A5079007144- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Global Health Care Issues
- Healthcare Systems and Reforms
- Employment and Welfare Studies
- Healthcare cost, quality, practices
- Food Security and Health in Diverse Populations
- Retirement, Disability, and Employment
- Public Health Policies and Education
- Gender, Labor, and Family Dynamics
- Health disparities and outcomes
- Economic theories and models
- Economic Theory and Policy
- Viral Infections and Outbreaks Research
- Pharmaceutical industry and healthcare
- Disaster Response and Management
- Pharmaceutical Economics and Policy
- Healthcare Quality and Management
- Community Health and Development
- Innovations in Medical Education
- Economic and Financial Impacts of Cancer
- Geriatric Care and Nursing Homes
- Financial Reporting and Valuation Research
- Nursing Roles and Practices
Urban Institute
1995-2025
George Mason University
2011-2022
Brookings Institution
2022
Virginia Commonwealth University
2022
Pivot
2020
Barber-Nichols (United States)
2020
Barrick Gold (Canada)
2020
Andrew McDonough B+ Foundation
2020
Rosenthaler + Partner (Switzerland)
2020
Baylor University Medical Center
2019
Federal value-based payment programs require primary care practices to conduct quality improvement activities, informed by the electronic reports on clinical measures that their health records (EHRs) generate. To determine whether EHRs produce adequate task, we examined survey responses from 1,492 across twelve states, supplemented with qualitative data. Meaningful-use participation, which requires use of a federally certified EHR, was associated ability generate reports—but did not...
After slow growth during much of the 1990s, Medicaid physician fees increased, on average, by 27.4 percent between 1998 and 2003. Primary care grew most. States with lowest relative in increased their most, but almost no states changed position to other or Medicare. Physicians were less willing accept most all new patients both However, large fee increases associated primary physicians' greater willingness patients.
Good research evidence exists to suggest that social determinants of health, including access housing, nutrition, and transportation, can influence health outcomes care use for vulnerable populations. Yet adequate, sustainable financing interventions improve has eluded most if not all US communities. This article argues underinvestment in stems from the fact such investments are effect public goods, thus benefits cannot be efficiently limited those who pay them-which makes it more difficult...
Dealing with the COVID-19 coronavirus requires a coordinated transnational effort. We propose 2-stage state-led effort that utilizes community health workers (CHWs). spell out what is beginning to occur in states control and suppress COVID-19. In second stage, we suggest working these CHWs as key element next evolution of our care system: community-centered population health.
Our paper draws lessons for policymakers from twelve communities as we identify the power and limits of general market-based strategies improving efficiency health systems. The vision market forces driving our system toward attracted politicians, policy analysts, practitioners in 1990s. Today some advocates profess even more faith unfettered forces. Market participants Community Tracking Study, however, have become doubtful, analysis confirms logic their pessimism. Major barriers to...
<h3>Background:</h3> The rising prevalence of burnout among physicians and other healthcare professionals has become a major concern in the United States. Identifying indicators could help reduce negative consequences such as turnover, loss productivity, adverse health behaviors. goal this study was to examine whether individual behaviors attitudes towards disruptive change an effect on workplace burnout. <h3>Methods:</h3> This analyzed survey responses from 1273 154 small medium-sized...
Health care in the United States is among most technologically advanced world, but it largely failing to meet needs of nation. The US can claim international excellence important areas care, such as cancer treatment, and leads world biomedical innovation building a well-prepared dedicated clinical workforce. Affordable Care Act was major step forward expanding access health US. However, Americans are faced with staggering costs, inadequate pervasive inequities, lagging life expectancy...
Previous research has not found a strong association between Medicaid reimbursement levels and enrollees’ access to medical care, even though higher fees increase the acceptance of patients by physicians. This study shows that high rates physicians in community are more important than fee per se affecting care. Although probability individual will accept patients, do necessarily lead physician an area. Numerous other practice, health system, characteristics also affect acceptance. The...
Individual health insurance is more administratively costly and prone to adverse selection (especially in the presence of community rating) than group coverage is. In this paper we show that individual market has been shrinking over time but it might be stimulated if tax credits for such were made available. The primary areas factual disagreement have do with frequency which insurers charge some applicants higher premiums others (based on risk), effect related risk likelihood purchase at...
The outbreak of the Ebola virus disease (EVD) in 2014 mobilized international efforts to contain a global health crisis. emergence deadly United States and Europe among care workers intensified fears worldwide epidemic. Market incentives for pharmaceutical firms allocate their research development resources toward treatments were weak because limited number EVD cases previously confined rural areas West Africa. We discuss 3 policy recommendations address long-term challenges an interconnected world.
Enhanced primary care models have diffused slowly and shown uneven results. Because their structural features are costly challenging for small practices to implement, they offer modest rewards improved performance, improvement takes time.To test whether a patient-centered medical home (PCMH) model that significantly rewarded cost savings accommodated was associated with lower spending, fewer hospital admissions, emergency room visits.We compared expenditures utilization among adults who...
<h3>PURPOSE</h3> Physicians have joined larger groups and hospital systems in the face of multiple environmental challenges. We examine whether there are differences across practice ownership self-reported work environment, a culture learning, psychological safety, burnout. <h3>METHODS</h3> Using cross-sectional data from staff surveys small medium-size practices that participated EvidenceNOW Virginia, we tested for burnout by type. conducted weighted multivariate linear regression outcomes...
The Health Insurance Portability and Accountability Act (HIPAA) of 1996 has been praised criticized for asserting federal authority to regulate health insurance. We review the history federalism insurance regulation find that HIPAA is less a departure from traditional than it an application existing tools meet evolving policy goals. This interpretation could clarify future debates about appropriate state responsibilities. also report on environments implementation choices thirteen states....
Expanding insurance coverage is a critical step in health reform, but we argue that to be successful, reforms must also address the underlying problems of quality and cost. We identify five fundamental building blocks for high-performance system urge action create national center effectiveness research, develop models accountable care entities capable providing integrated coordinated care, payment reward high-value strategy performance measurement, pursue multistakeholder approach improving...
As managed care has spread, so legislation to force plans contract with any willing provider (AWP) and give patients freedom of choice (FOC). Managed organizations' selective networks integration reduce patient access providers, along paying patients, many providers have lobbied for AWP-FOC laws. In opposition are organizations (MCOs), which want full selectively control prices utilization. This article comprehensively describes laws in all fifty-one jurisdictions, classifies their relative...
Obesity is a particularly vexing public health challenge, since it not only underlies much disease and spending but also largely stems from repeated personal behavioral choices. The newly enacted comprehensive reform law contains number of provisions to address obesity. For example, insurance companies are required provide coverage for preventive-health services, which include obesity screening nutritional counseling. In addition, employers will soon be able offer premium discounts workers...
Interview with Dr. Stacie Dusetzina on three proposals for redesigning the Medicare Part D prescription-drug benefit. (09:54)Download A targeted bargaining strategy using tried and tested arbitration techniques could help balance drug innovation affordability. Such negotiation lower excessively high prices, even as parts of market where competition works well are left alone.
This essay makes the affirmative case for health reform by expounding on three fundamental points: (1) one moral expanding access to coverage and care all is grounded in scriptural concepts of community mutual obligation which continue inform American pursuit justice; (2) structure PPACA springs from an appreciation approach channeling market forces that was developed proposed a coalition moderate conservative Republican U.S. senators almost 20 years ago; (3) most humane path better more...