As- sociation. Although the Af- fordable Care Act (ACA) provides a valuable first step in reducing the disparities gap, progress is contingent upon whether opportunities in the ACA help or hinder populations at risk for im- paired health and limited access to medical care. (Am J Public Health. 2015;105: S665–S667. doi:10.2105/ AJPH.2015.302611)
NEJM: Hospital Charity Care — Effects of New Community-Benefit Requirements
Hospital Charity Care — Effects of New Community-Benefit Requirements
Sayeh S. Nikpay, Ph.D., M.P.H., and John Z. Ayanian, M.D., M.P.P.
N Engl J Med 2015; 373:1687-1690October 29, 2015DOI: 10.1056/NEJMp1508605
Full article here
HSR: The Effects of Medicaid Eligibility on Mental Health Services and Out-of-Pocket Spending for Mental Health Services
Principal Findings
Medicaid expansions significantly increased health insurance coverage and reduced out-of-pocket spending on mental health services for low-income adults. Effects of expanded Medicaid eligibility on out-of-pocket spending were strongest for adults with psychological distress. Expanding Medicaid eligibility did not significantly increase the use of mental health services.
Authors:
Ezra Golberstein Ph.D.1,* and
Gilbert Gonzales M.H.A.2
