Editorial Material
Oncology
Edward Christopher Dee, Lori J. Pierce, Karen M. Winkfield, Miranda B. Lam
Summary: This article discusses the improvements brought by Medicaid Expansion under the ACA for cancer patients, while highlighting the persistence of racial disparities in the field of cancer. It emphasizes the various manifestations of structural racism that act as barriers to healthcare access, beyond the direct costs of care, and calls for equity in cancer care.
Article
Clinical Neurology
Andrew M. Hersh, Tara Dedrickson, Jung Ho Gong, Adrian E. Jimenez, Joshua Materi, Anand Veeravagu, John K. Ratliff, Tej D. Azad
Summary: This study analyzed the utilization, charges, and reimbursement trends for neurosurgical procedures in the Medicare system from 2011 to 2019. The results showed a decrease in overall utilization, but a significant increase in utilization at ambulatory surgery centers and outpatient settings. There were also substantial differences in reimbursement across different procedural categories, indicating the importance of considering healthcare settings and procedure types in understanding the changes in neurosurgical costs.
Editorial Material
Medicine, General & Internal
Eli Y. Adashi, Daniel P. O'Mahony, I. Glenn Cohen
Summary: According to this viewpoint, the United States has a coverage gap in health insurance that could be addressed by enhancing federal outreach to the uninsured, making the health insurance benefits of the American Rescue Plan Act permanent, and establishing a federal health insurance program for low-income adults in states that did not expand their Medicaid programs.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Public, Environmental & Occupational Health
Hao Guo, Miaomiao Zou
Summary: The research shows that the implementation of Medicaid expansion policy in states did not significantly affect the in-migration or out-migration rates of low-educated noncitizens.
FRONTIERS IN PUBLIC HEALTH
(2022)
Article
Medicine, General & Internal
Hawazin W. Elani, Ichiro Kawachi, Benjamin D. Sommers
Summary: This study found that the combination of Medicaid expansion and coverage of Medicaid dental benefits was associated with improved oral health among low-income adults.
Article
Economics
Bradley T. Heim, Gillian Hunter, Adam Isen, Ithai Z. Lurie, Shanthi P. Ramnath
Summary: The study examines responses to the ACA subsidy for Marketplace health insurance in the first year of subsidy availability. Taxpayers lowered their income to remain eligible for the subsidy, but the observed bunching was modest relative to the size of the notch. Increased deductions and reduced labor supply drove some of the response.
JOURNAL OF HEALTH ECONOMICS
(2021)
Article
Political Science
William R. Hobbs, Daniel J. Hopkins
Summary: Research shows that indirect policies in the US welfare state, like the ACA, do have an impact on public opinion. Specific groups affected by health insurance exchanges and associated mandates did shift their attitudes towards the ACA, but the effects were limited. Positive changes in attitudes towards the ACA were countered by negative shifts among the uninsured population.
JOURNAL OF POLITICS
(2021)
Article
Health Care Sciences & Services
Matthew Buettgens, Fredric Navin, Clare Pan
Summary: The implementation of the Affordable Care Act has reduced income inequality, especially in states that expanded Medicaid, with a larger reduction observed in those states. The ACA not only decreased inequality across different groups but also within these groups. Efforts to repeal the ACA could potentially reverse the progress made in reducing inequality seen under the law.
Article
Engineering, Industrial
Grazia Dicuonzo, Francesca Donofrio, Antonio Fusco, Matilda Shini
Summary: Artificial intelligence (AI) plays an increasingly important role in healthcare by generating and analyzing data, improving patient care, reducing costs and risks, and enhancing administrative processes. Implementing AI systems can optimize healthcare resources, improve patient experience, enhance population health, reduce costs, and increase satisfaction among health professionals.
Article
Oncology
James R. Janopaul-Naylor, Taylor J. Corriher, Jeffrey Switchenko, Sheela Hanasoge, Ashanda Esdaille, Brandon A. Mahal, Christopher P. Filson, Sagar A. Patel
Summary: This study aimed to assess the impact of healthcare policies on delayed treatment initiation in men with advanced prostate cancer. The results showed that Black and Hispanic patients had a higher likelihood of treatment delay compared to White patients. Patients with private insurance or Medicaid had a lower likelihood of treatment delay. Additionally, the study found that the proportion of treatment delays has been increasing annually since the implementation of healthcare policies.
Article
Ethnic Studies
Berkeley Franz, Adrienne N. Milner, R. Khari Brown
Summary: The research findings suggest that opposition to the Affordable Care Act may reflect a longer history of racialized social welfare policies in the U.S. Perceptions of the ACA are mainly influenced by racial attitudes and support for social policies.
RACE AND SOCIAL PROBLEMS
(2021)
Article
Health Care Sciences & Services
Joshua Porat-Dahlerbruch, Linda H. Aiken, Barbara Todd, Regina Cunningham, Heather Brom, Morgan E. Peele, Matthew D. McHugh
Summary: The US is facing a shortage of primary care providers, and increasing the number of nurse practitioners could help alleviate this issue. However, the shortage of clinical preceptors limits the ability to increase the supply of nurse practitioners. The Graduate Nurse Education Demonstration under the Affordable Care Act was found to be associated with increased nurse practitioner enrollment and graduation growth, indicating a promising model for funding graduate nursing education nationally. Modernizing Medicare payments for nursing education to support nurse practitioner clinical training costs is a potential option for increasing primary care providers.
