Carole Roan Gresenz
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Education
Overview
Biography
Carole Roan Gresenz is a senior economist at the RAND Corporation and director of the Health Economics, Finance, and Organization program within RAND Health. Her recent work includes analyses of health insurance coverage outcomes among children following expansions of the Children's Health Insurance Program to higher-income families and a study of spillover effects of high rates of uninsurance in a community on access to care among the insured. Gresenz has also explored the effects of health care market characteristics on access to health care among vulnerable populations. Over the last five years, she has worked closely with city and county government agencies in the District of Columbia and Maryland on evaluations of local health care systems and programs. She also has expertise on behavioral health care issues and a body of work on dispute resolution in managed care. She formerly served as director of research in the RAND Institute for Civil Justice. Gresenz received her Ph.D. in economics from Brown University.
Research Focus
Recent Projects
- Evaluation of three states' reforms to cover all children
- Behavioral health need and access to behavioral health care in the District of Columbia
- Spillover effects of community uninsurance
- Health care experiences of Hispanics in new and traditional U.S. destinations
- Pediatric community health needs assessment for the District of Columbia
Selected Publications
Gresenz, C.R., J. Rogowski, and J.J. Escarce, "Community Demographics and Access to Care Among US Hispanics," Health Services Research, 44(5):1542-1562, 2009
Gresenz, C.R., J. Rogowski, and J.J. Escarce, "Healthcare Markets, the Safety Net, and Utilization of Care Among the Uninsured," Health Services Research, 42(1):239-264, 2007
Gresenz, C.R., J. Rogowski, and J.J. Escarce, "Dimensions of the Local Health Care Environment and Use of Care by Uninsured Children in Rural and Urban Areas," Pediatrics, 117:509-517, 2006
Gresenz, C.R. and D. Studdert, "External Review of Coverage Denials by Managed Care Organizations in California," Journal of Empirical Legal Studies, 2(3):449-468, 2005
C. R. Gresenz and R. Sturm, Mental Health and Employment Transitions, in Marcotte and Wilcox-Gok, eds., The Economics of Gender and Mental Illness, Elsevier Press, 2004
Studdert, D. and C.R. Gresenz, "Enrollee Appeals of Pre-service Coverage Denials at Two Health Maintenance Organizations," Journal of the American Medical Association, 289(7):664-870, 2003
Economics
Recent Projects
- Health needs assessment for Washington, D.C.
- Evaluation of Montgomery Cares, a program to improve access to health care among the uninsured in Montgomery County, Maryland
- Evaluation of three states' efforts to provide health insurance coverage to all children
- Analysis of access to health care among immigrants to the United States in new and traditional destinations
Selected Publications
Lurie, N., C.R. Gresenz, C.R., J. Blanchard, et al, Assessing Health and Health Care in the District of Columbia, RAND Corporation (WR-534), 2008
Gresenz, C.R., J. Rogowski, and J.J. Escarce, "Healthcare Markets, the Safety Net, and Utilization of Care Among the Uninsured," Health Services Research, 42(1):239-264, 2007
Gresenz, C.R., J. Rogowski, and J. Escarce, "Dimensions of the Local Health Care Environment and Use of Care By Uninsured Children in Rural and Urban," Areas, Pediatrics, 117:509-517, 2006
Gresenz, C.R. and D. Studdert, "External Review of Coverage Denials by Managed Care Organizations in California," Journal of Empirical Legal Studies, 2(3):449-468, 2005
Gresenz, C.R. and R. Sturm, Mental Health and Employment Transitions, The Economics of Gender and Mental Illness, Elsevier Press, 2004
Civil Justice
Biography
Carole Roan Gresenz is a senior economist at the RAND Corporation. Her research within the RAND Institute for Civil Justice has explored the effects of legislation that would remove obstacles to civil litigation against managed care organizations for wrongful benefit denial or delay, described the nature of disputes between patients and managed care organizations, and analyzed the system of external review of managed care organizations' decisions. Gresenz recently led a health needs assessment for the District of Columbia and is currently coleading an evaluation of a program in Montgomery County, Maryland, that provides financial support to clinics serving the uninsured. Her other research includes an evaluation of health reforms in three states that provide universal coverage for children through expansions to their State Children's Health Insurance Program (SCHIP). In addition, in recently funded work, she has begun studying how new migration patterns among Hispanic immigrants are contributing to their ability to access health care and receive high-quality care. Her previous research spans a broad range of topics, including the safety net and access to health care among uninsured children and adults; mental health, with analyses of labor market transitions among individuals with mental health problems; and behavioral health care service use among children in managed behavioral health care plans. Gresenz received her Ph.D. in economics from Brown University.
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