Healthcare reform in puerto rico. managed care in a unique environment

Factors associated with late stage at diagnosis among Puerto Rico’s government health plan colorectal cancer patients: A cross-sectional study

• “Puerto Rico’s government, through the Puerto Rico Health Insurance Administration (PRHIA), assumed the role of contracting and overseeing the private insurance companies, delegating the responsibility to provide access to health services for medically indigent persons. Medicare medicaid The GHP beneficiaries are limited to the Medicaid, Medicare eligible, and medically indigent citizens with family incomes below 200 % of the federal poverty level [8][9][10]. Medicare online registration Thus, the eligibility for the GHP beneficiaries is assigned to the office of the Medicaid program within the Department of Health of Puerto Rico, based on the family income. Check medicare “

Late stage at diagnosis of cancer is considered a key predictor factor for a lower survival rate.

Register for medicare Knowing and understanding the barriers to an early diagnosis of colorectal cancer is critical in the fight to reduce the social and economic burden caused by cancer in Puerto Rico. Medicare claim online This study evaluates factors associated to colorectal cancer stage at diagnosis among Puerto Rico’s Government Health Plan (GHP) patients.

We conducted a cross-sectional study based on a secondary data analysis using information from the Puerto Rico Central Cancer Registry (PRCCR) and the Puerto Rico Health Insurance Administration (PRHIA). My medicare gov Logistic regression models were used to estimate the unadjusted odds ratio (ORs) and adjusted odds ratio (AORs), and their 95 % confidence intervals (CIs). What’s medicare Colorectal cancer cases diagnosed between January 1, 2012 and December 31, 2012, among persons 50 to 64 years of age, participants of the GHP and with a cancer diagnosis reported to the PRCCR were included in the study.

There were 68 (35.79 %) colorectal cancer patients diagnosed at early stage while 122 (64.21 %) where diagnosed at late stage. Claiming medicare In the multivariate analysis having a diagnostic delay of more than 59 days (AOR 2.94, 95 % CI: 1.32 to 6.52) and having the first visit through the emergency room (AOR 3.48, 95 % CI: 1.60 to 7.60) were strong predictors of being diagnosed with colorectal cancer at a late stage.

These results are relevant to understand the factors that influence the outcomes of colorectal cancer patients in the GHP. Medicare forms Therefore, it is important to continue developing studies to understand the Government Health Plan patient’s pathways to a cancer diagnosis, in order to promote assertive decisions to improve patient outcomes.

[Show abstract] [Hide abstract] ABSTRACT: Colorectal cancer represents a major health problem and an important economic burden in Puerto Rico. Claim medicare online In the 1990’s, the Commonwealth of Puerto Rico implemented a health care reform through the privatization of the public health system. Medicare premium increase The goal was to ensure access to health services, eliminate disparities for medically indigent citizens and provide special coverage for high-risk conditions such as cancer. Medicare beneficiaries This study estimates the 5-year relative survival rate of colorectal cancer and the relative excess risk of death in Puerto Rico for 2004-2005, by type of health insurance coverage; Government Health Plan vs. Medicare prescription drug plan Non-Government Health Plan. What is medicare deductible Colorectal cancer in advanced stages was more common in Government Health Plan patients compared with Non-Government Health Plan patients (44.29% vs. At what age does medicare start 40.24 had regional extent and 13.58% versus 10.42% had distant involvement, respectively). Medicare changes Government Health Plan patients in the 50-64 (RR = 6.59; CI: 2.85-15.24) and ≥65 (RR = 2.4; CI: 1.72-4.04) age-groups had the greater excess risk of death compared with Non-Government Health Plan patients. Medicare part a benefits Further studies evaluating the interplay of access to health services and the barriers affecting the Government Health Plan population are warranted.

[Show abstract] [Hide abstract] ABSTRACT: In 1993, Puerto Rico became a pioneer amongst the USA and its territories for instituting a public health insurance funded by the state and provided by private insurance companies. Medicare claims address for providers This health reform plan was aimed at providing coverage particularly to the medically indigent sector of society and ensuring universal access to healthcare. About medicare However, today this system is still struggling with sustaining the goals that originated it. Medicare claim form for paid accounts Thus, the purpose of this study is to understand how universal access affects physicians’ and patients’ attitudes, in turn affecting the effectiveness of health reform implementation. Medicaid office in queens A causal model was created to depict the structural form of the physician and patient value system influenced by different actors as a result of the implementation of the Government Health Reform from 1993–2010 in Puerto Rico.