Article
Health Care Sciences & Services
David M. Anderson, Kevin N. Griffith
Summary: A study found that most counties saw an increase in the number of insurers in the ACA Marketplaces from 2018 to 2021, leading to higher competition levels and potentially lower premiums. With the support of the Biden administration, the ACA individual health insurance market is likely to remain stable and profitable in the coming years.
Article
Health Care Sciences & Services
Lindsey Rose Bullinger, Angelica Meinhofer
Summary: The Affordable Care Act has the potential to improve healthcare coverage for former foster youth by expanding Medicaid eligibility and extending age eligibility. Data from the National Youth in Transition Database shows that Medicaid expansion and age extension increased coverage among former foster youth. However, there is room for improvement in enrollment, recertification, outreach, and eligibility determination processes to further increase Medicaid coverage for this vulnerable population.
Article
Oncology
Kirithiga Ramalingam, Liang Ji, Saeed Pairawan, David Caba Molina, Sharon S. Lum
Summary: The study found an association between Medicaid expansion and disparities in breast reconstruction utilization. Medicaid expansion may help reduce differences in breast reconstruction utilization rates among different populations.
ANNALS OF SURGICAL ONCOLOGY
(2021)
Article
Health Care Sciences & Services
Adam Gaffney, David U. Himmelstein, Steffie Woolhandler
INTERNATIONAL JOURNAL OF HEALTH SERVICES
(2020)
Letter
Health Care Sciences & Services
Adam W. Gaffney, Laura Hawks, David H. Bor, Steffie Woolhandler, David U. Himmelstein, Danny McCormick
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Letter
Health Care Sciences & Services
Adam W. Gaffney, David Himmelstein, David Bor, Danny McCormick, Steffie Woolhandler
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Letter
Health Care Sciences & Services
Adam W. Gaffney, David U. Himmelstein, Danny McCormick, Steffie Woolhandler
JOURNAL OF GENERAL INTERNAL MEDICINE
(2020)
Article
Health Care Sciences & Services
Adam W. Gaffney, Laura Hawks, Alexander C. White, Steffie Woolhandler, David Himmelstein, David C. Christiani, Danny McCormick
Summary: Rural COPD patients in the United States face greater challenges in terms of health and healthcare access compared to those in urban areas. Racial/ethnic minorities and low-income individuals, especially in rural areas, are more likely to forgo doctor visits due to cost.
JOURNAL OF RURAL HEALTH
(2022)
Letter
Health Care Sciences & Services
Adam W. Gaffney, David U. Himmelstein, Steffie Woolhandler
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Editorial Material
Health Care Sciences & Services
Adam Gaffney, Steffie Woolhandler, David U. Himmelstein
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Adam W. Gaffney, Steffie Woolhandler, David U. Himmelstein
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Letter
Health Care Sciences & Services
Adam Gaffney, David U. Himmelstein, Danny McCormick, Steffie Woolhandler
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Article
Health Care Sciences & Services
Adam Gaffney, David U. Himmelstein, Samuel Dickman, Danny McCormick, Christopher Cai, Steffie Woolhandler
Summary: Americans' annual face time with office-based physicians increased for three decades after 1979, but it is still inequitably allocated. In recent years, time spent with primary care physicians has decreased while time with specialists has increased. Racial/ethnic disparities in physician visit time have also widened.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Adam W. Gaffney
Summary: Senator Bernie Sanders held a hearing in the U.S. Senate Budget Committee on May 12, 2022, to discuss the Medicare for All legislation. In his testimony, he argued that Medicare for All is necessary from a medical and moral standpoint. He highlighted the issue of uninsurance and the importance of improving the quality of coverage, as well as the potential economic benefits of Medicare for All reform.
INTERNATIONAL JOURNAL OF HEALTH SERVICES
(2022)
Article
Health Care Sciences & Services
Adam Gaffney, David U. Himmelstein, Samuel Dickman, Danny McCormick, Stephanie Woolhandler
Summary: The coverage of Veterans' Health Administration (VA) is associated with higher and more equitable influenza vaccination rates. Veterans with VA coverage have a higher vaccination rate compared to veterans without VA coverage and non-veterans, and VA coverage is also associated with reduced disparities in vaccination based on race/ethnicity and income.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2023)
Article
Medicine, General & Internal
Adam W. Gaffney, Danny McCormick, Steffie Woolhandle, David C. Christiani, David U. Himmelstein
Summary: This study found that lower FVC in Black individuals is associated with increased risk of all-cause mortality, challenging the standard assumption about race-based normal limits. The Black-White disparities in FVC may be attributed to social/environmental factors rather than innate differences.
Article
Respiratory System
Adam Gaffney, Alexander White, Laura Hawks, David Himmelstein, Steffie Woolhandler, David C. Christiani, Danny McCormick
ANNALS OF THE AMERICAN THORACIC SOCIETY
(2020)
Letter
Medicine, General & Internal
Adam W. Gaffney, Danny McCormick, Steffie Woolhandler, David U. Himmelstein
