2025
The Shadow Price of Uncertainty: Consequences of Unpredictable Insurance Coverage for Access, Care, and Financial Security
SCHLESINGER M, BHAUMIK D. The Shadow Price of Uncertainty: Consequences of Unpredictable Insurance Coverage for Access, Care, and Financial Security. Milbank Quarterly 2025, 103: 440-479. PMID: 40292705, PMCID: PMC12185371, DOI: 10.1111/1468-0009.70006.Peer-Reviewed Original ResearchConceptsHealth insurance reformInsurance reformAmerican householdsInsurance coverageHealth care reform strategiesMedical expensesPrice of uncertaintyHealth insurance coverageReducing financial insecurityPatient Protection and Affordable Care ActAffordable Care ActReform strategiesAnd Affordable Care ActShadow pricesInsurance provisionEstimate regressionsStructural reformsCoverage shortfallsHealth insuranceHousehold characteristicsCare ActFinancial securityInsurancePolicy purchaseHouseholdsHow Cannabis Use is Associated with the Physical and Mental Health of Older Adults: A US Population-Based Study
You E, Sarkar S, Pietrzak R, Monin J, Poghosyan H. How Cannabis Use is Associated with the Physical and Mental Health of Older Adults: A US Population-Based Study. International Journal Of Mental Health And Addiction 2025, 1-22. DOI: 10.1007/s11469-025-01475-5.Peer-Reviewed Original ResearchCannabis useMental healthDaily cannabis usersPhysical healthDays of poor physical healthBehavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemIncreased oddsUS population-based studyAssociated with poor healthPhysical and Mental HealthPoor physical healthLack health insurance coverageMultivariate multinomial logistic regression analysisCannabis usersPopulation-based studyEvidence-based guidelinesMultinomial logistic regression analysisHealth insurance coverageLogistic regression analysisPoor healthOlder adultsCannabisInsurance coveragePromote awarenessExplaining Racial and Ethnic Inequities in SARS-CoV-2-Related Outcomes: Results from a Serosurvey in Chicago
Eyo C, Schrock J, Hayford C, Ryan D, Saber R, Benbow N, Newcomb M, Demonbreun A, McNally E, D’Aquila R, McDade T, Mustanski B. Explaining Racial and Ethnic Inequities in SARS-CoV-2-Related Outcomes: Results from a Serosurvey in Chicago. Journal Of Racial And Ethnic Health Disparities 2025, 1-14. PMID: 40063297, DOI: 10.1007/s40615-025-02362-4.Peer-Reviewed Original ResearchEthnic inequalitiesSymptom severityWhite participantsChronic conditionsOccupation typeBlack participantsWhite neighborhoodsCOVID-19 case ratesNeighborhood disadvantageHispanic/Latino neighborhoodsHigher levels of symptom severityHousehold compositionLevels of symptom severityMultiple inequalitiesHealth insurance coverageHigher symptom severityAssociated health outcomesLower symptom severityWhite disparitiesInequalityProximal determinantsSARS-CoV-2-related outcomesNeighborhoodEthnic disparitiesSARS-CoV-2 seropositivityShifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery
Camacho J, Alfertshofer M, Patel H, Najafali D, Thompson N, Stoffel V, Reid C, Alperovich M, Knoedler S, Knoedler L. Shifting Paradigms: A Deep Dive Into Public Perceptions of Gender-affirming Surgery. Plastic & Reconstructive Surgery Global Open 2025, 13: e6472. PMID: 39839450, PMCID: PMC11749661, DOI: 10.1097/gox.0000000000006472.Peer-Reviewed Original ResearchGender-affirming surgeryInsurance coverageImprove mental healthTargeted educational effortsComplete survey responsesCross-sectional studyHealth insurance coverageGender-affirming carePrivate health insurance coverageHealthcare professionalsMental healthYears of ageAdult participantsUnited StatesEducational effortsEducational initiativesEnhance public knowledgeSurvey responsesOnline surveyIncreased awarenessPublic perceptionPublic knowledgeEthnic and Racial Social Identity, Socioeconomic Position, and Women’s Bladder Health
