Literature Collection

7041

Medicaid Reimbursement for Peer Support Services: A Detailed Analysis of Rates, Processes, and Procedures

Type: Web Resource

Authors: Substance Abuse and Mental Health Services Administration

Year: 2024

Publication Place: Rockville, MD

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This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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7042

Medicaid reimbursement rates for primary care services and behavioral health outcomes

Type: Journal Article

Authors: Johanna Catherine Maclean, Chandler McClellan, Michael F. Pesko, Daniel Polsky

Year: 2023

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7043

Medicaid: States' Most Powerful Tool to Combat the Opioid Crisis

Type: Report

Authors: Deborah Bachrach, Patricia Boozang, Mindy Lipson

Year: 2016

Publication Place: Princeton, NJ

Topic(s):

, , , ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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7044

Medicaid's Role in Addressing the Mental Health and Substance Use Disorder Challenges of Its Members

Type: Journal Article

Authors: Kate McEvoy, Hannah Maniates

Year: 2025

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7045

Medicaid’s Role in Addressing the Mental Health and Substance Use Disorder Challenges of Its Members

Type: Government Report

Authors: Kate McEvoy, Hannah Maniates

Year: 2025

Publication Place: New York, NY

Topic(s):

, ,

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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7046

Medical and Health Homes Provide Enhanced Care Coordination for Elders with Complex Conditions

Type: Journal Article

Authors: Neva Kaye, Charles Townley

Year: 2013

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7047

Medical and psychiatric comorbidities in children and adolescents: a guide to issues and treatment approaches

Type: Journal Article

Authors: P. El-Mallakh, P. B. Howard, S. M. Inman

Year: 2010

Publication Place: United States

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7048

Medical Cannabis Patients Under the Age of 21 in the United States: Description of Demographics and Conditions from a Large Patient Database, 2019-2023

Type: Journal Article

Authors: M. L. Doucette, D. Hemraj, D. Bruce, E. Fisher, D. L. Macfarlan

Year: 2024

Abstract:

INTRODUCTION: Existing research on medical cannabis patients has often overlooked those younger than 21. This study aimed to detail the frequency and rate of pediatric medical cannabis patients in the US using a large patient database. METHODS: Utilizing Leafwell Patient Database data from 2019 to mid-2023, we described demographics and qualifying conditions, employing descriptive statistics and χ2 tests to discern differences between minors (0-17 years) and young adults (18-20 years). We calculated rates per 100,000 population by state. RESULTS: Analyzing 13,855 patients, 5.7% were minors and 94.3% were young adults. Anxiety emerged as the primary self-reported condition for both groups, yet differences were seen for other conditions. Differences were observed by race/ethnicity, health insurance status, residency in adult-use states, and number of reported conditions. Notably, both groups reported a similar average number of conditions. CONCLUSION: This study underscores demographic distinctions between minor-aged medical cannabis patients and young adults. There is a need for comprehensive clinical research addressing efficacy, safety, and tailored guidelines specific for pediatric medical cannabis patients. Such insights are pivotal for healthcare providers and policymakers in navigating medical cannabis treatment protocols.; This paper describes the demographics and medical conditions of medical cannabis patients under the age of 21 in the United States based on data from the Leafwell Patient Database spanning 2019 to mid-2023. We found that there is a significant number of medical cannabis users aged 20 or younger, with variations in demographics and conditions between minors (under 18) and young adults (18-20). The findings indicate that minor patients are predominantly white, non-Hispanic, residing in non-adult-use states, and report a lower number of conditions per patient compared to young adults. Anxiety, chronic pain, and PTSD are among the most commonly self-reported conditions for both age groups. There is need for additional clinical studies to understand the role of medical cannabis in addressing symptoms and improving the quality of life for conditions such as chronic pain, anxiety, and PTSD in the pediatric population. The study is limited by its reliance on self-reported data but represents the largest cohort of pediatric medical cannabis users in the world. Further investigation by academics and clinical scientists ought to inform the appropriate integration of medical cannabis in young patients.; eng

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7049

Medical Clinics of North America: Integrated Care for the Complex Medically Ill

Type: Book

Authors: F. Huyse, F. Stiefel

Year: 2006

Publication Place: Philadelphia

Topic(s):

Disclaimer:

This grey literature reference is included in the Academy's Literature Collection in keeping with our mission to gather all sources of information on integration. Grey literature is comprised of materials that are not made available through traditional publishing avenues. Often, the information from unpublished resources can be limited and the risk of bias cannot be determined.

