journal
https://read.qxmd.com/read/38515240/who-do-freestanding-emergency-departments-treat-comparing-texas-hospitals-to-satellite-and-independent-freestanding-departments-in-2021-and-2022
#1
JOURNAL ARTICLE
Daniel Marthey, Maya Ramy, Benjamin Ukert
OBJECTIVE: The objective was to describe characteristics of emergency department visits to Texas satellite and independent freestanding emergency departments (FrEDs) relative to hospital emergency departments (EDs). DATA SOURCES AND STUDY SETTING: The study used all 2021-2022 hospital and FrED discharges from the publicly available Texas Emergency Department Public Use Data Files (PUDF). STUDY DESIGN: We conducted a descriptive analysis, comparing patient and visit characteristics at satellite and independent FrEDs and hospital EDs using chi-square tests...
March 21, 2024: Health Services Research
https://read.qxmd.com/read/38491794/postpartum-long-acting-reversible-contraceptive-adoption-after-a-statewide-initiative
#2
JOURNAL ARTICLE
Katie Gifford, Rebecca McColl, Mary Joan McDuffie, Michel Boudreaux
OBJECTIVES: To examine the effects of a comprehensive, multiyear (2015-2020) statewide contraceptive access intervention in Delaware on the contraceptive initiation of postpartum Medicaid patients. The program aimed to increase access to all contraceptives, including long-acting reversible contraceptives (LARC). The program included interventions specifically targeting postpartum patients (Medicaid payment reform and hospital-based immediate postpartum (IPP) LARC training) and interventions in outpatient settings (provider training and operational supports)...
March 16, 2024: Health Services Research
https://read.qxmd.com/read/38477023/travel-distance-and-outcomes-after-surgical-aortic-valve-among-veterans
#3
JOURNAL ARTICLE
Brendin R Beaulieu-Jones, Noah Siegel, Loreski Collado, Hillary J Mull, Jacquelyn A Quin
OBJECTIVE: To investigate the association between travel distance and postoperative length of stay (LOS) and discharge disposition among veterans undergoing surgical aortic valve replacement (SAVR). DATA SOURCES/STUDY SETTING: We performed a retrospective cohort study of patients undergoing SAVR, with or without coronary artery bypass grafting (CABG) at VA Boston Healthcare (January 1, 2005-December 31, 2015). STUDY DESIGN: Postoperative LOS and discharge disposition were compared for SAVR patients based on travel distance to the facility: <100 miles or ≥100 miles...
March 13, 2024: Health Services Research
https://read.qxmd.com/read/38456488/rural-urban-differences-in-out-of-network-treatment-initiation-and-engagement-rates-for-substance-use-disorders
#4
JOURNAL ARTICLE
Eli Raver, Sheldon M Retchin, Yiting Li, Andrew D Carlo, Wendy Y Xu
OBJECTIVE: To examine rural-urban disparities in substance use disorder treatment access and continuation. DATA SOURCES AND STUDY SETTING: We analyzed a 2016-2018 U.S. national secondary dataset of commercial insurance claims. STUDY DESIGN: This cross-sectional study examined individuals with a new episode of opioid, alcohol, or other drug use disorders. Treatment initiation and engagement rates, and rates of using out-of-network providers for these services, were compared between rural and urban patients...
March 8, 2024: Health Services Research
https://read.qxmd.com/read/38456362/unfulfilled-and-method-specific-contraceptive-preferences-among-reproductive-aged-contraceptive-users-in-arizona-iowa-new-jersey-and-wisconsin
#5
JOURNAL ARTICLE
Megan L Kavanaugh, Rubina Hussain, Ashley C Little
OBJECTIVE: To identify characteristics associated with unfulfilled contraceptive preferences, document reasons for these unfulfilled preferences, and examine how these unfulfilled preferences vary across specific method users. DATA SOURCES AND STUDY SETTING: We draw on secondary baseline data from 4660 reproductive-aged contraceptive users in the Arizona, Iowa, New Jersey, and Wisconsin Surveys of Women (SoWs), state-representative surveys fielded between October 2018 and August 2020 across the four states...
March 8, 2024: Health Services Research
https://read.qxmd.com/read/38454562/cross-country-comparisons-in-health-price-growth-over-time
#6
JOURNAL ARTICLE
Irene Papanicolas, Jonathan Cylus, Luca Lorenzoni
OBJECTIVE: To examine how the United States compares in terms of health price growth relative to four other countries - Australia, Canada, France, and the Netherlands. DATA SOURCES AND STUDY SETTING: Secondary data on health expenditure were extracted from international and national agencies spanning the years 2000-2020. STUDY DESIGN: International price indices specific to health were constructed using available international expenditure data and compared to existing health-specific national and general international price indices...
