Using the National Health Interview Survey to Evaluate State Health Reform: ...soder145
This study used data from the National Health Interview Survey to evaluate the impacts of health reform efforts in New York and Massachusetts on health insurance coverage, access to care, and health care use. The researchers found:
1) New York's incremental reform modestly increased coverage for lower-income adults but did not significantly improve access to or use of care.
2) Massachusetts' comprehensive reform substantially increased coverage overall and for lower-income adults, and led to some gains in access to and use of care in the early reform period likely due to increased coverage.
3) However, the analyses were limited by small sample sizes, particularly for Massachusetts, and a short time period after Massachusetts' reform to fully assess the impacts
Using the National Health Interview Survey to Evaluate State Health Reform: ...soder145
This study used data from the National Health Interview Survey to evaluate the impacts of health reform efforts in New York and Massachusetts on health insurance coverage, access to care, and health care use. The researchers found:
1) New York's incremental reform modestly increased coverage for lower-income adults but did not significantly improve access to or use of care.
2) Massachusetts' comprehensive reform substantially increased coverage overall and for lower-income adults, and led to some gains in access to and use of care in the early reform period likely due to increased coverage.
3) However, the analyses were limited by small sample sizes, particularly for Massachusetts, and a short time period after Massachusetts' reform to fully assess the impacts
This document summarizes preliminary findings from research on the effects of Medicaid policy changes in Kentucky and Idaho between 2005-2008. In Kentucky, the introduction of copays for services like physician visits and prescriptions led to small decreases in use, while increased reimbursement rates later saw a small increase. Idaho saw improved dental access and preventive care rates after introducing annual exams and managed dental care. Participation in new health assistance programs was low based on initial surveys. The research aims to understand how these policy changes impacted Medicaid beneficiaries' access to and use of health services.
Implications of the Affordable Care Act: Medicaid Expansion for Health Care A...soder145
This document summarizes a study on the implications of Medicaid expansion under the Affordable Care Act. The study analyzed data on low-income uninsured and Medicaid-enrolled adults to: 1) understand the health care needs of those who could gain Medicaid and 2) estimate how well Medicaid would meet their needs. The results suggest those gaining Medicaid would have large reductions in access problems but still face barriers, as Medicaid enrollees had higher emergency department use than the uninsured. The estimates help inform expectations for Medicaid expansion, but have limitations from differences between current and new enrollees.
This presentation discusses metrics and data sources for measuring the impact of state-level health reform. It identifies priority measures for health insurance coverage, affordability and comprehensiveness of coverage, and access to care. Existing data sources like surveys are identified, but there are also gaps, particularly for private insurance premiums and nongroup coverage comprehensiveness. Challenges in using population surveys across states are discussed. Planning is needed to uniformly collect high-priority data not currently available to accurately measure state health reform impacts.
Vermont's 2006 health care reform law aimed to increase access to affordable health insurance. A key part was the Catamount Health public/private hybrid plan, which saw sharp enrollment growth initially. While take-up rates were higher among older groups, barriers to enrollment remain. Insurance coverage in Vermont increased significantly between 2005-2008, with growth in both public and private insurance. However, long-term sustainability faces challenges due to reliance on declining revenue sources and the economic downturn potentially impacting enrollment.
State-Level Estimates for Tracking Health Reform Impact: Opportunities and Ch...soder145
The document discusses state-level data needs for estimating the impact of national health reform. It outlines opportunities and challenges for states in developing estimates of newly insured populations under reform. Key points include: (1) States need estimates for implementing coverage expansions and meeting federal reporting requirements. (2) Existing national estimates provide limited state-level data. (3) States are using surveys and models to generate customized estimates, drawing on available federal and state data sources. (4) Developing accurate, timely estimates presents challenges around resources, flexibility and uncertainty.
Will the Uninsured Enroll into Coverage Under National Health Reform?soder145
The document discusses key factors that contribute to high enrollment rates in health insurance programs. It analyzes data-driven eligibility approaches used in Medicare, Massachusetts health reform, and means-tested programs that establish eligibility using existing government data rather than requiring applications. The document recommends that national health reform legislation maximize data-driven eligibility determinations, use a single application form for all subsidies, and enlist community groups and providers to assist with applications.
Evaluating Small Group Employer Participation in New Mexico’s State Coverage ...soder145
This document summarizes a study evaluating small group employer participation in New Mexico's state coverage insurance program. The study aimed to identify factors influencing employers' decisions to participate or not participate. It compared participating and inquiring employers, finding participating employers had fewer employees and were more concerned about administrative and cost issues. It also analyzed employed enrollees without group coverage, finding most had strong job ties and half lacked employer-offered coverage. The implications discussed were the tradeoff between federal funding and employer recruitment, and targeting mid-size businesses may bring more premium revenue.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
State Health Access Reform Evaluation: Buidling the Evidence for Reformsoder145
- SHARE (State Health Access Reform Evaluation) is a $5+ million grant program that supports evaluations of state health reform efforts to build an evidence base and inform policymakers.
- SHARE funded 15 research studies across 27 states examining topics like insurance market reforms, Medicaid reforms, and comprehensive reforms.
- The studies use a variety of data sources like surveys, claims data, and administrative records to evaluate reforms on dimensions like access, affordability, sustainability and effectiveness.
Changing Trends In Employer-Sponsored Insurance Before and Since the Great Re...soder145
The document summarizes research on trends in employer-sponsored health insurance (ESI) before and after the Great Recession. It finds that while ESI coverage was relatively stable before the recession, there have been consistent declines since. Specifically:
1) The percentage of employers offering ESI and workers receiving offers has decreased significantly since the recession, while eligibility and take-up rates have remained relatively flat.
2) Part-time workers and those employed by small firms have seen greater declines in offer rates and take-up compared to other groups.
