Article
Medicine, General & Internal
Tze-Woei Tan, Elizabeth A. Calhoun, Shannon M. Knapp, Adelina Lane, David G. Marrero, C. Kent Kwoh, Wei Zhou, David G. Armstrong
Summary: This study found a relative improvement in the major amputation rate among African American, Hispanic, and other racial and ethnic minority adults in early-expansion states compared with nonexpansion states, which could be because of the recruitment of at-risk uninsured adults into the Medicaid program during the first 2 years of ACA implementation.
Article
Economics
Hao Guo, Miaomiao Zou, Yue Liu
Summary: This study explores the response of noncitizen immigrants to changes in public benefits. Undocumented immigrants, who are ineligible for public benefits, were used as a comparison group. The findings show that the ACA is associated with a significant decrease in the uninsured rate and a substantial increase in Medicaid coverage among documented noncitizens. The change in insurance coverage is also related to limited changes in labor force participation, with varying effects in states that expanded Medicaid coverage.
ECONOMIC MODELLING
(2023)
Article
Medicine, General & Internal
Graham Treasure, David M. Anderson, Lauren Hatcher, Alexandra E. Makhoul, Darren Johnson, Jenna Stefan, Kevin N. Griffith
Summary: This study analyzed claims data from the ACA individual marketplace to describe enrollees' metal tier selections and assess their health spending based on metal tier, risk score, and spending type. The findings suggest that enrollees who choose higher premium plans have higher risk scores and health spending.
Article
Oncology
Quyen D. Chu, Tingting Li, Mei-Chin Hsieh, Yong Yi, John F. Gibbs, John M. Lyons, Xiao-Cheng Wu
Summary: The study revealed that following the ACA expansion in Louisiana, the rate of uninsured patients decreased, the rate of Medicaid recipients increased, early-stage breast cancer diagnosis increased, and the receipt of radiotherapy after breast-conserving surgery as well as within 90 days both increased.
Article
Medicine, General & Internal
David M. Levine, Rohan Chalasani, Jeffrey A. Linder, Bruce E. Landon
Summary: This study investigates the impact of the ACA on ambulatory quality, patient experience, utilization, and cost. The results suggest that the ACA was associated with improved patient experience, communication, and access, as well as decreased out-of-pocket expenditures. However, there were little or no changes in quality, utilization, and total cost.
Article
Surgery
Ezra S. Brooks, Elizabeth A. Bailey, Catherine L. Mavroudis, Christopher J. Wirtalla, Victoria M. Gershuni, Noel N. Williams, Rachel R. Kelz
Summary: The study found a significant increase in bariatric surgery rates among Medicaid beneficiaries associated with Medicaid expansion, but no change among the commercially insured.
Article
Public, Environmental & Occupational Health
Wei Ye, Javier M. Rodriguez
Summary: This study aims to quantify the impact of the Medicaid expansions under the Affordable Care Act on insurance coverage among different subgroups, finding that while insurance coverage rates increased for all subgroups, the benefits have not been evenly distributed.
SOCIAL SCIENCE & MEDICINE
(2021)
Article
Medicine, General & Internal
Virginia Wang, Lindsay Zepel, Bradley G. Hammill, Abby Hoffman, Caroline E. Sloan, Matthew L. Maciejewski
Summary: This study aims to describe the Medicare enrollment trends among patients with end-stage kidney disease (ESKD) from 2006 to 2016 and examine the associations with time, patient characteristics, and policy changes. The declining Medicare enrollment raises concerns about patient benefits, harms, and disparities in kidney care.
Article
Economics
Marcus Dillender, Carolyn J. Heinrich, Susan Houseman
Summary: The Affordable Care Act has led to an increase in low-hours and involuntary part-time employment in the retail, accommodations, and food services industries, where employers are more likely to reduce hours to avoid the mandate.
JOURNAL OF HUMAN RESOURCES
(2022)
Article
Surgery
Sarah C. Stokes, Kaeli J. Yamashiro, Ganesh Rajasekar, Miriam A. Nuno, Edgardo S. Salcedo, Alana L. Beres
Summary: This study aimed to examine the impact of the Patient Protection and Affordable Care Act (ACA) on pediatric trauma patients. The results showed that the expansion of Medicaid coverage under the ACA was associated with marginal changes in insurance coverage among pediatric trauma patients, and did not identify significant improvements in patient outcomes.
JOURNAL OF SURGICAL RESEARCH
(2022)
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)
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
Surgery
Ezra S. Brooks, Jason Tong, Catherine W. Mavroudis, Christopher Wirtalla, Giorgos C. Karakousis, Nicole M. Saur, Cary B. Aarons, Najjia N. Mahmoud, Rachel R. Kelz
Summary: The study found that under the Affordable Care Act, Medicaid expansion and adoption of essential health benefits were significantly associated with a reduction in in-hospital mortality for colon resection patients, but did not cause a significant change in emergent presentations.
