BACKGROUND Limited financial and geographic access to primary care can adversely influence chronic disease outcomes. We examined variation in awareness, treatment, and control of hypertension, diabetes, and hyperlipidemia according to both geographic and financial access to care. METHODS We analyzed data on 17,458 participants in the REasons for Geographic And Racial Differences in Stroke (RE...

Imagine that you are celebrating a special occasion in a wonderful restaurant. The waiter brings your food and then you realize that you do not have any cutlery. When you ask for some, the waiter explains that because the cost of washing your cutlery is not included in the bill, a fork and knife will cost you extra. Later, when you ask for the bill, he explains that the cost of printing a copy ...

OBJECTIVES This study examined the association between insurance status and physicians' adherence with providing evidence-based treatments for coronary artery disease (CAD). METHODS Within the PINNACLE (Practice Innovation and Clinical Excellence) registry of the NCDR (National Cardiovascular Data Registry), the authors identified 60,814 outpatients with CAD from 30 U.S. practices. Hierarchic...

an elusive goal, but one that continues to be pursued. Discussions tend to focus on the health implications of lack of coverage, yet the economic consequences are equally significant. For some, lack of health insurance can be an inconvenience; for others, it can mean financial devastation. In an HCFO-funded study, David Dranove, Ph.D., Northwestern University, and colleagues compared the financ...

BACKGROUND Although it has been established that minority physicians tend to see more minority and more poor or uninsured patients, pediatrics as a specialty has not been studied in this regard. OBJECTIVE To determine if minority pediatricians disproportionately provide care to minority children and to poor and uninsured children, relative to nonminority pediatricians, while controlling for p...

Background—Medicaid and uninsured populations are a significant focus of current healthcare reform. We hypothesized that outcomes after coronary artery bypass grafting (CABG) in the United States is dependent on primary payer status. Methods and Results—From 2003 to 2007, 1 250 619 isolated CABG operations were evaluated using the Nationwide Inpatient Sample (NIS) database. Patients were strati...

Abstract Background More than 30 states have either expanded Medicaid or are actively considering expansion. The coverage gains from this policy well documented, however, the impacts of its increasing on poverty disparity unclear at national level. Method American Community Survey (2012–2018) was used to examine effects expansion in insurance for nonelderly adults United States. Differences-in-...

A Publication of the UCLA Center for Health Policy Research Approximately 275,000 children ages 0-17 from families with incomes below 300% of the Federal Poverty Level (FPL) were uninsured and not eligible for Medi-Cal or Healthy Families in 2001. A majority of the uninsured-and-not-eligible children were between the ages of six and 17, while only onein seven were between the ages of zero and f...