The Health Policy Exchange

MAY 7, 2013

Medicaid Expansion map courtesy of Avalere Health via The Washington Pos t Wonkblog 5/5/13 In last month's Georgetown University Health Policy seminar, we discussed the complex role of the Medicaid state-federal partnership (which currently provides health insurance to 1 in every 5 Americans ) in improving access to care and health outcomes.

Insurance 130

Insurance Individual DO Family Medicine 130

The Health Policy Exchange

SEPTEMBER 2, 2020

Our residency, formerly a collaboration with Providence Hospital, is now known as the Medstar Health/Georgetown-Washington Hospital Center Family Medicine Residency Program. What hasn't changed is that our family medicine residents remain excited about health policy and advocacy. Phillips, Jr.

Primary Care 130

Primary Care Primary Care Physician Patient-Centered Behavioral Health Services 130

The Health Policy Exchange

JUNE 24, 2013

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 Kenny Lin, MD, MPH Director, Robert L.

Primary Care 130

Primary Care Community Family Doctor DO 130

Annals of Family Medicine

NOVEMBER 20, 2024

Population Studied: The diverse sample included patients with LC with different insurance/payor types, and developed COVID symptoms at various time points in the pandemic. Insurance types included private (n=12, 48%), Medicare/Medicaid/Public (n=8, 32%), Worker’s compensation (n=2, 8%), and other (n=3, 12%).

Patients 130

Patients Insurance IT Mental Health 130

Annals of Family Medicine

NOVEMBER 20, 2024

The patients in the public clinic were less likely to have insurance for medications (77.4 Time-motion studies and fee-for-service payment in primary care should consider the profound impact of practice settings influenced by insurance coverage and social determinants. vs 88.3%), high cholesterol (65.9 vs 64.1%), and pain (55.6

Clinic 130

Clinic Medical Primary Care Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Hispanic or Latino, 30% rural and 27% not insured. vs 59.4%, p <0.001), and be insured (83.5% vs 59.4%, p <0.001), and be insured (83.5% Though co-testing increased steadily across 3 FQHCs, the proportion varied across organizations, ranging from 19.7% Among 12,506 screened average-risk individuals, the mean age was 39.0

Screening 130

Screening Insurance Patient-Centered Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

Health insurance instability may be particularly challenging for patients with diabetes who need regular chronic care management to reduce the risk of diabetes complications. Outcome Measures: Churning was defined as having two or more consecutive uninsured visits after the baseline insured visit.

Patient-Centered 130

Patient-Centered Insurance Diabetes Community 130

Annals of Family Medicine

NOVEMBER 20, 2024

Participants with Medicaid reported disproportionately greater sludge compared with those insured by other payers [79 (36, 169)] vs. [60 (23, 126)] (p=.048). Interview participants perceived inequities in the screening process based on insurer or "knowing the right people". 47, p< 001).

Screening 130

Screening Patients Insurance Patient-Centered 130

Plum Health

JUNE 9, 2025

Donovan Ogboh is a Family Medicine Doctor in Detroit Michigan Dr. Donovan Ogboh is a board-certified family medicine physician with a dedicated interest in preventive care, sports medicine, pediatric care, women’s health, and the ongoing management of chronic conditions. Learn more about DPC

Board-Certified 52

Board-Certified Primary Care Family Medicine DO 52

Noreta Family Medicine

FEBRUARY 12, 2025

Bill Skelton, founder of the Acupuncture Clinic here in Columbia, SC, gave me the film to watch and said he thought that as a Direct Primary Care physician and owner of Noreta Family Medicine, I would appreciate it. I ended up opening Noreta Family Medicine in 2020, a Direct Primary Care (DPC). minutes long.

Healthcare 52

Healthcare Primary Care DO Family Medicine 52

Annals of Family Medicine

NOVEMBER 20, 2024

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.

Family Physician 130

Family Physician Community Insurance Consulting 130

Noreta Family Medicine

SEPTEMBER 4, 2024

Given that I own Noreta Family Medicine, an independent Direct Primary Care office, I often felt the urge to stand up and shout “Yes! We learned about when insurance was introduced into the healthcare system, first with Medicare, then with HMOs. He gets it!” Prior authorizations and co-pays also failed to achieve the same goal.

Primary Care 52

Primary Care DO Family Medicine Insurance 52

Annals of Family Medicine

NOVEMBER 20, 2024

R) Of these, the 551 patients exposed to a CHW tended to be younger, female, insured by Medicaid, live in a higher SVI area, work full time or were unemployed, or identified as Black and/or African American or Hispanic and Latino. M) Themes from semi-structured interviews with patients.

