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Insurance, Medicare & Medicaid

Health care coverage, from private insurance to employer-provided health care to public programs like Medicare and Medicaid, can have various impacts on people’s use of health care and, ultimately, their health and well-being.

Blog Post

New Effort to Examine Doula Care Programs in Medicaid to Advance Racial Equity

With funding support from the Patient-Centered Outcomes Research Institute (PCORI), AcademyHealth and the University of Pittsburgh are bringing together six Medicaid programs, their university research partners, as well as eight doula programs to leverage an innovative distributed research network to advance racial equity in severe maternal morbidity.
Posted Mar 28, 2023 By Lauren Adams, M.A.
Publication

What Are the Roles of Community Health Workers in Medicaid Managed Care? Results from a National Study

This national study of the roles and activities of community health workers supported by Medicaid Managed Care Organizations finds that community health workers employed by Managed Care Organizations reported receiving significantly more training and benefits from their employers than community health workers who were contracted through other organizations.
Posted
Publication

State Expectations and Medicaid Managed Care Organizations' Efforts to Address the Social Needs of Medicaid Enrollees

Collectively, regulatory pressures, organizational strategy, and market forces influenced Medicaid Managed Care Organization’s efforts to address social determinants of health, leading to a normalization of their role in addressing members' social needs within a medical paradigm.
Posted
Blog Post

Medicaid expansion increased total physician visits but failed to bring in new physicians in early expansion states

The Affordable Care Act enacted Medicaid expansion with hopes that more states would provide health insurance to low-income Americans. This ‘plain language summary’ reviews recent research published in AcademyHealth’s official journal HSR which shows that early Medicaid expansion in six states led to an increase in the total number of physician visits but did not lead to an increase in total physician participation.
Posted Aug 9, 2022 By Kaleigh Ligus, M.A.
Blog Post

Medicare Advantage improves patient-centered care efficiency for older beneficiaries

New research indicates Medicare Advantage enrollment provides favorable outcomes over traditional Medicare for those with mental health issues and those at end-of-life, indicating a high efficiency of care aligning with beneficiaries’ preferences. This ‘plain language summary’ reviews recent research published in AcademyHealth's official journal, HSR, which addresses the role of Medicare Advantage in mental health care and end-of-life outcomes for older adults.
Posted Aug 9, 2022 By Kaleigh Ligus, M.A.