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Evidence Links Increases in Public Health Spending to Declines in Preventable Deaths [1]

Health Affairs
Vol. 30, No. 8
July 2011 Web First
Mays, G.P. and S.A. Smith
pp. 1585-1593

 

Grants: 
Causes and Consequences of Change in Local Public Health Spending [2]
Topic: 
Disparities [3]
Topic: 
Public Health Systems [4]

Differences in the Volume of Services and In Prices Drive Big Variations in Medicaid Spending Among U.S. States and Regions [5]

Health Affairs
Vol. 30, No. 7
July 2011
Gilmer, T.P. and Kronick, R.G.
pp. 1316-1324

It is well known that Medicaid spending per beneficiary varies widely across states. However, less is known about the cause of this variation, or about whether increased spending is associated with better outcomes. In this article we describe and analyze sources of interstate variation in Medicaid spending over several years. We find substantial variations both in the volume of services and in prices.

Grants: 
Small Area Variation in Medicaid Utilization and Expenditures: Implications for Cost Containment and Quality of Care [6]
Topic: 
Benefit Design [7]
Topic: 
Costs and Cost Containment [8]
Topic: 
Medicaid and SCHIP [9]
Topic: 
Quality of Care [10]

Journal Article: The Individual and Program Impacts of Eliminating Medicaid Dental Benefits in the Oregon Health Plan [11]

American Journal of Public Health
Vol. 101, No. 11
June 16, 2011
Wallace, N.T. et al.
pp. 2140-2150

Objectives. We determined how elimination of dental benefits among adult Medicaid beneficiaries in Oregon affected their access to dental care, Medicaid expenditures, and use of medical settings for dental services.

Methods. We used a natural experimental design using Medicaid claims data (n=22833) before and after Medicaid dental benefits were eliminated in Oregon in 2003 and survey data for continuously enrolled Oregon Health Plan enrollees (n=718) covering 3 years after benefit cuts.

Grants: 
Surviving the Perfect Storm: Impacts of Benefit Reductions and Increased Cost Sharing in a Medicaid Program [12]
Topic: 
Access [13]
Topic: 
Benefit Design [7]
Topic: 
Consumer Behavior [14]
Topic: 
Medicaid and SCHIP [9]
Topic: 
Vulnerable Populations [15]

Journal Article: Time Is Money: Outpatient Waiting Times and Health Insurance Choices of Elderly Veterans in the United States [16]

Journal of Health Economics
Vol. 30, No. 4
May 2011
Pizer, D. and J. Prentice
pp. 626-636

Grants: 
Waiting for Outpatient Care and Choice in Financing [17]
Topic: 
Consumer Behavior [14]
Topic: 
Insurance Coverage [18]
Topic: 
Medicare [19]
Topic: 
Organization and Supply of Care [20]

Association Between Ambulance Diversion and Survival Among Patients with Acute Myocardial Infarction [21]

JAMA
Vol. 305, No. 23
June 12, 2011
Shen, Y. and R. Hsia
pp. 2440-2447

Context Ambulance diversion, a practice in which emergency departments (EDs) are temporarily closed to ambulance traffic, might be problematic for patients experiencing time-sensitive conditions, such as acute myocardial infarction (AMI). However, there is little empirical evidence to show whether diversion is associated with worse patient outcomes.

Grants: 
Effect of Decreased Emergency Department Access on Patient Outcomes [22]
Topic: 
Access [13]
Topic: 
Acute Care [23]
Topic: 
Organization and Supply of Care [20]
Topic: 
Quality of Care [10]

Medical Spending and the Health of the Elderly [24]

Health Services Research
Vol. 46, No. 5
2011
Hadley, J. et al.
pp. 1333-1361


Objective: To estimate the relationship between variations in medical spending and health outcomes of the elderly.

Data Sources: 1992–2002 Medicare Current Beneficiary Surveys.

Grants: 
Medical Spending and Health of the Elderly [25]
Topic: 
Costs and Cost Containment [8]
Topic: 
Medicare [19]
Topic: 
Purchasing [26]

Journal Article: Does Medication Adherence Lower Medicare Spending among Beneficiaries with Diabetes? [27]

Health Services Research
Vol. 46, No. 4
July 2011
Stuart, B. et al.
pp. 1180-1199


Objective: To measure 3-year medication possession ratios (MPRs) for renin–angiotensin–aldosterone system (RAAS) inhibitors and statins for Medicare beneficiaries with diabetes, and to assess whether better adherence is associated with lower spending on traditional Medicare services controlling for biases common to previous adherence studies. 

Data Source: Medicare Current Beneficiary Survey data from 1997 to 2005.

Study Design: Longitudinal study of RAAS-inhibitor and statin utilization over 3 years.

