Last data update: May 13, 2024. (Total: 46773 publications since 2009)
Records 1-2 (of 2 Records) |
Query Trace: Malcarney MB[original query] |
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Advancing the public's health by scaling innovations in clinical quality
Malcarney MB , Horton K , Seiler N , Hastings D . Public Health Rep 2017 132 (4) 512-517 Clinical care improvements that advance population health are important to public health policy and practice. Increasingly, evidence-based clinical care quality improvement efforts are reflected in the legally binding standards that govern the certification of health care entities and institutions, as well as private insurance coverage and payment. As clinical practice is reengineered to improve quality of care, these new practice standards can become embedded in the legal rules and norms governing health care in ways that spread innovation and create access to evidence-based services across the population. | This installment of Law and the Public’s Health provides a foundation for understanding the theory of innovation diffusion and opportunities for spreading innovations aimed at prevention in health care settings. Our research grows out of a project with the Division of Unintentional Injury Prevention at the Centers for Disease Control and Prevention (CDC) to examine how innovations in clinical practice related to falls prevention among community-dwelling older adults can more rapidly reach at-risk populations. Although this project focuses on falls prevention, it is relevant to public health policy and practice more generally. |
Chlamydia screening for sexually active young women under the affordable care act: new opportunities and lingering barriers
Loosier PS , Malcarney MB , Slive L , Cramer RC , Burgess B , Hoover KW , Romaguera R . Sex Transm Dis 2014 41 (9) 538-44 The Affordable Care Act of 2010 (ACA) contains a provision requiring private insurers issuing or renewing plans on or after September 23, 2010, to provide, without cost sharing, preventive services recommended by US Preventive Services Task Force (grades A and B), among other recommending bodies. As a grade A recommendation, chlamydia screening for sexually active young women 24 years and younger and older women at risk for chlamydia falls under this requirement. This article examines the potential effect on chlamydia screening among this population across private and public health plans and identifies lingering barriers not addressed by this legislation. Examination of the impact on women with private insurance touches upon the distinction between coverage under grandfathered plans, where the requirement does not apply, and nongrandfathered plans, where the requirement does apply. Acquisition of private health insurance through health insurance Marketplaces is also discussed. For public health plans, coverage of preventive services without cost sharing differs for individuals enrolled in standard Medicaid, covered under the Medicaid expansion included in the ACA, or those enrolled under the Children's Health Insurance Program or who fall under Early, Periodic, Screening, Diagnosis and Treatment criteria. The discussion of lingering barriers not addressed by the ACA includes the uninsured, physician reimbursement, cost sharing, confidentiality, low rates of appropriate sexual history taking by providers, and disclosures of sensitive information. In addition, the role of safety net programs that provide health care to individuals regardless of ability to pay is examined in light of the expectation that they also remain a payer of last resort. |
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