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Swimming Upstream: The Hard Politics of Health Reform in California
Walter Zelman
This report provides a comprehensive examination of political, policy, and economic factors that contributed to the failure of California's 2007 health care reform effort.
  Policy Research Report Jun 2009

How Much Choice Is Too Much? The Case of the Medicare Prescription Drug Benefit (Health Services Research)
Yaniv Hanoch, Thomas Rice, Janet Cummings, Stacey Wood
Researchers study the impact of the number of choices and age on measures of performance in choosing a Medicare prescription drug plan.
  Journal Article May 2009

Dual Use of Veterans Health Administration and Indian Health Service: Healthcare Provider and Patient Perspectives (Journal of General Internal Medicine)
B. Josea Kramer, Rebecca L. Vivrette, Delight E. Satter, Stella Jouldjian, Leander Russell McDonald
Many American Indian and Alaska Native veterans are eligible for healthcare from the Veterans Health Administration (VHA) and from the Indian Health Service (IHS).
  Journal Article Apr 2009

Assessing the Barriers to Engaging Challenging Populations in Disease Management Programs: The Medicaid Experience (Disease Management and Health Outcomes)
Dylan H. Roby, Gerald F. Kominski, Nadereh Pourat
This article explores the barriers to dealing with chronic illness and other factors faced by disease management programs for Medicaid populations.
  Journal Article Dec 2008

Waste in the U.S. Health Care System: A Conceptual Framework (The Milbank Quarterly)
Tanya G. K. Bentley, Rachel M. Effros, Kartika Palar, Emmett B. Keeler
This article divides health care waste into administrative, operational, and clinical waste and provides an overview of each.
  Journal Article Dec 2008

Trends in the Health of Older Californians: Data from the 2001, 2003 and 2005 California Health Interview Surveys
Steven P. Wallace, Jennifer Lee, May Jawad Aydin
California's population is getting older. By 2026 the elderly population will double to nearly 8 million.
  Research Report Nov 2008

Cost-Effectiveness Analysis of Behavioral Interventions to Improve Vaccination Compliance in Homeless Adults (Vaccine)
Barbara Greengold, Adeline M. Nyamathi, Gerald F. Kominski, Dorothy Wiley, Mary Ann Lewis, Felicia Hodge, Mendel Singer, Brennan Spiegel
The authors examined the cost-effectiveness of three behavioral interventions provided to enhance hepatitis A virus (HAV) and hepatitis B virus (HBV) joint vaccination (HAV/HBV) compliance among homeless persons living in Los Angeles County.
  Journal Article Nov 2008

How Does Acculturation Affect the Use of Complementary and Alternative Medicine Providers Among Mexican- and Asian-Americans? (Journal of Immigrant and Minority Health)
Jennifer Lee, Michael S. Goldstein, E. Richard Brown, Rachel Ballard-Barbash
Researchers have found that immigrants in the United States gradually relinquish cultural practices and adopt health behaviors similar to native born individuals as they acculturate.
  Journal Article Aug 2008

Uncontrolled Asthma Means Missed Work and School, Emergency Department Visits for Many Californians
Ying-Ying Meng, Susan H. Babey, Theresa A. Hastert, Christina Lombardi, E. Richard Brown
Despite advances in therapy, asthma remains a disease that is not optimally controlled in many Californians.
  Policy Brief Jul 2008

Confronting the Public Health Workforce Crisis: ASPH Statement on the Public Health Workforce (Public Health Reports)
Linda Rosenstock, Gillian B. Silver, Karen Helsing, Connie Evashwick, Ruth Katz, Michael Klag, Gerald F. Kominski, Donna Richter, Ciro Sumaya
Today's public health workforce, faced with daunting public health challenges, has been forced to do more with fewer people.
  Journal Article May 2008

The Effect of Disease Management on Utilization of Services by Race/Ethnicity: Evidence From the Florida Medicaid Program (American Journal of Managed Care)
Gerald F. Kominski, Donald E. Morisky, Abdelmonem A. Afifi, Jenny B. Kotlerman
This study measured possible racial/ethnic differences in a Florida disease management (DM) program on utilization of selected healthcare services for four chronic illnesses.
  Journal Article Mar 2008

Federal Poverty Guideline Underestimates Costs of Living for Older Persons in California
Steven P. Wallace, L. Cricel Molina
The federal poverty guideline, used to determine income eligibility for many public programs, covers less than half of the basic costs experienced by adults age 65 and older in the state.
  Policy Brief Feb 2008

The Effects of a Disease Management Program on Self-Reported Health Behaviors and Health Outcomes: Evidence From the "Florida: A Healthy State (FAHS)" Medicaid Program (Health Education & Behavior)
Donald E. Morisky, Gerald F. Kominski, Abdelmonem A. Afifi, Jenny B. Kotlerman
Premature morbidity and mortality from chronic diseases account for a major proportion of expenditures for health care cost in the United States.
  Journal Article Feb 2008

Health Coverage Expansion in California: What Can Consumers Afford to Spend?
Ken Jacobs, Korey Capozza, Dylan H. Roby, Gerald F. Kominski, E. Richard Brown
This research brief, jointly authored by the UC Berkeley Center for Labor Research and Education and the UCLA Center for Health Policy Research, finds that many California families spend a substantial amount of their annual income on health care premiums and out-of-pockets costs, and could face financially devastating medical expenses if they are not adequately protected.
  Policy Brief Sep 2007

What Does It Take for a Family to Afford to Pay for Health Care?
David Carroll, Dylan H. Roby, Jean Ross, Michael Snavely, E. Richard Brown, Gerald F. Kominski
This report, jointly authored by the California Budget Project and the UCLA Center for Health Policy Research, finds that many California families spend a substantial amount on health care premiums and out-of-pockets costs, and could face financially devastating medical expenses if they are not adequately protected.
  Research Report Aug 2007

Access to Medical Treatment in the California Workers' Compensation System, 2006
Gerald F. Kominski, Nadereh Pourat, Dylan H. Roby, Meghan E. Cameron
This report was produced by the UCLA Center for Health Policy Research under contract to the California Division of Workers' Compensation (DWC), Department of Industrial Relations, which is required to perform an annual study of access to medical treatment for injured workers.
  Policy Research Report Feb 2007

Costs and Cost-Effectiveness of Adolescent Compliance with Treatment or Latent Tuberculosis Infection: Results from a Randomized Trial (Journal of Adolescent Health)
Gerald F. Kominski, Sepideh Farivar Varon, Donald E. Morisky, Kevin Malotte, Vicki J. Ebin, Astou Coly, Chi Chiao
For children and adolescents, incentives can serve as a positive reinforcement when trying to get them to complete care that is critical for their health.
  Journal Article Jan 2007

Sexually Transmitted Disease Services in California's Medi-Cal Managed Care: Findings from a Baseline Survey of STD Care Delivery in 2002
Nadereh Pourat, Jas Nihalani, Romni Neiman, George Rutherford, Barry Handon, E. Richard Brown, