Health Care Systems and Services

A Healthy Start to Life: How Medicaid Expansion Improves Pregnancy and Birth Outcomes

Birth outcomes, including infant mortality and low birth weight, are shockingly poor in the U.S. Researchers will assess whether the ACA increased intended pregnancies, reduced prepregnancy smoking, and affected contraception and birth outcomes among women covered by Medicaid--and whether these changes reduced disparities across racial and ethnic groups.

Medicaid Work Requirements: Results from the First Year in Arkansas

In June 2018, Arkansas became the first state to implement work requirements in Medicaid. Benjamin D. Sommers, Anna L. Goldman, Robert J. Blendon, E. John Orav, and Arnold M. Epstein of Harvard University provide the first independent assessment of early changes in beneficiary coverage and employment after the work requirements went into effect.

Cross-post

A new University of Michigan analysis reviews 46 studies evaluating interventions for "super-utilizers" of emergency department and prehospital care in the U.S. Here, the authors share their thoughts on the importance of their findings.

Interventions to Decrease Use in Prehospital and Emergency Care Settings Among Super-Utilizers in the United States: A Systematic Review

“Super-utilizers” have been the subject of much attention as health care systems work to reduce costs and provide better care. As part of their work to understand best practices for addressing the medical and social needs of high-need/high-cost patients, Samantha Iovan, Paula Lantz, Katie Allan, and Mahshid Abir published a systematic review examining interventions that are being implemented to address super-utilizers in prehospital and emergency care settings in the U.S.

Commentary

Across the country, changes to Medicaid policy are under way. They hold the potential to dramatically alter the landscape of health care for millions of low-income individuals.

Cross-post

In a recent opinion in The Milbank Quarterly, Dr. Lantz builds on insights from her P4A research portfolio to articulate concerns about the recent "medicalization" of population health within the health care system and its limits in making substantial improvements in population health.

How State Medicaid Policy Influences Billing for "Free Care" in Public Schools

In 2014, the Centers for Medicare & Medicaid Services (CMS) issued new guidance to allow providers in educational settings to seek Medicaid reimbursement for free preventive services covered by the Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provided to Medicaid-enrolled children. However, following CMS’ announcement, states retained policies restricting reimbursement for these services.

Does Medicaid Expansion Improve Maternal and Infant Health?

Recent media reports have highlighted startling trends in U.S. maternal health with stark differences across racial and ethnic groups. Maternal deaths associated with pregnancy and childbirth are high when compared to other developed countries and have increased substantially over the last two decades.