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1

Jae Bok, Lee, Roh Chul-young, and Woolley Jonathan A. "Heterogeneous Impact of Geographic Barriers on Provider Choice Evidence from New York County’s Health Market." Korean Journal of Policy Studies 33, no. 3 (2018): 23–45. http://dx.doi.org/10.52372/kjps33302.

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Health services should be accessible regardless of citizens’ gender, age, race, or insurance type, and geographic barriers should not interfere with this access. This article aims to assess the heterogeneous impacts of geographic barriers on inpatients’ hospital choices and to examine whether they vary according inpatients’ socioeconomic or insurance status. Using data on providers and inpatients obtained from the New York State Bureau of Health Informatics Office of Quality and Patient Safety for New York County (New York City’s borough of Manhattan) for 2009, we employed a discrete choice mo
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Taylor, Christopher L., Zhong Yuan, Warren R. Selman, Robert A. Ratcheson, and Alfred A. Rimm. "Mortality rates, hospital length of stay, and the cost of treating subarachnoid hemorrhage in older patients: institutional and geographical differences." Journal of Neurosurgery 86, no. 4 (1997): 583–88. http://dx.doi.org/10.3171/jns.1997.86.4.0583.

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✓ The risk of disability and death and the cost of medical care are particularly high for patients with aneurysmal subarachnoid hemorrhage (SAH) who are 65 years of age or older. A retrospective analysis of 47,408 Medicare patients treated over an 8-year period was performed to determine whether a relationship exists between the mortality rate and surgical volume for older patients with SAH. The mortality rate, length of stay in the hospital, and cost of treatment for patients with SAH in California and New York state were also compared. The mortality rate was 14.3% for patients with SAH who w
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Steenland, Maria W., Raj Vatsa, Lydia E. Pace, and Jessica L. Cohen. "Immediate Postpartum Long-Acting Reversible Contraceptive Use Following State-Specific Changes in Hospital Medicaid Reimbursement." JAMA Network Open 5, no. 10 (2022): e2237918. http://dx.doi.org/10.1001/jamanetworkopen.2022.37918.

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ImportanceFacilitating access to the full range of contraceptive options is a health policy goal; however, inpatient provision of postpartum long-acting reversible contraceptive (LARC) methods has been limited due to lack of hospital reimbursement. Between March 2014 and January 2015, the Medicaid programs in 5 states began to reimburse hospitals for immediate postpartum LARC separately from the global maternity payment.ObjectiveTo examine the association between Medicaid policies and provision of immediate postpartum LARC, and to examine hospital characteristics associated with policy adoptio
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Rampa, Sankeerth, Fernando A. Wilson, Hongmei Wang, Nizar K. Wehbi, Lynette Smith, and Veerasathpurush Allareddy. "Hospital-Based Emergency Department Visits With Dental Conditions: Impact of the Medicaid Reimbursement Fee for Dental Services in New York State, 2009-2013." Journal of Evidence Based Dental Practice 18, no. 2 (2018): 119–29. http://dx.doi.org/10.1016/j.jebdp.2017.08.004.

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Tyler, Denise, Cleanthe Kordomenos, and Melvin Ingber. "Stakeholder Perspectives on Reducing Hospitalizations Among Nursing Home Residents." Innovation in Aging 4, Supplement_1 (2020): 85. http://dx.doi.org/10.1093/geroni/igaa057.280.

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Abstract Organizations in seven states have been participating in the Center for Medicare and Medicaid Innovation (CMMI) initiative aimed at reducing potentially avoidable hospitalizations among long-stay nursing home (NH) residents. The purpose of this study was to identify market and policy factors that may have affected the initiative in those states. Forty-seven interviews were conducted with key stakeholders in the seven states (e.g., representatives from state departments of health, state Medicaid offices, and nursing, hospital and nursing home associations) and qualitatively analyzed to
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FitzGerald, John D., Haoling Weng, Nelson F. Soohoo, and Susan L. Ettner. "Regional variation in acute care length of stay after orthopaedic surgery total joint replacement surgery and hip fracture surgery." Journal of Hospital Administration 2, no. 4 (2013): 71. http://dx.doi.org/10.5430/jha.v2n4p71.