3) Before the recession, increased worker take-up was the main driver of ESI coverage, but declining employer offers have been the primary factor reducing coverage since
Wisconsin’s BadgerCare Plus Coverage Expansion: Early Evaluation Resultssoder145
Wisconsin expanded its BadgerCare Plus (BC+) program in 2008 with three main components: eligibility expansion, administrative simplification, and outreach efforts. An evaluation found large enrollment increases among children and parents, exceeding projections. The majority of new enrollees were already eligible. Auto-enrollment of eligible children was effective. Exits increased initially but are leveling off. While the expansion was successful, officials are concerned about rising costs. The evaluation suggests eligibility expansions coupled with simplification and outreach can increase participation, and auto-enrollment is promising for enrolling newly eligible populations.
This document summarizes and compares major national health surveys that collect data on race, ethnicity, immigrant status, health insurance coverage, and access to care. It finds that surveys vary in the level of detail collected on these factors and on geographic specificity. The Current Population Survey and National Health Interview Survey generally collect the most detailed data on race, ethnicity and immigrant status as well as on coverage and access measures. Surveys also differ in available geographic identifiers, from national-level only to state and county identifiers. Choosing the best data source requires weighing these trade-offs based on the population and measures of interest.
1) Wisconsin implemented an auto-enrollment process for their Medicaid expansion that enrolled 44,000 previously ineligible individuals, most of whom were parents or siblings of existing enrollees.
2) Auto-enrolled individuals were much less likely to disenroll from coverage compared to other new enrollees.
3) An analysis estimates that auto-enrollment of parents could immediately enroll over 2 million newly eligible individuals nationally, most of whom are currently uninsured.
The study examined the relationship between sleep and school performance among high school students. Students from 8 randomly selected classes reported their typical nightly sleep hours and most recent quarterly grades. Results showed average sleep decreased as grades declined, from 7.05 hours for an A to 6.5 hours for a C. While the relationship is observational and other factors like academic focus could influence both, the findings suggest less sleep may impact grades. The study could be improved by surveying more schools to account for regional differences and using a prospective design to better track sleep and eliminate recall bias.
This curriculum vitae summarizes the educational and professional experience of Piotr Zaborek. He holds a PhD in Economics from Warsaw School of Economics. His professional experience includes positions as a visiting professor in the US, assistant professor in Poland, and management roles. He has published extensively in English and Polish on topics related to marketing, management, and education.
This document summarizes preliminary findings from research on the effects of Medicaid policy changes in Kentucky and Idaho between 2005-2008. In Kentucky, the introduction of copays for services like physician visits and prescriptions led to small decreases in use, while increased reimbursement rates later saw a small increase. Idaho saw improved dental access and preventive care rates after introducing annual exams and managed dental care. Participation in new health assistance programs was low based on initial surveys. The research aims to understand how these policy changes impacted Medicaid beneficiaries' access to and use of health services.
Implications of the Affordable Care Act: Medicaid Expansion for Health Care A...soder145
This document summarizes a study on the implications of Medicaid expansion under the Affordable Care Act. The study analyzed data on low-income uninsured and Medicaid-enrolled adults to: 1) understand the health care needs of those who could gain Medicaid and 2) estimate how well Medicaid would meet their needs. The results suggest those gaining Medicaid would have large reductions in access problems but still face barriers, as Medicaid enrollees had higher emergency department use than the uninsured. The estimates help inform expectations for Medicaid expansion, but have limitations from differences between current and new enrollees.
This presentation discusses metrics and data sources for measuring the impact of state-level health reform. It identifies priority measures for health insurance coverage, affordability and comprehensiveness of coverage, and access to care. Existing data sources like surveys are identified, but there are also gaps, particularly for private insurance premiums and nongroup coverage comprehensiveness. Challenges in using population surveys across states are discussed. Planning is needed to uniformly collect high-priority data not currently available to accurately measure state health reform impacts.
Vermont's 2006 health care reform law aimed to increase access to affordable health insurance. A key part was the Catamount Health public/private hybrid plan, which saw sharp enrollment growth initially. While take-up rates were higher among older groups, barriers to enrollment remain. Insurance coverage in Vermont increased significantly between 2005-2008, with growth in both public and private insurance. However, long-term sustainability faces challenges due to reliance on declining revenue sources and the economic downturn potentially impacting enrollment.
State-Level Estimates for Tracking Health Reform Impact: Opportunities and Ch...soder145
The document discusses state-level data needs for estimating the impact of national health reform. It outlines opportunities and challenges for states in developing estimates of newly insured populations under reform. Key points include: (1) States need estimates for implementing coverage expansions and meeting federal reporting requirements. (2) Existing national estimates provide limited state-level data. (3) States are using surveys and models to generate customized estimates, drawing on available federal and state data sources. (4) Developing accurate, timely estimates presents challenges around resources, flexibility and uncertainty.
Will the Uninsured Enroll into Coverage Under National Health Reform?soder145
The document discusses key factors that contribute to high enrollment rates in health insurance programs. It analyzes data-driven eligibility approaches used in Medicare, Massachusetts health reform, and means-tested programs that establish eligibility using existing government data rather than requiring applications. The document recommends that national health reform legislation maximize data-driven eligibility determinations, use a single application form for all subsidies, and enlist community groups and providers to assist with applications.
Evaluating Small Group Employer Participation in New Mexico’s State Coverage ...soder145
This document summarizes a study evaluating small group employer participation in New Mexico's state coverage insurance program. The study aimed to identify factors influencing employers' decisions to participate or not participate. It compared participating and inquiring employers, finding participating employers had fewer employees and were more concerned about administrative and cost issues. It also analyzed employed enrollees without group coverage, finding most had strong job ties and half lacked employer-offered coverage. The implications discussed were the tradeoff between federal funding and employer recruitment, and targeting mid-size businesses may bring more premium revenue.
Economic Impact on Minnesota's Health Care Delivery Systemsoder145
Presentation by Lynn Blewett to the Minnesota State Legislature at a joint meeting of the health care and human services finance and policy committees in Saint Paul, MN, February 10 2009.
