New AHRQ Study Finds Adults Newly Eligible for Medicaid Under Affordable Care Act Healthier Than Previous Enrollees

Electronic Newsletter, Issue 420

AHRQ's Electronic Newsletter summarizes Agency research and programmatic activities.

April 15, 2014


AHRQ Stats

In 2012, employee contributions toward health insurance premiums averaged $1,118 for single coverage, $2,824 for employee-plus-one coverage and $4,236 for family coverage. Employee contributions for family coverage were highest in Florida and lowest in Michigan. (Source: Agency for Healthcare Research and Quality, Medical Expenditure Panel Survey Statistical Brief #418: State Differences in the Cost of Job-Related Health Insurance, 2012.)

Today's Headlines

  1. New AHRQ Study Finds Adults Newly Eligible for Medicaid Under Affordable Care Act Healthier Than Previous Enrollees.
  2. AHRQ Seeks Nominations to U.S. Preventive Services Task Force.
  3. April 23 Webinar Will Focus on Implementing Long-Term Care Patient Safety Training Modules.
  4. Registration Open for Summer TeamSTEPPS® Trainings.
  5. AHRQ's Innovations Exchange Focuses on Policy Innovations in Long-Term Care.
  6. AHRQ in the professional literature.

1. New AHRQ Study Finds Adults Newly Eligible for Medicaid Under Affordable Care Act Healthier Than Previous Enrollees

A new AHRQ study published in Health Affairs indicates that adults newly eligible for Medicaid under the Affordable Care Act are, overall, at least as healthy as patients already enrolled in Medicaid. The authors said Medicaid-eligible adults not enrolled in Medicaid are generally healthier than the pre-Affordable Care Act Medicaid population, a finding that could help the 25 states that have not yet expanded their Medicaid programs understand what services new enrollees are likely to need. The authors used AHRQ's Medical Expenditure Panel Survey data and simulation modeling to compare the health status of three groups of non-disabled adults who are now Medicaid eligible: those newly eligible for Medicaid under the Affordable Care Act, adults enrolled in Medicaid prior to the Affordable Care Act and adults who were eligible for Medicaid prior to the Affordable Care Act but not enrolled. The study found that both the newly eligibles and the adults previously eligible but not enrolled were generally healthier than those already enrolled in Medicaid. The study and abstract, "Adults in the Income Range for the Affordable Care Act's Medicaid Expansion Are Healthier Than Pre-ACA Medicaid Enrollees," was published online March 26.

2. AHRQ Seeks Nominations to U.S. Preventive Services Task Force

AHRQ welcomes nominations to the U.S. Preventive Services Task Force. Each year, the director of AHRQ appoints new members to serve 4-year terms. To learn more about the nomination process and the procedure to nominate an individual for consideration or to nominate yourself, please visit the AHRQ Web site. Nominations must be received by May 15, with an anticipated start date of January 2015. Qualified candidates must demonstrate national leadership in clinical prevention, the critical evaluation of research and the implementation of evidence-based recommendations in clinical practice. This year, AHRQ is particularly interested in receiving nominations of family physicians. The Task Force makes evidence-based recommendations about clinical preventive services such as screenings, counseling services and preventive medications. AHRQ provides ongoing scientific, administrative and dissemination support (PDF File, 45 KB) to the Task Force.

3. April 23 Webinar Will Focus on Implementing Long-Term Care Patient Safety Training Modules

AHRQ is hosting the second in a series of four webinars April 23 from 1 to 2 p.m. ET on the use of Improving Patient Safety in Long-Term Care Facilities Training Modules. The webinar, developed for nurses and staff educators in long-term care facilities, will feature effective engagement strategies to train staff to recognize and report changes in a nursing home resident's condition. Continuing education credits will be available to participants at no cost. Registration is free, but space is limited. Registration is now open for the April 23 webinar. Also available for viewing is the first archived webinar, which provided an overview of the series and shared tips for teaching the content to others. Additional webinars in this series will cover the following topics: Communicating Change in a Resident's Condition (June 18, 1–2 p.m. ET) and Falls Prevention and Management (August 13, 1–2 p.m. ET).