March 7, 2024: Health Services Research
https://read.qxmd.com/read/38450687/medicare-advantage-growth-and-skilled-nursing-facility-finances
#7
JOURNAL ARTICLE
Jeffrey Marr, Karen Shen
OBJECTIVE: To examine the relationship between growth in Medicare Advantage (MA) enrollment and changes in finances at skilled nursing facilities (SNFs). DATA SOURCES: Medicare SNF cost reports, LTCFocus.org data, and county MA penetration rates. STUDY DESIGN: We used ordinary least squares regression with SNF and year fixed effects. Our primary outcomes were SNF revenues, expenses, profits, and occupancy. Our primary independent variable was the yearly county Medicare Advantage penetration...
March 7, 2024: Health Services Research
https://read.qxmd.com/read/38419507/the-medicare-care-choices-model-was-associated-with-reductions-in-disparities-in-the-use-of-hospice-care-for-medicare-beneficiaries-with-terminal-illness
#8
JOURNAL ARTICLE
Matthew J Niedzwiecki, Lauren Vollmer Forrow, Jonathan Gellar, R Vincent Pohl, Arnold Chen, Lynn Miescier, Keith Kranker
OBJECTIVE: To assess the effects of the Medicare Care Choices Model (MCCM) on disparities in hospice use and quality of end-of-life care for Medicare beneficiaries from underserved groups-those from racial and ethnic minority groups, dually eligible for Medicare and Medicaid, or living in rural areas. DATA SOURCES AND STUDY SETTING: Medicare enrollment and claims data from 2013 to 2021 for terminally ill Medicare fee-for-service beneficiaries nationwide. STUDY DESIGN: Through MCCM, terminally ill enrolled Medicare beneficiaries received supportive and palliative care services from hospice providers concurrently with curative treatments...
February 29, 2024: Health Services Research
https://read.qxmd.com/read/38412994/from-the-editor-s-desk-publishing-in-hsr-in-2022
#9
JOURNAL ARTICLE
Austin Frakt, Chris Tachibana
No abstract text is available yet for this article.
February 27, 2024: Health Services Research
https://read.qxmd.com/read/38408770/the-critical-role-of-medicaid-home-and-community-based-services-in-meeting-the-needs-of-older-adults-in-the-united-states
#10
JOURNAL ARTICLE
Katherine E M Miller, Johanna Thunell
No abstract text is available yet for this article.
February 26, 2024: Health Services Research
https://read.qxmd.com/read/38403810/developing-an-indigenous-systems-alignment-framework-a-call-for-direct-funding
#11
JOURNAL ARTICLE
Christina E Oré, Jacob Fong-Gurzinsky, Carly Marshall, Myra Parker
No abstract text is available yet for this article.
February 25, 2024: Health Services Research
https://read.qxmd.com/read/38384002/tracking-long-term-services-and-supports-rebalancing-through-workforce-data
#12
JOURNAL ARTICLE
Ari Ne'eman
OBJECTIVE: To understand trends in the long-term services and supports (LTSS) workforce and assess workforce data as a measure of progress in shifting LTSS resources from institutional to community-based settings. DATA SOURCES/STUDY SETTING: Workforce data from the American Community Survey from 2008 to 2022. STUDY DESIGN: Measures of LTSS rebalancing and institutional and community workforce supply per 1000 persons with LTSS needs were constructed...
February 21, 2024: Health Services Research
https://read.qxmd.com/read/38287519/hospital-outpatient-department-billing-is-a-poor-indicator-of-primary-care-practice-integration-with-hospital-systems
#13
JOURNAL ARTICLE
Saumya Chatrath, Eugene C Rich, Ann S O'Malley, Genna Cohen, David J Jones
OBJECTIVE: To test the reliability of Medicare claims in measuring vertical integration. We assess the accuracy of a commonly used measure of integration, primary care physician (PCP) practices billing Medicare as a hospital outpatient department (HOPD) in claims. DATA SOURCES AND STUDY SETTING: Medicare fee-for-service claims, IQVIA, and CPC+ practice surveys for this study. STUDY DESIGN: We compare measures of integration from Medicare claims to self-reported indicators of integration from IQVIA and a survey of CPC+ participating practice sites...
January 29, 2024: Health Services Research
https://read.qxmd.com/read/38287496/higher-levels-of-state-funding-for-home-and-community-based-services-linked-to-better-state-performances-in-long-term-services-and-supports
#14
JOURNAL ARTICLE
Zijing Cheng, Espérance Mutoniwase, Xueya Cai, Yue Li
OBJECTIVE: To examine the relationship between the level of state funding for Home- and Community-Based Services (HCBS) and state overall and dimension-specific performances in Long-Term Services and Supports (LTSS). DATA SOURCES AND STUDY SETTING: We employed state-level secondary data from the Medicaid LTSS Annual Expenditures Reports, the American Association of Retired Persons (AARP) State Scorecards, the U.S. Census, and Federal Reserve Economic data, spanning the timeframe of 2010-2020...
