This study failed to find evidence that medical preventive oral health services (POHS) replaced dental visits for young children enrolled in Medicaid and, in fact, offers evidence that increased medical POHS was associated with increased utilization of dental care. Given lower than desired rates of dental visits for this population, delivery of medical POHS should be expanded.
Jun 25, 2020
Some community health centers provide social services on-site and this was associated with better performance on measures of health care quality.
Jun 25, 2020
This infographic illustrates the evolution from 2000 to 2015 of state policy environments related to substance use in pregnancy. Punitive or potentially punitive policies were more commonly enacted than were policies supporting treatment.
Feb 14, 2020
Federally Qualified Health Center Strategies for Integrating Care with Hospitals and Their Association with Measures of Communication
Health centers differ in the use of strategies to integrate care with hospitals. Overall, integration activity is associated with better communication.
Nov 27, 2019
In a survey of community health center medical directors in 9 Medicaid expansion states and DC, nearly 60% reported difficulty obtaining new specialist visits and multiple access barriers on behalf of their patients.
Nov 27, 2019
Association of Punitive and Reporting State Policies Related to Substance Use in Pregnancy With Rates of Neonatal Abstinence Syndrome
State policies that impose punitive action against pregnant women who use illicit substances are associated with higher rates of infants being born with opioid withdrawal.
Nov 15, 2019
Claims-Based Reporting of Post-Operative Visits for Procedures with 10- or 90-Day Global Periods: Final Report
The authors of this report summarize patterns of post-operative visits where Medicare bundles payment for post-operative care into payment for surgical procedures. The results suggest fewer visits occur than Medicare assumes in its payment rates.
Jul 31, 2019
Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies
How are the needs of dually enrolled beneficiaries in Medicare and Medicaid met? This report presents ways that Medicare Advantage (MA) plans and Medicare-Medicaid plans can meet the needs of dually enrolled beneficiaries.
Apr 12, 2019
Health system affiliation was associated with improved financial performance for rural hospitals but that it also could reduce local access to certain services and was not associated with improved health care quality for the two measures examined.
Oral health outcomes were similar for children with public and private health insurance. However, children in low- income families and with less educated parents had greater odds of untreated caries, suggesting that initiatives focused on publicly insured populations may miss other vulnerable children of low socioeconomic status.
Dec 20, 2018
State policies that support non-dental primary care providers' application of fluoride varnish treatment were associated with improvements in oral health for young children with public insurance.
Aug 21, 2018
This study examined factors associated with use of health information technology (HIT) capabilities for improved care coordination and quality of care in U.S. health centers.
This report describes RAND Corporation work evaluating the psychometric characteristics of the Modified Bridges for Newborns, a screening tool to identify high-risk mothers in Los Angeles Count who are eligible for supportive services.
Feb 6, 2017
This report summarizes RAND's pilot testing of a set of proposed nonpayment codes that physicians would use for post-operative visits. The goal of testing was to assess whether practitioners understood and could correctly apply the codes.
Jan 11, 2017
Improving Population Health Through an Innovative Collaborative: The Be There San Diego Data for Quality Group
The Be There San Diego Data for Quality (DFQ) Group created a safe venue for competing health care organizations in San Diego County to share performance data on quality-of-care measures, insights, lessons learned, and challenges they face.
Sep 26, 2016
This report makes recommendations to the Centers for Medicare & Medicaid Services on a set of nonpayment codes that can be used to collect information on the number and level of post-operative visits.
Jul 19, 2016
Using Electronic Health Record Data for Healthy Weight Surveillance in Children, San Diego, California, 2014
The expanded use of electronic health records (EHRs) provides new opportunities to monitor population health at the local level.
Mar 15, 2016