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Healthcare
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Medicaid and Public Health
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Medicaid and Public Health

A special issue of Healthcare (ISSN 2227-9032).

Deadline for manuscript submissions: closed (31 March 2022) | Viewed by 6703

Special Issue Editor

Prof. Dr. Christopher R. Cogle

E-Mail Website
Guest Editor
Division of Hematology and Oncology, Department of Medicine, College of Medicine, University of Florida, Gainesville, FL 32610, USA
Interests: health policy; epidemiology; health services research; oncology; leukemia; myelodysplastic syndromes
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In this Special Issue, we present reports on Medicaid. This US-based healthcare program was originally instituted in the 1960s for people with low-paying jobs, mothers, babies, children, alternately-abled people challenged to find or keep gainful employment, and seniors with meagre resources. This federal program empowers states to administer healthcare coverage to these disadvantaged populations. Since then, healthcare, health, and society have changed. To keep with the times and control costs, the federal government and the states have adapted Medicaid in many ways. This Special Issue is intended to house reports of these adaptations and their outcomes.

A lot of what Medicaid pays for are preventable problems. Heart disease and cancers are preventable by not using tobacco. Vaccinations prevent infections and cancers. Clear communication between people and their health care providers prevent emergency room visits, hospitalizations, and re-hospitalizations. In this Special Issue, we will report on innovations in prevention for both short-term improvements in care but also long-term improvements. Evidence from this Special Issue is meant to help state Medicaid programs as they research methods for improving their programs.

A common complaint about Medicaid is its hight cost. However, its high cost is a direct consequence of social inequities in the US. The basic needs of a good life, such as food, housing, security, supportive relationships, are variably distributed in the US and sometimes withheld based on the color of one’s skin, spelling of their name, gender, and other discriminations. These upstream inequities result in downstream health disparities. The deeper pressure to improve Medicaid is achieving social justice before Medicaid is even needed. This Special Issue will publish manuscripts showing the need and mechanisms of addressing social inequities. These publications will urge Medicaid programs to reach out to other departments for new and stronger partnerships.

Medicaid is critical to states achieving wellbeing for all its people. Because of Medicaid’s eligibility requirements, by definition it is a health care delivery system directly impacted by social determinants of health. Nearly all people depending on Medicaid experience financial hardship, which is causally related with other physical deprivations such as depression and anxiety. Articles of interest in this Special Issue will be new health care delivery innovations that achieve health equity by also addressing the individual’s social and environmental surroundings. These innovations will assist health services researchers looking for inspiration and implementation scientists in search of methods for deployment.

Because Medicaid is dependent on federal and state government cooperation, this program is often politically charged. Thus, this Special Issue is also meant to house Perspective pieces and Editorials that are well referenced.

Ultimately, we strive for a society where all people are healthy, happy, and secure. This Special Issue is meant to demonstrate our progress toward that vision.

Yours in improving health and healthcare,

Prof. Christopher R. Cogle
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Healthcare is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2700 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Medicaid
  • health services
  • health care delivery
  • health policy
  • population health
  • public health
  • health equity
  • health disparities

Published Papers (3 papers)

