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Out-of-pocket costs for naloxone

A recent observational study found that out-of-pocket naloxone costs hindered access among the uninsured population, particularly those with opioid use disorder. The study's findings suggest that cost barriers may not significantly limit naloxone use in this vulnerable group.

SourceJAMA Network·JournalJAMA Health Forum·DateAug 19, 2022

Out-of-pocket cost of naloxone may keep may uninsured from using life-saving treatment

A RAND Corporation study found that the out-of-pocket cost of naloxone increased by more than 500% for those without health insurance, while decreasing for those with coverage. The high cost may be a significant barrier to naloxone adoption among the uninsured, highlighting the need for policymakers to address financial barriers.

SourceRAND Corporation·JournalJAMA Health Forum·TypeData/statistical analysis·DateAug 19, 2022

New Medicaid study: Expanding insurance coverage for adults also helps enroll children

A new study by Columbia University and MIT researchers found that expanding Medicaid coverage to adults can also help enroll children, a phenomenon known as the 'woodwork effect'. The study examined Oregon's 2008 Medicaid lottery and found that for every nine adults who gained coverage, one additional child also enrolled.

SourceColumbia University's Mailman School of Public Health·JournalAmerican Economic Journal Economic Policy·DateAug 9, 2022

LSU Health New Orleans analysis highlights importance of including demographic data in human research papers to reduce health disparities

A recent study published in The Journal of Bone and Joint Surgery found that only 35.9% of articles reported patient race, 15.4% reported ethnicity, and 8.3% reported income. Including demographics in multivariable analyses is crucial to determine the applicability of study results to diverse patient populations.

SourceLouisiana State University Health Sciences Center·JournalJournal of Bone and Joint Surgery·TypeMeta-analysis·DateJul 26, 2022

New report underscores importance of health insurance status and cancer stage at diagnosis and survival

A new report by the American Cancer Society shows individuals without health insurance coverage were more likely to be diagnosed with late-stage cancer and have worse survival rates. Uninsured individuals diagnosed with Stage I disease had worse survival rates for six cancers compared to those with private health insurance.

SourceAmerican Cancer Society·JournalJournal of General Internal Medicine·DateJul 13, 2022

Costs for emergency allergy injectors still high for some?

A new study found that while the availability of lower-priced epinephrine auto-injector competitors has improved affordability for many patients, a significant minority still pay significantly more for life-saving medication. High-deductible health plans are a major contributing factor to these high costs.

SourceMichigan Medicine - University of Michigan·JournalJournal of General Internal Medicine·TypeData/statistical analysis·DateJul 12, 2022

After facial feminization surgery, transgender people report better psychosocial health

A new UCLA study found that transgender patients who underwent gender-affirming facial feminization surgery reported higher scores in seven measures of psychosocial health, including anxiety, depression, and positive affect. The study suggests that facial feminization surgery is an important procedure for treating gender dysphoria.

Use of short-course radiation therapy for lymphomas

This analysis evaluated changes in short-course radiation therapy use and spending on low-grade lymphoma patients from 2015 to 2019. The study found a significant increase in the use of this therapy among Medicare beneficiaries, suggesting potential cost savings and improved patient outcomes.

SourceJAMA Network·JournalJAMA Health Forum·DateJul 1, 2022

Fixed vial sizes for controversial Alzheimer's drug could waste $605 million in Medicare spending each year

A new UCLA study found that fixed vial sizes for the controversial Alzheimer's drug aducanumab could result in significant wasteful spending of up to $605 million per year on Medicare. The researchers suggest reducing vial sizes to contain costs and improve the value of future Medicare spending.

SourceUniversity of California - Los Angeles Health Sciences·JournalJournal of the American Geriatrics Society·TypeData/statistical analysis·DateJun 27, 2022

What will it take to transform obesity care for all?

The US healthcare system faces a significant challenge in providing high-quality, personalized obesity care due to lack of insurance coverage for effective medications and societal stigma. Recent efforts aim to address this issue through framework development and policy changes, which may lead to improved patient outcomes and cost savi...