Brady S, Klusaritz H, Falke C, Gahagan S, Hebert-Beirne J, Hortsch S, Kenton K, Lewis C, Lipman T, McGwin G, Nodora J, Norton J, Nuscis K, Rodriguez-Ponciano D, Rudser K, Sutcliffe S, Wilson-Powers E, Cunningham S, Consortium P, Acevedo-Alvarez M, Fitzgerald C, Hardacker C, Hebert-Beirne J, Investigators M, Griffith J, Kenton K, Simon M, Brubaker L, Mueller E, Investigators, Brown O, Geynisman-Tan J, Mueller M, Markland A, Vaughan C, Burgio K, Coyne-Beasley T, Lewis C, McGwin G, Williams B, Lukacz E, LaCoursiere D, Gahagan S, Nodora J, Low L, Miller J, Smith A, Investigator, McGwin G, Rudser K, Brady S, Fok C, Harlow B, Rockwood T, Scal P, Newman D, Smith A, Berry A, Bilger A, Klusaritz H, Lipman T, Stapleton A, Wyman J, Sutcliffe S, James A, Lowder J, Meister M, Rickey L, Camenga D, Cunningham S, Chair S, Brubaker L, Office N. Ethnic and Racial Social Identity, Socioeconomic Position, and Women’s Bladder Health. Social Science & Medicine 2025, 117694. DOI: 10.1016/j.socscimed.2025.117694.Peer-Reviewed Original ResearchSocial determinants of healthNon-Hispanic white womenDeterminants of healthBladder healthSocial determinantsSocioeconomic positionPrevent lower urinary tract symptomsIndices of socioeconomic positionIndependent of socioeconomic positionHigh-quality health careWhite womenPotential health inequalitiesHealth promotion programsHealth promotion resourcesPromote bladder healthHealth-promoting attitudesNon-Hispanic blacksFederal poverty levelHealth insurance coverageHealth inequalitiesPhysical activityPromotion programsSocioeconomic disadvantageNon-HispanicHealth care
2024
Medicaid Expansion Under the Affordable Care Act and Early Mortality Following Lung Cancer Surgery
Nogueira L, Boffa D, Jemal A, Han X, Yabroff K. Medicaid Expansion Under the Affordable Care Act and Early Mortality Following Lung Cancer Surgery. JAMA Network Open 2024, 7: e2351529. PMID: 38214932, PMCID: PMC10787311, DOI: 10.1001/jamanetworkopen.2023.51529.Peer-Reviewed Original ResearchConceptsMedicaid expansion statusNon-small cell lung cancerMedicaid expansion statesMedicaid expansionSurgical resection of non-small cell lung cancerResection of non-small cell lung cancerDifference-in-differencesExpansion statesPatients' state of residenceNonexpansion statesCohort studyAssociation of Medicaid expansionExpansion statusPostoperative mortalityDifference-in-differences analysisStudy population characteristicsState of residenceAffordable Care ActHealth insurance coverageCohort study of patientsSurgical resectionEarly mortalityMain OutcomesAssociated with declinesCancer outcomes
2023
Awareness and Uptake of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men who have Sex with Men in Nepal
Paudel K, Kanak M, Gautam K, Bhandari P, Dhakal M, Wickersham J, Valente P, Ha T, Shrestha R. Awareness and Uptake of Pre-Exposure Prophylaxis (PrEP) for HIV Prevention Among Men who have Sex with Men in Nepal. Journal Of Community Health 2023, 49: 514-525. PMID: 38127298, DOI: 10.1007/s10900-023-01318-1.Peer-Reviewed Original ResearchPre-exposure prophylaxisPrEP awarenessBiomedical prevention strategiesHIV transmission riskUse of PrEPCross-sectional surveyHealth insurance coveragePrEP knowledgePrEP useHIV preventionStudy populationPrevention strategiesHealthcare providersBivariate analysisLogistic regressionTransmission riskPrEPMSMInsurance coverageProphylaxisHIVMenParticipantsInnovative strategiesInfectionAssociation of e-Cigarette Use and Postpartum Depression: Pregnancy Risk Assessment Monitoring System 2016–2019