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Research

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8 pages, 577 KiB  
Article
Perceptions of Dental Medicine Students on Equity within Healthcare Systems in Romania: A Pilot Study
by Sorin Hostiuc, Oana-Maria Isailă and George-Cristian Curcă
Healthcare 2022, 10(5), 857; https://doi.org/10.3390/healthcare10050857 - 06 May 2022
Cited by 1 | Viewed by 1118
Abstract
The scope of this paper is to evaluate the opinion of future dentists on equity within healthcare systems from a social and medical perspective. Material and methods: We conducted an observational study based on a survey among year five students from the “Carol [...] Read more.
The scope of this paper is to evaluate the opinion of future dentists on equity within healthcare systems from a social and medical perspective. Material and methods: We conducted an observational study based on a survey among year five students from the “Carol Davila” Faculty of Dental Medicine Bucharest using an online questionnaire composed of graded answers to 14 statements on the theme of equity within healthcare systems before taking this course. Results: The questionnaire was sent to 300 students, of whom 151 (50.3%) responded; 79.47% of these were female and 20.53% were male; 9.3% had a rural background and 90.7% had an urban background. The majority of respondents expressed strong agreement that equity in public healthcare and acknowledging disadvantaged populations was important. The majority of students also strongly agreed that inequity came about from a lack of accessibility to medical care, lack of financial resources, and the absence of a second medical opinion. There were no statistically significant differences specific to the gender and background environment of the respondents. Conclusions: The notion of equity is known to future dentists. However, contextual clarifications of the concept itself and its adequate quantification are necessary. Full article
(This article belongs to the Special Issue Medicaid and Public Health)
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19 pages, 4580 KiB  
Article
Determinants of Diabetes Disease Management, 2011–2019
by Lawrence V. Fulton, Omolola E. Adepoju, Diane Dolezel, Tahir Ekin, David Gibbs, Barbara Hewitt, Alexander McLeod, Winston Liaw, Cristian Lieneck, Zo Ramamonjiarivelo, Ram Shanmugam and Lechauncey D. Woodward
Healthcare 2021, 9(8), 944; https://doi.org/10.3390/healthcare9080944 - 26 Jul 2021
Cited by 4 | Viewed by 2576
Abstract
This study estimated the effects of Medicaid Expansion, demographics, socioeconomic status (SES), and health status on disease management of diabetes over time. The hypothesis was that the introduction of the ACA and particularly Medicaid Expansion would increase the following dependent variables (all proportions): [...] Read more.
This study estimated the effects of Medicaid Expansion, demographics, socioeconomic status (SES), and health status on disease management of diabetes over time. The hypothesis was that the introduction of the ACA and particularly Medicaid Expansion would increase the following dependent variables (all proportions): (1) provider checks of HbA1c, (2) provider checks of feet, (3) provider checks of eyes, (4) patient education, (5) annual physician checks for diabetes, (6) patient self-checks of blood sugar. Data were available from the Behavioral Risk Factor Surveillance System for 2011 to 2019. We filtered the data to include only patients with diagnosed non-gestational diabetes of age 45 or older (n = 510,991 cases prior to weighting). Linear splines modeled Medicaid Expansion based on state of residence as well as implementation status. Descriptive time series plots showed no major changes in proportions of the dependent variables over time. Quasibinomial analysis showed that implementation of Medicaid Expansion had a statistically negative effect on patient self-checks of blood sugar (odds ratio = 0.971, p < 0.001), a statistically positive effect on physician checks of HbA1c (odds ratio = 1.048, p < 0.001), a statistically positive effect on feet checks (odds ratio = 1.021, p < 0.001), and no other significant effects. Evidence of demographic, SES, and health status disparities existed for most of the dependent variables. This finding was especially significant for HbA1c checks by providers. Barriers to achieving better diabetic care remain and require innovative policy interventions. Full article
(This article belongs to the Special Issue Medicaid and Public Health)
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Review

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17 pages, 306 KiB  
Review
Medicaid Expansions: Probing Medicaid’s Filling of the Cancer Genetic Testing and Screening Space
by Stephen M. Modell, Lisa Schlager, Caitlin G. Allen and Gail Marcus
Healthcare 2022, 10(6), 1066; https://doi.org/10.3390/healthcare10061066 - 08 Jun 2022
Cited by 4 | Viewed by 2049
Abstract
Cancer is the third largest source of spending for Medicaid in the United States. A working group of the American Public Health Association Genomics Forum Policy Committee reviewed 133/149 pieces of literature addressing the impact of Medicaid expansion on cancer screening and genetic [...] Read more.
Cancer is the third largest source of spending for Medicaid in the United States. A working group of the American Public Health Association Genomics Forum Policy Committee reviewed 133/149 pieces of literature addressing the impact of Medicaid expansion on cancer screening and genetic testing in underserved groups and the general population. Breast and colorectal cancer screening rates improved during very early Medicaid expansion but displayed mixed improvement thereafter. Breast cancer screening rates have remained steady for Latina Medicaid enrollees; colorectal cancer screening rates have improved for African Americans. Urban areas have benefited more than rural. State programs increasingly cover BRCA1/2 and Lynch syndrome genetic testing, though testing remains underutilized in racial and ethnic groups. While increased federal matching could incentivize more states to engage in Medicaid expansion, steps need to be taken to ensure that they have an adequate distribution of resources to increase screening and testing utilization. Full article
(This article belongs to the Special Issue Medicaid and Public Health)
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