Health care coverage protects individuals against the financial risk that might result from spending on health care services. In the United States, coverage may take the form of insurance offered by private companies and made available to individuals through employers or purchased directly. The government also provides coverage for certain populations via programs such as Medicare or Medicaid. RAND research on health care coverage dates from the RAND Health Insurance Experiment (HIE). Conducted in the 1970s and early 1980s, the HIE remains the only long-term, experimental study of cost sharing and its effect on health care utilization and spending, quality of care, and health. Since then, RAND studies have examined multiple dimensions of coverage, including the effects of premium costs on health care use, the cost and potential health effects of new insurance products such as high-deductible health plans, the challenges faced by small businesses in providing coverage to employees, the groups most at risk for being uninsured, state experiments with insuring the uninsured, coverage for behavioral health, and coverage for prescription drugs.
LGB opioid disparities varied significantly by sexual identity &gender. All LGB subgroups had elevated lifetime pain reliever misuse. Bisexual women uniquely had elevated OUD rates and lifetime injection heroin use.
Recognizing the potential power of close collaboration, two federal programs that provide support to low-income people with HIV came together to determine how they could integrate data to improve outcomes for individuals with HIV who also experience housing instability. This toolkit, the result of that project, is an effort to demystify the data integration process and help others share data and coordinate services across providers.
Rates of neonatal abstinence syndrome (NAS), which occurs in newborns who were exposed to opioids in the womb, have increased dramatically over the past decade. This web-based tool displays the rates of NAS from 2009 to 2015 by county in eight states: Florida, Kentucky, Massachusetts, Michigan, New York, North Carolina, Tennessee, and Washington.
The California campaign increased service use by leading more individuals to interpret symptoms of distress as indicating a need for treatment.
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.
We conducted a scoping study to identify data sources and linking strategies commonly used in opioid studies, describe data source strengths and limitations, and highlight opportunities to use data to address public health research questions.
This report identifies and assesses potential models of organization to help achieve the goals of Zhejiang University's academic medical center (AMC). The university, the Yuhang District Government, and donors have invested resources in the development of this new AMC to integrate the university's health-related research, teaching, and care activities; and to build a world-class comprehensive biomedical and clinical research infrastructure.
This translated report identifies and assesses potential models of organization to help achieve the goals of Zhejiang University's academic medical center (AMC). The university, Yuhang District Government, and donors have invested resources in the development of a new AMC to integrate the university's health-related research, teaching, and care activities; and to build a world-class comprehensive biomedical and clinical research infrastructure.
For many surgeries and other types of procedures, payment from Medicare and most other insurers covers the procedure itself and related services delivered within either ten or 90 days after a surgical procedure during what is called the global period. This report describes the development of a practitioner survey designed to capture the level of post-operative visits that take place during the global period.
The 33 studies reviewed identify multiple workforce-related challenges for families seeking treatment for children with autism spectrum disorder-including lack of primary care providers to serve these children, lack of specialty providers, and sociodemographic and geographic disparities in access to ASD services.
The 2010 reformulation of Oxycontin to prevent abuse of the drug (by making it crush-proof and therefore impossible to dissolve in liquid) had the unintended effect of driving some users to switch to heroin, which contributed to a dramatic rise in Hepatitis C.
This paper combines complementary attributes of web and general population surveys to estimate cannabis consumption and spending in Washington State.
Researchers need qualitative data to understand how health systems actually work and influence clinical practice.
A brief primary care intervention can be effective over the long-term for adolescents who report problems from alcohol and marijuana use.
This paper explores the characteristics of congregation-based substance abuse disorder treatment programs in a diverse sample of urban religious congregations.
This article addresses the use of a variety of nonherbal CIH therapies among any large patient population having chronic pain by exploring the frequency and predictors of CIH therapy use among a national population of VHA users with chronic musculoskeletal pain.
Chronic pain is prevalent among Veterans in general, but especially among younger Veterans, including participants in Operation Enduring Freedom, Operation Iraqi Freedom and Operation New Dawn. Musculoskeletal pain is the most common type of chronic pain. This pain also often co-occurs with conditions such as anxiety, depression, post-traumatic stress disorder, and substance abuse.
The Training in Psychotherapy (TIP) Tool assesses how well psychotherapy trainings for community-based providers align with the core elements of trainings that were identified as potentially effective in a review of the literature and discussion with experts. This guide provides an update of the TIP Tool — the TIP Tool 2.0 — based on pilot testing with two psychotherapy training organizations.
Clinical guidelines that meet patient-centeredness criteria are likely to be consistent with the preferences, needs, and values of families dealing with Duchenne muscular dystrophy.
Medicare payment for many health care procedures covers not just the procedure itself but also most post-operative care during a fixed "global period." This report describes how CMS could use the new claims-based data on the number of post-operative visits to adjust valuation for procedures with 10- and 90-day global periods. These results may inform further policy development around revaluation for global procedures.
