Article
Health Care Sciences & Services
Vilsa Curto, Monica Bhole
Summary: Early ACA Medicaid expansions had positive impacts on Medicaid participation for primary care physicians, increasing Medicaid visits and the number of Medicaid patients. However, it did not affect the probability of any Medicaid participation.
HEALTH SERVICES RESEARCH
(2022)
Article
Health Care Sciences & Services
Asako S. Moriya, Sujoy Chakravarty
Summary: The Medicaid expansions under the Affordable Care Act (ACA) have significantly increased insurance coverage. A study showed that the 2014 ACA Medicaid expansions have reduced racial or ethnic disparities in preventable hospitalizations and emergency department visits, particularly among non-Hispanic Black populations. However, it had no significant effects on disparities between Hispanic and non-Hispanic White adults, possibly due to lower baseline differences and ongoing coverage disparities. These findings highlight the importance of addressing access barriers beyond Medicaid eligibility expansion.
Article
Agricultural Economics & Policy
Shaheer Burney, Rebecca Boehm, Rigoberto Lopez
Summary: The ACA Medicaid expansion had a positive overall impact on SNAP participation among income-eligible households, particularly for ABAWD households. However, the expansion had a stronger effect on households with children below the poverty line, while the effects were mixed for those above the poverty line.
Article
Health Care Sciences & Services
Hiroshi Gotanda, Gerald F. Kominski, David Elashoff, Yusuke Tsugawa
Summary: The study showed that the ACA Medicaid expansions were associated with lower systolic blood pressure and hemoglobin A1c levels, indicating a modest improvement in cardiovascular risk factors related to hypertension and diabetes. However, there was no evidence of changes in diastolic blood pressure and cholesterol levels following the ACA Medicaid expansions.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Health Care Sciences & Services
Anna Hill, Eunhae Shin, Jody Schimmel Hyde
Summary: After 2014, uninsured rates decreased in all states, with significant increases in Medicaid coverage for workers with disabilities in expansion states. Non-expansion states saw larger increases in privately purchased coverage for disabled workers compared to expansion states.
DISABILITY AND HEALTH JOURNAL
(2021)
Article
Pharmacology & Pharmacy
Hsuan-Shu Shen, Wei-Chuan Chang, Yi-Lin Chen, Dai-Lun Wu, Shu-Hui Wen, Hsien-Chang Wu
Summary: The combination of Chinese herbal products and tocolytic treatment can be beneficial for pregnant women in preventing premature birth. Further research is needed to investigate causal relationships.
FRONTIERS IN PHARMACOLOGY
(2022)
Review
Public, Environmental & Occupational Health
Mamadou Selly Ly, Oumar Bassoum, Adama Faye
Summary: This article examines the institutional characteristics of universal health insurance (UHI) programs in African countries and their contribution to achieving universal health coverage (UHC) goals. The study finds that government-run health insurance is more effective than community-based health insurance (CBHI), and private health insurance has limited impact. It highlights the need to strengthen tax-based financing and overcome high fragmentation and voluntary enrollment in UHI systems in Africa.
Article
Multidisciplinary Sciences
Poppy E. Deviany, Philip W. Setel, Henry D. Kalter, Trisari Anggondowati, Martini Martini, Fitri Nandiaty, Kamaluddin Latief, Emily H. Weaver, Tika Rianty, Anhari Achadi, Sri Wahyuni, Stefania W. Setyaningtyas, Nila R. Haryana, Luna M. Mehrain, Endang L. Achadi
Summary: This study investigates the contributing factors and causes of neonatal deaths in the Serang and Jember Districts of Indonesia. The main findings reveal that prematurity and intrapartum-related events are the leading causes of death among neonates. Most neonates were born and died in healthcare facilities, emphasizing the need for improved management of small and asphyxiated newborns. The study also highlights the importance of early recognition and appropriate management of sick neonates.
Article
Economics
Matt Hampton, Otto Lenhart
Summary: This study evaluates the impact of the Affordable Care Act preexisting conditions provision on mental health. The policy reduced severe mental distress by 1.44 percentage points among individuals with preexisting physical health conditions. The presence of high-risk pools before 2014 was highly associated with the improvement in mental well-being, particularly among women. Increases in insurance coverage, reductions in healthcare expenditures, and improvements in physical health explain the positive effects of the provision on mental well-being.
Article
Health Care Sciences & Services
Liam Rose, Diem Tran, Siqi Wu, Aaron Dalton, Susan Kirsh, Anita Vashi
Summary: This study aimed to investigate whether increased access to VA-purchased care resulted in increased utilization or a shift from other payers to VA for emergency care among VA enrollees. The study found that after the implementation of the MISSION Act, the proportion of emergency department visits paid by Medicare decreased among VA enrollees. However, there was no significant change in the overall volume of emergency department visits.
