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Journal ArticleDOI

Medical and dental care utilization and expenditures under Medicaid and private health insurance.

Leighton Ku
- 23 Apr 2009 - 
- Vol. 66, Iss: 4, pp 456-471
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TLDR
There were no significant differences between Medicaid adults and children and the privately insured in emergency, outpatient, or inpatient hospital use, and the former had significantly lower expenditures.
Abstract
Data from the 2005 Medical Expenditure Panel Survey were used to conduct a disaggregated comparison of utilization and expenditures under Medicaid and private health insurance for low-income adults and children. After adjustment for health status and other factors, Medicaid adults and children had greater use of prescription drugs than the privately insured, but there were no significant differences in prescription expenditures. Adults on Medicaid had lower utilization of office-based medical and dental care and much lower expenditures than the privately insured. Contrary to stereotypes, there were no significant differences between Medicaid adults and children and the privately insured in emergency, outpatient, or inpatient hospital use, and the former had significantly lower expenditures.

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Citations
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Burden of oral disease among older adults and implications for public health priorities.

TL;DR: Suggested public health priorities include better integrating oral health into medical care, implementing community programs to promote healthy behaviors and improve access to preventive services, and developing a comprehensive strategy to address the oral health needs of the homebound and long-term-care residents.
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Reasons for the wide variation in Medicaid participation rates among states hold lessons for coverage expansion in 2014.

TL;DR: The results suggest that when Medicaid is expanded in 2014, take-up may be less than anticipated because new enrollees will be offered a more restrictive set of benefits--known as "benchmark coverage"--compared to those in traditional Medicaid, and the majority of newly eligible adults will be in groups with traditionally lowTake-up (primarily nondisabled adults).
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Sickle Cell Disease in Pregnancy: Maternal Complications in a Medicaid-Enrolled Population

TL;DR: Overall, women with SCD have increased prevalence of pregnancy complications, even when compared with a group of women with similar risk for multi-organ failure.
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Community factors predicting dental care utilization among older adults

TL;DR: Investigating the effect of community factors on dental care utilization among older adults indicated that individual factors such as being female, married and nonpoor and having a higher educational level and private dental insurance were associated with higher odds of having utilized dental care.
References
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Book

Regression Models for Categorical Dependent Variables Using Stata, Second Edition

TL;DR: This book discusses models for ordinal and nominal independent variables, and describes the development of models for Nominal Outcomes with Case-Specific Data and its use in Stata.
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Smearing Estimate: A Nonparametric Retransformation Method

TL;DR: The smearing estimate as discussed by the authors is a nonparametric estimate of the expected response on the untransformed scale after fitting a linear regression model on a transformed scale, which is consistent under mild regularity conditions, and usually attains high efficiency relative to parametric estimates.
Journal Article

A framework for the study of access to medical care.

TL;DR: Indicators are suggested for the measurement of the various relevant aspects of access, with the system and population descriptors seen as process indicators and utilization and satisfaction as outcome indicators in a theoretical model of the access concept.
Journal ArticleDOI

Nonparametric estimates of standard error: The jackknife, the bootstrap and other methods

TL;DR: In this article, the authors discuss several nonparametric methods for attaching a standard error to a point estimate: the jackknife, the bootstrap, half-sampling, subsampling, balanced repeated replications, the infinitesimal jackknife and the delta method.
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