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Racial, socioeconomic, and payer status disparities in utilization of unicompartmental knee arthroplasty in the USA.
Knee Surg Relat Res
January 2025
Department of Orthopedic Surgery, The Johns Hopkins University School of Medicine, 601 N Caroline St., Baltimore, MD, 21287, USA.
Background: Unicompartmental knee arthroplasty (UKA) is a surgical treatment for knee osteoarthritis associated with lower morbidity compared with total knee arthroplasty (TKA) in patients with isolated unicompartmental knee arthritis. As disparities have been noted broadly in arthroplasty care, it follows that such disparities might be present in the utilization of UKA relative to TKA. This study therefore examined racial/ethnic, socioeconomic, and payer status differences in utilization of UKA.
View Article and Find Full Text PDFMedicare Advantage Networks Include Few Black Or Hispanic Physicians, Making Concordant Care Inaccessible For Many.
Health Aff (Millwood)
January 2025
Amal N. Trivedi, Brown University and Providence Veterans Affairs Medical Center, Providence, Rhode Island.
Black and Hispanic patients who receive care from Black and Hispanic physicians have greater use of preventive care. However, receiving care from racially concordant physicians requires that such physicians are included in private insurance plan networks. Using data from 2019, we examined the extent to which racially concordant physicians are available in the Medicare Advantage (MA) program, which disproportionately enrolls Black and Hispanic Medicare beneficiaries, by linking MA physician networks to physician race and ethnicity to measure the diversity of in-network physicians.
View Article and Find Full Text PDFTaking CMS Back to HCFA: Harnessing Private Innovation to Secure and Enhance Medicare.
J Am Geriatr Soc
January 2025
Jefferson College of Population Health, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Esophagectomy Trends and Postoperative Outcomes at Private Equity-Acquired Health Centers.
JAMA Surg
January 2025
Department of Surgery, University of Michigan, Ann Arbor.
Article Synopsis
- This study investigates the impact of private equity acquisition on the quality of care for patients undergoing esophagectomy in US hospitals.
- It compares patient outcomes, specifically focusing on 30-day postoperative complications and mortality, between private equity-acquired hospitals and nonacquired facilities.
- Findings reveal that patients at private equity-acquired hospitals have higher mortality rates and lower annual surgical procedure volumes compared to those at nonacquired hospitals.
Impact of medical and recreational cannabis laws on inpatient visits for asthma.
Health Serv Res
December 2024
Department of Economics, College of Business, University of Louisville, Louisville, Kentucky, USA.
Objective: To examine the impact of medical and recreational cannabis laws on inpatient visits for asthma and by payer-type.
Study Setting And Design: Quasi-experimental difference-in-differences regression analysis was conducted while accounting for variations in cannabis laws implementation timing by states. Inpatient visits for asthma in states with a given type of cannabis law were compared with those in states that did not implement the specific law.
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