2025
Quality of gastrointestinal surgical oncology care according to insurance status
Butensky S, Kerekes D, Bakkila B, Billingsley K, Ahuja N, Johnson C, Khan S. Quality of gastrointestinal surgical oncology care according to insurance status. Journal Of Gastrointestinal Surgery 2025, 29: 101961. PMID: 39800081, DOI: 10.1016/j.gassur.2025.101961.Peer-Reviewed Original ResearchConceptsMedicare-insured patientsNational Cancer DatabaseAdequate lymphadenectomyNegative marginsCancer DatabaseRetrospective study of adult patientsStudy of adult patientsSurvival analysisInsurance statusReceipt of lymphadenectomyCurative-intent resectionGastrointestinal (GI) cancersIncreased risk of deathMultivariate survival analysisAdequacy of lymphadenectomyCox proportional hazards modelsRisk of deathProportional hazards modelResection marginsSurgical oncology careAdjuvant therapyRetrospective studyAdult patientsBiliary organismsLymphadenectomyAssessing Medicare’s Coverage With Evidence Development Program
Mooghali M, Moneer O, Janda G, Dhruva S, Ross J, Ramachandran R. Assessing Medicare’s Coverage With Evidence Development Program. Health Affairs 2025, 44: 32-39. PMID: 39761464, DOI: 10.1377/hlthaff.2024.00814.Peer-Reviewed Original Research
2024
Medicare Local Coverage Determinations: Evidence Quality Is Stronger For Covered Indications
Moneer O, Mooghali M, Moosa K, Ramachandran R, Ross J, Dhruva S. Medicare Local Coverage Determinations: Evidence Quality Is Stronger For Covered Indications. Health Affairs 2024, 43: 1712-1718. PMID: 39626147, DOI: 10.1377/hlthaff.2024.00182.Peer-Reviewed Original ResearchConceptsCentury Cures ActLocal coverage determinationsCures ActQuality of evidenceHigh-risk devicesCoverage decisionsPatient ageClinical evidenceClinical studiesCoverage determinationMedical literatureTherapeutic drugsSixty-fiveCoverage databaseEvidence strengthEvidence qualityEvidence summaryActMedicare coverage decisionsMedicare beneficiary populationOrthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization
Kebeh M, Dlott C, Kurek D, Tung W, Morris J, Wiznia D. Orthopaedic Nurse Navigators and Total Joint Arthroplasty Preoperative Optimization. Orthopaedic Nursing 2024, 43: 195-201. PMID: 39047269, PMCID: PMC11279383, DOI: 10.1097/nor.0000000000001039.Peer-Reviewed Original ResearchMeSH KeywordsArthroplasty, ReplacementHumansInsurance CoverageMedication Therapy ManagementOrthopedic NursingPatient NavigationPreoperative CareConceptsNurse navigatorPayer statusMedical managementMedical management guidelinesMedication reconciliationResource referralsPatient educationInsurance statusPreoperative optimization protocolFinancial concernsInsurance coveragePatient outcomesLiterature searchNursesTJA patientsManagement guidelinesPayersMedicationStatusInsuranceFinancial resourcesEducationPatientsRecommendationsReferralImpact of medicaid expansion on cervical cancer screening: A state-specific difference in difference analysis
Bergstein A, Huang Y, Hershman D, Xu X, Wright J. Impact of medicaid expansion on cervical cancer screening: A state-specific difference in difference analysis. Gynecologic Oncology 2024, 189: 49-55. PMID: 39013240, DOI: 10.1016/j.ygyno.2024.06.028.Peer-Reviewed Original ResearchConceptsCervical cancer screeningBaseline screening ratesNon-expansion statesCancer screeningMedicaid expansion statesScreening ratesExpansion statesMedicaid expansionBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemImpact of Medicaid expansionPre-expansion periodPost-expansion periodAffordable Care ActEffect of Medicaid expansionOutcome measuresCare ActMedicaid coverageHousehold incomeEvaluate trendsSurveillance systemMedicaidDiD analysisState-specific differencesFemale respondentsMedicare Coverage and Patient Out-of-Pocket Costs for Cardiovascular-Kidney-Metabolic Medications
