Achievement of guideline-based lipid goals among very-high-risk patients with atherosclerotic cardiovascular disease and type 2 diabetes: results in 213,380 individuals from the cv... by Satoshi Shoji, Nishant P. Shah, Peter Shrader, Laine E. Thomas, Jonathan D. Arnold, Nafeesa N. Dhalwani, Neena A. Thomas, Bethany Kalich, Elisa L. Priest, Mahanaz Syed, Cezary Wójcik, Eric D. Peterson, Ann Marie Navar

“…Women, Black individuals, and those on Medicaid were significantly less likely to achieve these goals relative to their counterparts. …”
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Predictors of Colorectal Cancer Screening and Screening Modalities among Patients seen at Federally Qualified Health Centers Funded by the United States Health Resources and Servic... by Megan R.M. Aaronson, Nadereh Pourat, Connie Lu, Jayraan Badiee, Helen Yu-Lefler, Benjamin Picillo, Hank Hoang, Folasade P. May

“…Selected factors associated with any CRC screening included having five or more health center visits in the past year (aOR = 1.66, 95 %CI = 1.07–2.56), being insured (Medicaid aOR = 2.25, 95 %CI = 1.44–3.54; other insurance aOR = 2.69, 95 %CI = 1.51–4.82), living within 30  minutes of the health center (aOR = 1.93, 95 %CI = 1.15–3.25), having multiple comorbidities (aOR = 1.72, 95 %CI = 1.13–2.63), using telehealth (aOR = 1.52, 95 %CI = 1.02–2.27), and having a flu shot last year (aOR = 1.77, 95 %CI = 1.29–2.45). …”
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Patient Experiences with an mHealth App for Complex Chronic Disease Care: Connections Despite Lack of Traditional Clinical Interactions by Jenney Lee, Melissa Cheyney, Michael May, Marit Bovbjerg

“…We used nurse/patient text messages from an mHealth complex chronic disease management tool, and exit interviews from patients, to assess qualitatively Medicaid patients' experiences with a remote monitoring mHealth app. …”
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Understanding and promoting equitable post-discharge care in firearm injury survivors: a retrospective chart review by Claire L. Jacobson, Rehan Choudhury, Allison Broad, Anna M. Maw, Chelsea Wolf, Brian Adams, Anne Drabkin

“…Key findings were that patients from racial and ethnic minorities, patients insured by Medicaid, and patients experiencing homelessness were overrepresented in the study cohort. …”
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Investigating racial disparities in drug prescriptions for patients with endometriosis by Aparajita Kashyap, Maryam Aziz, Tony Y Sun, Sharon Lipsky Gorman, Jessica Opoku-Anane, Noémie Elhadad

“…Abstract We assess racial disparities in medication prescription patterns for endometriosis patients across Medicaid administrative claims data. We use ATC 3rd level drug codes to identify drug classes prescribed significantly more frequently for endometriosis patients than a comparison cohort of non-endometriosis patients. …”
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Low-Density Lipoprotein Cholesterol Levels in Coronary Artery Disease Patients: Opportunities for Improvement by Gary J. Martin, Meron Teklu, Edwin Mandieka, Joe Feinglass

“…Higher LDL-C values were associated with female sex, younger patients, non-Hispanic Black patients, high poverty or out of state zip code, Medicaid, or angina as the qualifying diagnosis. For 332 clinicians with >10 patients in the cohort, mean last recorded LDL-C values ranged from 47 to 102 mg/dL. …”
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Medication for opioid use disorder service delivery in carceral facilities: update and summary report by Justin Berk, Anna-Maria South, Megan Martin, Michael-Evans James, Cameron Miller, Lawrence Haber, Josiah Rich

“…Recent policy changes, such as Sect. 1115 Medicaid waivers, offer promising avenues for expanding access, but retention in treatment and post-release outcomes remain significant challenges. …”
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Operative Versus Nonoperative Management of Pyogenic Flexor Tenosynovitis: An Analysis of the National Readmissions Database by Justin D. Sawyer, MD, Justin Davis, MD, Steven Scaife, MS, Michael W. Neumeister, MD, Timothy H.F. Daugherty, MD

“…Variables associated with 90-day readmission were higher Charlson comorbidity index, hypertension, Medicaid insurance, longer initial length of hospital stay, tobacco use, and nonsurgical management. …”
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The Merit-based Incentive Payment System: Pearson’s Chi-Square and Categorical Dependent Variable Models Analyzed for Domains---Effective Clinical Care and Efficiency/Cost Reductio... by Amrita Shenoy

“…**Background:** Following the 2015 repeal of the Sustainable Growth Rate formula, the US Centers for Medicare & Medicaid Services' formula under which physicians were reimbursed, two payment systems were put in place to incentivize physicians, one of which was the Merit-based Incentive Payment System (MIPS). …”
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Healthcare Resource Utilization Among Patients With Agitation in Alzheimer Dementia by Christie Teigland, Zulkarnain Pulungan, David Bruhn, Steve Hwang

