Victoria Ly, MD, MPH, explains the results of her study on follow-up among students in Arkansas who failed their vision screening tests.
Throughout the 6-year study, 1 in 10 children failed their vision screening test, and of those who failed, 2 of 3 did not complete a follow-up, said Victoria Ly, MD, MPH, an intern resident physician at University of Texas Southwestern Medical Center in ophthalmology.
Transcript
Can you introduce yourself and describe the work you do?
Hi, I'm Dr. Ly. I am an intern resident physician at UT Southwestern in ophthalmology.
Why did you conduct your study on follow-up rates for Arkansas students who fail vision screenings? Can you explain the main findings?
I had started the project last year while still in medical school; it was my capstone project for my master's degree in public health. I essentially was inspired while I was on my pediatric ophthalmology rotation. I saw a lot of these children coming into clinic; it was their first time seeing an eye doctor ever, only because they had failed their school vision screening. I got pretty curious about what exactly is entailed in the screening and one thing led to another, and I ended up having this project.
As far as the main findings for the project, I would say that it highlights that over the 6 years that I had the data, so from 2014 to 2019, there's almost 1 in 10 children who had failed their school vision screening. But then of those students that failed only, 2 of the 3 that failed did not get follow-up eye care as they should, and overall, most school districts had follow-up rates of less than 60%.
My study showed that the follow-up rates, they're all associated to the percent of students of Black race, percent of students receiving free and reduced lunch, and percent of students living in poverty. The rates are also associated with factors that reflects the access to care; in particular, the percent of students that were enrolled in the Children's Health Insurance Program, or CHIP.
Overall, my study just shows that Arkansas students who fail their vision screenings, they aren't getting very good follow-up eye care, and my study highlights that those rates are associated with racial and socioeconomic disparities.
The Push for Fair Pricing and Reform in Pharmacy Benefit Management
April 3rd 2025Amid growing legislative pressures and industry debates, pharmacy benefit managers (PBMs) are exploring new strategies to enhance transparency, reduce patient costs, and navigate the evolving healthcare landscape.
Read More
Navigating Sport-Related Neurospine Injuries, Surgery, and Managed Care
February 25th 2025On this episode of Managed Care Cast, we speak with Arthur L. Jenkins III, MD, FACS, CEO of Jenkins NeuroSpine, to explore the intersection of advanced surgical care for sport-related neurospine injuries and managed care systems.
Listen
Using AI-Driven Strategies to Optimize Specialty Drug Costs, Manage Polypharmacy
April 2nd 2025As health care costs continue to rise, artificial intelligence (AI)-driven solutions are emerging as a powerful tool for managing specialty drug spending and polypharmacy risks, as showcased in recent research presented at the Academy of Managed Care Pharmacy 2025 conference.
Read More
How Recent Federal Policy Changes Are Shaping Managed Care Pharmacy
April 2nd 2025Federal legislative and regulatory changes are reshaping pharmacy practice, with key challenges in government funding, pharmacy benefit manager reform, and health care policy shifts—topics explored by experts at the Academy of Managed Care Pharmacy's annual meeting.
Read More
The IRA’s Unintended Consequences for Drug Pricing and Coverage
April 2nd 2025The Inflation Reduction Act (IRA) may be restricting Medicare Part D formularies, increasing patient costs, and stifling pharmaceutical innovation, experts warned at the Academy of Managed Care Pharmacy 2025 annual meeting.
Read More