Hypertension 130

Hypertension Community Diabetes Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

In addition, information on liability insurance and protections was sought.

Transportation 130

Transportation Clinic Insurance Utilities 130

Center for Family Medicine (CFM)

SEPTEMBER 1, 2024

At Center for Family Medicine , we offer free pregnancy screenings. At Center for Family Medicine, we noticed that often pregnant women face several barriers when it comes to getting prenatal care. For example, some women don’t have insurance, and some women don’t have access to transportation.

Family Medicine 52

Family Medicine DO IT Transportation 52

Annals of Family Medicine

NOVEMBER 20, 2024

Conclusion Higher rates of HPV testing and co-testing among Black women may reflect differences in demographics like insurance type, education level, and geographic location. More Black women (63.9%) reported they were told what type of test they received than White women (58.2%), p<0.001.

Screening 130

Screening Utilities Patient-Centered Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Provincial administrative claims data was obtained from the Ontario Health Insurance Plan (OHIP). This retrospective population-based cohort study included patients seen by physicians in boutique clinics, Toronto Central Local Health Integration Network (LHIN), and all of Ontario.

Clinic 130

Clinic Referral Primary Care Physician Primary Care 130

Annals of Family Medicine

NOVEMBER 20, 2024

The pandemic did not affect disparity in rural LVOP but had an LVOP-reducing effect on low-income (M) and an LVOP-increasing effect on older adults (MA) compared to the commercially insured from 2019-2021. Significantly greater rural rates of LVOP for acute low-back pain may contribute to the disproportionate rates of opioid-related harms.

Insurance 130

Insurance Community Patients IT 130

Annals of Family Medicine

NOVEMBER 20, 2024

Setting & Population: All clinicians in Family Medicine, Pediatrics, and Internal Medicine caring for individuals aged 22 years and younger in the Virginia All Payers Claims Database (APCD). vs. 29.5%, p<0.0001), and have lower proportions of people insured with Medicaid (44.9% Results: 20.2%

Mental Health 130

Mental Health Internal Medicine DO Family Medicine 130

Annals of Family Medicine

NOVEMBER 20, 2024

This database contains data on, amongst other data, medication use, diagnosis, measurements taken and GP practice visits; data on the GP practice, such as size and location and data on insurance claims.

General Practice 130

General Practice GP Management Patients 130

Annals of Family Medicine

NOVEMBER 20, 2024

Study Design and Analysis: A longitudinal cohort was surveyed through the American Board of Family Medicine (ABFM). Setting: US family physicians in continuity outpatient practice. Our findings suggest the need for policymakers and insurers to facilitate mechanisms to support broad SOP to meet patient needs.

Family Physician 130

Family Physician Family Families Finance 130

Common Sense Family Doctor

JANUARY 19, 2025

But that wasn’t the case for the estimated 1 in 15 US patients whose screening colonoscopies were performed by family physicians in 2021. Most patients who choose colonoscopy as a screening test for colorectal cancer are referred from primary care to a gastroenterologist or other specialist who performs endoscopy.

Family Physician 52

Family Physician Family Families Board-Certified 52

Minnesota Academy of Family Physicians

JUNE 3, 2025

Mid-Year Formulary Changes – Limiting the ability of insurers to make coverage changes mid-year. Medical Assistance Rate Reimbursement – Aligning primary care reimbursement rates under Medical Assistance with Medicare rates. Audio-Only Telehealth – Ensuring audio-only telehealth visits remain a reimbursable option.

Telehealth 90

Telehealth Specialization Transportation Primary Care 90

Annals of Family Medicine

NOVEMBER 20, 2024

The demographics between those who progressed to ARS and those who got better were generally similar, including age, gender, race, education, employment, and type of health insurance. Patients with a telemedicine versus in person visit had a lower, but not statistically significant, rate of progression to ARS (50% vs 64%, p=0.375).

Telemedicine 130

Telemedicine Primary Care Emergency Room Patient-Centered 130

Family Physicians of St. Joseph

SEPTEMBER 25, 2018

Joseph, the family medicine practice is committed to providing exceptional, affordable, patient-centered primary care in SW Michigan without reliance on insurance companies for payment of services. From the time of its inception until October 2017, Family Physicians of St. Joseph, P.C.,

Family Physician 52

Family Physician Families Family Primary Care 52

Noreta Family Medicine

JUNE 25, 2024

A few weeks later, I received a letter in the mail from the patient’s insurance company saying that their records indicated that the patient was not taking one of the diabetes medicines in that class, and that they recommended that I prescribe one of those medicines. I felt like I was in an episode of The Twilight Zone!