State Health Access Reform Evaluation: Buidling the Evidence for Reformsoder145
- SHARE (State Health Access Reform Evaluation) is a $5+ million grant program that supports evaluations of state health reform efforts to build an evidence base and inform policymakers.
- SHARE funded 15 research studies across 27 states examining topics like insurance market reforms, Medicaid reforms, and comprehensive reforms.
- The studies use a variety of data sources like surveys, claims data, and administrative records to evaluate reforms on dimensions like access, affordability, sustainability and effectiveness.
Changing Trends In Employer-Sponsored Insurance Before and Since the Great Re...soder145
The document summarizes research on trends in employer-sponsored health insurance (ESI) before and after the Great Recession. It finds that while ESI coverage was relatively stable before the recession, there have been consistent declines since. Specifically:
1) The percentage of employers offering ESI and workers receiving offers has decreased significantly since the recession, while eligibility and take-up rates have remained relatively flat.
2) Part-time workers and those employed by small firms have seen greater declines in offer rates and take-up compared to other groups.
3) Before the recession, increased worker take-up was the main driver of ESI coverage, but declining employer offers have been the primary factor reducing coverage since
Wisconsin’s BadgerCare Plus Coverage Expansion: Early Evaluation Resultssoder145
Wisconsin expanded its BadgerCare Plus (BC+) program in 2008 with three main components: eligibility expansion, administrative simplification, and outreach efforts. An evaluation found large enrollment increases among children and parents, exceeding projections. The majority of new enrollees were already eligible. Auto-enrollment of eligible children was effective. Exits increased initially but are leveling off. While the expansion was successful, officials are concerned about rising costs. The evaluation suggests eligibility expansions coupled with simplification and outreach can increase participation, and auto-enrollment is promising for enrolling newly eligible populations.
This document summarizes and compares major national health surveys that collect data on race, ethnicity, immigrant status, health insurance coverage, and access to care. It finds that surveys vary in the level of detail collected on these factors and on geographic specificity. The Current Population Survey and National Health Interview Survey generally collect the most detailed data on race, ethnicity and immigrant status as well as on coverage and access measures. Surveys also differ in available geographic identifiers, from national-level only to state and county identifiers. Choosing the best data source requires weighing these trade-offs based on the population and measures of interest.
1) Wisconsin implemented an auto-enrollment process for their Medicaid expansion that enrolled 44,000 previously ineligible individuals, most of whom were parents or siblings of existing enrollees.
2) Auto-enrolled individuals were much less likely to disenroll from coverage compared to other new enrollees.
3) An analysis estimates that auto-enrollment of parents could immediately enroll over 2 million newly eligible individuals nationally, most of whom are currently uninsured.
The study examined the relationship between sleep and school performance among high school students. Students from 8 randomly selected classes reported their typical nightly sleep hours and most recent quarterly grades. Results showed average sleep decreased as grades declined, from 7.05 hours for an A to 6.5 hours for a C. While the relationship is observational and other factors like academic focus could influence both, the findings suggest less sleep may impact grades. The study could be improved by surveying more schools to account for regional differences and using a prospective design to better track sleep and eliminate recall bias.
This curriculum vitae summarizes the educational and professional experience of Piotr Zaborek. He holds a PhD in Economics from Warsaw School of Economics. His professional experience includes positions as a visiting professor in the US, assistant professor in Poland, and management roles. He has published extensively in English and Polish on topics related to marketing, management, and education.
D. Mayo: Replication Research Under an Error Statistical Philosophy jemille6
D. Mayo (Virginia Tech) slides from her talk June 3 at the "Preconference Workshop on Replication in the Sciences" at the 2015 Society for Philosophy and Psychology meeting.
This document contains a survey conducted by mathematics students on understanding of breast cancer among females in Malaysia. The survey was distributed to 250 students both online and in hard copy from November 8-12, 2014. It collected data on respondents' knowledge of breast cancer symptoms, risk factors, stages of the disease, and treatment costs. The statistical analysis identified gaps in understanding that could be addressed to improve awareness. The conclusion is that the survey enhanced students' learning and helped create awareness about breast cancer prevention.
This document discusses the use of autoregressive integrated moving average (ARIMA) models in statistical analysis beyond just time series data. It provides examples of using ARIMA models with non-temporal data, where the independent variable is something other than time, such as temperature or longitude. Key points include:
1) ARIMA models only require evenly spaced intervals for the independent variable and do not necessarily need time as the variable. Examples of non-temporal ARIMA models are given for white dwarf star populations and the distribution of attorneys.
2) Temperature can act as a "time proxy" for white dwarf stars since temperature and time are monotonically related as the stars cool.
3) ARIM
Slides I used in a Research Methodology seminar I gave in 2010 for the Interactive Art PhD at School of Arts of the Portuguese Catholic University, Porto, Portugal (http://artes.ucp.pt)
The document summarizes statistical analysis concepts and methods used to analyze biological data, including calculating means, standard deviations, and using t-tests to determine the significance of differences between data sets. It provides an example comparing bill length measurements in two hummingbird species. The mean bill length is slightly higher in C. latirostris, but A. colubris shows greater variability. A t-test is needed to determine if the difference in means is statistically significant given the overlap between the error bars representing standard deviation.
The document discusses authentic performance tasks and provides descriptors for them, including that they address real-world problems, have realistic options and audiences, and serve a genuine purpose. It also introduces the GRASPS framework for designing authentic assessments and provides examples of using this framework to develop scenarios for performance tasks in different subject areas. The key aspects of an authentic task based on GRASPS are identified as the goal, role, audience, situation or context, product or performance, and standards for assessment.
The document discusses different aspects of research design including what research design is, its key components, and types of research design. It defines research design as the arrangement of conditions for collecting and analyzing data to combine relevance to the research purpose with efficient procedures. The main components of research design discussed are sampling design, observational design, statistical design, and operational design. It also outlines features of a good research design and key concepts like dependent and independent variables, extraneous variables, control, and research hypotheses. Finally, it discusses research design for exploratory, descriptive, diagnostic, and hypothesis-testing research studies.