HEALTH SERVICES RESEARCH
(2023)
Article
Public, Environmental & Occupational Health
Mery Bolivar-Vargas, Eduardo Alfonso-Sierra, Janet Bonilla, Martha Herrera, Haydee Rodriguez, Manuela Villar-Uribe, Kerry Scott, Inke Mathauer
Summary: This study examines the functionality of health insurance user associations in Colombia and their influence on citizen empowerment and health insurance responsiveness. The study found that the public was widely unaware of the existence of user associations and many associations were weak or inactive. Limited market competition and policies about user associations made insurers indifferent to community involvement. Policy recommendations are warranted to strengthen user associations and truly enable them to effect change.
Article
Public, Environmental & Occupational Health
Guixiang Zhao, Jason Hsia, Machell Town
Summary: The study found significant associations between having health insurance coverage and engaging in some health-related behaviors among US adults.
PREVENTIVE MEDICINE
(2021)
Review
Clinical Neurology
Susanna D. Howard, Paige -Ashley Campbell, Canada T. Montgomery, Samuel B. Tomlinson, Disep I. Ojukwu, H. Isaac Chen, Marshall H. Chin
Summary: Current studies show that there are disparities in access to epilepsy surgery for Black patients and those with public insurance. They are less likely to undergo surgery and have longer waiting times. However, there is no significant association between insurance or race and seizure recurrence rate after surgery.
WORLD NEUROSURGERY
(2023)
Article
Health Care Sciences & Services
Caitlin McPherran Lombardi, Lindsey Rose Bullinger, Maithreyi Gopalan
Summary: Expanding public health insurance eligibility improves economic well-being for low-income adults, and has positive effects on children's health insurance coverage and family health-related financial well-being.
INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING
(2022)
Article
Health Care Sciences & Services
Linlin Shang, Yingtao Lin, Wenqing Fang, Yanyan Liu, Yuwen Bao, Xin Li, Yuanyuan Zhang
Summary: This study examined the impact of China's National Health Insurance Coverage policy on the utilization of trastuzumab and rituximab in breast cancer and lymphoma patients. The results showed that the implementation of the policy significantly increased the utilization rates of these drugs.
RISK MANAGEMENT AND HEALTHCARE POLICY
(2023)
Article
Health Care Sciences & Services
Thuy Nguyen, Ulrike Muench, Barbara Andraka-Christou, Kosali Simon, W. David Bradford, Joanne Spetz
Summary: This study found that less restrictive state scope-of-practice regulations for nurse practitioners are associated with more prescriptions written by NPs. Even in rural areas, the percentage of buprenorphine prescriptions written by NPs remains relatively low.
MEDICAL CARE RESEARCH AND REVIEW
(2022)
Article
Health Care Sciences & Services
Lindsay Allen, Cong T. Gian, Kosali Simon
Summary: This study found that Medicaid expansion was associated with increased emergency department wait times, indicating a possible worsening of ED crowding post-expansion. Future research should focus on uncovering the mechanisms through which insurance expansion led to increased ED wait times to inform policy decisions.
HEALTH SERVICES RESEARCH
(2022)
Article
Substance Abuse
Thuy Nguyen, Barbara Andraka-Christou, W. David Bradford, Kosali Simon
Summary: Publicly listed waivered practitioners have higher patient limits compared to non-listed practitioners, with significantly fewer psychiatrists among the listed practitioners. Nonphysician prescribers, rural practitioners, male practitioners, and those with fewer years of practice are overrepresented in the publicly listed waivered practitioners.
JOURNAL OF ADDICTION MEDICINE
(2022)
Article
Psychology, Clinical
Chandler McClellan, Asako Moriya, Kosali Simon
Summary: Patients purchasing retail MOUD prescriptions spent 3.4 times more out-of-pocket on average compared to the rest of the U.S. population, with nearly one-fifth of this population entirely self-paying for their prescriptions. Insurance coverage was associated with significantly reduced annual out-of-pocket MOUD expenditures.
JOURNAL OF SUBSTANCE ABUSE TREATMENT
(2022)
Article
Economics
Aparna Soni, Taryn Morrissey
Summary: The study shows that expanding Medicaid can increase the time spent on home production for low-income adults and childcare for low-income parents. This increased time may have significant health benefits for both children and adults.
