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Full-Text Articles in Social and Behavioral Sciences

A New State Plan Option To Integrate Care And Financing For Persons Dually Eligible For Medicare And Medicaid, Jane H. Thorpe, Katherine J. Hayes Dec 2011

A New State Plan Option To Integrate Care And Financing For Persons Dually Eligible For Medicare And Medicaid, Jane H. Thorpe, Katherine J. Hayes

Health Policy and Management Faculty Publications

As health care costs continue to escalate, Congress, the U.S. Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS), state Medicaid agencies, researchers, and policymakers are focusing on identifying new approaches to care delivery and reimbursement for individuals who are dually eligible for both Medicare and Medicaid. Although relatively few in number (9 million), dual eligible beneficiaries are more likely than others to experience poor health, including multiple chronic conditions, functional and cognitive impairments, and a need for continuous care. Sixty-six percent of dual eligibles have three or more chronic conditions; sixty-one percent are …


Gender And Race Wage Gaps Attributable To Obesity, Avi Dor, Christine Ferguson, Ellen Tan, Lucas Divine, Jo Palmer Nov 2011

Gender And Race Wage Gaps Attributable To Obesity, Avi Dor, Christine Ferguson, Ellen Tan, Lucas Divine, Jo Palmer

Health Policy and Management Faculty Publications

Currently, two out of three Americans are overweight or obese. In less than 20 years, roughly half of the population will be obese. Furthermore, obesity costs $168.4 billion a year, a number which is projected to increase by $48-66 billion per year. The societal costs of obesity are clear and staggering and the individual costs are equally chilling for most of those who are obese – particularly for Hispanic men and Caucasian and Hispanic women.


Options For Cdc's Cancer Screening Programs: Implications Of The Affordable Care Act, Leighton C. Ku, Alice R. Levy, Paula M. Lantz, Rachelle Pierre-Mathieu Nov 2011

Options For Cdc's Cancer Screening Programs: Implications Of The Affordable Care Act, Leighton C. Ku, Alice R. Levy, Paula M. Lantz, Rachelle Pierre-Mathieu

Health Policy and Management Faculty Publications

Screening to promote early detection of cancer is a fundamental tool in preventive medicine and public health that facilitates earlier treatment and reductions in cancer mortality. Systematic reviews of the research demonstrate that early detection and treatment for breast and cervical cancers can reduce cancer-related mortality. One of the most important barriers to women being screened is the lack of health insurance coverage. The Centers for Disease Control and Prevention (CDC) administers two programs designed to increase screening, particularly among low-income and vulnerable populations: the National Breast and Cervical Cancer Early Detection Program (NBCCEDP) and the Colorectal Cancer Control Program …


Results From The 2010-11 Readiness For Meaningful Use Of Hit And Patient Centered Medical Home Recognition Survey, Merle Cunningham, Anthony Lara, Peter Shin Nov 2011

Results From The 2010-11 Readiness For Meaningful Use Of Hit And Patient Centered Medical Home Recognition Survey, Merle Cunningham, Anthony Lara, Peter Shin

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

This brief describes the status of health centers with respect to Electronic Health Record (EHR) adoption, readiness to meet the health information technology (HIT) meaningful use (MU) standards, and readiness to achieve Patient-Centered Medical Home (PCMH) recognition.


A Natural Fit: Collaborations Between Community Health Centers And Family Planning Clinics, Rachel Benson Gold, Marcie Zakheim, Jillanne M. Schulte, Susan F. Wood, Tishra Beeson, Sara J. Rosenbaum Oct 2011

A Natural Fit: Collaborations Between Community Health Centers And Family Planning Clinics, Rachel Benson Gold, Marcie Zakheim, Jillanne M. Schulte, Susan F. Wood, Tishra Beeson, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Federally Qualified Health Centers (FQHCs) and family planning clinics funded through Title X of the Public Health Service Act are critical components of the health care safety net in urban and rural medically underserved communities. Although they share the common mission of serving vulnerable and low-income populations, health centers and Title X clinics possess different, but complementary, strengths. The Patient Protection and Affordable Care Act (Affordable Care Act) will expand coverage to an additional 32 million people while leaving 23 million uninsured. Most of the newly insured and the remaining uninsured will be residents of medically-underserved communities, and thus, positioning …