Young G, Bansal K, Riello R, Clark K, Dhruva S, Faridi K, Desai N. Medicare Coverage and Patient Out-of-Pocket Costs for Cardiovascular-Kidney-Metabolic Medications. JAMA Network Open 2024, 7: e2412437. PMID: 38771578, PMCID: PMC11109768, DOI: 10.1001/jamanetworkopen.2024.12437.Peer-Reviewed Original ResearchMortality and morbidity ramifications of proposed retractions in healthcare coverage for the United States
Pandey A, Fitzpatrick M, Singer B, Galvani A. Mortality and morbidity ramifications of proposed retractions in healthcare coverage for the United States. Proceedings Of The National Academy Of Sciences Of The United States Of America 2024, 121: e2321494121. PMID: 38648491, PMCID: PMC11066981, DOI: 10.1073/pnas.2321494121.Peer-Reviewed Original ResearchMeSH KeywordsAgedFemaleHumansInsurance CoverageInsurance, HealthMaleMedicaidMedicareMorbidityMortalityUnited StatesMedicaid Expansion Under the Affordable Care Act and Early Mortality Following Lung Cancer Surgery
Nogueira L, Boffa D, Jemal A, Han X, Yabroff K. Medicaid Expansion Under the Affordable Care Act and Early Mortality Following Lung Cancer Surgery. JAMA Network Open 2024, 7: e2351529. PMID: 38214932, PMCID: PMC10787311, DOI: 10.1001/jamanetworkopen.2023.51529.Peer-Reviewed Original ResearchConceptsMedicaid expansion statusNon-small cell lung cancerMedicaid expansion statesMedicaid expansionSurgical resection of non-small cell lung cancerResection of non-small cell lung cancerDifference-in-differencesExpansion statesPatients' state of residenceNonexpansion statesCohort studyAssociation of Medicaid expansionExpansion statusPostoperative mortalityDifference-in-differences analysisStudy population characteristicsState of residenceAffordable Care ActHealth insurance coverageCohort study of patientsSurgical resectionEarly mortalityMain OutcomesAssociated with declinesCancer outcomes
2023
Traditional Medicare or Medicare Advantage? The Leukemia and Cancer Perspective
Kantarjian H, Zeidan A, Fathi A, Stein E, Rajkumar V, Tefferi A. Traditional Medicare or Medicare Advantage? The Leukemia and Cancer Perspective. Mayo Clinic Proceedings 2023, 99: 15-21. PMID: 38108685, DOI: 10.1016/j.mayocp.2023.11.004.Peer-Reviewed Original ResearchMeSH KeywordsAgedHumansInsurance CoverageInsurance, MedigapLeukemiaMedicare Part CNeoplasmsUnited StatesVariation in Procedural Denials of Medicaid Eligibility Across States Before the COVID-19 Pandemic
Schpero W, Brahmbhatt D, Liu M, Ndumele C, Chatterjee P. Variation in Procedural Denials of Medicaid Eligibility Across States Before the COVID-19 Pandemic. JAMA Health Forum 2023, 4: e233892. PMID: 37976050, PMCID: PMC10656645, DOI: 10.1001/jamahealthforum.2023.3892.Peer-Reviewed Original ResearchState insurance mandates are necessary but not sufficient for closing the racial and ethnic disparity gap in assisted reproductive technology
