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The effect of being uninsured on cancer screening practices in Puerto Rico [Social determinants and vulnerable populations]

Annals of Family Medicine

One of the largest barriers to preventative cancer screening is inadequate insurance coverage. Although disparities in healthcare access have been well-documented between insured and uninsured populations in the United States, the impact of lack of insurance on screening practices in Puerto Rico has not been well described.

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The Massachusetts Avenue of health reform

The Health Policy Exchange

In contrast to the personality-driven path that Lyndon Johnson took to navigate legislative obstacles to Medicare and Medicaid, former management consultant Mitt Romney charted a decidedly different course to expanding health insurance when he became governor of Massachusetts in 2003. It was one thing to ask drivers to buy car insurance.

Insurance 130
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Understanding the Relationship Between Social Needs and Cervical Cancer Screening [Screening, prevention, and health promotion]

Annals of Family Medicine

Objective To understand how patient-reported social needs are associated with cervical cancer screening in a fully insured population. Screening rate also varied by insurance type. Conclusion In an insured population, social needs were not associated with screening in patients 30+ years. in screened vs. 1.15

Screening 130
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Medicaid expansion is in the eye of the beholder

The Health Policy Exchange

Instead, the Court gave individual states the option to accept or decline the expansion, which, though far more generous with federal matching funds than the existing program, would still require states to spend more within already strapped budgets. Kenny Lin, MD Director, Robert L. Kenny Lin, MD Director, Robert L. Phillips, Jr.

Insurance 130
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Pap-HPV co-testing adoption trends for cervical cancer screening in a multi-state Practice Research Network (PBRN) 2012-2017 [Health care disparities]

Annals of Family Medicine

Among 12,506 screened average-risk individuals, the mean age was 39.0 Hispanic or Latino, 30% rural and 27% not insured. Compared to individuals screened with Pap-only, those screened with co-testing were significantly older and more likely to be American Indian or Alaska Native (1.5% were White, 16.0% vs 69.3%, p <0.001).

Screening 130
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Predictors of exposure to high-priority drug-drug interactions among non-elderly adults in Quebec, Canada [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Population Studied: Community-dwelling non-elderly adults (19-64 years) residents of Quebec and covered by the public prescription drug insurance between 2014 and 2017. Results: Our cohort included 63,834 individuals aged 19-64 (mean age 44.9 of all prescriptions claimed were issued by a family physician.

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Caring for the underserved: The National Health Service Corps

The Health Policy Exchange

Currently, the collective impacts of the individual and employer mandates and guaranteed insurance issue provisions of the Affordable Care Act on underserved communities remain uncertain. Health Policy Fellowship Department of Family Medicine Georgetown University School of Medicine Phillips, Jr.