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10,306 results
  • A systematic review of the effectiveness of employer-led interventions for drug misuse. [Review]
    J Occup Health. 2020 Jan; 62(1):e12133.Akanbi MO, Iroz CB, … McHugh MC
  • CONCLUSIONS: Despite the opioid epidemic, high-quality studies evaluating the effectiveness of employer-led interventions to prevent or reduce the adverse effects of substance use are lacking. Higher quality and mixed methods studies are needed to determine whether any of the interventions are generalizable and whether contextual adaptations are needed. In the meantime, there is a reason to believe that commonly recommended, employer-led interventions may be effective in some environments.
  • Same-Sex Marriage and Gains in Employer-Sponsored Insurance for US Adults, 2008-2017. [Journal Article]
    Am J Public Health. 2020 04; 110(4):537-539.Downing J, Cha P
  • Objectives. To estimate the effects of same-sex marriage recognition on health insurance coverage.Methods. We used 2008-2017 data from the American Community Survey that represent 18 416 674 adult respondents in the United States. We estimated changes to health insurance outcomes using state-year variation in marriage equality recognition in a difference-in-differences framework.Results. Marria…
  • Validation of claims data to identify death among aged persons utilizing enrollment data from health insurance unions. [Journal Article]
    Environ Health Prev Med. 2019 Nov 23; 24(1):63.Sakai M, Ohtera S, … BiDAME (Big Data Analysis of Medical care for the Elderly in Kyoto)
  • The identification of death is critical for epidemiological research. Despite recent developments in health insurance claims databases, the quality of death information in claims is not guaranteed because health insurance claims are collected primarily for reimbursement. We aimed to examine the usefulness and limitations of death information in claims data and to examine methods for improving the…
  • A Comparison of Health Risk and Costs Across Private Insurance Markets. [Journal Article]
    Med Care. 2020 02; 58(2):146-153.Lissenden B, Amin K, … Peele Y
  • CONCLUSIONS: On average, the PPACA individual market enrolls sicker individuals than the 2 group markets. But this does not translate to higher health costs; in fact, enrollees in the PPACA individual market accumulate lower allowed charges than enrollees in the large employer market. Lower-income enrollees particularly accumulate lower allowed charges. Narrower networks and increased enrollee cost-sharing among individual market plans, though they may reduce the value of coverage, likely significantly reduce allowed charges.
  • Evolution of the TRICARE Pharmacy Benefit: A Decade of Change. [Journal Article]
    J Manag Care Spec Pharm. 2019 Nov; 25(11):1195-1200.Lugo AM, Allerman AA, Trice SK
  • TRICARE is the military's health plan that provides coverage to 9.4 million active duty and retired uniformed services personnel and their family members. The TRICARE pharmacy benefit has undergone many changes in the last decade. These changes include assigning newly approved drugs to nonformulary status after regulatory approval, the addition of weight loss medications to the benefit, channel m…
  • States as Policy Laboratories: The Politics of State-Based Single-Payer Proposals. [Journal Article]
    Am J Public Health. 2019 11; 109(11):1511-1514.Sparer MS
  • Although the focus for most single-payer advocates is in Washington, DC, and on proposals for Medicare for all, there are also efforts in a handful of states to enact a state-based single-payer program. Moreover, the odds of legislative passage are better in a state like New York than at the federal level.Even if enacted, however, state-based single-payer proposals face a distinct set of obstacle…
  • Even Small Employers Are Striking Out on Their Own. [Journal Article]
    Manag Care. 2019 Jun; 28(6):34-36.Greene J
  • Several factors are at work. Group health insurance got more expensive when the ACA mandated essential health benefits and no-cost preventive care. Some small companies dropped coverage altogether, but now they are coming back into the fold as the employment market has tightened up, say brokers. Starting fresh, they have a chance to consider self-insurance.
  • Feasibility of Family Group Conference to promote return-to-work of persons receiving work disability benefit. [Journal Article]
    Disabil Rehabil. 2019 Apr 16 [Online ahead of print]Brongers KA, Cornelius B, … Brouwer S
  • CONCLUSIONS: Family Group Conference seems a feasible intervention to promote return to work by clients on work disability benefit. Involvement of the social network may have added value to support the clients in this process. An effectiveness study to further develop and test Family Group Conferences is recommended. Implications for rehabilitation Family Group Conference may represent a promising approach to be used in activation strategies to enhance social inclusion and return to work of persons receiving disability benefits. Conventional supply-oriented activation services could be improved by providing the Family Group Conference to unemployed persons on disability benefit. Involvement of the social network may have added value for return to work of clients receiving work disability benefits.
  • The Optimal Length of Stay Associated With the Lowest Readmission Risk Following Surgery. [Journal Article]
    J Surg Res. 2019 07; 239:292-299.Andriotti T, Goralnick E, … Schoenfeld AJ
  • CONCLUSIONS: Our results support the practice of discharging patients as soon as clinically feasible after hip and knee arthroplasty, lumbar spine surgery, hernia repair, appendectomy, nephrectomy, and colectomy. Among esophagectomy or radical cystectomy, there is a well-defined optimal index admission period and discharge outside this window appears to be detrimental. Our results suggest that invasive procedures appear to possess a unique "signature" when it comes to optimal LOS.
  • Breast Screening Utilization and Cost Sharing Among Employed Insured Women After the Affordable Care Act. [Journal Article]
    J Am Coll Radiol. 2019 Jun; 16(6):788-796.Carlos RC, Fendrick AM, … Dalton VK
  • CONCLUSIONS: A substantial majority of commercially insured women had first-dollar coverage for mammography before the ACA. After ACA, nearly all women had access to zero cost-share mammography. The lack of an increase in mammography use post-ACA can be partially attributed to a USPSTF guideline change, the high proportion of women without cost sharing before the ACA, and the relatively low levels of cost sharing before the policy implementation.
  • Why aren't more employers implementing reference-based pricing benefit design? [Journal Article]
    Am J Manag Care. 2019 02; 25(2):85-88.Sinaiko AD, Alidina S, Mehrotra A
  • CONCLUSIONS: Unless several fundamental barriers are addressed, uptake of RBP will likely continue to be low. Our findings suggest that simplifying benefit design, providing employees protection against very high out-of-pocket costs, understanding which decision-support strategies are most effective, and enhancing the business case could facilitate wider employer adoption of RBP.
  • Incentives, Mandates, and Taxes: When Doing More Equates to Learning More. [Editorial]
    Am J Health Promot. 2019 02; 33(2):166-169.Terry PE
  • A recent District Court decision held that the Affordable Care Act (ACA), absent a tax penalty relating to the individual mandate, was unconstitutional. This follows on a Circuit Court decision that the ACA wellness provisions should be nullified. This editorial reviews the similarities and differences between the rulings and asks if a reasonable person would believe that offering financial incen…
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