A5022860241- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Telemedicine and Telehealth Implementation
- Food Security and Health in Diverse Populations
- Global Health Care Issues
- Healthcare Systems and Technology
- Chronic Disease Management Strategies
- Global Cancer Incidence and Screening
- Geriatric Care and Nursing Homes
- Child and Adolescent Health
- Colorectal Cancer Screening and Detection
- Child and Adolescent Psychosocial and Emotional Development
- Adolescent and Pediatric Healthcare
- Obesity, Physical Activity, Diet
- Health disparities and outcomes
- Adolescent Sexual and Reproductive Health
- Gastroesophageal reflux and treatments
- Healthcare Systems and Public Health
- Global Public Health Policies and Epidemiology
- Homelessness and Social Issues
- Smoking Behavior and Cessation
- Maternal Mental Health During Pregnancy and Postpartum
- Child Welfare and Adoption
- Dental Health and Care Utilization
RTI International
2012-2025
Urban Institute
2024
Michigan Department of Health and Human Services
2024
National Academy for State Health Policy
2024
McKinsey & Company (United States)
2020
University of Washington
2010-2011
University of Alabama at Birmingham
2005
<h3>Objective</h3>To evaluate a telephone-based child mental health consult service for primary care providers (PCPs).<h3>Design</h3>Record review, provider surveys, and Medicaid database analysis.<h3>Setting</h3>Washington State Partnership Access Line (PAL) program.<h3>Participants</h3>A total of 2285 PAL consultations by 592 PCPs between April 1, 2008, 30, 2011.<h3>Interventions</h3>Primary provider–initiated with service.<h3>Main Outcome Measures</h3>The call characteristics, PCP...
Social determinants of health can adversely affect and therefore lead to poor care outcomes. When it launched in 2017, the Accountable Health Communities (AHC) Model was at forefront US policy initiatives seeking address social health. The AHC Model, sponsored by Centers for Medicare Medicaid Services, screened beneficiaries health-related needs offered eligible assistance connecting with community services. This study used data from period 2015-21 test whether model had impacts on spending...
Little is known as to whether medical home principles, such continuity of care (COC), would have the same effect on health service use for individuals whose primary (or predominant) provider a specialist instead (PCP).To test associations between and expenditures (1) beneficiaries' predominant type (PCP or specialist) (2) COC among beneficiaries who primarily see PCP those specialist.This cross-sectional analysis Medicare fee-for-service claims data from July 2007 June 2009. Negative...
BACKGROUND Although state Medicaid programs cover cancer screening, beneficiaries are less likely to be screened for and more present with tumors of an advanced stage than those other insurance. The current study was performed determine whether eligibility reimbursement policies affect the receipt breast, cervical, colon screening among beneficiaries. METHODS Cross‐sectional regression analyses 2007 data from 46 states District Columbia were examine associations between state‐specific...
Policy Points Maine, Massachusetts, Minnesota, and Vermont leveraged State Innovation Model awards to implement Medicaid accountable care organizations (ACOs). Flexibility in model design, ability build on existing reforms, provision of technical assistance providers, access feedback data all facilitated ACO development. Challenges included sustainability transformation efforts the integration health social service providers. Early estimates showed promising improvements hospital‐related...
In 2016, the Centers for Medicare & Medicaid Services implemented Frontier Community Health Integration Project (FCHIP) to test impact of a payment change telehealth and ambulance services policy skilled nursing facility (SNF) beds critical access hospitals (CAHs) treating fee-for-service patients in frontier regions. We evaluated FCHIP on ambulance, SNF, service delivery. conducted primarily qualitative evaluation, with some descriptive analyses, 10 CAHs Montana, Nevada, North Dakota that...
Background: The pediatric medical home is an approach to the delivery of family-centered health care. Policy-makers and payers are interested in potential changes care utilization expenditures under this model. Objective: To test associations between having a service use among US children youth. Research Design: Observational cross-sectional study. Subjects: A total 26,221 aged 0 17 years surveyed 2005 2007 Medical Expenditure Panel Surveys. Measures: Parent report child's access was...
