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Differences in primary care utilization by primary care availability in the first year of Virginia Medicaid Expansion [Health care disparities]

Annals of Family Medicine

Context: Primary care is essential to health but barriers include affordability of care and accessibility of physicians. Importantly, Virginia's Medicaid expansion reduced cost-related barriers to accessing care for over 700,000 individuals. Of these, 117,481 (57.2%) individuals had at least one primary care visit.

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Economic analysis of virtual Medical Legal Partnership model [Economic or policy analysis]

Annals of Family Medicine

Objective: Evaluate the economic impact of receiving tele-legal services from Medicaid’s perspective with regard to a) fee- for service (FFS) total cost of care; b) FFS cost of primary care; c) utilization for FFS primary care; d) utilization for FFS and capitated behavioral health (BH) and BH emergency department encounters.

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Implementation and Uptake of the Virginia Mental Health Access Program [Child and adolescent health]

Annals of Family Medicine

Increasing access to primary care clinicians who are better able to screen and treat pediatric mental health conditions can improve mental health and reduce unnecessary ED visits. The census tracts where patients live who are cared for VMAP supported clinicians versus non-VMAP supported clinicians tended to be more rural (36.3%

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Physicians Perspectives on Race and Atherosclerotic Cardiovascular Disease (ASCVD) Risk Calculator [Social determinants and vulnerable populations]

Annals of Family Medicine

Context: The pooled cohort equations (used in the ASCVD risk calculator) are race-stratified equations that estimate an individual’s ten-year risk of ASCVD. Study design: Qualitative descriptive study conducted using ten 45-minute semi-structured interviews with primary care physicians in North Carolina between March and April 2022.

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Potentially Unsafe Low-evidence Treatments: Adam Marks, Laura Taylor, & Jill Schneiderhan

GeriPal

Do elements of care that are often administered to seriously ill patients count? How does integrative medicine fit in with this? Jill Schneiderhan, a family medicine and integrative medicine doc, helps us think through this. Eric 06:58 It could be CPR in an individual with metastatic cancer in the icu.