A5101736997- Healthcare Policy and Management
- Pharmaceutical Economics and Policy
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare Systems and Reforms
- Global Health Care Issues
- Obesity, Physical Activity, Diet
- Global Maternal and Child Health
- Health disparities and outcomes
- Global Public Health Policies and Epidemiology
- Mobile Health and mHealth Applications
- Primary Care and Health Outcomes
- Pharmaceutical industry and healthcare
- Chronic Disease Management Strategies
- Consumer Attitudes and Food Labeling
- Food Security and Health in Diverse Populations
- Biosimilars and Bioanalytical Methods
- Urban Agriculture and Sustainability
- Pharmaceutical studies and practices
- Poverty, Education, and Child Welfare
- Diabetes Management and Education
- Organic Food and Agriculture
- Healthcare cost, quality, practices
- Retirement, Disability, and Employment
- Child Nutrition and Water Access
- Consumer Retail Behavior Studies
Johns Hopkins University
2016-2025
Bloomberg (United States)
2025
Northwestern University
2024
Anderson University - South Carolina
2020
University of York
2016
Marymount University
2014
American International Group (United States)
2014
Center for Global Development
2014
Tehran University of Medical Sciences
2012
University of Central Florida
2003-2010
Family support is crucial for managing chronic conditions but it often overlooked when designing behavioral interventions in type 2 diabetes mellitus (T2DM). As part of the formative phase a feasibility randomized control trial (RCT), we conducted 20 semistructured interviews with people T2DM from Lima, Peru. Based on such results, describe receive their families and role that has efforts to implement management practices. We learned participants family members, mostly spouses children....
Reducing inequalities in health care is one of the main challenges all countries. In Iran as other oil-exporting upper middle income countries, we expected to witness fewer especially sector with increase governmental revenues.This study presents an assessment expenditures Iran. We used data from Household Income and Expenditure Survey (HIES) 1984-2010. The analysis included 308,735 urban 342,532 rural households.The results suggest heightened inequality over past three decades, including...
Background: Under-resourced urban minority communities in the United States are characterized by food environments with low access to healthy foods, high insecurity, and rates of diet-related chronic disease. In Baltimore, Maryland, largely results from a distribution gap between small sources (retailers) their suppliers. Digital interventions have potential address this gap, while keeping costs low. Methods: paper, we describe technical (I) front-end design (II) back-end development process...
High dietary quality can protect against diet-related chronic diseases. In the United States, racial and ethnic minorities those with lower incomes consistently exhibit quality. Independently-owned restaurants are a common prepared food source in minority low-income communities, but there significant knowledge gaps on how to work these offer healthy food, due underlying dynamic complexities associated providing options. The Focus Restaurant Engagement Strengthen Health (FRESH) study...
The inflationary rebate provisions of the Inflation Reduction Act (IRA) 2022 require pharmaceutical manufacturers to pay money back Medicare if they raise prices faster than rate inflation. Opportunities now exist for Congress and states extend rebates commercial plans. We demonstrate potential savings from applying prescriptions filled in plans by simulating under several policy design options. estimate that a mimicking IRA's could have saved as much $8.1 billion 2021 imposing on 1,100...
Background: Little is known about long-term changes linking chronic diseases and poverty in low-income countries such as Bangladesh. This study examines how disease mortality rates change across socioeconomic groups over time Bangladesh, whether associated with households falling into poverty. Methods: Age-sex standardized were estimated 1982, 1996 2005, using data from the health demographic surveillance system Matlab, Changes below a threshold after death between 1982–96 1996–2005....
In low-income countries, a growing proportion of the disease burden is attributable to non-communicable diseases (NCDs). There little knowledge, however, their impact on wealth, human capital, economic growth or household poverty. This article estimates risk being poor after an NCD death in rural, area Matlab, Bangladesh. matched cohort study, we estimated 2-year relative (RR) Matlab households with 2010. Three separate measures status were used as outcomes: asset-based index, self-rated...
Importance Allowing the US Centers for Medicare & Medicaid Services to negotiate prescription drug prices may improve affordability. Objective To estimate savings from price negotiation under Inflation Reduction Act (IRA) and examine opportunities increase savings. Design, Setting, Participants This cross-sectional, population-based study used data 2020 claims. The was conducted were analyzed in 2022. Exposures Eligibility IRA alternative criteria. Main Outcomes Measures Minimum...
This paper studies the relationship between health status and insurance participation, medical use in context of a social with an equalization fund (SHIEF). Under this system, revenues from mandatory payroll tax are collected into single pool (equalization fund) that reimburses for-profit companies according to capitated formula. Although competition should induce insurers control costs without reducing quality service necessary attract consumers, limitations capitation formula might select...
More than 65 million persons are currently forcibly displaced, of whom more 22 refugees. Conflicts increasing, and existing ones becoming protracted; a refugee remains for 10 years. Funding assistance comes primarily from high-income countries after an emergency has occurred. The United Nations High Commissioner Refugees spent approximately 12% its budget on health, nutrition, food security, water, sanitation in 2016. current modalities used to fund emergencies not sustainable will worsen as...
Background: On April 1, 2016, the Centers for Medicare & Medicaid Services (CMS) introduced bundled-payment programs hip replacement and knee (HKR) in selected metropolitan statistical areas (MSAs) to decrease costs cost variability of HKR increase quality care. Early program analyses showed savings; however, studies also demonstrated a trend toward selection healthier patients performed under bundled system. We compared characteristics who underwent before implementation system...
The U.S. Food and Drug Administration provides accelerated approval to drugs on the basis of surrogate end points deemed be "reasonably likely" predict clinical benefit. To receive full approval, must complete a confirmatory trial. Although most approved ultimately others remain market without for many years, some are withdrawn before is granted. Until trials completed granted, there uncertainty surrounding each drug's benefits.To estimate fee-for-service Medicare payments...
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) redemption rates have been declining in many low-income urban settings, potentially related to aspects of the food environment. B’more Healthy Corner Stores Moms Kids was a feasibility trial Baltimore City that aimed test multiple behavioral economic (BE) strategies 10 corner stores (intervention = eight stores, comparison two stores), evaluate their influence on stocking redemptions WIC foods. Tested included...
In the South American nation of Colombia, as elsewhere, patients with type 2 diabetes often avoid care that could prevent their condition from worsening. Availability health insurance may play a role in explaining this behavior. Some skip preventive measures because they have and calculate can access curative services later life. Insurers limit coverage can’t be assured sharing eventual savings emerge when chronic such is managed properly. Our analysis nationally representative sample...
Because of its policy implications, the income elasticity health care expenditures is a subject much debate. Governments may have an interest in subsidizing those with low income. Using more than two decades data from Iran Household Expenditure and Income Survey, this article investigates relationship between expenditure urban rural areas Iran, resource rich, upper–middle-income country. We implemented spline quantile regression techniques to obtain robust description interest. This study...