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7050

Medical conditions and symptoms associated with posttraumatic stress disorder in low-income urban women

Type: Journal Article

Authors: Jessica Mary Gill, Sarah L. Szanton, T. J. Taylor, Gayle G. Page, Jacquelyn C. Campbell

Year: 2009

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7051

Medical Family Therapy in a Primary Care Setting: A Framework for Integration

Type: Journal Article

Authors: Dan Marlowe, Jennifer Hodgson, Angela Lamson, Mark White, Tom Irons

Year: 2012

Publication Place: Netherlands

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7052

Medical Family Therapy in Rural Community Health: A Longitudinal "Peek" into Integrated Care Successes

Type: Journal Article

Authors: A. L. Lamson, J. L. Hodgson, F. Limon, C. Feng

Year: 2022

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7053

Medical family therapy: A model for addressing mental health disparities among Latinos

Type: Journal Article

Authors: E. Willerton, M. E. Dankoski, J. F. S. Martir

Year: 2008

Publication Place: URL

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7054

Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient's Perspective

Type: Journal Article

Authors: M. J. Kerrissey, J. R. Clark, M. W. Friedberg, W. Jiang, A. K. Fryer, M. Frean, S. M. Shortell, P. P. Ramsay, L. P. Casalino, S. J. Singer

Year: 2017

Publication Place: United States

Abstract: Structural integration is increasing among medical groups, but whether these changes yield care that is more integrated remains unclear. We explored the relationships between structural integration characteristics of 144 medical groups and perceptions of integrated care among their patients. Patients' perceptions were measured by a validated national survey of 3,067 Medicare beneficiaries with multiple chronic conditions across six domains that reflect knowledge and support of, and communication with, the patient. Medical groups' structural characteristics were taken from the National Study of Physician Organizations and included practice size, specialty mix, technological capabilities, and care management processes. Patients' survey responses were most favorable for the domain of test result communication and least favorable for the domain of provider support for medication and home health management. Medical groups' characteristics were not consistently associated with patients' perceptions of integrated care. However, compared to patients of primary care groups, patients of multispecialty groups had strong favorable perceptions of medical group staff knowledge of patients' medical histories. Opportunities exist to improve patient care, but structural integration of medical groups might not be sufficient for delivering care that patients perceive as integrated.

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7055

Medical groups' adoption of electronic health records and information systems

Type: Journal Article

Authors: D. Gans, J. Kralewski, T. Hammons, B. Dowd

Year: 2005

Publication Place: United States

Abstract: We surveyed a nationally representative sample of medical group practices to assess their current use of information technology (IT). Our results suggest that adoption of electronic health records (EHRs) is progressing slowly, at least in smaller practices, although a number of group practices plan to implement an EHR within the next two years. Moreover, the process of choosing and implementing an EHR appears to be more complex and varied than we expected. This suggests a need for greater support for practices, particularly smaller ones, in this quest if the benefits expected from EHRs are to be realized.

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7056

Medical home and transition planning for children and youth with special health care needs

Type: Journal Article

Authors: W. A. Burdo-Hartman, D. R. Patel

Year: 2008

Publication Place: United States

Abstract: Although many physicians may practice medical home medicine, most of the health care system is set up for acute episodic care. For children and youth with special health care needs (CYSHCN), this is costly and inefficient care and unsatisfactory for the patient and family. Transition or the purposeful planned movement of adolescents and young adults with chronic conditions from child-centered to adult-centered care began to evolve in the 1980s as more and more CYSHCN survived into adulthood. There is some progress being made in the implementation of the medical home that may facilitate a more effective transition of young individuals who have developmental disabilities. The greatest barrier to successful transition remains ensuring affordable, continuous health insurance coverage for all young people with special health care needs throughout adolescence and adulthood and engaging adult-oriented health care systems to take over the medical care of these young individuals.