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Objective: To examine change in regional variations variation in acute care length of stay (LOS) after orthopedic surgery following expiration of the New York (NY) State exemption to the Prospective Payment System and implementation of the Medicare Short Stay Transfer Policy. Methods: Time series analyses were conducted to evaluate change in LOS across regions after policy implementations. Small area analyses were conducted to examine residual variation in LOS. The dataset included A 100% sample of fee-for-service Medicare patients undergoing surgical repair for hip fracture or elective joint
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George, Ige, Radha Rajasingham, William Powderly, and David Boulware. "Routine Cryptococcal Antigen Screening in Solid Organ Transplant Recipients: Is it Time to Save Lives and Money?" Open Forum Infectious Diseases 4, suppl_1 (2017): S55. http://dx.doi.org/10.1093/ofid/ofx162.128.

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Abstract Background Cryptococcosis affects 1 in 270 solid organ transplant (SOT) recipients with high mortality. In HIV-infected patients, cryptococcal antigen (CRAG) is detectable in blood weeks to months before symptomatic infection and screening is recommended. No screening guidelines exist for SOT recipients. Methods We performed a cost-effectiveness analysis of CRAG screening amongst SOT recipients. We estimated costs of screening from Medicare reimbursement of $16.49 for CPT 87899 (Infectious agent antigen detection by immunoassay). We determined the number at risk from a large cohort of
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Maru, Sheela, Chanel Porchia-Albert, Karen Lockworth, et al. "Building HOPE: Integrating community-based doula care in public hospitals in New York City." Health Affairs Scholar, February 14, 2025. https://doi.org/10.1093/haschl/qxaf033.

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Abstract Maternal morbidity and mortality in the US is an urgent public health issue, and there are stark differences by race and ethnicity. Community-based doula care is an evidence-based strategy to improve maternal health through accompaniment, healthcare engagement, addressing social needs, and promoting respectful care. Yet there is a gap in access to doula care for people who are low-income or publicly-insured, due to cost and availability. New York has recently joined a growing number of states providing Medicaid coverage for doula services. There are many challenges to overcome for thi
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9

Bickell, Nina A., Ann B. Nattinger, Emily L. McGinley, Maria J. Schymura, Purushottam W. Laud, and Liliana E. Pezzin. "The Effect on Travel Distance of a Statewide Regionalization Policy for Initial Breast Cancer Surgery." Journal of Clinical Oncology, September 30, 2024. http://dx.doi.org/10.1200/jco.23.02638.

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PURPOSE Reimbursement strategies to regionalize care can be effective for improving patient outcomes but may adversely affect access to care. We sought to determine the effect on travel distance for surgical treatment of a 2009 New York State (NYS) policy restricting Medicaid reimbursement for breast cancer surgery at low-volume hospitals. PATIENTS AND METHODS From a linked data set merging the NYS tumor registry with hospital discharge data, we identified women younger than 65 years with stage I-III first breast tumors from pre- and post-policy periods. We classified patients by urbanicity of
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Schloemann, Derek T., Danielle M. Wilbur, Paul T. Rubery, and Caroline P. Thirukumaran. "Are Quality Scores in the Centers for Medicaid and Medicare Services Merit-based Incentive Payment System Associated With Outcomes After Outpatient Orthopaedic Surgery?" Clinical Orthopaedics & Related Research, March 21, 2024. http://dx.doi.org/10.1097/corr.0000000000003033.

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Background The Medicare Merit-based Incentive Payment System (MIPS) ties reimbursement incentives to clinician performance to improve healthcare quality. It is unclear whether the MIPS quality score can accurately distinguish between high-performing and low-performing clinicians. Questions/purposes (1) What were the rates of unplanned hospital visits (emergency department visits, observation stays, or unplanned admissions) within 7, 30, and 90 days of outpatient orthopaedic surgery among Medicare beneficiaries? (2) Was there any association of MIPS quality scores with the risk of an unplanned
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Bethuel, Nancy W., Eric Bravin, Nicole Krupa, Paul Jenkins, Melissa Scribani, and Anne Gadomski. "Bone marrow biopsy and aspiration: a departmental financial comparison in a rural hospital." BMC Research Notes 14, no. 1 (2021). http://dx.doi.org/10.1186/s13104-021-05491-1.

