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| http://dx.doi.org/10.2105/AJPH.2014.302017 | DOI Listing |
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Objective: To combat the heightened risk of opioid overdose death for individuals with criminal justice involvements, enhanced access to Medicaid remains paramount. This study examines the effect of a 2017 policy change in Pennsylvania that allowed for suspension, rather than termination, of Medicaid coverage while in prison on post-release opioid overdose mortality risk (OOMR) for adults released from Pennsylvania prisons.
Methods: This retrospective cohort study utilizes administrative records from the Pennsylvania Department of Corrections for adults ≥18 years diagnosed with opioid use disorder (OUD) released in either 2015 or 2018.
Home- and Community-Based Services: A Comparison of Brain Injury Waivers Across the United States.
J Head Trauma Rehabil
October 2024
Author Affiliation: Occupational Therapy, University of Kansas Medical Center, Kansas City, Kansas.
Objective: Adults and children who experience brain injury may need services and support when they return to the community. Home- and community-based services waivers are one way to access those supports. Brain injury waivers do not exist in every state, and variations exist in current waivers.
View Article and Find Full Text PDFResumption Of Medicaid Eligibility Redeterminations: Little Change In Overall Insurance Coverage.
Health Aff (Millwood)
November 2024
M. Kate Bundorf, Duke University.
In anticipation of the end of the COVID-19 public health emergency, Congress ended the Medicaid continuous coverage requirement on March 31, 2023, allowing states to terminate coverage for ineligible people and resume eligibility determinations through a process known as unwinding. Although administrative data have documented substantial declines in Medicaid enrollment since April 2023, the impact on uninsurance is unknown. Using data from the Census Bureau's Household Pulse Survey, we estimated the early effect of Medicaid unwinding on insurance coverage among people ages 19-64.
View Article and Find Full Text PDFEnd-of-Life Health Care Service Use and Cost Among Medicare Decedents With Neurodegenerative Diseases.
Neurology
November 2024
From the Department of Neurology (W.W.A., N.D., H.E., A.L.C.S., A.W.W.), Translational Center of Excellence for Neuroepidemiology and Neurology Outcomes Research (W.W.A., N.D., A.L.C.S., A.W.W.), Perelman School of Medicine, Department of Medical Ethics and Health Policy (C.S., N.B.C.), Leonard Davis Institute of Health Economics (N.D., A.L.C.S., N.B.C., A.W.W.), and Department of Biostatistics, Epidemiology, and Informatics (A.L.C.S., J.T.F., A.W.W.), Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Article Synopsis
- The study investigates healthcare utilization and costs during the end-of-life period for Medicare beneficiaries with neurodegenerative diseases (like Alzheimer’s, Parkinson’s, and ALS) compared to those with cancer, specifically malignant brain tumors and pancreatic cancer.
- Researchers analyzed 2018 data, looking at demographics, clinical characteristics, and healthcare service usage over the final year of life, focusing particularly on emergency department visits, hospitalizations, and hospice care.
- Results showed that individuals with neurodegenerative diseases were generally older and more reliant on Medicaid, had higher odds of emergency department use but lower hospitalization rates compared to cancer patients, with overall healthcare costs primarily driven by inpatient care.
Missed Opportunities for use of Advanced Care Planning and Palliative Care in Open Aortic Surgery.
Ann Vasc Surg
January 2025
Division of Vascular Surgery, Department of Surgery, University of California Davis School of Medicine, Sacramento, CA. Electronic address:
Article Synopsis
- Major vascular surgeries, like open aortic procedures, carry a high risk with a 30-day mortality rate over 6% and complications exceeding 50%, highlighting the need for structured care plans to improve patient outcomes and align medical interventions with care goals.
- A study analyzed data from 192 patients who underwent open aortic surgery between July 2014 and March 2023, focusing on their demographics, advance care planning (ACP), palliative care evaluations, and clinical outcomes.
- The findings revealed that only 16.7% had an ACP document, mostly durable power of attorney, and a very small percentage received palliative care
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