The document discusses research methodology and defines research. It provides examples of what constitutes research and what does not. Research is defined as a systematic, logical process that includes understanding the problem, reviewing literature, collecting and analyzing data, drawing conclusions, and generalizing findings. The document also discusses types of research questions, purposes of research, and common challenges in conducting research.
Common statistical tools used in research and their usesNorhac Kali
Descriptive statistics are used to summarize and describe data through measures like means and percentages. They aim to describe a sample rather than make inferences about the underlying population. Parametric statistics assume the data comes from a known probability distribution and allow inferences about the distribution's parameters, but require the data to meet certain assumptions. Non-parametric methods make fewer assumptions and allow comparisons of ordinal data, making them more robust and widely applicable than parametric methods.
Common statistical tools used in research and their uses
Similar to Using Linked Survey and Administrative Records Studies to Partially Correct Survey Program Participation for Timely Policy Research Purposes
Using Linked Survey and Administrative Records Studies to Partially Correct S...soder145
1. The document discusses using linked survey and administrative data to partially correct estimates of Medicaid enrollment from the Current Population Survey (CPS), which are known to underestimate actual enrollment levels.
2. The author implements a statistical modeling approach using older linked CPS and Medicaid enrollment data to predict Medicaid enrollment probabilities for more recent CPS data, allowing for adjustment of the estimates.
3. This approach increases the adjusted national Medicaid enrollment estimate by 21 percentage points compared to the unadjusted CPS data, bringing the estimate closer to administrative records while allowing timely analysis. However, the approach also has limitations such as being a partial correction.
1) A study found that survey estimates of Medicaid enrollment from the Current Population Survey (CPS) are much lower than actual enrollment figures from administrative data. 2) The study linked CPS data to Medicaid administrative data and found that 43% of people enrolled in Medicaid did not report having Medicaid coverage in the CPS. 3) Reasons for not reporting Medicaid included stigma, lack of knowledge about program name or household members' coverage status, and general lack of knowledge about having any insurance coverage.
Fitting Square Pegs Into Round Holes: Linking Medicaid and Current Population...soder145
This document summarizes a study comparing Medicaid enrollment data from the Medicaid Statistical Information System (MSIS) to survey data from the Current Population Survey (CPS) to understand discrepancies between the two data sources. The study found the CPS significantly undercounted Medicaid enrollment compared to MSIS data. Measurement error in the CPS, particularly issues with question design and sample coverage, appear to contribute most to the undercount. Further analysis is still needed to fully understand and address the differences between the data sources.
Medicaid Reporting Errors in Four National Surveys: ACS, CPS, MEPS, and NHISsoder145
This document compares Medicaid reporting in 4 national surveys to administrative data from the Medicaid Statistical Information System (MSIS). It finds that all surveys undercount Medicaid enrollment compared to MSIS. However, when survey data is linked to MSIS, the percentage of "correct reports" of Medicaid is 77% or higher for all surveys. The percentage of misreports is lower for children and low-income individuals. Misreports are more likely to report having another form of coverage rather than being uninsured. The implications are that care should be taken when adjusting Medicaid counts in surveys, as misreports may offset each other between Medicaid and uninsurance.
How a Revamped Data Analytics Approach Can Mitigate Healthcare Disparities.pdfTredence Inc
For years now, big data and analytics have contributed significantly to improving patient outcomes and enabling value-based care. According to IDC, approximately 30% of the world’s data is being generated by the healthcare industry.
Learn more: https://www.tredence.com/industries/financial-services
This document discusses using federal and state survey data to inform state health reform. It outlines key federal surveys such as the American Community Survey, Current Population Survey, and Behavioral Risk Factor Surveillance System. While some provide state-level estimates, sample sizes vary significantly across states. Strategies are presented to increase the value of these surveys for states, such as expanding content and timely release of data. State-specific surveys are also proposed to address gaps in measuring outcomes like access, costs, and quality of care. In the end, both federal and state surveys will be important for analyzing health reform impacts, but may lack data on important subgroups and outcomes.
This document summarizes a presentation on analyzing provider capacity under national health reform. It finds that many counties have inadequate primary care physician supply based on population-to-physician ratios. While supply gaps exist nationwide, they are concentrated in the South and non-metropolitan areas. Reallocating physicians from surplus to shortage counties could address gaps in most states. Newly eligible populations under the ACA are heavily concentrated in counties with inadequate supply, which may face barriers to care. Future analysis should use improved provider and population data to better inform monitoring of capacity issues.
Medicaid Undercount in the American Community Survey: Preliminary Resultssoder145
This document summarizes preliminary results from linking 2008 Medicaid enrollment data (MSIS) to health insurance response data from the 2008 American Community Survey (ACS). The key findings are:
1) Around 75.9% of individuals enrolled in Medicaid according to MSIS were reported as being on Medicaid in the ACS, implying an undercount of Medicaid enrollment of around 24.1%.
2) The undercount was higher for older age groups and individuals with higher family incomes.
3) This level of undercount in the ACS could result in an overestimation of the uninsured rate in the US by around 1.2 percentage points nationally.
This document summarizes emerging trends in Medicaid based on a presentation by Robin Rudowitz of the Kaiser Family Foundation. Key points include:
- Medicaid plays a central role in health insurance coverage and supports the health care system and safety net.
- States are seeking waivers to implement work requirements, impose premiums and cost sharing, but research shows these policies can negatively impact coverage and health outcomes for low-income populations.
- Ongoing debates around Medicaid include the federal government's new direction regarding waivers, the future of the ACA Medicaid expansion, CHIP reauthorization, and possible deficit reduction proposals around Medicaid entitlement reform and federal spending caps.
