RAND Research Topic: Health Care Access 2021-05-07T21:37:50Z Copyright (c) 2021, The RAND Corporation RAND Corporation https://www.rand.org/topics/health-care-access.html A Shared Definition of High-Quality Care Can Help Veterans Combat Invisible Wounds Carrie M. Farmer; Lu Dong https://www.rand.org/pubs/research_briefs/RBA337-1.html 2020-10-22T09:00:00Z 2020-10-22T09:00:00Z A rigorously developed, shared definition of high-quality care for veterans with posttraumatic stress disorder and mild traumatic brain injury will help clinical providers and veteran-serving organizations better meet the needs of this population. Telehealth After COVID-19 Lori Uscher-Pines; Monique Martineau https://www.rand.org/pubs/perspectives/PEA1089-1.html 2021-01-22T08:45:00Z 2021-01-22T08:45:00Z The use of telehealth has increased during the COVID-19 pandemic. What role can telehealth play in a post-pandemic world? The authors of this Perspective discuss how the ongoing use of telehealth services could affect the realization of policy goals. Associations Between Individual Demographic Characteristics And Involuntary Health Care Delays As A Result Of COVID-19 Matthew R. Rosengart; Jason M. Ward https://www.rand.org/pubs/external_publications/EP68611.html 2021-04-27T08:45:00Z 2021-04-27T08:45:00Z We provide the first evidence on associations between individual characteristics and the propensity to experience an involuntary care disruption resulting from the COVID-19 pandemic. Liaison and Diversion Services Can Help Vulnerable People in the Criminal Justice System RAND Corporation https://www.rand.org/news/press/2021/04/12.html 2021-04-12T09:05:00Z 2021-04-12T09:05:00Z An NHS England programme aimed at supporting vulnerable people in the criminal justice system may significantly reduce the chances of those with mental and other health needs from receiving custodial sentences. Findings from the national evaluation of Liaison and Diversion services in England Emma Disley; Evangelos Gkousis; Shann Hulme; Katherine I. Morley; Jack Pollard; Catherine L. Saunders; Jon Sussex; Alex Sutherland https://www.rand.org/pubs/research_briefs/RBA1271-1.html 2021-04-12T09:00:00Z 2021-04-12T09:00:00Z An outcome evaluation of the National Model for Liaison and Diversion scheme in England, which identifies and supports people in the criminal justice system with health issues and vulnerabilities, using a novel, large-scale linked data set. Outcome Evaluation of the National Model for Liaison and Diversion Emma Disley; Evangelos Gkousis; Shann Hulme; Katherine I. Morley; Jack Pollard; Catherine L. Saunders; Jon Sussex; Alex Sutherland https://www.rand.org/pubs/research_reports/RRA1271-1.html 2021-04-12T09:00:00Z 2021-04-12T09:00:00Z An outcome evaluation of the National Model for Liaison and Diversion scheme in England, which identifies and supports people in the criminal justice system with health issues and vulnerabilities, using a novel, large-scale linked data set. Americans' View of the Impact of COVID-19 Katherine Grace Carman; Anita Chandra; Carolyn Miller; Christopher Nelson; Jhacova Williams https://www.rand.org/pubs/external_publications/EP68585.html 2021-03-30T09:00:00Z 2021-03-30T09:00:00Z The COVID-19 pandemic has had a disparate effect on African Americans and Latino groups. But it is unknown how aware the public is of these differences, and how the pandemic has changed perceptions of equity and access to health care. Pros and Cons of Telehealth RAND Corporation https://www.rand.org/multimedia/video/2021/03/17/pros-and-cons-of-telehealth.html 2021-03-17T23:00:00Z 2021-03-17T23:00:00Z RAND senior policy researcher Lori Uscher-Pines presents the pros and cons of telehealth. Perceived Care Coordination Among Permanent Supportive Housing Participants Alina I. Palimaru; Ryan K. McBain; Keisha McDonald; Priya Batra; Sarah B. Hunter https://www.rand.org/pubs/external_publications/EP68560.html 2021-03-12T09:00:00Z 2021-03-12T09:00:00Z The study explored patient perceptions of care coordination in a permanent supportive housing program operated by a large health plan in Southern California. Measures and Methodology for International Comparisons of Health Care System Performance Laurie T. Martin; Carl Berdahl; Rachel M. Burns; Emily Hoch; Evan D. Peet; Peter S. Hussey https://www.rand.org/pubs/research_reports/RRA171-1.html 2021-02-24T08:30:00Z 2021-02-24T08:30:00Z RAND researchers worked with 15 experts in quality measurement, clinical care, and health economics to generate potential measure constructs that could improve the U.S. ability to learn from international comparisons of health system performance. Health Service Utilization and Cost Outcomes from a Permanent Supportive Housing Program Sarah B. Hunter; Adam Scherling; Ryan K. McBain; Matthew Cefalu; Brian