Choi B, Weinberger A, Petersen N, Pang R, DeVito E, Bell M, Allen A. Association of e-Cigarette Use and Postpartum Depression: Pregnancy Risk Assessment Monitoring System 2016–2019. Journal Of Women's Health 2023, 33: 45-51. PMID: 37944112, PMCID: PMC10794836, DOI: 10.1089/jwh.2023.0061.Peer-Reviewed Original ResearchConceptsE-cigarette useRisk of PPDPostpartum depressionCigarette useCombustible cigarettesPrevalent public health concernHookah useIndependent risk factorUnadjusted odds ratioUseful clinical markerLogistic regression analysisPublic health concernElectronic cigarette useCombustible cigarette useHealth insurance coveragePrenatal careLast trimesterRisk factorsClinical markersOdds ratioDepressive symptomsPregnancyHealth concernInsurance coverageCigarettesUncovering heterogeneous cardiometabolic risk profiles in US adults: the role of social and behavioral determinants of health
Ding Q, Lu Y, Herrin J, Zhang T, Marrero D. Uncovering heterogeneous cardiometabolic risk profiles in US adults: the role of social and behavioral determinants of health. BMJ Open Diabetes Research & Care 2023, 11: e003558. PMID: 37699720, PMCID: PMC10503393, DOI: 10.1136/bmjdrc-2023-003558.Peer-Reviewed Original ResearchConceptsCardiometabolic risk profileMetabolic risk factorsRace/ethnicityUndiagnosed diabetesUS adultsRisk factorsHealthcare accessNutrition Examination Survey 1999Risk profilePre-diabetes riskPrior diabetes diagnosisExamination Survey 1999Insurance coverageShort sleep durationLower diet qualityEffective prevention strategiesLimited healthcare accessBehavioral determinantsNon-white adultsMiddle-aged adultsHealth insurance coverageLow health insurance coverageCardiometabolic riskDiabetes statusDiabetes riskAssociation between Medicare eligibility at age 65 years and in-hospital treatment patterns and health outcomes for patients with trauma: regression discontinuity approach
Bhaumik D, Ndumele C, Scott J, Wallace J. Association between Medicare eligibility at age 65 years and in-hospital treatment patterns and health outcomes for patients with trauma: regression discontinuity approach. The BMJ 2023, 382: e074289. PMID: 37433620, PMCID: PMC10334336, DOI: 10.1136/bmj-2022-074289.Peer-Reviewed Original ResearchConceptsAge 65 yearsHealth insurance coverageHospital admissionTreatment patternsInsurance coverageSimilar patientsTrauma encountersAge 65Health systemLevel II trauma centerPatient's hospital admissionShare of patientsMain outcome measuresProcess of careDischarge planning processHospital mortalityHospital stayTrauma centerTrauma bayTreatment decisionsOutcome measuresAmerican CollegeInpatient facilitiesLevel INursing homesHealth Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion
Howell B, Hawks L, Balasuriya L, Chang V, Wang E, Winkelman T. Health Insurance and Mental Health Treatment Use Among Adults With Criminal Legal Involvement After Medicaid Expansion. Psychiatric Services 2023, 74: 1019-1026. PMID: 37016823, PMCID: PMC10939137, DOI: 10.1176/appi.ps.20220171.Peer-Reviewed Original ResearchConceptsHealth insurance coverageMental disordersMedicaid expansionSubstance useInsurance coverageTreatment useMental health treatment useAffordable Care Act Medicaid expansionMental health treatmentSubstance use disordersFederal poverty levelUse of treatmentsLegal involvementLow health insurance coverageNSDUH respondentsUse disordersHealth treatmentDrug useMental illnessPercentage point increaseAge 18Insurance accessDisordersHealth insuranceTreatment
2022
Racial/Ethnic Disparities in Postpartum Health Insurance Coverage Among Rural and Urban U.S. Residents