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Abstract Objective The purpose of this study was to compare the charges and payments associated with bone marrow aspiration and biopsies performed by hematology/oncology specialists versus interventional radiology specialists at Bassett Medical Center located in a rural area of New York State. Charges pertained to what the hospital charged for the procedure and payment refers to the reimbursement the hospital received. Our secondary objectives were to compare specimen quality by procedure and to determine whether body mass index was associated with which specialist performed the procedure. Res
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Crook, Hannah, Manuel Horta, Kenneth A. Michelson, and John A. Graves. "Performance of health care service area definitions for capturing variation in inpatient care and social determinants of health." Health Services Research, May 2, 2024. http://dx.doi.org/10.1111/1475-6773.14312.

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AbstractObjectiveTo quantify the degree to which health care service area (HCSA) definitions captured hospitalizations and heterogeneity in social determinants of health (SDOH).Data Sources and Study SettingGeospatial data from the Centers for Medicare and Medicaid Services, the Census Bureau, and the Dartmouth Institute. Drive‐time isochrones from MapBox. Area Deprivation Index (ADI) data. 2017 inpatient discharge data from Arizona, Florida, Iowa, Maryland, Nebraska, New Jersey, New York, and Wisconsin, State Emergency Department Databases and State Inpatient Databases, Healthcare Cost and Ut
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Tzou, Wendy S., David F. Katz, Ryan G. Aleong, William H. Sauer, and David P. Kao. "Abstract 18718: Trends, Predictors, and Regional Variation in Use of Catheter Ablation Among 184,443 Hospitalizations for Ventricular Tachycardia." Circulation 132, suppl_3 (2015). http://dx.doi.org/10.1161/circ.132.suppl_3.18718.

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Introduction: Catheter radiofrequency ablation (RFA) is used increasingly for treatment of ventricular tachycardia (VT), but little is known about utilization patterns. Hypothesis: Regional trends in VT hospitalization and RFA,and patient characteristics associated with VT RFA vary. Methods: Hospital discharge data was obtained from state agencies in California, New York, New Jersey, Vermont, New Hampshire, West Virginia, Colorado, and Texas from 1994-2012. All records with primary diagnosis of VT (ICD9-CM 427.1) were analyzed. Population-adjusted hospitalization rates were estimated using US
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14

Anderson, Brett R. "Abstract 104: (In)adequacy of the All Patient Refined-Diagnosis Related Groups for Neonatal Cardiac Benchmarking and Reimbursement." Circulation: Cardiovascular Quality and Outcomes 11, suppl_1 (2018). http://dx.doi.org/10.1161/circoutcomes.11.suppl_1.104.

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Background: The All Patient Refined-DRG (APR-DRG) system is commonly used for benchmarking and reimbursement. Little is known about the adequacy when applied to pediatric service lines. Cardiac neonates not on ECMO are billed under one of three APR-DRGs, undifferentiated by case type/complexity. Two are not cardiac specific. We hypothesized that differences in pediatric case mix not captured under the DRG/severity system may have large impacts on pediatric cardiac benchmarking and reimbursement. Methods: We utilized national administrative data from 46 pediatric tertiary hospitals from the Ped
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Lively, Cathy, and Anne Zimmerman. "EMTALA and State Abortion Bans." Voices in Bioethics 11 (April 8, 2025). https://doi.org/10.52214/vib.v11i.13414.

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Photo by Manny Becerra on Unsplash Abstract This paper argues that EMTALA and state laws governing abortion access do conflict and that federal law should preempt state law to the extent of the conflict. This paper’s purpose is to give a brief overview of the legal issues, identify practical issues and dangers associated with restrictive abortion laws, and contextualize preemption in the current political moment. The topic here is medical emergency – this paper does not address abortion for either nonmedical or nonemergency reasons. Lastly, this paper is designed to appeal to those in many dis
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Dufresne, Lachelle. "Pregnant Prisoners in Shackles." Voices in Bioethics 9 (June 24, 2023). http://dx.doi.org/10.52214/vib.v9i.11638.