Briscombe; William Mcconnell; Priya Batra https://www.rand.org/pubs/research_reports/RRA374-2.html 2021-02-16T09:00:00Z 2021-02-16T09:00:00Z The authors assess the short-term effects of a permanent supportive housing (PSH) program—operated by a large not-for-profit managed care plan—in Southern California for adult enrollees experiencing homelessness who have chronic health conditions. Impact of a Medicaid Policy on Preventive Oral Health Services for Children with Intellectual Disabilities, Developmental Disabilities, or Both Ashley M. Kranz; Rachel Ross; Mark J. Sorbero; Aaron Kofner; Bradley D. Stein; Andrew W. Dick https://www.rand.org/pubs/external_publications/EP68511.html 2021-02-12T11:45:00Z 2021-02-12T11:45:00Z The authors examined the impact of state policies allowing delivery of POHS in medical offices on receipt of POHS among Medicaid enrollees with IDD. Low Rates of Pediatric Dental Coverage for Families Purchasing Marketplace Insurance Plans Ashley M. Kranz; Andrew W. Dick https://www.rand.org/pubs/external_publications/EP68509.html 2021-02-12T11:30:00Z 2021-02-12T11:30:00Z Pediatric dental care is an essential health benefit that the Affordable Care Act requires most private health plans to cover. It is unknown how these different pediatric dental coverage offerings may affect uptake of coverage. Perspectives on Opportunities and Challenges for Medicare Advantage Plans to Address Social Determinants of Health Via the CHRONIC Care Act Melony E. Sorbero; Ashley M. Kranz https://www.rand.org/pubs/external_publications/EP68510.html 2021-02-12T11:30:00Z 2021-02-12T11:30:00Z The effect of the 2018 CHRONIC Care Act and how it may evolve before implementation begins in 2020 remains uncertain as we wait to see how MA plans will interpret eligibility criteria and services offered without any additional allotted funding. Association of Primary and Specialty Care Integration on Physician Communication and Cancer Screening in Safety-Net Clinics Ashley M. Kranz; Jamie Ryan; Ammarah Mahmud; Claude Messan Setodji; Cheryl L. Damberg; Justin W. Timbie https://www.rand.org/pubs/external_publications/EP68507.html 2021-02-12T10:00:00Z 2021-02-12T10:00:00Z This study aimed to describe strategies CHCs use to integrate care with specialists and examine whether more strongly integrated CHCs have higher rates of screening for colorectal and cervical cancers and report better communication with specialists. Characteristics of US Adults Delaying Dental Care Due to the COVID-19 Pandemic Ashley M. Kranz; Grace Gahlon; Andrew W. Dick; Bradley D. Stein https://www.rand.org/pubs/external_publications/EP68506.html 2021-02-12T09:45:00Z 2021-02-12T09:45:00Z Coronavirus disease 2019 (COVID-19) has disrupted the delivery of health care services, including dental care. The objective of this study was to quantify and describe US adults who delayed dental care due to the COVID-19 pandemic. Impact of State-Level Training Requirements for Medical Providers on Receipt of Preventive Oral Health Services for Young Children Enrolled in Medicaid Evan Goldstein; Andrew W. Dick; Rachel Ross; Bradley D. Stein; Ashley M. Kranz https://www.rand.org/pubs/external_publications/EP68501.html 2021-02-11T09:30:00Z 2021-02-11T09:30:00Z Our objective was to test whether training requirements were associated with higher rates of preventive oral health services for Medicaid-enrolled children <6 years. Telehealth Use Among Safety-Net Organizations in California During the COVID-19 Pandemic Lori Uscher-Pines; Jessica L. Sousa; Maggie Jones; Christopher M. Whaley; Christopher Perrone; Colleen M. McCullough; Allison J. Ober https://www.rand.org/pubs/external_publications/EP68493.html 2021-02-04T08:15:00Z 2021-02-04T08:15:00Z During the COVID-19 pandemic, visit volume at a sample of FQHCs declined modestly for primary care visits and remained stable for behavioral health visits because telehealth visits replaced in-person visits. Changes in Pediatric Dental Coverage and Visits Following the Implementation of the Affordable Care Act Ashley M. Kranz; Andrew W. Dick https://www.rand.org/pubs/external_publications/EP68488.html 2021-02-02T09:00:00Z 2021-02-02T09:00:00Z Comparing pre- and post-ACA periods, private dental insurance increased by 4.6% (P=0.013) and annual dental visits were unchanged (2.7%, P=0.071) comparing children likely or unlikely to be affected by the ACA. Delivery of Preventive Oral Health Services by Rurality Caroline Geiger; Ashley M. Kranz; Andrew W. Dick; Erin Lindsey Duffy; Mark J. Sorbero; Bradley D. Stein https://www.rand.org/pubs/external_publications/EP68487.html 2021-02-02T08:45:00Z 2021-02-02T08:45:00Z Using a multistate sample of Medicaid claims, we examined a child's odds of receiving preventive oral health services in a medical office by county rurality.