Blood sugar test

Analysis of guidelines for screening diabetes mellitus in an ambulatory population

Analysis of guidelines for screening diabetes mellitus in an ambulatory population

This study compared the case-finding ability of current national guidelines for screening diabetes mellitus and characterized factors that affect testing practices in an ambulatory population. In this retrospective analysis, investigators found that compared with the American Diabetes Association (ADA) recommendations, the United States Preventive Services Task Force (USPSTF) guidelines result in a lower number of patients eligible for screening and decreased case-finding significantly. The number and type of risk factors predict diabetes, and lack of health insurance decreases testing.

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Physician assistants and nurse practitioners as a usual source of care

Physician assistants and nurse practitioners as a usual source of care

This article published in The Journal of Rural Health used Wisconsin Longitudinal study data to identify characteristics and outcomes of patients who primarily see physician assistants (PAs) or nurse practitioners (NPs). Populations served most by PA/NPs tend to live in rural areas and have public insurance or no insurance coverage. They are also more likely to be women, younger, and have lower extroversion scores. There were few differences in utilization and no reported differences in difficulties/delays in care or outcomes compared to patients that primarily see doctors. 

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Medicaid managed care and health care access for adult beneficiaries with disabilities

Medicaid managed care and health care access for adult beneficiaries with disabilities

Marguerite Burns used Medical Expenditure Panel Survey and Area Resources File data in combination with Medicaid data for adults with disabilities to analyze the impact of Medicaid managed care organizations (MCOs) on health care access for adults with disabilites. She found that mandatory MCO enrollees were 25% more likely to wait over 30 minutes to see a provider, 32% more likely to report a problem with accessing a specialist, and 10% less likely to receive a flu shot. 

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Young man in wheelchair

Medicaid managed care and cost containment in the adult disabled population

Medicaid managed care and cost containment in the adult disabled population

Marguerite Burns studied the effect of Medicaid managed care organizations (MCOs) on health care expenditures for working age adults with disabilities by comparing individual monthly Medicaid expenditures across beneficiaries who reside in counties with mandatory, voluntary, and no MCOs. She found that on average, the total monthly expenditures did not differ between fee-for-service and MCO counties; however, there were some service-specific spending differences. Average monthly spending per beneficiary was higher for prescription medications in voluntary and mandatory MCO counties, and spending for other medical care and dental care was $4-11 higher per beneficiary in MCO relative to FFS counties.

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