Promoting The Integration And Coordination Of Safety-Net Health Care Providers Under Health Reform: Key Issues, Leighton C. Ku, Peter Shin, Marsha Regenstein, Holly Mead Oct 2011

Promoting The Integration And Coordination Of Safety-Net Health Care Providers Under Health Reform: Key Issues, Leighton C. Ku, Peter Shin, Marsha Regenstein, Holly Mead

Health Policy and Management Faculty Publications

The Affordable Care Act includes several provisions designed to encourage greater coordination and integration among health care providers, including the promotion of accountable care organizations and health homes. While much discussion has focused on how these strategies might be adopted by Medicare and private insurers, little attention has focused on their application among safety-net health care providers. Such providers face particular challenges in coordinating care for their low-income and uninsured patients, and no single approach is likely to meet their diverse needs. Successful efforts will require federal, state, and local financial resources to sustain the safety net and make the …


Transforming Community Health Centers Into Patient-Centered Medical Homes: The Role Of Payment Reform, Leighton C. Ku, Peter Shin, Emily Jones, Brian K. Bruen Sep 2011

Transforming Community Health Centers Into Patient-Centered Medical Homes: The Role Of Payment Reform, Leighton C. Ku, Peter Shin, Emily Jones, Brian K. Bruen

Health Policy and Management Faculty Publications

This report examines how changes in the way federally qualified health centers (FQHCs) are financed could support the transformation of these critical safety-net providers into high performing patient-centered medical homes. Through surveys and interviews, the authors explore the current landscape of health center involvement in medical home initiatives, adoption of medical home standards, and receipt of payment incentives. Based on their findings, the authors make preliminary recommendations to encourage health centers to serve as patient- and community-centered medical homes. These include: establishing recommended standards for patient- and community-centered medical homes that apply to FQHCs; structuring payment incentives to promote medical …


Presentation Of The 2011-2012 Geiger Gibson Distinguished Visitor In Community Health Policy, Rachel A. Gonzales-Hanson Sep 2011

Presentation Of The 2011-2012 Geiger Gibson Distinguished Visitor In Community Health Policy, Rachel A. Gonzales-Hanson

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


State Insurance Exchanges: An Overview, Sara J. Rosenbaum Sep 2011

State Insurance Exchanges: An Overview, Sara J. Rosenbaum

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Community Health Centers And The Economy: Assessing Centers' Role In Immediate Job Creation Efforts, Sara J. Rosenbaum, Peter Shin Sep 2011

Community Health Centers And The Economy: Assessing Centers' Role In Immediate Job Creation Efforts, Sara J. Rosenbaum, Peter Shin

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Federal investment in community health centers not only creates health care access but, based on previous studies, generates an estimated 8:1 return for medically underserved communities while creating thousands of jobs. Since our earlier 2008 economic impact study, Congress has made two major program investments: $2 billion under the American Reinvestment and Recovery Act (ARRA) of 2009; and $11 billion under the Affordable Care Act (ACA). This analysis measures the economic and jobs-creation benefits of this cumulative investment in health centers, as well as the impact of legislation enacted in April, 2011, which reduced the first year of new …


Biosimilars: Costs And Controversies, Ruth Lopert Sep 2011

Biosimilars: Costs And Controversies, Ruth Lopert

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Carol Anne Bond V The United States Of America: How A Woman Scorned Threatened The Chemical Weapons Convention, Anna Muldoon, Sarah Kornblet, Rebecca L. Katz Sep 2011

Carol Anne Bond V The United States Of America: How A Woman Scorned Threatened The Chemical Weapons Convention, Anna Muldoon, Sarah Kornblet, Rebecca L. Katz