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Photo by niu niu on Unsplash ABSTRACT Shackling prisoners has been implemented as standard procedure when transporting prisoners in labor and during childbirth. This procedure ensures the protection of both the public and healthcare workers. However, the act of shackling pregnant prisoners violates the principles of ethics that physicians are supposed to uphold. This paper will explore how shackling pregnant prisoners violates the principle of justice and beneficence, making the practice unethical. INTRODUCTION Some states allow shackling of incarcerated pregnant women during transport and whi
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Cajiao, Ximena. "Colombia and Medical Tourism." Voices in Bioethics 9 (December 5, 2023). http://dx.doi.org/10.52214/vib.v9i.11941.

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Photo ID 131102170 © Geckophotos | Dreamstime.com INTRODUCTION Medical tourism should contribute to developing a more robust healthcare system that acts in the best interests of patients and ensures equal access to healthcare. This paper examines medical tourism in Colombia and argues that developing a system that aligns with bioethical principles is necessary. People traveling for care should have access to the Ministry of Health rather than only the Ministry of Industry and Tourism, emphasizing their purpose as patients seeking medical procedures or treatments rather than tourists engaging i
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Kennedy, Jenny, Indigo Holcombe-James, and Kate Mannell. "Access Denied." M/C Journal 24, no. 3 (2021). http://dx.doi.org/10.5204/mcj.2785.

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Introduction As social-distancing mandates in response to COVID-19 restricted in-person data collection methods such as participant observation and interviews, researchers turned to socially distant methods such as interviewing via video-conferencing technology (Lobe et al.). These were not new tools nor methods, but the pandemic muted any bias towards face-to-face data collection methods. Exemplified in crowd-sourced documents such as Doing Fieldwork in a Pandemic, researchers were encouraged to pivot to digital methods as a means of fulfilling research objectives, “specifically, ideas for av
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D'Aloia, Alessandro. "Paraliminal Conceptuality and the Abstract of Infinity, or Film Philosophy into LLMs Will Do Fine." M/C Journal 27, no. 5 (2024). http://dx.doi.org/10.5204/mcj.3098.

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This article questions whether there exists a difference between the actuality and the virtuality of land as a means of image or scapeness with regard to Ben Koder’s Looking Glass Quilt and John Power’s work on generative ambient screens in public spaces as encounters. It also challenges, but more along the lines of plays with, Jeff Malpas’s contestation of space as a concept that is central to the notion of geographical thinking in the absence of a geography, but with an emphasis on the relational view of space that has come to dominate geography and the social sciences as an elucidation of s
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Arvanitakis, James. "The Heterogenous Citizen: How Many of Us Care about Don Bradman’s Average?" M/C Journal 11, no. 1 (2008). http://dx.doi.org/10.5204/mcj.27.

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One of the first challenges faced by new Australian Prime Minister, Kevin Rudd, was what to do with the former government’s controversial citizenship test. While a quick evaluation of the test shows that 93 percent of those who have sat it ‘passed’ (Hoare), most media controversy has focussed less on the validity of such a test than whether questions relating to Australian cricketing legend, Don Bradman, are appropriate (Hawley). While the citizenship test seems nothing more that a crude and populist measure imposed by the former Howard government in its ongoing nationalistic agenda, which inc
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Arvanitakis, James. "The Heterogenous Citizen." M/C Journal 10, no. 6 (2008). http://dx.doi.org/10.5204/mcj.2720.

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 Introduction One of the first challenges faced by new Australian Prime Minister, Kevin Rudd, was what to do with the former government’s controversial citizenship test. While a quick evaluation of the test shows that 93 percent of those who have sat it ‘passed’ (Hoare), most media controversy has focussed less on the validity of such a test than whether questions relating to Australian cricketing legend, Don Bradman, are appropriate (Hawley). While the citizenship test seems nothing more that a crude and populist measure imposed by the former Howard government in its ongoi
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Leaver, Tama. "Going Dark." M/C Journal 24, no. 2 (2021). http://dx.doi.org/10.5204/mcj.2774.

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The first two months of 2021 saw Google and Facebook ‘go dark’ in terms of news content on the Australia versions of their platforms. In January, Google ran a so-called “experiment” which removed or demoted current news in the search results available to a segment of Australian users. While Google was only darkened for some, in February news on Facebook went completely dark, with the company banning all news content and news sharing for users within Australian. Both of these instances of going dark occurred because of the imminent threat these platforms faced from the News Media Bargaining Cod
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