Kozhimannil K, Interrante J, Ibrahim B, Chastain P, Millette M, Daw J, Admon L. Racial/Ethnic Disparities in Postpartum Health Insurance Coverage Among Rural and Urban U.S. Residents. Journal Of Women's Health 2022, 31: 1397-1402. PMID: 36040353, PMCID: PMC9618367, DOI: 10.1089/jwh.2022.0169.Peer-Reviewed Original ResearchConceptsHealth insurance coverageUrban U.S. residentsInsurance coverageMedicaid coveragePregnancy Risk Assessment Monitoring SystemHealth-related outcomesTime of childbirthUrban U.S. countiesU.S. residentsWhite peoplePolicy effortsMaternal deathsRacial/ethnic disparitiesPostpartum yearMeasure continuityInsurance disruptionsChildbirthRural residentsReduce inequalitiesPostpartumUrban residentsPrivate insuranceThree-quartersMedicaidU.S. countiesMedical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions
Tsai J, Solis V, Schick V. Medical Care Needs of Laundromat Users in San Antonio, Texas: A Potentially Unique Setting for Health Interventions. Journal Of Community Health 2022, 48: 1-9. PMID: 36006533, PMCID: PMC9406254, DOI: 10.1007/s10900-022-01137-w.Peer-Reviewed Original ResearchConceptsBehavioral Risk Factor Surveillance SystemTexas Behavioral Risk Factor Surveillance SystemRisk Factor Surveillance SystemRoutine medical checkupPrimary care providersMedical care needsPreventive healthcare servicesHealthcare servicesPublic health practiceHealth insurance coveragePap smearMedical checkupProstate examHealthcare screeningCare providersCare needsHealth statusHealth interventionsHealth needsHealthcare needsPoor healthHealth practicesHealthcare interventionsUnderserved populationsInsurance coverageEvaluation of Changes in US Health Insurance Coverage for Individuals With Criminal Legal Involvement in Medicaid Expansion and Nonexpansion States, 2010 to 2017
Howell BA, Hawks L, Wang EA, Winkelman TNA. Evaluation of Changes in US Health Insurance Coverage for Individuals With Criminal Legal Involvement in Medicaid Expansion and Nonexpansion States, 2010 to 2017. JAMA Health Forum 2022, 3: e220493. PMID: 35977325, PMCID: PMC8994123, DOI: 10.1001/jamahealthforum.2022.0493.Peer-Reviewed Original Research
2021
Health insurance coverage and switching among people with hemophilia A in the United States.
He C, Hinds D, Pezalla E, Cheng D, Chen E, Sammon J, Solari P, Recht M. Health insurance coverage and switching among people with hemophilia A in the United States. Journal Of Managed Care & Specialty Pharmacy 2021, 28: 232-243. PMID: 34780299, PMCID: PMC12128936, DOI: 10.18553/jmcp.2021.21311.Peer-Reviewed Original ResearchConceptsBioMarin Pharmaceutical Inc.Insurance categoriesInsurance coverageSevere HAFollow-up periodHemophilia ACSL BehringFollow-upHealth insurance coverageFactor VIIILong-term prophylactic therapyYears of coverageDuration of follow-upOregon Health & Science UniversityYears of follow-upAmerican ThrombosisCohort of patientsYears of Medicare coverageCommercially insured patientsPayers' abilityInsurance systemStock/stock optionsMedicaid coverageProphylactic therapyBleeding eventsAssociations of Medicaid Expansion With Access to Care, Severity, and Outcomes for Acute Ischemic Stroke
McGee B, Seagraves K, Smith E, Xian Y, Zhang S, Alhanti B, Matsouaka R, Reeves M, Schwamm L, Fonarow G. Associations of Medicaid Expansion With Access to Care, Severity, and Outcomes for Acute Ischemic Stroke. Circulation Cardiovascular Quality And Outcomes 2021, 14: e007940. PMID: 34587752, DOI: 10.1161/circoutcomes.121.007940.Peer-Reviewed Original ResearchConceptsAcute ischemic strokeLow-income cohortSkilled nursing facilitiesIschemic strokeMedicaid expansionStroke admissionsNonexpansion statesNursing facilitiesLow-income US populationHigh stroke burdenPrimary stroke preventionOdds of dischargeIschemic stroke admissionsExpansion statesSeverity of presentationLevel of disabilityReceipt of rehabilitationHealth insurance statusHealth insurance coverageHospital mortalityUninsured hospitalizationsStroke preventionDischarge dispositionStroke burdenStroke outcome
2020
Barriers of effective health insurance coverage for rural-to-urban migrant workers in China: a systematic review and policy gap analysis