“…Patients with agitation in Alzheimer dementia were more likely than those without agitation in Alzheimer dementia to have lower socioeconomic status (dual eligibility for Medicaid, 45.0% vs 41.7%, respectively) or be disabled (10.5% vs 9.4%). …”
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Medical Resource Use and Costs of Treating Sickle Cell-related Vaso-occlusive Crisis Episodes: A Retrospective Claims Study by Nirmish Shah, Menaka Bhor, Lin Xie, Jincy Paulose, Huseyin Yuce

“…**Methods:** Using the Medicaid Analytic Extracts database, the first SCD-related diagnosis claim (index claim) between June 1, 2009–December 31, 2012 was identified among eligible adults. …”
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Sociodemographic and behavioral factors associated with diet quality among low-income community health center patients with hypertension. by Jessica Cheng, Katherine C Faulkner, Ashlie Malone, Kristine D Gu, Anne N Thorndike

“…<h4>Results</h4>Participants (N = 291) were mostly female (65.0%), on Medicaid (82.8%), food insecure (59.5%), and Hispanic (52.2%). …”
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Budget Impact Analysis of Darbepoetin Alfa Every 3 Weeks versus Epoetin Alfa Every Week for Cancer Patients with Anemia due to the Effect of Concomitant Myelosuppressive Chemothera... by November McGarvey, Hairong Xu

“…The 2014 Centers for Medicare and Medicaid Services (CMS) reimbursement rates used were: average sales price +12% of $3.68/mcg (DA) and $11.38/1000 IU (EA), and office-based injection cost of $25.08. …”
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Payment models and the sustainability of community pharmacy practice: a qualitative interview study with community pharmacists by Kelly Ann Schmidtke, Terri Warholak

“…Background The sustainability of community pharmacies in the United States depends, in large part, on policies enacted by the Centers for Medicare and Medicaid Services (CMS). In 2003, CMS policy allowed retrospective direct and indirect remuneration (DIR) fees to manage costs. …”
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Race/Ethnicity, Primary Language, and Income Are Not Demographic Drivers of Mortality in Breast Cancer Patients at a Diverse Safety Net Academic Medical Center by Divya A. Parikh, Rani Chudasama, Ankit Agarwal, Alexandar Rand, Muhammad M. Qureshi, Taylor Ngo, Ariel E. Hirsch

“…Unlike other large-scale studies, non-White race, non-English primary language, low income, or Medicaid insurance did not result in worse outcomes.…”
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Dissemination of Evidence-Based Recommendations for Sickle Cell Disease to Primary Care and Emergency Department Providers in North Carolina: A Cost Benefit Analysis by Paula Tanabe, Audrey L. Blewer, Emily Bonnabeau, Hayden B. Bosworth, Denise H. Clayton, Nancy Crego, Marian F. Earls, Kern Eason, Grayson Forlines, Gary Rains, Matthew Young, Nirmish Shah

“…Tools were made available in paper, online, and in app formats to participating managed care network practices (n=1&#8239;800). Medicaid claims data were analyzed for total costs and benefits of the toolbox dissemination for a 24-month pre- and 18-month post-intervention period. …”
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Association Between Vaso-Occlusive Crises and Opioid Prescriptions Among Patients with Sickle Cell Disease: A Retrospective Claims-Based Study by Hyeun Ah Kang, Jamie C. Barner, Kristin M. Richards, Menaka Bhor, Jincy Paulose, Abdullah Kutlar

“…**Methods:** This was a retrospective cohort study using Texas Medicaid medical and prescription claims between September 2011 and August 2016. …”
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Understanding hospital length of stay in trauma laparotomy patients: a National Trauma Database Study by Jeremy Grushka, Kosar Khwaja, Hayaki Uchino, Evan G Wong

“…Most comorbidities were associated with a long HLOS, and patients with Medicaid or Medicare had a higher likelihood of a long HLOS.Conclusion Despite the relatively homogenous trauma population, HLOS distribution varied significantly. …”
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Association of a Liver Allocation Policy Change With Domestic Travel for Liver Transplantation by Katie Ross-Driscoll, PhD, MPH, Chandrashekhar Kubal, MD, PhD, Arrey-Takor Ayuk-Arrey, MPH, Jonathan Fridell, MD, David Axelrod, MD, MBA

“…Black race, lower educational attainment, increased neighborhood social deprivation, and Medicaid were significantly associated with decreased odds of traveling beyond a neighboring region. …”
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A Contemporary Analysis of Discharge Disposition Following Total Joint Arthroplasty by Swaroopa Vaidya, MS, Gregory Panza, PhD, Jake Laverdiere, BS, Dianne Vye, MSN, RN, ONC, Jenna Bernstein, MD

“…Background: Total joint arthroplasty (TJA) represents the single largest procedural cost for the Centers for Medicare &amp; Medicaid Services. Discharge to a skilled nursing facility (SNF) remains a primary driver of post-acute care costs. …”
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