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Peripheral artery disease (PAD) has been associated with poorer outcomes based on particular social determinants of health, including insurance status. A unique population to study treatment outcomes related to PAD is those with dual-eligible status-those who qualify for both Medicare and Medicaid-comprising more than 12 million people. We performed a systematic review of the literature surrounding dual-eligible patients and impact on PAD, with final inclusion of six articles. Dual eligibility has been associated with higher rates of comorbidities; more severe symptoms at initial presentation for PAD; and poorer treatment outcomes, including mortality. Further studies are needed to specifically look at the association between PAD and dual-eligible status, but what is clear is that patients in this population would benefit from early identification to prevent disease progression and improve equity.
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http://dx.doi.org/10.1053/j.semvascsurg.2022.12.005 | DOI Listing |
J Clin Oncol
August 2025
Division of General Internal Medicine, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA.
Purpose: This study evaluated racial and ethnic disparities along the treatment cascade for Medicare fee-for-service patients with metastatic breast, colorectal, lung, and prostate cancers and disparities in overall survival by treatment receipt and quantified factors contributing to these disparities.
Methods: Medicare fee-for-service beneficiaries with newly diagnosed metastatic hormone receptor-positive/human epidermal growth factor receptor 2-negative breast, colorectal, non-small cell lung, and prostate cancers from the SEER-Medicare-linked database (2016-2020) were studied. We used multivariable logistic regression to evaluate disparities along the treatment cascade, multivariable Cox regressions to evaluate disparities in overall survival by treatment receipt, and Oaxaca-Blinder decomposition to quantify the contribution of factors related to disparities.
JAMA Netw Open
July 2025
Department of Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia.
Importance: The lack of universally accepted definitions for safety net hospitals (SNHs) has made it difficult to effectively design policies to support these hospitals and the populations they serve.
Objective: To evaluate the overlap, variation, and consistency across different definitions for SNH status.
Design, Setting, And Participants: This retrospective cohort study used a hospital year-level dataset on short-term acute care US hospitals from 2014 to 2022.
Am J Obstet Gynecol
July 2025
Department of Urology, University of California San Diego, San Diego, CA.
Background: Many women with fecal incontinence do not seek care despite the availability of effective treatments. Factors influencing care-seeking for fecal incontinence are not well elucidated, and the role of social determinants of health in fecal incontinence treatment utilization is unknown.
Objective: Our primary aim was to determine the association between social determinants of health and treatment utilization among Medicare beneficiaries with fecal incontinence.
PLoS One
June 2025
Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, California, United States of America.
Medicaid-funded home and community-based services (HCBS) allow older adults with disabilities to avoid long-term institutionalization in nursing homes or hospitals. Past research has shown mixed results on the positive impacts of HCBS. These inconsistent results may stem from studies combining varied HCBS settings, obscuring their differential impacts on older adults' health and well-being.
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May 2025
Department of Health Policy, Vanderbilt University School of Medicine, 2525 West End Ave, Ste 1275, Nashville, TN 37203. Email:
Objectives: Individuals younger than 65 years can qualify for Medicare if they have long-term disabilities or certain qualifying conditions. These beneficiaries-particularly the non-dual-eligible population-may experience cost and access barriers to medical care. We examined the association between Medicare coverage type and reported barriers to care.
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