Volovsky M, Seifer D. State insurance mandates are necessary but not sufficient for closing the racial and ethnic disparity gap in assisted reproductive technology. Fertility And Sterility 2023, 121: 46-47. PMID: 37816429, DOI: 10.1016/j.fertnstert.2023.10.003.Peer-Reviewed Original ResearchInsurance-Based Disparities in Stroke Center Access in California: A Network Science Approach
Zachrison K, Hsia R, Schwamm L, Yan Z, Samuels-Kalow M, Reeves M, Camargo C, Onnela J. Insurance-Based Disparities in Stroke Center Access in California: A Network Science Approach. Circulation Cardiovascular Quality And Outcomes 2023, 16: e009868. PMID: 37746725, PMCID: PMC10592016, DOI: 10.1161/circoutcomes.122.009868.Peer-Reviewed Original ResearchConceptsInsurance-based disparitiesStroke centersEmergency departmentHospital clustersInitial emergency departmentIschemic stroke admissionsHospital emergency departmentClusters of hospitalsLogistic regression modelsStroke admissionsUninsured patientsPatient insuranceLower oddsPatientsLess strokeCenter accessOddsCenter transferHospitalLikelihood of transferInsurance groupsRegression modelsLower proportionDepartmentAssociationFinancial Conflicts of Interest in Public Comments on Medicare National Coverage Determinations of Medical Devices
Lu A, Ji R, Ge A, Ross J, Ramachandran R, Redberg R, Dhruva S. Financial Conflicts of Interest in Public Comments on Medicare National Coverage Determinations of Medical Devices. JAMA 2023, 330: 1094-1096. PMID: 37589985, PMCID: PMC10436180, DOI: 10.1001/jama.2023.14414.Peer-Reviewed Original ResearchDo Children With Medicaid Insurance Have Increased Revision Rates 5 Years After Posterior Spinal Fusions?
Moore H, Patibandla S, McClung A, Grauer J, Sucato D, Wise C, Johnson M, Rathjen K, McIntosh A, Ramo B, Brooks J. Do Children With Medicaid Insurance Have Increased Revision Rates 5 Years After Posterior Spinal Fusions? Journal Of Pediatric Orthopaedics 2023, 43: 615-619. PMID: 37694695, DOI: 10.1097/bpo.0000000000002504.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentChildComorbidityHumansInsurance CoverageMedicaidRetrospective StudiesScoliosisSpinal FusionUnited StatesConceptsPosterior spinal fusionAdolescent idiopathic scoliosisMedicaid insurancePrivate insuranceRevision surgerySpinal fusionInternational ClassificationBaseline medical comorbiditiesKaplan-Meier analysisLog-rank testSegmental spinal instrumentationLong fusion constructsBaseline comorbiditiesIndependent t-testIndex surgeryMedical comorbiditiesPostoperative complicationsCause revisionCohort studyNinth RevisionAIS patientsRevision codesPrimary diagnosisHigh prevalenceMedicaid patientsHealth Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion
Howell B, Hawks L, Balasuriya L, Chang V, Wang E, Winkelman T. Health Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion. Psychiatric Services 2023, 74: 1019-1026. PMID: 37016823, PMCID: PMC10939137, DOI: 10.1176/appi.ps.20220171.Peer-Reviewed Original ResearchConceptsHealth insurance coverageMental disordersMedicaid expansionSubstance useInsurance coverageTreatment useMental health treatment useAffordable Care Act Medicaid expansionMental health treatmentSubstance use disordersFederal poverty levelUse of treatmentsLegal involvementLow health insurance coverageNSDUH respondentsUse disordersHealth treatmentDrug useMental illnessPercentage point increaseAge 18Insurance accessDisordersHealth insuranceTreatmentImpact of insurance status on healthcare resource utilization and outcomes in adolescent patients presenting with spinal cord injuries.
