Medicaid/CHIP

Publicly-funded programs that cover medical and long-term care for low-income adults, children, and people with disabilities. Medicaid expansion is one of the central tools to increase insurance coverage rates through the Affordable Care Act.

Engaging Consumers in Medicaid Program Design: Strategies from the States

Dec. 15, 2020

Jane M. Zhu, Ruth Rowland, Rose Gunn, Sarah E. Gollust, David T. Grande

Abstract [from journal]

Context: Consumer engagement early in the process of health care policymaking may improve the effectiveness of program planning and implementation, promote patient-centric care, enhance beneficiary protections, and offer opportunities to improve service delivery. As Medicaid programs grow in scale and complexity, greater consumer input may guide successful program design, but little is known about the extent to which state agencies are currently engaging consumers in the design and implementation of programs and policies, and how
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Impact of Medicaid Expansion on Liver-Related Mortality

Dec. 3, 2020

Smriti Rajita Kumar, Sameed Ahmed M. Khatana, David Goldberg

Abstract [from journal]

Background & aims: The Affordable Care Act provided the opportunity for states to expand Medicaid for low-income individuals. Not all states adopted Medicaid expansion, and the timing of adoption among expansion states varied. Prior studies have shown that Medicaid expansion improved mortality rates for several chronic conditions. Although there are data on the association between Medicaid expansion on insurance type among patients waitlisted for a liver transplant, there are no data on its impact on liver

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Association Between Physician Practice Medicaid Acceptance and Employing Nurse Practitioners and Physician Assistants: A Longitudinal Analysis

Nov. 11, 2020

Hilary BarnesMichael R. Richards, Grant R. Martsolf, Sayeh S. Nikpay, Matthew D. McHugh

Abstract [from journal]

Background: Access to care is often a challenge for Medicaid beneficiaries due to low practice participation. As demand increases, practices will likely look for ways to see Medicaid patients while keeping costs low. Employing nurse practitioners (NPs) and physician assistants (PAs) is one low-cost and effective means to achieve this. However, there are no longitudinal studies examining the relationship between practice Medicaid acceptance and NP/PA employment.

Purpose: The purpose of this

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Improving Emergency Care for Children with Complex Conditions

Oct. 29, 2020

Only about 1% of children in the U.S. are considered medically complex, but when you work in a busy Children’s Hospital Emergency Department (ED) in a large urban area, the prevalence seems much higher. We see a range of children with complex conditions, such as severe asthma coupled with significant eczema, metabolic disorders, and illnesses requiring a ventilator or other life-sustaining equipment.

The Design Of A Randomized Controlled Trial To Evaluate Multi-dimensional Effects Of A Section 1115 Medicaid Demonstration Waiver With Community Engagement Requirements

Oct. 7, 2020

Kristin A. Linn, Kristen Underhill, Erica L. Dixon, Elizabeth F. Bair, William J. Ferrell, Margrethe E. Montgomery, Kevin G. VolppAtheendar S. Venkataramani

Abstract [from journal]

Section 1115 demonstration waivers provide a mechanism for states to implement changes to their Medicaid programs. While such waivers are mandated to include evaluations of their impact, randomization - the gold standard for assessing causality - has not typically been a consideration. In a critical departure, the Commonwealth of Kentucky opted to pursue a two-arm randomized controlled trial (RCT) for their controversial 2018 Medicaid Demonstration waiver, which included work requirements as a condition for the subset of

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Impact Of Medicaid Expansion On Women With Gynecologic Cancer: A Difference-In-Difference Analysis

Sep. 7, 2020

Benjamin B. Albright, Dimitrios NasioudisStuart Craig, Haley A. Moss, Nawar A. LatifEmily M. Ko, Ashley F. Haggerty

Abstract [from journal]

Background: Women with gynecologic cancer face socioeconomic disparities in care that impact survival outcomes. The Affordable Care Act offered states the option to expand Medicaid enrollment eligibility criteria as a means of improving timely and affordable access to care for the most vulnerable. Variable uptake of expansion by states created a natural experiment, allowing for quasi-experimental methods, which offer more unbiased estimates of treatment effects from retrospective data than traditional regression

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Achieving Better Postpartum Care

Jul. 30, 2020

The year after giving birth is an important one for mothers and their infants. Care delivered during this period is critical to improving mother and infants’ long-term health and reducing future health risks. However, a recent study shows that all too often, this is a missed opportunity to deliver important preventive care to adult women.

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