2015 05 01 Pop Health - Laying the Foundation (00000002)Dana Alexander
This document discusses population health management and outlines four key aspects: data control and governance, population management and risk stratification, care management, and patient engagement. It summarizes the challenges of collecting and analyzing large amounts of patient data from electronic health records, developing risk profiles of patient subgroups, implementing targeted care models, and encouraging patient accountability through new technologies. The overall goal is for healthcare organizations to successfully address these areas and achieve true population health management.
Health Care Access and Affordability among Adults Potentially Eligible for Ex...soder145
This document analyzes health care access and affordability among low-income adults who are potentially eligible for expanded Medicaid coverage under the Affordable Care Act. It finds that uninsured low-income adults currently experience greater barriers to health care access, utilization, and affordability compared to those with Medicaid coverage. The analysis predicts that expanding Medicaid will significantly improve access and affordability for the low-income uninsured population through reductions in lacking a usual source of care, delays in care due to cost, and more. However, some barriers may still remain for the expanded Medicaid population.
Running head STATISTICS RESEARCH DESIGN METHODS .docxagnesdcarey33086
Running head: STATISTICS RESEARCH DESIGN /METHODS 1
STATISTICS RESEARCH DESIGN /METHODS 2
Research/Design Methods
STATISTICS RESEARCH DESIGN /METHODS
The US healthcare system has had quite a number of flaws that have for a very long time been ignored due to the assumption that the two main methods of catering for healthcare in the US, Medicaid and Medicare, are sufficient and efficient. However, late developments have been made to cub the issues brought about by their inadequacies. These include the famous affordable care act famously referred to as Obamacare (Patient protection and affordable care act) (Pipes, 2013).
A closer look at there issues with all over the country shows that the two most common methods of helping individuals cope with healthcare needs mostly ignore children. Medicare is for individuals that are beyond 65 years while Medicaid is not a guarantee not unless there is clear evidence of low income levels which unfortunately, is also not a guarantee. Children Healthcare Program at least is available for people that are considered to have an income too high to qualify for Medicaid. All these however aren’t supported by the data at the North Memorial Hospital of Minnesota. Children continue suffering compared to adults at least in comparison and the benchmark on government help through health funding.
There is a great need to look at this close and find out whether these facts are so or it is an assumption and if the rest of the state of Minnesota is still in the same state.
Availability of Medicaid reduces chances of children receiving health care from the medical canter. This research design is going to rely on Medicaid as the independent variable. Health care on children received through CHIP (Children Health Insurance Program) is going to be the dependent variable. Therefore, the problem under research here is: Availability of Medicare to (some) families undermine the probability of children to get access to CHIP and thus resulting to less affordability and availability of healthcare to children through the medical center.
PURPOSE STATEMENT
This research method document aims at establishing the relationships between various Healthcare products and platforms that are provided by the Federal government in association with the state of Minnesota and the way they interact to affect accessibility and affordability of healthcare with the case study of the North Memorial Hospital in Minnesota.
It will identify the role of, and the statistics around, Medicare, Medicaid and Children Health Insurance Program and their interplay to understand if they have any effect on the healthcare affordability and availability to children. More to this is the number of children that are not covered by CHIP due to the role played by Medicare in bringing about assumptions that disadvantage the healthcare access o.
This document summarizes research on the undercounting of Medicaid recipients in the American Community Survey (ACS). It finds that the ACS undercounts Medicaid enrollment by 22.9% compared to administrative records, with higher rates of undercounting for older age groups and higher income levels. This Medicaid undercount leads to an overestimate of the uninsured population in the ACS of around 1.2 percentage points or 3.2 million people. However, other factors may offset this bias. The undercount in the ACS appears consistent with levels found in other surveys.
DQ 2-21.The ACA was signed in 2010 by President Obama, this pl.docxelinoraudley582231
DQ 2-2
1.
The ACA was signed in 2010 by President Obama, this plan had 3main goals; to reduce the cost of medical coverage, provide health insurance for more people and to protect patients from the insurance companies in areas such as denial of coverage or increased cost due to pre-existing conditions. Health insurance is something that no one should be without, preventative care and treatment for illness is very expensive without a plan. The ACA has provided coverage for so many people that did without due to costs, lack of access or pre-existing conditions.
Medical insurance premiums continually increase and this has had some affect on the ACA premiums. While the ACA costs have risen since 2010 there are continued efforts to keep these premiums affordable. "Moreover, premiums are rising at a much slower rate than they were prior to the implementation of ACA – one of the slowest rates in the last 50 years." (The Affordable Care Act in 2017: Myths and Facts, 2017)
The Affordable Care Act has proven successful when looking at the number of people now receiving medical benefits. "In 2010, 16% of the country’s population was uninsured. In 2016, only 8.6% of the country was uninsured. 91.4% were insured" (The Affordable Care Act in 2017: Myths and Facts, 2017) Rules were put into place with the ACA that coverage could not be denied as a result of a prexisting condition such as asthma or diabetes. Increasing the cost of coverage as a result of a pre-existing condition is also not allowed. "They cannot limit benefits for that condition either. Once you have insurance, they can't refuse to cover treatment for your pre-existing condition." (HHS.gov, 2017) However, there are rules in place about having a plan before 2010 that did have rules about pre-existing conditions. According to HHS.gov (2017) if you purchased a policy before March of 2010 the changes with the ACA will not affect your private health care plan.
The ACA has worked in providing more people with health insurance, removing the pre-existing condition clause for many plans, extending the coverage age to 26 and lowering the cost of healthcare. There are still many things that can be done to improve the system for everyoone involved. From the healthcare provider side this is opening up new issues. With the baby boomers getting ready to retire we will lose many healthcare providers and gain new patients. "Expanded coverage under the ACA is projected to increase demand for services. In addition, the population is growing at about 0.8 percent per year, and the population is aging." (The Evolving Health Workforce, 2017)The shortage of staffing with the influx of new patients will only get worse unless something can be done to get new people into the medical field.
2.
Going through the slides helped me find more information than what the video presented. After going through the slides it was interesting to read about the reporting which the DHHS. They publicly report informat.