Grants: 
Medicare Spending, Disparities, and Returns to Healthy Behaviors [28]
Topic: 
Benefit Design [7]
Topic: 
Consumer Behavior [14]
Topic: 
Medicare [19]

Factors Associated With Closures of Emergency Departments in the United States [29]

JAMA
Vol. 305, No. 19
May 18, 2011
Hsia, R.Y., Kellerman, A.L. and Shen, Y.
pp. 1978-1985

Context: Between 1998 and 2008, the number of hospital-based emergency departments (EDs) in the United States declined, while the number of ED visits increased, particularly visits by patients who were publicly insured and uninsured. Little is known about the hospital, community, and market factors associated with ED closures. Federal law requiring EDs to treat all in need regardless of a patient's ability to pay may make EDs more vulnerable to the market forces that govern US health care.

Grants: 
Effect of Decreased Emergency Department Access on Patient Outcomes [22]
Topic: 
Access [13]
Topic: 
Acute Care [23]
Topic: 
Organization and Supply of Care [20]
Topic: 
Quality of Care [10]

Resource Allocation in Public Health Practice: A National Survey of Local Public Health Officials [30]

Journal of Public Health Management and Practice
Vol. 17, Issue 3
April 2011
Baum, N.M. et al.
pp. 265-274

Objectives: The purpose of this study was to gain an empirical understanding of the types of allocation decisions local health officials (LHOs) make and the factors that influence those allocation decisions.

Design: We conducted a national survey of LHOs in the United States in 2008 to 2009. The sample was stratified by the size of the population served by the department. We merged our data with data from the 2008 National Association of County and City Health Officials Profile survey. Descriptive statistics were generated using weighted data.

Grants: 
Understanding the Resource Allocation Decisions of Public Health Officials in the U.S. [31]
Topic: 
Public Health Systems [4]

How Much Do Hospitals Cost Shift? A Review of the Evidence [32]

Milbank Quarterly
Vol. 89, No. 1
April 2011
Frakt, A.B.

Grants: 
Measuring the Costs and Benefits of Medicare Private Fee-for-Service [33]
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Links:
[1] http://www.hcfo.org/publications/evidence-links-increases-public-health-spending-declines-preventable-deaths
[2] http://www.hcfo.org/grants/causes-and-consequences-change-local-public-health-spending
[3] http://www.hcfo.org/topics/disparities
[4] http://www.hcfo.org/topics/public-health-systems
[5] http://www.hcfo.org/publications/differences-volume-services-and-prices-drive-big-variations-state-medicaid-spending-amo
[6] http://www.hcfo.org/grants/small-area-variation-medicaid-utilization-and-expenditures-implications-cost-containment-and-
[7] http://www.hcfo.org/topics/benefit-design
[8] http://www.hcfo.org/topics/costs-and-cost-containment
[9] http://www.hcfo.org/topics/medicaid-and-schip
[10] http://www.hcfo.org/topics/quality-care
[11] http://www.hcfo.org/publications/individual-and-program-impacts-eliminating-medicaid-dental-benefits-oregon-health-plan
[12] http://www.hcfo.org/grants/surviving-perfect-storm-impacts-benefit-reductions-and-increased-cost-sharing-medicaid-progra
[13] http://www.hcfo.org/topics/access
[14] http://www.hcfo.org/topics/consumer-behavior
[15] http://www.hcfo.org/topics/vulnerable-populations
[16] http://www.hcfo.org/publications/time-money-outpatient-waiting-times-and-health-insurance-choices-elderly-veterans-unite
[17] http://www.hcfo.org/grants/waiting-outpatient-care-and-choice-financing
[18] http://www.hcfo.org/topics/insurance-coverage
[19] http://www.hcfo.org/topics/medicare
[20] http://www.hcfo.org/topics/organization-and-supply-care
[21] http://www.hcfo.org/publications/association-between-ambulance-diversion-and-survival-among-patients-acute-myocardial-in
[22] http://www.hcfo.org/grants/effect-decreased-emergency-department-access-patient-outcomes
[23] http://www.hcfo.org/topics/acute-care
[24] http://www.hcfo.org/publications/medical-spending-and-health-elderly
[25] http://www.hcfo.org/grants/medical-spending-and-health-elderly
[26] http://www.hcfo.org/topics/purchasing
[27] http://www.hcfo.org/publications/does-medication-adherence-lower-medicare-spending-among-beneficiaries-diabetes
[28] http://www.hcfo.org/grants/medicare-spending-disparities-and-returns-healthy-behaviors
[29] http://www.hcfo.org/publications/factors-associated-closures-emergency-departments-united-states
[30] http://www.hcfo.org/publications/resource-allocation-public-health-practice-national-survey-local-public-health-official
[31] http://www.hcfo.org/grants/understanding-resource-allocation-decisions-public-health-officials-us
[32] http://www.hcfo.org/publications/how-much-do-hospitals-cost-shift-review-evidence
[33] http://www.hcfo.org/grants/measuring-costs-and-benefits-medicare-private-fee-service
[34] http://www.hcfo.org/taxonomy/term/4/all
[35] http://www.hcfo.org/taxonomy/term/4/all?page=13
[36] http://www.hcfo.org/taxonomy/term/4/all?page=10
[37] http://www.hcfo.org/taxonomy/term/4/all?page=11
[38] http://www.hcfo.org/taxonomy/term/4/all?page=12
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