Sandhu M, David W, Reeves B, Sherman J, Craft S, Jayaraj C, Boroumand S, Clappier M, Gutierrez A, Sarkozy M, Koo A, Tuason D, DiLuna M, Elsamadicy A. Impact of insurance status on healthcare resource utilization and outcomes in adolescent patients presenting with spinal cord injuries. Journal Of Neurosurgery Pediatrics 2023, 32: 294-301. PMID: 37021755, DOI: 10.3171/2023.2.peds22506.Peer-Reviewed Original ResearchConceptsSpinal cord injuryHospital adverse eventsHealthcare resource utilizationAdverse eventsInsurance statusAdolescent patientsGovernmental insuranceInsurance cohortCord injuryNon-Hispanic white patientsNational Trauma Data BankPrivate insuranceThoracic spinal cord injuryPrivate insurance cohortAdministrative database studyTrauma Data BankClinical Modification codingMultivariate regression analysisPI cohortMedian LOSAdult patientsDischarge dispositionPatient demographicsSCI patientsWhite patientsCharacterizing the lack of diversity in musculoskeletal urgent care website content
Dlott C, Metcalfe T, Bahel A, Jain S, Donnelley C, Kayani J, Wiznia D. Characterizing the lack of diversity in musculoskeletal urgent care website content. BMC Health Services Research 2023, 23: 297. PMID: 36978168, PMCID: PMC10053459, DOI: 10.1186/s12913-023-09270-5.Peer-Reviewed Original ResearchConceptsUrgent care centersCare centerUnivariate logistic regressionMedicaid insuranceEmergency departmentObese individualsPatient populationSpecialty carePatients' perceptionsOrthopedic injuriesOrthopaedic careMedical providersMedical careLogistic regressionMethodsOur groupMedicaid acceptanceBody typeCarePatientsCoverage of Fertility Preservation and Treatment Among Surgical Trainees in the United States of America
Wo L, Eidelson S, Zheng C, Mouhanna J, Bussies P, Zhang C, Möller M. Coverage of Fertility Preservation and Treatment Among Surgical Trainees in the United States of America. Journal Of Surgical Education 2023, 80: 689-696. PMID: 36933957, DOI: 10.1016/j.jsurg.2023.02.012.Peer-Reviewed Original ResearchMeSH KeywordsBreastFemaleFertility PreservationHumansInsurance CoverageInternship and ResidencyMalePregnancySurveys and QuestionnairesUnited StatesConceptsFertility preservationGeneral surgery residentsFertility servicesInsurance coverageFertility educationHigh-risk pregnanciesUS general surgery residency programsSurgical traineesGeneral surgery residency programsAssociated with female genderInfertility challengesInstitutional supportPearson chi-square testInstitutional coverageSurgery residency programsUnited States of AmericaFertile yearsFellowship program directorsUS general surgery residentsChi-square testStates of AmericaUnited StatesGS residentsSurgery traineesPerceived lackAccess to urologic cancer care for Medicaid-insured patients
Laditi F, Nie J, Hsiang W, Umer W, Haleem A, Marks V, Buck M, Leapman M. Access to urologic cancer care for Medicaid-insured patients. Urologic Oncology Seminars And Original Investigations 2023, 41: 206.e21-206.e27. PMID: 36740488, DOI: 10.1016/j.urolonc.2023.01.014.Peer-Reviewed Original ResearchConceptsUrologic cancer careCancer careMedicaid insuranceMedicaid acceptanceAcceptance of MedicaidPrimary study outcomeNew Medicaid patientsMedicaid expansion statusNon-expansion statesState Medicaid programsMedicare reimbursement ratesAffordable Care ActVulnerable patientsMedicaid patientsHospital statusKidney tumorsNew diagnosisPatientsHealthcare accessExpansion statusFacility characteristicsNon-teaching facilitiesStudy outcomesAmerican Hospital DirectoryMedicaidRural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum
Admon L, Daw J, Interrante J, Ibrahim B, Millette M, Kozhimannil K. Rural and Urban Differences in Insurance Coverage at Prepregnancy, Birth, and Postpartum. Obstetrics And Gynecology 2023, 141: 570-581. PMID: 36735410, PMCID: PMC9928561, DOI: 10.1097/aog.0000000000005081.Peer-Reviewed Original ResearchConceptsUrban U.S. residentsRural residentsInsurance coverageUrban counterpartsUrban residentsCross-sectional analysis of survey dataMaternity care accessRural-urban differencesNon-Hispanic whitesU.S. residentsCross-sectional analysisRural–urban inequalityLogistic regression modelsNon-expansion statesCare accessMaternal healthPostpartum individualsUrban differencesIntended pregnancyOdds ratioUnadjusted estimatesPrepregnancyInsurance continuityClinical characteristicsMedicaid expansion
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