Health Equity Investments: Opportunities and Challenges in 2023Health Catalyst
Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions. Trudy Sullivan and Dr. Melissa Welch will discuss how to establish mechanisms using data you already have for ongoing health equity evaluation and how to drive data-informed decisions.
This document provides an overview of the State Health Access Data Assistance Center (SHADAC) and the technical assistance it provides to states through the State Health Access Program (SHAP). SHADAC assists states by helping to measure health insurance coverage, design health surveys, analyze data, and evaluate state health reform programs. It discusses SHADAC's activities, available data sources for measuring insurance coverage like the American Community Survey and Current Population Survey, and how SHADAC can help SHAP grantees with benchmarking, evaluation design, and addressing challenges.
Physician Expectations and Primary Care Shortages: Evidence from the Affordab...Gerrit Lensink
This paper is the first installment in my undergraduate thesis on physician expectations and their effect on primary care shortages in the United States. Over following semesters I will be strengthening my research with econometric models and further analysis. Updates will follow as completed.
This two page summary outlines the American Health Care System quality and cost issues and offers the only practical business solution.
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This document summarizes key findings from an analysis of trends in children's health insurance coverage between 2016 and 2017. Some key points:
- The uninsured rate among children in the U.S. increased from 4.7% in 2016 to 5% in 2017, reversing over a decade of decline. This represented nearly 270,000 additional uninsured children.
- The increase was driven by a decline in public coverage, particularly Medicaid. Uninsurance rose across most demographic groups.
- There was considerable variation between states, from a low of 1.4% uninsured in Vermont to a high of 10.7% in Texas.
- States with low uninsurance typically had high rates of employer-sponsored insurance or
Exploring Disparities Using New and Updated MEasures on SHADAC's State Health...soder145
Slides from webinar webinar introducing two new measures of health outcomes and social determinants of health on SHADAC’s State Health Compare—Unhealthy Days and Unaffordable Rents. This presentation, hosted by SHADAC researchers Brett Fried and Robert Hest, examine these new measures and highlight how the estimates can be used to explore disparities between states and among sub-populations.
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Modeling State-based Reinsurance: One Option for Stabilization of the Individ...soder145
This document summarizes research on modeling state-based reinsurance programs to stabilize individual health insurance markets. Key findings include:
- An estimated $60 billion is spent annually in the individual market, with 2.5% of enrollees accounting for 48.8% of expenditures.
- State reinsurance programs with varying parameters could reduce insurer costs by $6-14 billion nationally per year.
- Estimated reinsurance costs for four states range from $300,000 to $1.8 billion depending on the attachment point and coinsurance rate.
- Federal transitional reinsurance and proposed legislation allocated $10 billion annually, consistent with these estimates.
2017 Health Insurance Coverage Estimates: SHADAC Webinar Featuring U.S. Censu...soder145
Join us for an overview of the 2017 health insurance coverage estimates from two key, large-scale federal data sources: The American Community Survey (ACS) and the Current Population Survey (CPS).
This webinar will examine the new estimates with technical insight from experts at the U.S. Census Bureau, which administers both the ACS and CPS, and from SHADAC researchers.
Attendees will learn about:
The new 2017 national and state coverage estimates
When to use which estimates from which survey
How to access the estimates via Census reports and American FactFinder
How to access state-level estimates from the ACS using SHADAC tables
SHADAC researchers and Census experts will answer questions from attendees after the presentation.
Exploring the New State-Level Opioid Data On SHADAC's State Health Comparesoder145
Between 2000 and 2016, the annual number of drug overdose deaths in the United States more than tripled, from 17,500 to 63,500, and most of these deaths involved opioids. Despite widespread increases in overdose death rates from natural and semi-synthetic opioids, synthetic opioids, and heroin, individual states’ death rates varied widely. For example, in 2016, Nebraska’s rate of 1.2 deaths per 100,000 people was the lowest in the U.S. for natural and semi-synthetic opioids, while West Virginia’s rate (the highest) was more than 15 times larger, at 18.5 deaths. These deaths are the most glaring indication of the growing crisis of opioid abuse and addiction that has been spreading unevenly throughout the country over the past two decades.
On this SHADAC webinar, Research Fellow Colin Planalp will examine the United States opioid epidemic at the state level, analyzing trends in overdose deaths from heroin and other opioids, such as prescription painkillers. Using data available through SHADAC’s State Health Compare, he will look at which states have the highest rates of opioid-related deaths and which have experienced the largest increases in death rates.
Mr. Planalp will be joined by SHADAC Research Fellow Robert Hest, who will discuss the data on opioid-related overdose deaths from the U.S. Centers from Disease Control and Prevention (CDC) that are available on SHADAC’s State Health Compare. He will also discuss State Health Compare data from the U.S. Drug Enforcement Administration (DEA) on sales of common prescription opioid painkillers. Mr. Hest will show users how to access and use the data for state-level analyses.
This document summarizes research on the intersection of structural risk factors and insurance-based discrimination on healthcare access inequities. The study analyzed data on over 3,800 non-elderly adults in Minnesota to examine how experiences of insurance-based discrimination vary across gender, race, income and insurance status, both independently and combined. It also assessed how the synergistic effects of structural risk factors and reported discrimination influence access to a usual source of care and confidence in getting needed healthcare services. The results show that structural factors like race, income and insurance status combine to produce greater reported discrimination, which then interacts with those factors to further reduce healthcare access. The implications are that reducing inequities requires attention to the convergence of these structural barriers
This study analyzed characteristics associated with accurate reports of health insurance coverage in census surveys. It found that reporting of public insurance was most accurate among low-income, less educated individuals who likely needed care. Reporting varied by specific public program, with family characteristics impacting Medicaid accuracy and respondent characteristics impacting MinnesotaCare accuracy. Private insurance reporting in the ACS was more accurate among advantaged groups, while the CPS saw greater accuracy among older respondents with long-term coverage. The results provide insight into survey design, editing, and using survey data for policy analysis by identifying who reports coverage most reliably.