January 29, 2024: Health Services Research
https://read.qxmd.com/read/38264862/medicare-medicaid-and-dual-enrollment-for-adults-with-intellectual-and-developmental-disabilities
#15
JOURNAL ARTICLE
Eric Rubenstein, Salina Tewolde, A Alex Levine, Lillian Droscha, Rachel Midori Meyer, Amy Michals, Brian Skotko
OBJECTIVE: Given high rates of un- and underemployment among disabled people, adults with intellectual and developmental disabilities rely on Medicaid, Medicare, or both to pay for healthcare. Many disabled adults are Medicare eligible before the age of 65 but little is known as to why some receive Medicare services while others do not. We described the duration of Medicare enrollment for adults with intellectual and developmental disabilities in 2019 and then compared demographics by enrollment type (Medicare-only, Medicaid-only, dual-enrolled)...
January 24, 2024: Health Services Research
https://read.qxmd.com/read/38263639/using-enrollment-records-to-evaluate-self-reports-of-monthly-coverage-in-the-redesigned-current-population-survey-health-insurance-module
#16
JOURNAL ARTICLE
Joanne Pascale, Angela R Fertig, Kathleen Thiede Call
OBJECTIVE: To evaluate the veracity of self-reports of month-level health insurance coverage in the Current Population Survey Annual Social and Economic Supplement (CPS). DATA SOURCES AND STUDY SETTING: The CHIME (Comparing Health Insurance Measurement Error) study used health insurance enrollment records from a large regional Midwest insurer as sample for primary data collection in spring 2015. STUDY DESIGN: A sample of individuals enrolled in a range of public and private coverage types (including Medicaid and marketplace) was administered the CPS health insurance module, which included questions about month-level coverage, by type, over a 17-18-month time span...
January 23, 2024: Health Services Research
https://read.qxmd.com/read/38258324/separating-the-wheat-from-the-chaff-how-to-measure-hospital-quality-in-routine-data
#17
JOURNAL ARTICLE
Jana Bilger, Mark Pletscher, Tobias Müller
OBJECTIVE: To measure hospital quality based on routine data available in many health care systems including the United States, Germany, the United Kingdom, Scandinavia, and Switzerland. DATA SOURCES AND STUDY SETTING: We use the Swiss Medical Statistics of Hospitals, an administrative hospital dataset of all inpatient stays in acute care hospitals in Switzerland for the years 2017-2019. STUDY DESIGN: We study hospital quality based on quality indicators used by leading agencies in five countries (the United States, the United Kingdom, Germany, Austria, and Switzerland) for two high-volume elective procedures: inguinal hernia repair and hip replacement surgery...
January 22, 2024: Health Services Research
https://read.qxmd.com/read/38258310/contextual-factors-influencing-the-association-between-the-affordable-care-act-s-medicaid-expansion-and-veteran-va-medicaid-dual-enrollment
#18
JOURNAL ARTICLE
Patrick N O'Mahen, Chase S Eck, Cheng Rebecca Jiang, Laura A Petersen
OBJECTIVE: To evaluate changes in dual enrollment after Affordable Care Act Medicaid expansion by VA priority group, (e.g., service connection), sex, and type of state expansion. STUDY SETTING: Our cohort was all Veterans ages 18-64 enrolled in VA and eligible for benefits due to military service-connection or low income from 2011 to 2016; the unit of analysis was person-year. STUDY DESIGN: Difference-in-difference and event-study analysis...
January 22, 2024: Health Services Research
https://read.qxmd.com/read/38258302/participation-of-veterans-affairs-medical-centers-in-veteran-centric-community-based-service-navigation-networks-a-mixed-methods-study
#19
JOURNAL ARTICLE
Leslie R M Hausmann, David E Goodrich, Keri L Rodriguez, Nicole Beyer, Zachary Michaels, Gilly Cantor, Nicholas Armstrong, Johanne Eliacin, Deborah A Gurewich, Alicia J Cohen, Maria K Mor
OBJECTIVE: To understand the determinants and benefits of cross-sector partnerships between Veterans Affairs Medical Centers (VAMCs) and geographically affiliated AmericaServes Network coordination centers that address Veteran health-related social needs. DATA SOURCES AND SETTING: Semi-structured interviews were conducted with AmericaServes and VAMC staff across seven regional networks. We matched administrative data to calculate the percentage of AmericaServes referrals that were successfully resolved (i...
January 22, 2024: Health Services Research
https://read.qxmd.com/read/38247110/association-between-changes-in-prices-and-out-of-pocket-costs-for-brand-name-clinician-administered-drugs
#20
JOURNAL ARTICLE
Hussain S Lalani, Massimilano Russo, Rishi J Desai, Aaron S Kesselheim, Benjamin N Rome
OBJECTIVE: To determine whether annual changes in prices for clinician-administered drugs are associated with changes in patient out-of-pocket costs. DATA SOURCES AND STUDY SETTING: National commercial claims database, 2009 to 2018. STUDY DESIGN: In a serial, cross-sectional study, we calculated the annual percent change in manufacturer list prices and net prices after rebates. We used two-part generalized linear models to assess the relationship between annual changes in price with (1) the percentage of individuals incurring any out-of-pocket costs and (2) the percent change in median non-zero out-of-pocket costs...
January 21, 2024: Health Services Research
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