SOUTHERN ECONOMIC JOURNAL
(2022)
Article
Substance Abuse
Joanna R. Jackson, Christopher A. Harle, Ross Silverman, Kosali Simon, Nir Menachemi
Summary: This study found that the number and type of state regulations for opioid treatment programs (OTPs) are associated with opioid-related deaths, hospitalizations, and emergency department visits. A greater number of regulations was positively correlated with deaths and emergency visits. Regulations in the Physical Facilities Management category were also positively correlated with deaths and hospitalizations. Adjusted analysis showed that regulations in the Physical Facilities Management category were positively associated with opioid-related deaths.
DRUG AND ALCOHOL DEPENDENCE
(2022)
Article
Medicine, General & Internal
Thuy Nguyen, Engy Ziedan, Kosali Simon, Jennifer Miles, Stephen Crystal, Hillary Samples, Sumedha Gupta
Summary: This study found that the COVID-19 pandemic resulted in a decrease in filled buprenorphine prescriptions for members of racial and ethnic minority groups, but not for White individuals. These findings suggest that members of racial and ethnic minority groups experienced greater loss in access to buprenorphine during the pandemic across different payer types.
Letter
Substance Abuse
Elizabeth Wahlenmayer, Aparna Soni
TOBACCO PREVENTION & CESSATION
(2022)
Article
Health Policy & Services
Tisamarie B. Sherry, Thuy Nguyen, Andrew W. Dick, Ashley C. Bradford, Kosali Simon, Bradley D. Stein
Summary: This study found that individuals with a history of depression who received opioid analgesics had a significantly lower risk for overdose and self-harm after they had been taking antidepressants for at least 6 weeks.
PSYCHIATRIC SERVICES
(2023)
Article
Economics
Sumedha Gupta, Laura Montenovo, Thuy Nguyen, Felipe Lozano-Rojas, Ian Schmutte, Kosali Simon, Bruce A. Weinberg, Coady Wing
Summary: US workers can receive unemployment benefits if they lose their job, but not for reduced working hours. The labor market responded to the COVID-19 pandemic and closure policies mainly through extensive job losses. By analyzing the timing of state stay-at-home orders, it was found that for every 10 extra days of these orders, the employment rate fell by 1.7 percentage points, with little impact on working hours and earnings of those who remained employed. About 40% of the unemployment was caused by a nationwide shock, while the rest was due to social-distancing policies, especially among non-essential workers.
CONTEMPORARY ECONOMIC POLICY
(2023)
Article
Public, Environmental & Occupational Health
Olena Mazurenko, Justin Blackburn, Pengyue Zhang, Sumedha Gupta, Christopher A. A. Harle, Kurt Kroenke, Kosali Simon
Summary: Recent tapering from long-term opioid therapy is associated with increased odds of opioid-related hospital use.
PHARMACOEPIDEMIOLOGY AND DRUG SAFETY
(2023)
Article
Economics
Martin Andersen, Johanna Catherine Maclean, Michael F. Pesko, Kosali Simon
Summary: This study examines the effects of the temporary U.S. paid sick leave mandate on self-quarantining, measured by physical mobility behaviors derived from cellular devices. By employing generalized difference-in-differences methods and leveraging pre-policy county-level heterogeneity in the share of workers eligible for paid sick leave benefits, the study finds that the policy leads to increased self-quarantining, as indicated by staying at home. The study also shows a decline in COVID-19 confirmed cases after the implementation of the policy.
Letter
Medicine, General & Internal
Ge Bai, Kosali Simon, Peter Cram
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2023)
Article
Economics
Aparna Soni, Lindsey Bullinger, Christina Andrews, Amanda Abraham, Kosali Simon
Summary: Rates of neonatal abstinence syndrome (NAS) resulting from opioid misuse are rising. However, policies to treat opioid misuse during pregnancy are unclear. We apply a difference-in-differences design to national pediatric discharge records to examine the effects of state Medicaid policies on NAS. Among states in which Medicaid covered two clinically-recommended medications for treating opioid misuse (buprenorphine, methadone), the Affordable Care Act's Medicaid expansion reduced Medicaid-covered NAS hospitalizations. Medicaid expansion did not affect NAS hospitalizations in other expansion states. These findings imply a nuanced relationship between Medicaid policy and NAS that should be considered in addressing opioid misuse among pregnant women.
CONTEMPORARY ECONOMIC POLICY
(2023)
Article
Health Care Sciences & Services
Malaz A. Boustani, Anthony J. Perkins, Mary L. Davis-Ajami, Kosali I. Simon, Chiang-Hua Chang, Craig A. Solid, Patrick O. Monahan
Summary: This study examined the predictive validity of the CMS Practice Assessment Tool (PAT) among 632 primary care practices. The results showed that the PAT had adequate predictive validity for participation in alternative payment models (APMs). The PAT's 27 milestones could be combined into an overall score and 5 secondary scores.
AMERICAN JOURNAL OF MANAGED CARE
(2023)