Health Policy Commons^™

Health Care Reform And Women's Insurance Coverage For Breast And Cervical Cancer Screening, Alice R. Levy, Brian K. Bruen, Leighton C. Ku

Health Policy and Management Faculty Publications

INTRODUCTION:

The Patient Protection and Affordable Care Act of 2010 (ACA) will increase insurance coverage for US citizens and for breast and cervical cancer screening through insurance expansions and regulatory changes. The primary objective of this study was to estimate the number of low-income women who would gain health insurance after implementation of the ACA and thus be able to obtain cancer screening. A secondary objective was to estimate the size and characteristics of the uninsured low-income population and the number of women who would still need National Breast and Cervical Cancer Early Detection Program (NBCCEDP) services.

METHODS:

We used …

The Role Of Medicaid In Promoting Access To High-Quality, High-Value Maternity Care, Anne R. Markus, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

The main purpose of this article is to analyze and describe the role of Medicaid in facilitating access to care for pregnant women and ensuring high-quality maternity care that is affordable. It first summarizes the federal Medicaid requirements regarding eligibility, coverage of benefits, financing, and service delivery, with a special emphasis on existing quality provisions. Then, it discusses current issues and recommends several Medicaid reforms, particularly in the area of quality assessment and improvement. All reforms, including Medicaid reforms, should seek to support the IOM-identified aims. Much of the emphais in Medicaid policy development has been focused on access to …

Mandatory Vaccination Of Health Care Workers, Alexandra M. Stewart

Health Policy and Management Faculty Publications

New York State’s regulations require health care workers who have direct contact with patients or who may expose patients to disease to be vaccinated against seasonal and H1N1 influenza. Courts must take into account Constitutional guarantees of personal autonomy, freedom of contract, and freedom of religion when reviewing the current lawsuits. These rights, however, have been constrained when they conflict with government measures that are intended to protect the community’s health and safety. Health care workers have a profound effect on patients’ health. Although they have the same rights as all private citizens, it is likely that courts will continue …

Women's Health And Health Care Reform: The Economic Burden Of Disease In Women, Susan F. Wood, Avi Dor, Rebekah E. Gee, Alison Harms, D. Richard Mauery, Sara J. Rosenbaum, Ellen Tan

Health Policy and Management Faculty Publications

This report estimates the direct and indirect costs of care for women for the major chronic diseases and conditions that women face across the lifespan. It also identifies the key primary care and preventive services that can lead to prevention, early detection or early intervention for these conditions. Health care screening, counseling, early diagnosis, and early intervention health care services are important for women at each stage of their lives. But women typically seek care in primary care settings for family planning services and cancer screening prior to becoming pregnant. As a result, high quality care during the reproductive years …

Why Policy Matters, D. Richard Mauery

Health Policy and Management Faculty Publications

The Editors and Editorial Board of Women’s Health Issues are pleased to publish in this issue the first article in a new category of peer-reviewed manuscripts for our journal, ‘‘Policy Matters.’’

Hpv Vaccination: Should It Be Recommended Or Required?, Alexandra M. Stewart

Health Policy and Management Faculty Publications

Legislation introduced by two members of the District of Columbia Council on January 9, 2007 would require all girls to be vaccinated against the human papillomavirus (HPV), the primary cause of cervical cancer, by the time they enter the sixth grade, unless a parent or guardian specifically "opts out" of the mandate. A similar bill was introduced last week in Virginia, and Maryland and West Virginia are poised to consider legislation. To place the proposals in a broader context, this paper reviews some of the scientific, legal, ethical and financial issues surrounding the HPV vaccine and compulsory vaccinations.

Hearing Their Voices: Lessons From The Breast And Cervical Cancer Prevention And Treatment Act (Bccpta), Kyle Kenney, Sarah C. Blake, Kathleen A. Maloy, Usha Ranji, Alina Salganicoff

Health Policy and Management Faculty Publications

This brief provides: 1) an overview of California breast and cervical cancer screening programs for low-income women, 2) description of California's implementation of the BCCPTA and state-funded treatment coverage, and 3) findings from a series of 15 focus groups with low-income women in San Diego and San Francisco discussions conducted to learn more about BCCPTA coverage and its implementation in California. The purpose of the study was to hear directly from women in California about their experiences, knowledge, and opinions of breast and cervical cancer screening and treatment services after the implementation of the BCCPTA.