Health Policy and Management Faculty Publications

The case of Carol Anne Bond v the United States of America stemmed from a domestic dispute when Ms. Bond attempted to retaliate against her best friend by attacking her with chemical agents. What has emerged is a much greater issue--a test of standing on whether a private citizen can challenge the Tenth Amendment. Instead of being prosecuted in state court for assault, Ms. Bond was charged and tried in district court under a federal criminal statute passed as part of implementation of the Chemical Weapons Convention (CWC). Ms. Bond's argument rests on the claim that the statute exceeded the …


Publish Or Perish: An Overview Of Publishing For Peer-Reviewed Journals In Health Policy, Leighton C. Ku Aug 2011

Publish Or Perish: An Overview Of Publishing For Peer-Reviewed Journals In Health Policy, Leighton C. Ku

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Safety Net Providers After Health Reform: Lessons From Massachusetts, Leighton C. Ku Aug 2011

Safety Net Providers After Health Reform: Lessons From Massachusetts, Leighton C. Ku

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Bending The Health Care Cost Curve In North Carolina: The Experience Of Community Health Centers, Patrick Richard, Peter Shin, Kristina Vasilkovska, Sara J. Rosenbaum Aug 2011

Bending The Health Care Cost Curve In North Carolina: The Experience Of Community Health Centers, Patrick Richard, Peter Shin, Kristina Vasilkovska, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

North Carolina is known for innovative practices in primary care delivery and education, and accordingly one might expect to see greater efficiencies overall in care delivery, and less direct, measurable impact by community health centers on cost and outcome. Of interest is whether community health centers (CHCs) are cost effective providers in states with a sophisticated primary care infrastructure and focus on the needs of medically underserved communities. Building on the large body of health services research literature that has documented the quality and cost-effectiveness of federally-funded primary health centers nationwide, as well as estimates of national savings that are …


Influenza Vaccination Of The Health Care Workforce, Alexandra M. Stewart Jul 2011

Influenza Vaccination Of The Health Care Workforce, Alexandra M. Stewart

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Risk Equalization In Voluntary Health Insurance Markets In Australia, Ireland, And South Africa, Francesco Paolucci Jul 2011

Risk Equalization In Voluntary Health Insurance Markets In Australia, Ireland, And South Africa, Francesco Paolucci

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Medicaid And Access To Health Care--A Proposal For Continued Inaction?, Sara J. Rosenbaum Jul 2011

Medicaid And Access To Health Care--A Proposal For Continued Inaction?, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

No abstract provided.


Influenza Vaccination Of The Healthcare Workforce: Developing A Model State Law, Alexandra M. Stewart, Marisa A Cox Jul 2011

Influenza Vaccination Of The Healthcare Workforce: Developing A Model State Law, Alexandra M. Stewart, Marisa A Cox

Health Policy and Management Faculty Publications

No abstract provided.


Addressing The Challenges Of Reporting On Childhood Asthma In A Changing Health Care System: Building Better Evidence For High Performance, Meagan Lyon, Anne Rossier Markus, Maya Tuchman Gerstein, Sara J. Rosenbaum Jun 2011

Addressing The Challenges Of Reporting On Childhood Asthma In A Changing Health Care System: Building Better Evidence For High Performance, Meagan Lyon, Anne Rossier Markus, Maya Tuchman Gerstein, Sara J. Rosenbaum

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

Childhood asthma is a serious and costly chronic disease that burdens children and families as well as the health care systems that serve them. A key element to improving asthma outcomes is access to timely and useful data that can improve the quality of care and inform programs and policies to best serve those communities most burdened by asthma. This Policy Brief examines the nation’s data collection framework for childhood asthma and considers steps that might be taken to strengthen it, including the development, collection and refinement of community-level data to inform local health care systems. Through a review of …


Post-Hmo Health Care: Are Acos The Answer?, Zachary F. Meisel, Jesse M. Pines May 2011