- The document presents preliminary results from the Minnesota Long-Term Services and Supports Projection Model (MN-LPM), which projects LTSS utilization and costs for Minnesota's Medicaid elderly population through 2030.
- In 2015, over 54,000 Minnesotans received LTSS through Medicaid, costing $991 million total. The model projects these numbers will double by 2030, with LTSS costs reaching $1.7 billion as HCBS use grows significantly faster than nursing home use.
- The model uses Minnesota-specific data on the characteristics of elderly residents and current LTSS spending patterns to generate projections. It is intended to help evaluate potential policy changes that could impact future LTSS needs and costs in
Modeling Financial Eligibility for Medicaid Payment of LTSS
1) Medicaid long-term services and expenditures (LTSS) are a large and growing part of state budgets. States may restrict LTSS eligibility rules to control costs.
2) The researchers modeled LTSS eligibility rules to understand their impact and potential consequences of restricting access.
3) The model found that restricting income eligibility rules had a larger impact on reducing the number of eligible individuals than restricting asset rules. This is because income rules are more broadly applied and generous under current policies.
Poster, advancements in care coordination mn simsoder145
The document summarizes findings from an evaluation of Minnesota's State Innovation Model (SIM) Initiative. It finds that Minnesota's SIM investments increased organizations' capacity for coordinated care in several ways:
1) It strengthened relationships and knowledge sharing between organizations.
2) It improved some care coordination processes like assessing social needs and accessing data.
3) It expanded access to health information exchange capabilities needed to coordinate care across settings.
- Structured interviews were conducted with 33 current and former state agency and health plan staff across 4 states to understand challenges implementing Section 1115 Medicaid expansion waiver programs.
- Key challenges included the significant administrative resources and coordination required across entities, educating enrollees, and reconciling complex program rules across systems.
- While waiver programs allowed for innovative policy testing, the administrative complexity was substantial and ongoing. Implementation involved major efforts to develop new IT systems and operational protocols within tight timelines.
1. The document analyzes the potential impact and costs of state-based reinsurance programs using data from 2012-2015.
2. It estimates that reinsurance subsidies could range from $6.4 billion to $16 billion annually depending on the attachment point and coinsurance rate.
3. Reinsurance costs are estimated to range from close to $300,000 in Illinois to $2 billion in California under sample programs with an 80/20 coinsurance split.
Comparing Health Insurance Measurement Error (CHIME) in the ACS & CPSsoder145
This document summarizes a study that compared survey responses about health insurance from the American Community Survey (ACS) and Current Population Survey (CPS) to actual administrative insurance records to assess accuracy. The study found that both surveys produced reasonably accurate aggregated estimates but that some types of coverage, like direct purchase plans, were less accurately reported. Specifically:
- Both surveys had high sensitivity in detecting those with any insurance but the ACS performed better for direct purchase plans.
- The predictive power of reported coverage types varied, with direct purchase again less accurately predicted than employer-sponsored coverage.
- Prevalence estimates based on surveys were generally within a few percentage points of administrative records, though CPS estimates were less accurate for
Who Gets It Right? Characteristics Associated with Accurate Reporting of Heal...soder145
This document summarizes a study examining factors associated with accurate reporting of health insurance coverage type. The study used survey data matched to enrollment records from a health plan. It found:
1) Reporting accuracy was highest for those with employer-sponsored insurance and lowest for those with direct purchase or Medicaid coverage.
2) Among those with direct purchase insurance, reporting accuracy was higher for those who were white, non-Hispanic, fully employed, and from higher income households.
3) For Medicaid enrollees, reporting accuracy was higher for those who were unemployed, from lower income and education households.
Medicaid vs. Marketplace Coverage for Near-Poor Adults: Impact on Out-of-Pock...soder145
1) The document analyzes the impact of state Medicaid expansion decisions on out-of-pocket health expenses and insurance coverage for low-income adults making 100-138% of the federal poverty level.
2) It finds that Medicaid expansion was associated with lower total out-of-pocket spending (a reduction of $353), lower premium spending (a reduction of $118), and lower medical spending (a reduction of $235) compared to non-expansion states.
3) Medicaid expansion also increased Medicaid coverage by 11.1 percentage points and decreased the uninsured rate by 4.5 percentage points for this low-income group relative to non-expansion states.
The Impact of Medicaid Expansion on Employer Provision of Health Insurancesoder145
- The study examines the impact of Medicaid expansion under the ACA on employer-sponsored health insurance (ESI) offers, out-of-pocket premiums, and eligibility using data from 2010-2015.
- The results show Medicaid expansion decreased worker eligibility for ESI offers by 4 percentage points but had no effect on ESI offers or out-of-pocket premiums. There was also no differential effect for low-wage establishments.
- The authors note the short-term effects may differ from long-term effects, and ongoing uncertainty could impact employer behavior and outcomes over time as more states expand Medicaid.
Physician Participation in Medi-Cal: Is Supply Meeting Demand? soder145
This document summarizes a webinar presentation on physician participation in California's Medicaid program, Medi-Cal. The presentation was given by Janet Coffman from UCSF and Alan McKay from the Central California Alliance for Health.
Key findings from Coffman's presentation include: California physicians are less likely to accept new Medi-Cal patients than patients with private insurance or Medicare; acceptance rates vary by specialty, practice type, and region; and the most common reasons physicians limit Medi-Cal patients are delays in payment and administrative hassles.
McKay discussed the Alliance's efforts to expand Medi-Cal provider capacity after expansion, including grant programs for recruitment, equipment, practice coaching,
The document summarizes key information from a webinar about 2015 health insurance coverage estimates from the American Community Survey (ACS) and Current Population Survey (CPS). It provides an overview of the surveys' methodologies, measures of health insurance coverage, changes in insurance rates from 2013 to 2015, and resources for accessing public data from the ACS and CPS. New products for analyzing health insurance coverage from both surveys were also announced.
