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Maintaining Stability In A Changing Climate: A Comparative Analysis Of Public Health Systems And Migration Policies In The U.S. And Canada, Laura Cutlip 2019 Colorado College

Maintaining Stability In A Changing Climate: A Comparative Analysis Of Public Health Systems And Migration Policies In The U.S. And Canada, Laura Cutlip

Climate and Society

This paper examines the relation between climate change, migration, and public health to better understand how the United States health system is positioned to deal with likely challenges to human health posed by environmental changes. The author reviews probable impacts of climate change on population displacement and disease before considering how the current structure of the health system of the United States will render it unable to adapt to these changes and challenges. The Canadian health care system and refugee policies are then reviewed to provide a counterpoint to this analysis. These findings are then considered in tandem as the ...


A Study Of The Effects Of Certificate Of Need Law On Inpatient Occupancy Rates, Jomon Aliyas Paul, Huan Ni, Aniruddha Bagchi 2018 Selected Works

A Study Of The Effects Of Certificate Of Need Law On Inpatient Occupancy Rates, Jomon Aliyas Paul, Huan Ni, Aniruddha Bagchi

Aniruddha Bagchi

Increasing healthcare costs and the deterioration of healthcare quality have always been major concerns to policy makers in the United States, and Certificate of Need (CON) Law has been implemented as one way to curb wasteful healthcare resource use. Theoretically, CON can lead to a reduction in the number of beds as well as in the number of inpatient days (possibly by shortening the length of patient stay). However, these two effects impact inpatient occupancy rate in opposite directions. We test empirically to find out which of these two effects dominate. In this study, we investigate the impact of CON ...


"Integrated Science 3002a: Big Bike Giveaway: Changing London's Environment, Health, And Economy One Bike At A Time", Jermiah Joseph, Katelyn Melo, Devanshi Shukla, Tony Nguyen, Katherine Teeter 2018 Western University

"Integrated Science 3002a: Big Bike Giveaway: Changing London's Environment, Health, And Economy One Bike At A Time", Jermiah Joseph, Katelyn Melo, Devanshi Shukla, Tony Nguyen, Katherine Teeter

Community Engaged Learning Final Projects

There are significant benefits that manifest when an individual chooses to ride a bicycle as their primary mode of transportation. To investigate these benefits, the environmental, health, economic, and social impacts of biking were evaluated through research and data analyses. This revealed that numerous advantages can be obtained at an individual and local scale through citizens choosing to adopt a biking lifestyle. However, it was found that many Londoners are deterred from biking due to poor biking infrastructure. This paper calls into question the current cycling framework in London and it’s limitations on achieving the numerous benefits that biking ...


Nudging With The Health Security Index: Behavioral Economics In Coalition Development, Glen P. Mays 2018 University of Kentucky

Nudging With The Health Security Index: Behavioral Economics In Coalition Development, Glen P. Mays

Glen Mays

Healthcare coalitions can use comparative data from the National Health Security Preparedness Index, combined with insights from behavioral economics, to strengthen community engagement and investment in coalition activities. Using Index results, we demonstrate how organizational preparedness and individual behavior interact at the systems-level to produce unique strengths and vulnerabilities in health security for individual states and communities. Strategic use of comparative data can nudge stakeholders toward greater cooperative behavior and stronger coalition engagement. This session illustrates specific tools and approaches for data-driven coalition nudging.


The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy 2018 University of New Mexico

The Critical Need For Mental Health Education To Be Mandated In New Mexico's Public Schools, Bonnie L. Murphy

Shared Knowledge Conference

Based on a review of research and best practices in mental health awareness and skills, this inquiry project argues for state legislative policies that would require mental health awareness and skills in the K-12 curriculum. Mental health affects individual accomplishments in every stage of people’s lives beginning in early childhood and throughout the life cycle. Prevention and treatment of mental illness plays a key role in the ability of an individual to cope with loss and develop resiliency and perseverance in challenging times and to make better decisions that improve the individual’s life and the lives of those ...


Accessibility And Health: An International Analysis Of Government Expenditure, Socioeconomic Development And Infant Mortality, Isaac Zvi Christiansen, Robert Mazur 2018 Midwestern State University

Accessibility And Health: An International Analysis Of Government Expenditure, Socioeconomic Development And Infant Mortality, Isaac Zvi Christiansen, Robert Mazur

Journal of Critical Thought and Praxis

This research examines the relationship between government’s share of health expenditures and infant mortality (IMR). Public healthcare funding is a critical component of ensuring access to care for the poor. Financial barriers may lead to postponement of care, thereby exacerbating health outcomes. We find a moderate association between the government’s share of health expenditures and IMR and strong support for a multifaceted approach to accessibility that includes doctor density, vaccination coverage, improved water and sanitation, and female literacy in reducing IMR. Findings suggest that the effect of government’s share of health spending on IMR is stronger in ...