AMERICAN JOURNAL OF SURGERY
(2021)
Article
Health Care Sciences & Services
Yanlei Ma, David Armstrong, Gaetano J. Forte, Hao Yu
Summary: This study aimed to assess the impact of the Medicaid expansion of the Affordable Care Act on the compensation of new primary care physicians (PCPs). The research found that starting salaries for new PCPs, especially general internists and family physicians, grew faster in expansion states. Additionally, the expansion was associated with an increase in receiving additional anticipated income for new PCPs practicing in rural areas.
Article
Public, Environmental & Occupational Health
Catherine Lee, Lawrence H. Kushi, Mary E. Reed, Elizabeth H. Eldridge, Jeffrey K. Lee, Jie Zhang, Donna Spiegelman
Summary: The elimination of cost sharing for colorectal cancer screening due to the Affordable Care Act was associated with a decrease in colorectal cancer incidence and mortality. Removing the financial burden from cost sharing can lead to improved colorectal cancer outcomes.
AMERICAN JOURNAL OF PREVENTIVE MEDICINE
(2022)
Article
Health Care Sciences & Services
Saleema A. Karim, Adrienne Nevola, Michael E. Morris, J. Mick Tilford, Hsueh-Fen Chen
Summary: The Hospital Readmission and Reduction Program (HRRP) and Hospital Value-Based Purchasing Program (HVBP) aimed to improve patient care quality through financial incentives, but they did not have the anticipated effects in the Appalachian Region. Despite financial penalties from both programs, total margins increased for hospitals in all regions during the study period.
JOURNAL OF RURAL HEALTH
(2021)
Article
Critical Care Medicine
Jacob W. Roden-Foreman, Nakia R. Rapier, Michael L. Foreman, Chris Cribari, Megan Parsons, Alicia L. Zagel, John Cull, Raymond A. Coniglio, Constance McGraw, Abigail R. Blackmore, Cassie A. Lyell, Charles A. Adams, Stephanie N. Lueckel, Justin L. Regner, Jeremy Holzmacher, Babak Sarani, Kevin W. Sexton, William C. Beck, David J. Milia, Joseph C. Hess, Cheryl F. Workman, Cynthia Greenwell, Melinda Weaver, Vaidehi Agrawal, Joseph D. Amos, Michael L. Nance, Marie Campbell, Julie Dunn, Sara Steen, Michael D. McGonigal, Thomas J. Schroeppel, Bradley Putty, Danielle Sherar, Stephanie D. Flohr
Summary: The study validated the effectiveness of the Standardized Triage Assessment Tool (STAT) in a multicenter sample, showing significantly lower rates of overtriage and undertriage compared to CMM. STAT had significant associations with all outcomes, stronger than CMM, accurately flagging fewer cases for triage reviews and reducing the subjectivity introduced by manual triage determinations.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Anesthesiology
Ali Z. Al-Alawi, Kaylee R. Henry, Lauren D. Crimmins, Patrick C. Bonasso, Md Abul Hayat, Melvin S. Dassinger, Jeffrey M. Burford, Hanna K. Jensen, Joseph Sanford, Jingxian Wu, Kevin W. Sexton, Morten O. Jensen
Summary: Analysis of peripheral venous pressure waveforms reveals the influence of anesthetics on PVP, with k-NN prediction models showing high accuracy in distinguishing between different anesthetic agents. Further research is needed to explore the impact of anesthetics on PVP waveforms for future clinical monitoring technology development.
JOURNAL OF CLINICAL MONITORING AND COMPUTING
(2022)
Article
Surgery
Alison Smith, Juan Duchesne, Matthew Marturano, Shaun Lawicki, Kevin Sexton, John R. Taylor, Justin Richards, Charles Harris, Oscar Moreno-Ponte, Jeremy W. Cannon, Jessica F. Guzman, Maryanne L. Pickett, Michael W. Cripps, Terry Curry, Todd Costantini, Chrissy Guidry
Summary: This study investigated the impact of gender differences in TEG/ROTEM values on survival in trauma patients with severe hemorrhage. While differences were found in clotting parameters between males and females, no significant variance in mortality was observed based on gender.
Correction
Surgery
H. Drolshagen, A. Bhavaraju, K. J. Kalkwarf, S. A. Karim, R. Reif, K. W. Sexton, H. K. Jensen
Article
Surgery
M. AlleaBelle Gongola, Rebecca J. Reif, Peggy C. Cosgrove, Kevin W. Sexton, Katy A. Marino, Matthew A. Steliga, Jason L. Muesse
Summary: This study found that preoperative nutritional counseling in patients undergoing esophagectomy for esophageal cancer may lead to decreased weight loss and reduced readmissions related to feeding tube complications.
