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The primary objective of this retrospective study was to estimate the incidence of genetic counseling referral for ovarian cancer patients who were at high risk for carrying a mutation in BRCA1 or BRCA2.
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Depot medroxyprogesterone acetate (DMPA) is a highly effective progestin-only contraceptive that is widely used by adolescents. DMPA is also associated with suppression of ovarian production of estradiol, and with a decrease in bone density in some users.
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The management of a patient with suspected fetal macrosomia remains an enigma. Not being able to come up with a consistent plan of management for macrosomia is compounded by our inability to reliably predict it.
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This is a small U.S.-based clinical trial of 23 adolescent women (ages 14-18) randomized to levonorgestrel-releasing vs Copper T intrauterine device (IUD).
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This story is the first part of a two-part series on improving care of high-risk youth enrolled in Medicaid. This month, we cover the challenges of this population and new approaches being used. Next month, we examine the impact of improved quality on subsequent contacts with the juvenile justice system.
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In the past, North Carolina's dual-eligibles were unable to participate in the state's care coordination network, unless they opted in. An individual had to request to be assigned to a medical home, in which case they would receive enhanced services, such as disease management.
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More than 3 million more people were enrolled in state Medicaid programs in June 2009 compared to the previous June, according to a February 2010 analysis by the Kaiser Family Foundation's Commission on Medicaid and the Uninsured (KCMU) in Washington, DC. This is the biggest one-year increase in enrollment since the program's early implementation in the 1960s. Also, for the first time since the early 1990s, enrollment has gone up year to year in all 50 states.
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As of July 2008, Maryland Medicaid expanded coverage of parents from about 30% of federal poverty level (FPL) to 116%, which was approved by the state's legislature during a special session in November 2007. This particular starting date proved to be significant.
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Medicaid directors, who have struggled to meet surging demand for services with plummeting revenues since the onset of the recession, are now faced with an additional 15 million Americans becoming eligible for the program. The newly passed Patient Protection and Affordable Care Act means major changes for programs, which, in the eyes of some, appear to be "mission impossible."
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