Obesity: The Elephant In The Room We Can No Longer Afford To Ignore, Joanie Sompayrac, Katharine Linehart Trundle 2018 University of Tennessee - Chattanooga

Obesity: The Elephant In The Room We Can No Longer Afford To Ignore, Joanie Sompayrac, Katharine Linehart Trundle

Online Journal of Health Ethics

Everyone pays the price for the obesity-related illnesses of our fellow citizens – through increased premiums on our group health insurance policies, through reduced productivity of our co-workers, through taxpayer support of hospitals that provide indigent care and through soaring Medicare costs, to name a few. The fact that our entire society often ends up paying many of the costs for the obesity-related illnesses of not only ourselves but also our family members, our friends, our co-workers and even strangers raises questions: Why doesn’t insurance pay to help overweight and obese people to make lifestyle changes that could save us ...


Connecting The Systems That Drive Health In Your Community: Medical, Social & Public Health, Glen P. Mays 2018 University of Kentucky

Connecting The Systems That Drive Health In Your Community: Medical, Social & Public Health, Glen P. Mays

Glen Mays

A growing body of research documents the health and economic gains that accrue to communities that successfully align their medical, social, and public health delivery systems to work cooperatively on shared goals and objectives. This session examines what we know and still need to learn about building strong multi-sector community networks, based on research from the Robert Wood Johnson Foundation's Systems for Action program.


Determinants Of Usaid Spending, Austin J. Moser 2018 Illinois State University

Determinants Of Usaid Spending, Austin J. Moser

Stevenson Center for Community and Economic Development to Stevenson Center for Community and Economic Development—Student Research

This paper examines the determinants of USAID’s foreign aid disbursements from 2002-2016. Three noteworthy findings emerge. First, USAID foreign aid is based more on political considerations rather than the policies of recipient countries. Second, foreign aid is determined by location and political history. Third, this pattern emerges across all categories of USAID disbursements.


Hiring Workers With Disabilities Makes Sense Whether The Job Market Is Hot Or Cold, Kathleen A. Petkauskos 2018 University of Massachusetts Medical School

Hiring Workers With Disabilities Makes Sense Whether The Job Market Is Hot Or Cold, Kathleen A. Petkauskos

Commonwealth Medicine Publications

The U.S. Department of Labor released its latest report in September, and it was more of the same. Unemployment remained at 3.9 percent, where it has hovered for much of the year, but there was a shift for one key demographic.

After decades of struggle, workers with disabilities are beginning to move the needle, outpacing the employment gains of people without disabilities. In August 2018, the employment-to-population ratio for working-age people with disabilities jumped to 30.2 percent from 29.5 percent the year before. The labor force participation rate for working-age people with disabilities also increased, rising ...


Aligning Health & Social Systems To Improve Population Health: Networks, Governance & Information, Glen P. Mays 2018 University of Kentucky

Aligning Health & Social Systems To Improve Population Health: Networks, Governance & Information, Glen P. Mays

Glen Mays

This panel for the 2018 Interdisciplinary Association for Population Health Science presents research findings from the Robert Wood Johnson Foundation Systems for Action research program. The studies profiled here test novel mechanisms for aligning delivery systems for medical, social, and public health services to address social determinants of health.


Utilization Management Programs Are Critical For Effective Mltss Programs, Jessica Carpenter 2018 University of Massachusetts Medical School

Utilization Management Programs Are Critical For Effective Mltss Programs, Jessica Carpenter

Commonwealth Medicine Publications

When discussing an efficient managed long-term services and supports (LTSS) program, the importance of a utilization management program cannot be overlooked. It’s a way to not only ensure individuals receive the high-quality services they need, but also realize substantial cost savings for payers.


A View Of The Drug Pricing Blueprint, Bonnie C. Greenwood 2018 University of Massachusetts Medical School

A View Of The Drug Pricing Blueprint, Bonnie C. Greenwood

Commonwealth Medicine Publications

Drug spend is predicted to experience the fastest annual growth between 2017-2026 compared to other health care goods and services.Contributing factors include increasing unit prices of branded and generic medications, growth of the specialty drug market, and greater numbers of people with access to prescription drug coverage. A recent analysis estimates total drug expenditures in 2016 to be $480 billion when accounting for gross profits of intermediaries in the distribution chain, such as wholesalers, pharmacy benefit managers (PBMs), and pharmacies. Certainly, the complexity of the drug distribution and reimbursement system and lack of pricing transparency can be viewed both ...


