New Medicare and Medicaid Findings from University of Colorado – Denver Discussed (Medicare Under Age 65 and Medicaid Patients Have Poorer Bowel…

New Medicare and Medicaid Findings from University of Colorado - Denver Discussed (Medicare Under Age 65 and Medicaid Patients Have Poorer Bowel Preparations: Implications for Recommendations for an Early Repeat Colonoscopy)

By a News Reporter-Staff News Editor at Managed Care Weekly Digest -- Fresh data on Medicare and Medicaid are presented in a new report. According to news reporting originating from Aurora, Colorado, by NewsRx correspondents, research stated, "Colonoscopy is performed on patients across a broad spectrum of demographic characteristics. These characteristics may aggregate by patient insurance provider and influence bowel preparation quality and the prevalence of adenomas."

Our news editors obtained a quote from the research from the University of Colorado - Denver, "The purpose of this study was to evaluate the association of insurance status and suboptimal bowel preparation, recommendation for an early repeat colonoscopy due to suboptimal bowel preparation, adenoma detection rate (ADR), and advanced ADR (AADR). This is a cohort study of outpatient colonoscopies (n=3113) at a single academic medical center. Patient insurance status was categorized into five groups: 1) Medicare <65y; 2) Medicare greater than or equal to 65y; 3) Tricare/VA; 4) Medicaid/Colorado Indigent Care Program (CICP); and 5) commercial insurance. We used multivariable logistic or linear regression modeling to estimate the risks for the association between patient insurance and suboptimal bowel preparation, recommendation for an early repeat colonoscopy due to suboptimal bowel preparation, ADR, and AADR. Models were adjusted for appropriate covariates. Medicare patients <65y (OR 4.91; 95% CI: 3.25-7.43) and Medicaid/CICP patients (OR 4.23; 95% CI: 2.65-7.65) were more likely to have a suboptimal preparation compared to commercial insurance patients. Medicare patients <65y (OR 5.58; 95% CI: 2.85-10.92) and Medicaid/CICP patients (OR 3.64; CI: 1.60-8.28) were more likely to receive a recommendation for an early repeat colonoscopy compared to commercial insurance patients. Medicare patients <65y had a significantly higher adjusted ADR (OR 1.50; 95% CI: 1.03-2.18) and adjusted AADR (OR 1.99; 95% CI: 1.15-3.44) compared to commercial insurance patients."

According to the news editors, the research concluded: "Understanding the reasons for the higher rate of a suboptimal bowel preparation in Medicare <65y and Medicaid/CICP patients and reducing this rate is critical to improving colonoscopy outcomes and reducing healthcare costs in these populations."

For more information on this research see: Medicare Under Age 65 and Medicaid Patients Have Poorer Bowel Preparations: Implications for Recommendations for an Early Repeat Colonoscopy. Plos One, 2016;11(5):e0155208. (Public Library of Science - www.plos.org; Plos One - www.plosone.org)

The news editors report that additional information may be obtained by contacting B.B. Brimhall, Division of Gastroenterology and Hepatology, University of Colorado Denver, Aurora, Colorado, United States. Additional authors for this research include S.C. Hankins, V. Kankanala and G.L Austin (see also Medicare and Medicaid).

Keywords for this news article include: Aurora, Colorado, United States, Health Policy, Medicare and Medicaid, North and Central America.

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