<h3>Objective</h3>To test associations between having a medical home and health services use expenditures among US children with special care needs (CSHCN).<h3>Design</h3>Cross-sectional analysis.<h3>Setting</h3>The 2003-2008 Medical Expenditure Panel Surveys.<h3>Participants</h3>A total of 9816 CSHCN up to 17 years, including 1056 functional or sensory limitation 8760 without limitation.<h3>Main Exposure</h3>Parent caregiver report home.<h3>Main Outcome Measures</h3>We examined CSHCN's...
Policy Points Individuals with behavioral health (BH) conditions comprise a medically complex population high costs and care needs. Considering national shortages of BH providers, primary providers serve critical role in identifying treating making referrals to providers. States are increasingly seeking ways address among their residents. funded by the Centers for Medicare Medicaid Services under first round State Innovation Models (SIM) Initiative all invested integration. found sharing...
Background Telehealth has potential to help individuals in rural areas overcome geographical barriers and improve access care. The factors that influence the implementation use of telehealth critical hospitals are need exploration. Objective aim this study is understand influenced uptake a set frontier United States. Methods This work was conducted as part larger evaluation Centers for Medicare & Medicaid Services–funded demonstration program expand cost-based reimbursement services...
To compare estimates of dental service use and delayed care across 4 national surveys children's health.Among children 2 to 17 years age, prevalence the any services, preventive in past year were obtained from 2003 2007 National Survey Children's Health, 2003-2004 Health Nutrition Examination (NHANES), Interview Survey, Medical Expenditure Panel Survey. Trends parent-reported use, including care, by sociodemographic characteristics assessed using logistic regression odds ratios.Data...
Objective: Individuals with behavioral health conditions may benefit from enhanced care management provided by a patient-centered medical home (PCMH). In late 2011 and early 2012 Medicare began participating in PCMH initiatives eight states through the Multi-Payer Advanced Primary Care Practice (MAPCP) demonstration. This study examined how addressed needs of patients impacts demonstration on expenditures utilization for this population. Methods: Semistructured interviews insight into...
Patient-centered medical homes are expected to reduce expenditures by increasing the use of primary care services, shifting from inpatient outpatient settings, and reducing avoidable utilization. Under Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration, Medicare joined Medicaid commercial payers in 8 states support ongoing patient-centered home initiatives.To evaluate effects MAPCP Demonstration on health utilization for beneficiaries.We used difference-in-differences...
To test the effectiveness of financial incentives for smoking cessation in Medicaid population.Secondary data from Incentives Prevention Chronic Disease (MIPCD) program and claims/encounter 2010 to 2015 five states.Beneficiaries were randomized into receipt or no incentives. We ran multivariate regression models testing impact on use counseling services, behavior, expenditures utilization.Participating states provided eligibility, claims encounters, enrollment, incentivized service...
Purpose: To test the role of financial incentives to motivate engagement in diabetes prevention programs (DPPs). Design: Minnesota, Montana, and New York randomized 3 different approaches providing incentives: incentivizing class attendance weight loss (all states), only (NY), (NY). We used how influence DPP completion attendance. Setting: Health-care facilities local young men’s Christian association. Participants: Eight hundred thirty one Medicaid enrollees 204 560 York. Intervention...
There is widespread interest in understanding the role of health care meeting social needs. This study examines community-wide activities, resources, and information technology used to manage care.
Individuals with serious mental illnesses represent a high-need, high-cost population. To address this population's needs under the State Innovation Models Initiative, Maine assisted Medicaid-participating behavioral health providers in changing to homes (BHHs). The authors explored BHHs' experiences transforming care from 2014 2017 and investigated changes utilization, coordination, Medicaid expenditures before after Medicaid-covered individuals enrolled BHH.The interviewed stakeholders,...
6514 Background: State Medicaid programs cover receipt of cancer screening services. However, coverage tests does not guarantee access to these beneficiaries are less likely be screened for and more present with advanced stage cancers. State-specific variations in program eligibility requirements reimbursements medical services may affect rates among enrollees. This study examined how reimbursement policies affected breast, cervical, colorectal, prostate screening. Methods: We 2007 data...
Background: The MDPP has been significantly affected by the COVID-19 public health emergency (PHE). Prior to PHE, was designed as an in-person program delivered participants in community settings. Centers for Medicare & Medicaid Services (CMS) moved quickly March 2020 waive requirement sessions and allow classes continue on a virtual basis. CMS also permitted beneficiaries temporarily pause participation. Purpose: To examine impact of PHE suppliers beneficiary participation, attendance,...