4. Registration Open for Summer TeamSTEPPS® Trainings

In-person TeamSTEPPS® training courses are scheduled for July and August in six locations—California, Louisiana, Minnesota, New York, North Carolina and Washington state—across the country. TeamSTEPPS is an evidence-based set of teamwork tools aimed at optimizing patient outcomes by improving communication and teamwork skills among health care professionals. The program includes a comprehensive set of ready-to-use materials and a training curriculum to successfully integrate teamwork principles into any health care system. Registration is now open for the trainings, which are offered at no cost to participants, although space is limited and participants must cover their own travel expenses. To learn more or to sign up now, visit the TeamSTEPPS National Implementation Web site. For more information, contact the National Implementation Team via Email or call (312) 422-2609.

5. AHRQ's Innovations Exchange Focuses on Policy Innovations in Long-Term Care

The latest issue of AHRQ's Health Care Innovations Exchange features two profiles about innovative policies and programs designed to improve the quality of long-term care. One featured profile describes how 14 long-term care facilities improved vaccination rates by participating in the Raising Immunizations Safely and Effectively (RISE) program. Under the program, developed by the University of Pittsburgh Medical Center, the facilities turned over control of their vaccination-related policies and processes to a regional pharmacy and then collaborated on implementation and enforcement. The policy change under RISE enabled all participating facilities to reach the Healthy People 2010 goal of vaccinating 60 percent of workers in long-term care settings and several facilities to exceed the Healthy People 2020 goal of vaccinating 90 percent of workers. The Innovations Exchange includes more profiles and tools related to long-term care.

6. AHRQ in the Professional Literature

Meddings JA, Reichert H, Hofer T, et al. Hospital report cards for hospital-acquired pressure ulcers: how good are the grades? Ann Intern Med 2013 Oct 15;159(8):505-13. Select to access the abstract on PubMed®.

Zwaan L, Schiff GD, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf 2013 Oct;22 Suppl 2:ii52-ii57. Epub 2013 Aug 13. Select to access the abstract on PubMed®.

Levit KR, Friedman B, Wong HS. Estimating inpatient hospital prices from state administrative data and hospital financial reports. Health Serv Res 2013 Oct;48(5):1779-97. Epub 2013 May 13. Select to access the abstract on PubMed®.

Liss DT, Fishman PA, Rutter CM, et al. Outcomes among chronically ill adults in a medical home prototype. Am J Manag Care 2013 Oct;19(10):e348-58. Select to access the abstract on PubMed®.

Fuji KT, Abbott AA, Norris JF. Exploring care transitions from patient, caregiver, and health-care provider perspectives. Clin Nurs Res 2013 Aug;22(3):258-74. Epub 2012 Oct 30. Select to access the abstract on PubMed®.

Giovannetti ER, Reider L, Wolff JL, et al. Do older patients and their family caregivers agree about the quality of chronic illness care? Int J Qual Health Care 2013 Oct;25(5):515-24. Epub 2013 Aug 26. Select to access the abstract on PubMed®.

Dalal AK, Roy CL, Poon EG, et al. Impact of an automated email notification system for results of tests pending at discharge: a cluster-randomized controlled trial. J Am Med Inform Assoc 2014 May 1;(21)3:473-80. Epub 2013 Oct 23. Select to access the abstract on PubMed®.

Masinter LM, Feinglass J, Simon MA. Pregnancy intention and use of contraception among Hispanic women in the United States: data from the National Survey of Family Growth, 2006-2010. J Womens Health 2013 Oct;22(10):862-70. Epub 2013 Sep 4. Select to access the abstract on PubMed®.


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Page last reviewed April 2014
Internet Citation: New AHRQ Study Finds Adults Newly Eligible for Medicaid Under Affordable Care Act Healthier Than Previous Enrollees: Electronic Newsletter, Issue 420. April 2014. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/newsletters/e-newsletter/420.html