Using Economic Analysis To Understand The Value Of Population Health Improvement Strategies, Glen P. Mays 2018 University of Kentucky

Using Economic Analysis To Understand The Value Of Population Health Improvement Strategies, Glen P. Mays

Glen Mays

This workshop for the Mississippi Department of Health examines research about the health and economic value of multi-sector population health improvement strategies, including studies conducted through the Robert Wood Johnson Foundation Systems for Action research program. We provide examples of tools and methods for assessing economic value in public health.


The Impact Of Cleft Lip And Palate Repair Surgery On Cognitive And Academic Outcomes For Teens In India, R Jeremiah Maller 2018 The University of San Francisco

The Impact Of Cleft Lip And Palate Repair Surgery On Cognitive And Academic Outcomes For Teens In India, R Jeremiah Maller

Master's Theses

India has a backlog of nearly one million patients in need of cleft lip and palate repair. Unrepaired cleft results in social stigma and diminished health, psychological wellbeing, and academic functioning. Cleft repair surgery has the potential to restore functioning in these domains. However, the magnitude of the social, educational, and economic impact of cleft repair surgery has not been evaluated using statistically rigorous methods. An estimation of the academic and educational impact of cleft repair has implications for the appropriate allocation of public health resources. We analyze original data gathered from teenagers in West Bengal, India using the difference-in-differences ...


Case Files Key To Comprehensive Medical Board Reviews, Jody Simpson 2018 University of Massachusetts Medical School

Case Files Key To Comprehensive Medical Board Reviews, Jody Simpson

Commonwealth Medicine Publications

There are many obstacles public retirement systems must overcome to ensure clinically sound medical board recommendations. Complex medical records that describe various conditions and ailmentsmust be compiled and analyzed to make accurate recommendations. There are key elements to inform a successful medical board review, and chief among them is compiling robust, well-documented case files. If you begin the process with incomplete documentation, you run the risk of getting a partial clinical picture of the member. Not having a full clinical picture could make it difficult to achieve a fully-informed decision.


Bringing Data Into Focus To Optimize Benefits And Savings For Medicare-Medicaid Members, Jenifer Hartman 2018 University of Massachusetts Medical School

Bringing Data Into Focus To Optimize Benefits And Savings For Medicare-Medicaid Members, Jenifer Hartman

Commonwealth Medicine Publications

Dual eligible recipients represent a critical population for state Medicaid programs. To get a better understanding of this unique demographic, MassHealth partnered with UMass Medical School to design data analytics programs around the objective of protecting Medicaid as the payer of last resort.

Over the last three years, these programs achieved over $68 million in new savings by optimizing benefits for dual eligible members. The program also identified and recovered over $21 million in Medicare premium overpayments for Medicaid members with discrepancies in Medicare entitlement and premium charges.

Jenifer Hartman of the Center for Healthcare Financing presented UMass Medical School ...


Managed Long-Term Services And Supports Program Framework: Best Practices, Jessica Carpenter 2018 University of Massachusetts Medical School

Managed Long-Term Services And Supports Program Framework: Best Practices, Jessica Carpenter

Commonwealth Medicine Publications

Health plans and accountable care organizations are working with Medicaid programs to transition fee-for-services long-term services and supports (LTSS) to a managed care model known as managed LTSS. With more individuals with disabilities seeking to living in their own homes or in community settings, payers must take proactive steps to ensure individuals receive the right service and in the right setting. This white paper details the actions health plan decision makers should consider while developing a comprehensive managed LTSS program.


Sne-Ptn Attends Cms Transforming Clinical Practice Initiative National Expert Panel 2018, Jay Flanagan 2018 Southern New England Practice Transformation Network

Sne-Ptn Attends Cms Transforming Clinical Practice Initiative National Expert Panel 2018, Jay Flanagan

Commonwealth Medicine Publications

Practice transformation networks from across the country are going public with their successful results on patients and clinical practices. UMass Medical School’s Southern New England Practice Transformation Network (SNE-PTN) was one of the networks sharing its positive outcomes.


The Effects Of The Aca’S Medicaid Expansion And Woodwork Effect On Hospital Finances, Azemina Redzematovic 2018 CUNY Hunter College

The Effects Of The Aca’S Medicaid Expansion And Woodwork Effect On Hospital Finances, Azemina Redzematovic

School of Arts & Sciences Theses

With many individuals enrolled in Medicaid through the ACA Medicaid expansion and woodwork effect, this paper estimates the effects on utilization of hospital services and hospital finances. Using a difference-in-differences (DD) instrumental variables model, the results that suggest that increased Medicaid demand does not necessarily equate to increased profits.


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