AIMC Topic: Medicaid

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Prevalence of Financial Considerations Documented in Primary Care Encounters as Identified by Natural Language Processing Methods.

JAMA network open
IMPORTANCE: Quantifying patient-physician cost conversations is challenging but important as out-of-pocket spending by US patients increases and patients are increasingly interested in discussing costs with their physicians.

Machine Learning Accurately Predicts Short-Term Outcomes Following Open Reduction and Internal Fixation of Ankle Fractures.

The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons
Ankle fractures are common orthopedic injuries with favorable outcomes when managed with open reduction and internal fixation (ORIF). Several patient-related risk factors may contribute to poor short-term outcomes, and machine learning may be a valua...

Machine learning approaches for predicting high cost high need patient expenditures in health care.

Biomedical engineering online
BACKGROUND: This paper studies the temporal consistency of health care expenditures in a large state Medicaid program. Predictive machine learning models were used to forecast the expenditures, especially for the high-cost, high-need (HCHN) patients.

Chronic Pain Prevalence, Opioid Use, and Primary Care Provider Opioid Prescription Patterns in the U.S. from 2017 to 2019 Derived from Medicaid Claims Data.

Studies in health technology and informatics
Chronic non-cancer pain (CNCP) is a major health concern in the United States, incurring substantial healthcare costs and frequently requiring opioid therapy in primary care. This retrospective cross-sectional study used Medicaid claims data from six...

Identifying high-dose opioid prescription risks using machine learning: A focus on sociodemographic characteristics.

Journal of opioid management
OBJECTIVE: The objective of this study was to leverage machine learning techniques to analyze administrative claims and socioeconomic data, with the aim of identifying and interpreting the risk factors associated with high-dose opioid prescribing.

Machine learning for detection of heterogeneous effects of Medicaid coverage on depression.

American journal of epidemiology
In 2008, Oregon expanded its Medicaid program using a lottery, creating a rare opportunity to study the effects of Medicaid coverage using a randomized controlled design (Oregon Health Insurance Experiment). Analysis showed that Medicaid coverage low...

Drivers of Prolonged Hospitalization Following Spine Surgery: A Game-Theory-Based Approach to Explaining Machine Learning Models.

The Journal of bone and joint surgery. American volume
BACKGROUND: Understanding the interactions between variables that predict prolonged hospital length of stay (LOS) following spine surgery can help uncover drivers of this risk in patients. This study utilized a novel game-theory-based approach to dev...