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Georgetown University Medical Center has issued a press release regarding the publishing of the MG-SORC’s team study on Medicaid expansion in the Journal of the American College of Surgeons (JACS).  The publication, entitled, “Medicaid Expansion and Disparity Reduction in Surgical Cancer Care at High Quality Hospitals?”  appeared online Thursday, October 5, 2017, on the Journal of the American College of Surgeons' website. It addresses the question whether Medicaid expansion improves access to surgical cancer care at high-quality hospitals using the 2001 New York State Medicaid expansion, which is considered a precursor to the Affordable Care Act.  The researchers were surprised to discover the racial disparity gap widened when it came to access to high-quality hospitals for cancer surgery. The study team had expected to see a shrinking racial gap, but instead found the proportion of minority Medicaid patients treated at hospitals that provide high-quality cancer surgery fell significantly compared to their white counterparts.

This study follows Dr. Al-Refaie’s finding in January 2017, that New York’s Medicaid expansion improved access to cancer surgery for the previously uninsured, but did not preferentially benefit ethnic and racial minorities who are typically the most vulnerable of America’s poorest populations. That study was also published in JACS.

David Xiao, a health justice scholar at Georgetown University School of Medicine, is first author on the study. Xiao's work was sponsored by the MedStar Summer Research Program. Additional co-authors include Chaoyi Zheng, MS, Manila Jindal, Lynt B. Johnson, MD, MBA, FACS, Thomas DeLeire, PhD, and Nawar Shara, PhD.

This study was originally presented by David Xiao, at the 12th Annual Academic Surgical Congress, Las Vegas, NV, February 2017.

https://gumc.georgetown.edu/news/NY-State-Medicaid-Expansion-Widened-Racial-Gap-in-Access-to-High-Quality-Cancer-Surgery

https://gumc.georgetown.edu/news/Al-Refaie_Leads_Multidisciplinary_Research_Team


Georgetown University Medical Center has issued a press release regarding the publishing of the MG-SORC’s team study on pre-ACA Medicaid expansion in the Journal of the American College of Surgeons.  The publication, entitled, “Did Pre-Affordable Care Act Medicaid Expansion Increase Access to Surgical Cancer Care?”  appeared online Tuesday January 24, 2017 on the Journal of the American College of Surgeons' website. The study found that the Medicaid expansion significantly improves access to surgical cancer care overall, but the proportion of minorities having surgery, relative to whites, did not change – this was an unexpected finding.  The researchers felt the findings may provide timely and meaningful insight into what could result from the expansion of Medicaid, a state and federal program that provides health insurance for those with very low income, that has occurred in 32 states including the District of Columbia , under the  ACA.

The Study team, who represent one of the first collaborative projects between multiple schools at Georgetown University, MGUH and MHRI, include authors Waddah B. Al-Refaie, MD;  Chaoyi Zheng, MS; Manila Jindal; Michele Lee Clements, Patryce Toye, MD;  Lynt B Johnson, MD;  David Xiao; Timothy Westmoreland, JD;  Thomas DeLeire, PhD; and Nawar Shara, PhD.

This study was originally presented by Dr. Al-Refaie at the Southern Surgical Association Annual Meeting in December 2016.

https://gumc.georgetown.edu/news/large-pre-aca-medicaid-expansion-did-not-level-health-disparities-in-cancer-surgery

 


The journal of the American College of Surgeons has issued a press release on the MG-SORC team's study on patient readmissions to vulnerable hospitals after complex cancer operations, appearing online Tuesday May 31 on the Journal of the American College of Surgeons' website. Findings such as these led to creation of the Medicare Hospital Readmissions Reduction Program (HRRP) in the Affordable Care Act, which penalizes hospitals that have higher than expected readmission rates. HRRP currently covers four common medical conditions-pneumonia, heart failure, acute myocardial infarction, and chronic obstructive pulmonary disease (COPD), along with two joint replacement operations (knee and hip). The program will expand in 2017 and begin including coronary artery bypass grafting (CABG) procedures.

The Study team included Dr. Waddah Al-Refaie, MD Dr. Young Hong, MD Ms. Mina Zheng, MS, Dr. Elizabeth Hechenbleikner, MD; Lynt B. Johnson, MD, FACS; and Nawar Shara, PhD. This study was originally presented at the Western Surgical Association 123rd Scientific Session, November 2015.

https://www.facs.org/media/press-releases/jacs/readmissions053116

 


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