The document summarizes a webinar presented by experts from the U.S. Census Bureau on the Small Area Health Insurance Estimates (SAHIE). SAHIE provides county-level estimates of health insurance coverage across various demographic groups. The webinar discussed the 2014 SAHIE release, which incorporated more up-to-date Medicaid data and showed substantial changes in insurance rates from 2013 to 2014. The webinar also reviewed the data sources and methodology used to produce the SAHIE estimates.
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This document provides an overview of wound healing, its functions, stages, mechanisms, factors affecting it, and complications.
A wound is a break in the integrity of the skin or tissues, which may be associated with disruption of the structure and function.
Healing is the body’s response to injury in an attempt to restore normal structure and functions.
Healing can occur in two ways: Regeneration and Repair
There are 4 phases of wound healing: hemostasis, inflammation, proliferation, and remodeling. This document also describes the mechanism of wound healing. Factors that affect healing include infection, uncontrolled diabetes, poor nutrition, age, anemia, the presence of foreign bodies, etc.
Complications of wound healing like infection, hyperpigmentation of scar, contractures, and keloid formation.
Strategies for Effective Upskilling is a presentation by Chinwendu Peace in a Your Skill Boost Masterclass organisation by the Excellence Foundation for South Sudan on 08th and 09th June 2024 from 1 PM to 3 PM on each day.
ISO/IEC 27001, ISO/IEC 42001, and GDPR: Best Practices for Implementation and...PECB
Denis is a dynamic and results-driven Chief Information Officer (CIO) with a distinguished career spanning information systems analysis and technical project management. With a proven track record of spearheading the design and delivery of cutting-edge Information Management solutions, he has consistently elevated business operations, streamlined reporting functions, and maximized process efficiency.
Certified as an ISO/IEC 27001: Information Security Management Systems (ISMS) Lead Implementer, Data Protection Officer, and Cyber Risks Analyst, Denis brings a heightened focus on data security, privacy, and cyber resilience to every endeavor.
His expertise extends across a diverse spectrum of reporting, database, and web development applications, underpinned by an exceptional grasp of data storage and virtualization technologies. His proficiency in application testing, database administration, and data cleansing ensures seamless execution of complex projects.
What sets Denis apart is his comprehensive understanding of Business and Systems Analysis technologies, honed through involvement in all phases of the Software Development Lifecycle (SDLC). From meticulous requirements gathering to precise analysis, innovative design, rigorous development, thorough testing, and successful implementation, he has consistently delivered exceptional results.
Throughout his career, he has taken on multifaceted roles, from leading technical project management teams to owning solutions that drive operational excellence. His conscientious and proactive approach is unwavering, whether he is working independently or collaboratively within a team. His ability to connect with colleagues on a personal level underscores his commitment to fostering a harmonious and productive workplace environment.
Date: May 29, 2024
Tags: Information Security, ISO/IEC 27001, ISO/IEC 42001, Artificial Intelligence, GDPR
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it describes the bony anatomy including the femoral head , acetabulum, labrum . also discusses the capsule , ligaments . muscle that act on the hip joint and the range of motion are outlined. factors affecting hip joint stability and weight transmission through the joint are summarized.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UPRAHUL
This Dissertation explores the particular circumstances of Mirzapur, a region located in the
core of India. Mirzapur, with its varied terrains and abundant biodiversity, offers an optimal
environment for investigating the changes in vegetation cover dynamics. Our study utilizes
advanced technologies such as GIS (Geographic Information Systems) and Remote sensing to
analyze the transformations that have taken place over the course of a decade.
The complex relationship between human activities and the environment has been the focus
of extensive research and worry. As the global community grapples with swift urbanization,
population expansion, and economic progress, the effects on natural ecosystems are becoming
more evident. A crucial element of this impact is the alteration of vegetation cover, which plays a
significant role in maintaining the ecological equilibrium of our planet.Land serves as the foundation for all human activities and provides the necessary materials for
these activities. As the most crucial natural resource, its utilization by humans results in different
'Land uses,' which are determined by both human activities and the physical characteristics of the
land.
The utilization of land is impacted by human needs and environmental factors. In countries
like India, rapid population growth and the emphasis on extensive resource exploitation can lead
to significant land degradation, adversely affecting the region's land cover.
Therefore, human intervention has significantly influenced land use patterns over many
centuries, evolving its structure over time and space. In the present era, these changes have
accelerated due to factors such as agriculture and urbanization. Information regarding land use and
cover is essential for various planning and management tasks related to the Earth's surface,
providing crucial environmental data for scientific, resource management, policy purposes, and
diverse human activities.
Accurate understanding of land use and cover is imperative for the development planning
of any area. Consequently, a wide range of professionals, including earth system scientists, land
and water managers, and urban planners, are interested in obtaining data on land use and cover
changes, conversion trends, and other related patterns. The spatial dimensions of land use and
cover support policymakers and scientists in making well-informed decisions, as alterations in
these patterns indicate shifts in economic and social conditions. Monitoring such changes with the
help of Advanced technologies like Remote Sensing and Geographic Information Systems is
crucial for coordinated efforts across different administrative levels. Advanced technologies like
Remote Sensing and Geographic Information Systems
9
Changes in vegetation cover refer to variations in the distribution, composition, and overall
structure of plant communities across different temporal and spatial scales. These changes can
occur natural.
LAND USE LAND COVER AND NDVI OF MIRZAPUR DISTRICT, UP
Using Linked Survey and Administrative Records Studies to Partially Correct Survey Program Participation for Timely Policy Research Purposes
1. Using Linked Survey and Administrative Records Studies to Partially Correct Survey Program Participation for Timely Policy Research Purposes Michael Davern, Ph.D. Assistant Professor, Research Director SHADAC, Health Policy & Management University of Minnesota 2009 Joint Statistical Meetings, Washington DC August 2, 2009 Funded by a grant from the Robert Wood Johnson Foundation