Healthcare 52

Healthcare Insurance Primary Care Board-Certified 52

Vida Family Medicine

NOVEMBER 20, 2021

Please note this is often dependent on your insurance company, not the doctor, so be sure to ask the insurance company about coverage as well! Asking about the cash price if you don't use insurance can be helpful so that you can compare the two options. If so, why are you recommending this one? How much will this treatment cost?

Treatment Plan 52

Treatment Plan Insurance Primary Care Physician Primary Care 52

Barton Associates

MAY 29, 2025

These crucial healthcare providers can be found in almost every healthcare setting, including, but not limited to: Hospitals Private Practices Urgent Cares Higher Education Corporate Clinics Telehealth Services Insurance Companies Correctional Facilities Indian Health Service (IHS) Facilities Why is the physician shortage growing?

Private Practice 52

Private Practice Healthcare Internal Medicine DO 52

Annals of Family Medicine

NOVEMBER 20, 2024

Previous studies documented that the type of insurance coverage was associated with the likelihood of a patient receiving care through telehealth. Dataset: Insurance claims submitted to APCD from April through December, 2020. Population Studied: 5,373 healthcare providers in Arkansas.

Telehealth 130

Telehealth Primary Care Finance Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

There was no exclusion based on race, gender, or insurance status. years, 52% were female, 45% were identified as Hispanic, and over 90% had insurance. Setting & Population Studied: Participants were recruited through Capital Area Primary Care Research Network (CAPRICORN), a practice-based research network (PBRN).

Insurance 130

Insurance Clinic Primary Care Community 130

Annals of Family Medicine

MARCH 24, 2025

We estimated the changes in the ambulatory use of antibiotics in France due to the COVID-19 pandemic in 2020-2022 by conducting time-series analyses using nationwide data from French health insurance databases. We examined all systemic antibiotics dispensed from January 1, 2010 through March 31, 2022.

Insurance 130

Insurance 130

Annals of Family Medicine

NOVEMBER 20, 2024

Interviewees reported that discussions about cost are frustrating due to constant fluctuations in insurance coverage and available treatments, requiring them to continuously reassess their approach to providing care and discussing costs. Results: Interview participants included clinicians and staff (n=220) from 52 practices.

Primary Care 130

Primary Care Finance Insurance Management 130

Annals of Family Medicine

NOVEMBER 20, 2024

Instrument: The study utilized several validated scales, including a modified STARRS instrument for suicidal behavior, healthcare access questions from the CDC’s Behavioral Risk Factor Surveillance System survey, insurance status modified from the American Community Survey, and the Multidimensional scale of Perceived Social Support.

Primary Care 130

Primary Care Mental Health Insurance Healthcare 130

Minnesota Academy of Family Physicians

MARCH 7, 2025

Mid-Year Formulary Changes (HF 1652/SF 1806): Seeks to prohibit health insurers from making mid-year changes to their drug formularies, ensuring stable access to prescribed medications for patients. In particular, Republican members of the committee expressed concerns on whether a new tax on health plans may impact health insurance rates.

Mental Health 52

Mental Health Finance Primary Care Insurance 52

Minnesota Academy of Family Physicians

MARCH 27, 2025

As we move into the tenth week of the legislative session, Minnesota Academy of Family Physicians (MAFP) lobbyist Megan Verdeja breaks down what’s happening at the Minnesota State Capitol and provides an update on health care bills. The bill supports a coordinated approach to services. Read a summary of S.F.

Family Physician 52

Family Physician Insurance Finance Individual 52

Annals of Family Medicine

NOVEMBER 20, 2024

Self-collected HPV testing should be made accessible, financially affordable, and be covered by health insurance. Conclusion: Self-collected HPV testing could address barriers to cervical cancer screening by providing a less-invasive, patient-centered alternative to traditional methods.

Screening 130

Screening Patient-Centered Insurance Diagnosis 130

New South Family Medicine and MedSpa

JULY 21, 2020

We want less insurance demands, less government demands, and less pharma demands on how we practice medicine, so that we can focus on PATIENT CARE and transparency. So how do we create equal access? How can direct primary care be a part of that change? DPC physicians by nature believe in a free market.

Healthcare 40

Healthcare Provider Primary Care Insurance 40