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7057

Medical home capabilities of primary care practices that serve sociodemographically vulnerable neighborhoods

Type: Journal Article

Authors: M. W. Friedberg, K. L. Coltin, D. G. Safran, M. Dresser, E. C. Schneider

Year: 2010

Publication Place: United States

Abstract: BACKGROUND: Under current medical home proposals, primary care practices using specific structural capabilities will receive enhanced payments. Some practices disproportionately serve sociodemographically vulnerable neighborhoods. If these practices lack medical home capabilities, their ineligibility for enhanced payments could worsen disparities in care. METHODS: Via survey, 308 Massachusetts primary care practices reported their use of 13 structural capabilities commonly included in medical home proposals. Using geocoded US Census data, we constructed racial/ethnic minority and economic disadvantage indices to describe the neighborhood served by each practice. We compared the structural capabilities of "disproportionate-share" practices (those in the most sociodemographically vulnerable quintile on each index) and others. RESULTS: Racial/ethnic disproportionate-share practices were more likely than others to have staff assisting patient self-management (69% vs 55%; P = .003), on-site language interpreters (54% vs 26%; P < .001), multilingual clinicians (80% vs 51%; P < .001), and multifunctional electronic health records (48% vs 29%; P = .01). Similarly, economic disproportionate-share practices were more likely than others to have physician awareness of patient experience ratings (73% vs 65%; P = .03), on-site language interpreters (56% vs 25%; P < .001), multilingual clinicians (78% vs 51%; P < .001), and multifunctional electronic health records (40% vs 31%; P = .03). Disproportionate-share practices were larger than others. After adjustment for practice size, only language capabilities continued to have statistically significant relationships with disproportionate-share status. CONCLUSIONS: Contrary to expectations, primary care practices serving sociodemographically vulnerable neighborhoods were more likely than other practices to have structural capabilities commonly included in medical home proposals. Payments tied to these capabilities may aid practices serving vulnerable populations.

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7058

Medical home disparities between children with public and private insurance

Type: Journal Article

Authors: J. S. Zickafoose, A. Gebremariam, S. J. Clark, M. M. Davis

Year: 2011

Publication Place: United States

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7059

Medical home effects on enrollees with mental and physical illness

Type: Journal Article

Authors: L. R. Grove, M. E. Domino, J. F. Farley, K. E. Swietek, C. Beadles, A. R. Ellis, C. T. Jackson, C. A. Dubard

Year: 2020

Publication Place: United States

Abstract: OBJECTIVES: To assess the effect of medical home enrollment on acute care use and healthcare spending among Medicaid beneficiaries with mental and physical illness. STUDY DESIGN: Retrospective cohort analysis of administrative data. METHODS: We used 2007-2010 Medicaid claims and state psychiatric hospital data from a sample of 83,819 individuals diagnosed with schizophrenia or depression and at least 1 comorbid physical condition. We performed fixed-effects regression analysis at the person-month level to examine the effect of medical home enrollment on the probabilities of emergency department (ED) use, inpatient admission, and outpatient care use and on amount of Medicaid spending. RESULTS: Medical home enrollment had no effect on ED use in either cohort and was associated with a lower probability of inpatient admission in the depression cohort (P .05). Medical home enrollees in both cohorts experienced an increase in the probability of having any outpatient visits (P .05). Medical home enrollment was associated with an increase in mean monthly spending among those with schizophrenia ($65.8; P .05) and a decrease among those with depression (-$66.4; P .05). CONCLUSIONS: Among Medicaid beneficiaries with comorbid mental and physical illness, medical home enrollment appears to increase outpatient healthcare use and has mixed effects on acute care use. For individuals in this population who previously had no engagement with the healthcare system, use of the medical home model may represent an investment in providing improved access to needed outpatient services with cost savings potential for beneficiaries with depression.

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7060

Medical Home Features of VHA Primary Care Clinics and Avoidable Hospitalizations

Type: Journal Article

Year: 2013

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