JOURNAL OF PERIOPERATIVE PRACTICE
(2022)
Article
Surgery
Garrett N. Klutts, Joe Deloach, Sacha A. McBain, Hanna Jensen, Kevin W. Sexton, Kyle J. Kalkwarf, Saleema Karim, Avi Bhavaraju
Summary: The COVID-19 pandemic led to a significant increase in penetrating and violent traumas during societal quarantine, with a higher percentage of patients requiring transfusion. Despite the increase in traumas, outcomes remained unchanged. Data from this study can assist in planning for future utilization of hospital resources.
Article
Surgery
Madeline D. Cook, Saleema A. Karim, Hanna K. Jensen, Judy L. Bennett, Lyle J. Burdine, Avi Bhavaraju, Kevin W. Sexton, Kyle J. Kalkwarf
Summary: A study using the HCUP database compared the outcomes of cholecystitis patients undergoing medical management versus PCT placement. After matching analysis, it was found that PCT patients had higher readmission rates, increased healthcare costs, and longer hospital stays. Therefore, for cholecystitis patients, antibiotic therapy alone may be a preferable choice.
Article
Health Care Sciences & Services
John S. House, Carrie R. Hyde, Howard L. Corwin, Sarah E. Harrington, Kevin W. Sexton, Saleema A. Karim, Kyle J. Kalkwarf, Hanna K. Jensen
Summary: Among postsurgical patients requiring prolonged mechanical ventilation, receiving palliative medicine consultation was associated with lower readmission rates and hospitalization costs. However, utilization of palliative care in surgical patients remains low.
JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY
(2022)
Article
Clinical Neurology
Matthew Helton, Kevin Thomas, Kevin Sexton, Analiz Rodriguez, Austin Porter
Summary: There is significant variability in the treatment of patients with severe traumatic brain injury. A study found that only a minority of patients undergo intracranial pressure monitoring, but this measure is associated with decreased mortality.
WORLD NEUROSURGERY
(2022)
Article
Cardiac & Cardiovascular Systems
Lauren D. Crimmins-Pierce, Gabriel P. Bonvillain, Kaylee R. Henry, Md Abul Hayat, Adria Abella Villafranca, Sam E. Stephens, Hanna K. Jensen, Joseph A. Sanford, Jingxian Wu, Kevin W. Sexton, Morten O. Jensen
Summary: This study investigated the effects of anesthetics and acute hemorrhage on venous and arterial pressure waveforms. The results showed that the correlation between venous and arterial waveforms decreased with increasing anesthetic dosage, while it increased during hemorrhage.
CARDIOVASCULAR ENGINEERING AND TECHNOLOGY
(2022)
Article
Health Care Sciences & Services
Mathias Brochhausen, Justin M. Whorton, Cilia E. Zayas, Monica P. Kimbrell, Sarah J. Bost, Nitya Singh, Christoph Brochhausen, Kevin W. Sexton, Bernd Blobel
Summary: To improve patient outcomes after trauma, it is necessary to decrypt the post-traumatic immune response. The implementation of surgical biobanks is crucial in advancing the understanding of this domain. This paper addresses the challenges in creating surgical biobanks and proposes the use of generic component model and Semantic Web technology stack to tackle data integration issues.
JOURNAL OF PERSONALIZED MEDICINE
(2022)
Article
Surgery
J. Nigh, D. J. Wade, G. T. Rives, S. A. Karim, A. Bhavaraju, M. K. Kimbrough, R. J. Reif, K. W. Sexton, H. K. Jensen
Summary: This study compared the patient characteristics, overall efficacy, and readmission events between operative and non-operative management of non-elective patients with symptomatic incisional hernias. The majority of patients were treated operatively and had lower readmission rates, but longer hospital stay.
Article
Surgery
John H. Norys, Kevin W. Sexton, Hanna K. Jensen, Matthew Deneke, Erin E. Priddy
Summary: Deep venous thrombosis (DVT) is a common medical finding with a high risk of post-thrombotic complications. Although pulmonary embolism and lower extremity swelling are common complications, abdominal wall varicosities rarely occur in association with DVT.
JOURNAL OF SURGICAL CASE REPORTS
(2023)
Article
Health Care Sciences & Services
Saleema A. Karim, Hsueh-Fen Chen
Summary: This study investigated the differences in COVID-19 death rates between urban and rural areas in the United States, finding that rural counties had significantly lower death rates compared to metropolitan counties. Rural areas need to develop proactive prevention strategies and response plans to control the spread of COVID-19.
JOURNAL OF RURAL HEALTH
(2021)