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Medicaid Spending in Coordination-Only Dual-Eligible Special Needs Plans.
JAMA Netw Open
January 2025
Department of Population Health Sciences, Duke University School of Medicine, Durham, North Carolina.
Importance: More than 4 million Medicare beneficiaries have enrolled in dual-eligible Special Needs Plans (D-SNPs), and coordination-only D-SNPs are common. Little is known about the impact of coordination-only D-SNPs on Medicaid-covered services and spending, including long-term services and supports, which are financed primarily by Medicaid.
Objective: To evaluate changes in Medicaid fee-for-service (FFS) spending before and after new enrollment in coordination-only D-SNPs vs new enrollment in non-D-SNP Medicare Advantage (MA) plans among community-living beneficiaries enrolled in both Medicare and North Carolina Medicaid.
Increasing access to pain care services to improve rural pain management: a realist review investigating factors affecting uptake, implementation, and sustainability.
Pain
January 2025
Innovation, Implementation and Clinical Translation (IIMPACT) in Health, University of South Australia Adelaide, SA, Australia.
Guideline-based care for chronic pain is challenging to deliver in rural settings. Evaluations of programs that increase access to pain care services in rural areas report variable outcomes. We conducted a realist review to gain a deep understanding of how and why such programs may, or may not, work.
View Article and Find Full Text PDFCare coordination for people living with serious mental illness: understanding the caregiver's perspective.
Front Health Serv
January 2025
Canadian Institute for Advancements in Mental Health, Toronto, ON, Canada.
Introduction: Family caregivers of people living with serious mental illness such as bipolar disorder, psychosis and schizophrenia, are continuously burdened with caregiving, following the complexities of navigating the mental health system for their loved ones. The aim of the study was to understand the perspectives of caregivers about care coordination for people living with serious mental illness, highlighting the current landscape and new directions across Canada.
Methods: In this co-designed participatory qualitative research, caregivers of people living with serious mental illness, and service providers were engaged and purposively sampled across Canada.
Bridging Gaps: Creating a Digital Toolkit to Support Pregnant and Parenting Youth.
J Sch Nurs
January 2025
Department of Community, Systems and Mental Health, College of Nursing, Rush University, Chicago, IL, USA.
Despite declines in teen pregnancy, pregnant teens remain at risk for poor health and educational outcomes due to a lack of care coordination and access to resources. The purpose of this project was to develop and launch a care coordination toolkit to provide resources to pregnant and parenting youth (PPY) at a large urban school district. School personnel were trained on the use of the toolkit and completed pre- and posttraining surveys to evaluate changes in knowledge and confidence.
View Article and Find Full Text PDF[The Advancement of Elderly Care: Development and Application of an Interdisciplinary Outpatient Dementia Care Consultation Module].
Hu Li Za Zhi
February 2025
Department of Nursing, College of Medicine, National Cheng Kung University, Taiwan, ROC.
With population aging, dementia has become a significant global health issue. Most people with dementia live in the community, are cared for by family members, and face complex and multifaceted care challenges. In line with Taiwan's Long-Term Care 2.
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