Chen S, Chen Y, Feng Z, Chen X, Wang Z, Zhu J, Jin J, Yao Q, Xiang L, Yao L, Sun J, Zhao L, Fung H, Wong EL, Dong D. Barriers of effective health insurance coverage for rural-to-urban migrant workers in China: a systematic review and policy gap analysis. BMC Public Health 2020, 20: 408. PMID: 32228665, PMCID: PMC7106835, DOI: 10.1186/s12889-020-8448-8.Peer-Reviewed Original ResearchConceptsUrban migrant workersEffective health insurance coverageMigrant workersJob stabilityDisadvantaged positionSocial welfare schemesChinese central governmentPolicy gap analysisHealth insurance schemeReluctance of employersChina’s total populationInsurance schemeMore vocational trainingCurrent health insurance schemesCentral governmentWelfare schemesSocial health insuranceWork mobilityLow job stabilityPolicy suggestionsVocational trainingHealthcare policyHealth insurance coverageHealth needsEmployersThe impact of insurance type on listing status and wait‐list mortality of patients with left ventricular assist devices as bridge to transplantation
Briasoulis A, Akintoye E, Inampudi C, Hammoud A, Alvarez P. The impact of insurance type on listing status and wait‐list mortality of patients with left ventricular assist devices as bridge to transplantation. ESC Heart Failure 2020, 7: 804-810. PMID: 32135039, PMCID: PMC7261523, DOI: 10.1002/ehf2.12655.Peer-Reviewed Original ResearchConceptsLeft ventricular assist deviceInsurance typeVentricular assist deviceTime of listingWaiting listAssist deviceHeart transplantation candidatesOrgan Sharing registryWait-list mortalityRisk regression analysisDifferent insurance typesAdequate health insurance coverageHealth insurance coverageStatus 1APublic health insuranceCumulative incidenceTransplantation candidatesTransplantation ratesUnited NetworkPost-HTMA patientsType of insurancePatientsMortalityCumulative mortality
2019
Mental Health Treatment Among Individuals Involved in the Criminal Justice System After Implementation of the Affordable Care Act
Howell BA, Wang EA, Winkelman TNA. Mental Health Treatment Among Individuals Involved in the Criminal Justice System After Implementation of the Affordable Care Act. Psychiatric Services 2019, 70: 765-771. PMID: 31138056, DOI: 10.1176/appi.ps.201800559.Peer-Reviewed Original ResearchConceptsMental health treatmentHealth insurance coverageCriminal justice involvementHealth treatmentAffordable Care ActInsurance coveragePast-year criminal justice involvementJustice involvementMultivariable logistic regressionCare ActSerious psychological distressGeneral populationDrug useLogistic regressionAdjusted estimatesPsychological distressTreatmentNational surveyInvolvementStudy yearsPercentage pointsIndividualsPast yearYearsThe Impact of Insurance Type on Listing Status and Mortality on the Waiting List: Insights from the United Network for Organ Sharing (UNOS)
Briasoulis A, Akintoye E, Duque E, Inampudi C, Bhama J, Alvarez P. The Impact of Insurance Type on Listing Status and Mortality on the Waiting List: Insights from the United Network for Organ Sharing (UNOS). The Journal Of Heart And Lung Transplantation 2019, 38: s399-s400. DOI: 10.1016/j.healun.2019.01.1017.Peer-Reviewed Original ResearchInsurance typeTime of listingWaiting listUnited NetworkHeart transplantation candidatesOrgan Sharing registryProportion of patientsPatient's clinical improvementRisk regression analysisDifferent insurance typesAdequate health insurance coverageHealth insurance coverageStatus 1APublic health insuranceClinical improvementCumulative incidenceTransplant listTransplantation candidatesMethods PatientsTransplantation ratesPost-HTMA patientsOrgan SharingType of insuranceFrequent reason
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