Grants :: Improving Chronic Illness Care

This study was based on more than 12,000 in-person interviews conducted approximately 2 years after a lottery that randomly assigned access to Medicaid for low-income, able-bodied, uninsured adults — a group that comprises the majority of persons who are newly eligible for Medicaid under the 2014 expansion. The results confirm that Medicaid coverage increased overall health care utilization, improved self-reported health, and reduced financial strain; these findings are consistent with previously published results based on mail surveys conducted approximately 1 year after the lottery. With these new data, we found that increased health care utilization observed at 1 year persisted, and we present new results on the effects of Medicaid coverage on objectively measured physical health, depression, condition-specific treatments, and other outcomes of interest.

Collaborative Sponsorship Grants

The Access Ranking indicates how much access to mental health care exists within a state

Trump Rule Aims to Extend Health Care Option to 11 …

Performance Metrics. The 44 performance metrics selected for this report span the health care system and represent important dimensions of care. Where possible, indicators align with those used in previous state scorecards. Over time, several indicators have been dropped, either because all states improved to the point where no meaningful variations existed (e.g., hospital quality process-of-care measures) or the data to construct the measures were no longer available. Several new indicators were added to the Scorecard series since 2014, including measures of premature death (years of potential life lost), out-of-pocket spending on medical care relative to income, CLABSI, per-enrollee spending among adults with employer- sponsored insurance, and potentially avoidable emergency department use.

The uninsured are overusing emergency rooms — and …

To assess change over time in the Equity dimension, we counted how often the equity gap narrowed across indicators for each state during the period measured by the Scorecard. We considered improvement to have occurred in an equity indicator only if the equity gap narrowed and health care for the state’s most vulnerable group improved.

In this issue brief, we examine the extent to which health care access and affordability improved from 2013 to 2016 for residents in each of the 50 states and D.C.

Riggs Community Health Center | Serving Lafayette, …

The health care coverage and access gains noted earlier promote more regular access to primary care, which has been linked to earlier disease detection and greater adherence to treatment regimens, among other benefits. But strengthening primary care is not enough. The social and other determinants of health must also be addressed to produce hoped-for gains in health outcomes.

Regulations and guidance about the current health care law.

In this issue brief, we examine the extent to which health care access and affordability improved from 2013 to 2016 for residents in each of the 50 states and D.C. We use six indicators: uninsured rates for working-age adults and for children, three measures of adults’ access to care, and the percentage of individuals under age 65 with high out-of-pocket medical costs relative to their income (Exhibit 2). These measures align with those reported in the Commonwealth Fund’s ongoing series of .

January 11, 2007 | EPI Briefing Paper #180

All states have the opportunity to improve, including those at the top. On certain indicators, states that ranked lower overall performed better than those at the top of the overall rankings, which suggests that states can learn from each other. If every state achieved the performance of the top-ranked state on each Scorecard indicator, their residents and the country as a whole would realize dramatic gains in access, quality, efficiency, and health outcomes (Exhibit 11).

Geographic Variation in Access to Care — The …

Since 1999 Access Health has created innovations that provide affordable coverage to eligible uninsured individuals and their families, backed by programs that help them make healthier choices to reach optimal health. We also help community businesses maintain a healthy workforce through population health management.

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States can take various steps to promote improvement. Examples include using value-based purchasing, establishing rules to ensure equitable access and competitive insurance markets, setting strategies for health information technology and exchange, and supporting public health and community-based organizations that address social determinants of health. Health systems with a stronger primary care orientation generally achieve better outcomes. Promoting an adequate primary care workforce, especially in underserved areas, may require collaborating with other payers to support the development of effective primary care medical homes, among other actions.