Medicine and Health Sciences Commons^™

United States Medicaid And Pharmacy Fraud: An Unintended Consequence Of The Affordable Care Act, Sean Mcdaniel, Drew Blakely

Theses, Dissertations and Capstones

Introduction: The Affordable Care Act (ACA) increased access to health insurance throughout the United States. To date, an estimated 20 million previously uninsured individuals have gained access to coverage since the expansion. As a result, the number of fraudulent schemes reported has been on the rise. Among the many fraudulent activities in the healthcare sector, abuse of pharmacy benefits has been the most prevalent. The misuse and abuse of opioids, and opioid related overdoses has created a widespread epidemic throughout the country, thus extending opportunities for potential fraud within the pharmaceutical industry.

Purpose of the Study: The purpose …

Faculty Perceptions And Teaching Practices For Transformative Change: Culturally Responsive Teaching In Pharmacy Education, Nicole Rockich Winston

Theses, Dissertations and Capstones

Cultural diversity training in pharmacy education has evolved from standalone lectures to longitudinal courses, service-learning initiatives, rotation experiences, and global health opportunities. This mixed methods study explored the perceptions, attitudes, and pedagogies of pharmacy educators who have incorporated culture diversity into their classrooms and clinic sites. First, 91 online surveys incorporating items from the Teaching Multicultural Attitudes Survey and the Multicultural Competency Teaching Scale were distributed to a random sample of pharmacy faculty who interface with cultural diversity. In total, 36 completed surveys were analyzed using descriptive statistics, Pearson correlations, and stepwise linear regressions. Following the survey, seven pharmacy faculty …

Mechanisms Of Dopamine-Induced Methamphetamine Neurotoxicity, Melinda L. Asbury

Theses, Dissertations and Capstones

Methamphetamine (MA) neurotoxicity is particularly evident in the striatum where it causes extensive dopamine (DA) release and results in neurodegeneration. To identify specific signaling pathways and macromolecules involved in postsynaptic DA-induced striatal toxicity we used a SK-N-MC cell model that mimics postsynaptic D1 receptor-expressing striatal neurons. The cells were treated for 6-24 h with 0-50 µM DA. The concentration was chosen to impart physiological relevance to the study as it mirrors [DA] found within the striatum following MA exposure. We show that 25-50 µM DA resulted in protein changes consistent with nitro(oxidative) stress as well as enhanced cleavage of caspase …

340b Program Utilization In Rural Us Clinics, William Finley, Heather M. Kruel

Theses, Dissertations and Capstones

Introduction: The 340B program was an effective strategy in reaching more potential patients, providing more comprehensive services, and limiting the gap between affordability and healthcare. The uninsured and underprivileged often are unable to receive medications at the high market price due to the financial situation they face and inflation. The 340B program seeked to mend this issue to help the public and healthcare organizations. The main purpose of this research was to search and evaluate if the 340B program lived up to its purpose of decreasing the cost of medications in rural based clinics.

Methodology: The research strategy developed …