Post-Hmo Health Care: Are Acos The Answer?, Zachary F. Meisel, Jesse M. Pines

Health Policy and Management Informal Communications

"Remember the 1990s" retrospective lists always include Nirvana, Monica Lewinsky and Wayne's World, but leave out another major product that defined American life in the '90s: the health maintenance organization, or HMO — that nefarious health-insurance plan that seemed expressly designed to prevent you from seeing the doctor of your choice or receiving the treatments recommended by doctors, all under the guise of lowering costs and "improving" medical care. Of course HMOs are still around, but they are no longer central to the national discussion on health care. Why? For the most part, HMOs have eased limits on patient choice …


An Overview Of The Administration's Aco Policy: Opportunities And Challenges, Sara J. Rosenbaum May 2011

An Overview Of The Administration's Aco Policy: Opportunities And Challenges, Sara J. Rosenbaum

Health Policy and Management Faculty Publications

For nearly a century, proponents of health reform have advocated for greater clinical integration to improve quality, promote efficiencies, and control costs. A seminal 1932 report issued by the Committee on the Costs of Medical Care called for the provision of care through group practice arrangements as part of a broader set of recommendations that included universal coverage, extension of public health services to the entire population, and a major investment in health professions education. Resistance to its findings was a key factor in convincing the Roosevelt Administration to abandon national health insurance in the original Social Security Act.


The Promise And Potential Of Federal Incentives For Electronic Health Records, Brian K. Bruen, Leighton C. Ku, Matthew Burke, Melinda Buntin Apr 2011

The Promise And Potential Of Federal Incentives For Electronic Health Records, Brian K. Bruen, Leighton C. Ku, Matthew Burke, Melinda Buntin

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


The View From New Hampshire: The Imperative Of Linking Health Care Reform To Economic And Job Growth, Maggie Wood Hassan Apr 2011

The View From New Hampshire: The Imperative Of Linking Health Care Reform To Economic And Job Growth, Maggie Wood Hassan

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Accountability And Social Mission: New Winds In Health Professions Education, Fitzhugh Mullan Apr 2011

Accountability And Social Mission: New Winds In Health Professions Education, Fitzhugh Mullan

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Measuring Primary Care: Theory, Policy, And Practice, Barbara Starfield Apr 2011

Measuring Primary Care: Theory, Policy, And Practice, Barbara Starfield

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


The Right Care At The Right Time By The Right Professional, Mary Jean Schumann Apr 2011

The Right Care At The Right Time By The Right Professional, Mary Jean Schumann

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Medicare's Accountable Care Organization Regulations: How Will Medicare Beneficiaries Who Reside In Medically Underserved Communities Fare?, Sara J. Rosenbaum, Peter Shin Apr 2011

Medicare's Accountable Care Organization Regulations: How Will Medicare Beneficiaries Who Reside In Medically Underserved Communities Fare?, Sara J. Rosenbaum, Peter Shin

Geiger Gibson/RCHN Community Health Foundation Research Collaborative

On March 31, 2011, the Centers for Medicare and Medicaid Services (CMS) released proposed regulations implementing the Medicare Shared Savings Program (MSSP). The thrust of the MSSP is to promote savings to Medicare as well as the greater clinical integration of health care through incentive payments to accountable care organizations (ACOs) that meet Medicare standards for structure, performance, and health care outcomes. The effort to spur greater clinical integration through the MSSP was part of a broader set of reforms contained in the Affordable Care Act (ACA) whose aim was to improve health care quality and efficiency. Among these reforms …


Health Reform: Back To The Future, Christopher Jennings Apr 2011

Health Reform: Back To The Future, Christopher Jennings

Health Policy and Management Faculty Posters and Presentations

No abstract provided.


Health Care Outlook For 2011 And Beyond: The Legal, Policy And Political Landscape, Mark L. Hayes Apr 2011

Health Care Outlook For 2011 And Beyond: The Legal, Policy And Political Landscape, Mark L. Hayes

Health Policy and Management Faculty Posters and Presentations

No abstract provided.