SourceMichigan Medicine - University of Michigan·JournalPrimary Health Care Research & Development·TypeObservational study·DateMay 31, 2022

Study shows amputation, hospitalization rates fell among minorities following Medicaid expansion

A new study reveals that Medicaid expansion under the Affordable Care Act has led to a significant decrease in diabetic foot amputations among racial and ethnic minority adults. The study found that this expansion has resulted in better healthcare outcomes for these underserved populations, reducing rates of diabetes-related major ampu...

SourceUniversity of Arizona Health Sciences·JournalJAMA Network Open·TypeData/statistical analysis·DateMay 5, 2022

About 30% of COVID patients develop “Long COVID,” UCLA research finds

A study of 309 people with long COVID found that fatigue, shortness of breath, and loss of sense of smell were the most persistent symptoms. The research also revealed that factors such as history of hospitalization, diabetes, and body mass index increased the risk of developing Long COVID.

SourceUniversity of California - Los Angeles Health Sciences·JournalJournal of General Internal Medicine·TypeObservational study·DateApr 18, 2022

Medicaid health plan community health workers have positive impact on care

A randomized controlled trial found that community health workers (CHWs) employed by Medicaid plans can help low-income individuals rely less on emergency rooms and more on outpatient care. The study showed significant reductions in acute care visits and costs, while outpatient visits increased among participants who connected with a CHW.

SourceMichigan Medicine - University of Michigan·JournalAmerican Journal of Public Health·TypeRandomized controlled/clinical trial·DateApr 1, 2022

New parents risk financial burden because of the costs of pregnancy and delivery, study finds

A recent study published in Obstetrics and Gynecology found that birthing parents are at a higher risk of financial burden due to out-of-pocket medical costs, with low-income families facing the highest risks. Public health insurance, including Medicaid, was associated with lower risks of catastrophic health expenditures.

SourceThe Mount Sinai Hospital / Mount Sinai School of Medicine·JournalObstetrics and Gynecology·DateMar 10, 2022

Affordability and access challenges among subscribers to non-group insurance plans

A new study by Harvard Pilgrim Health Care Institute examines cost-related experiences of families with non-group health insurance plans. Despite lower out-of-pocket spending among subsidy-eligible enrollees, negative cost-related experiences persist, highlighting the need for expanded subsidies to address affordability challenges.

SourceHarvard Pilgrim Health Care Institute·JournalJAMA Health Forum·DateMar 4, 2022

Effectiveness of letters to increase health insurance enrollment

A randomized clinical trial found that low-cost letters encouraging individuals to complete the enrollment process resulted in a significant increase in health insurance enrollment. The study suggests that such letters could be an effective tool for promoting health insurance coverage, particularly among underserved populations.

SourceJAMA Network·JournalJAMA Health Forum·DateMar 4, 2022

Change in Medicaid enrollment early in pandemic

A study of 790,000 Wisconsin Medicaid enrollees found that maintenance of eligibility requirements were associated with decreased enrollment, while pandemic-related employment shocks led to significant increases in enrollment. The study suggests that the COVID-19 pandemic has had a substantial impact on Medicaid enrollment patterns.

SourceJAMA Network·JournalJAMA Health Forum·DateFeb 4, 2022

For the uninsured, crowdfunding provides little help in paying for health care and deepens inequities

A new study found that crowdfunding has limited success in helping people pay their medical bills, particularly in low-income and under-insured communities. Despite raising over $650 million annually, 33.8% of campaigns remain unfunded, highlighting the need for better health insurance coverage and social assistance programs.

SourceUniversity of Washington·JournalAmerican Journal of Public Health·TypeData/statistical analysis·DateFeb 3, 2022

Study finds concerning variations in care between physicians of the same specialty and in the same city, delivering care in the same clinical scenarios

A new study published in JAMA Health Forum found significant variations in care delivery among physicians with the same specialty and city, despite delivering care in the same clinical scenarios. The researchers analyzed medical insurance records from 2016 to 2019 and found that top-performing physicians were five to 10 times more like...

SourceHarvard Medical School·JournalJAMA Health Forum·TypeData/statistical analysis·DateFeb 2, 2022

Geography affects mental health care

A new study found that rural patients rely on primary care physicians and nurses more often, leading to higher copays and out-of-pocket costs for mental health care. The usage gap narrowed over time, but quality and cost of care remained inequitable.

SourceUniversity of Georgia·JournalThe Journal of Rural Health·DateFeb 1, 2022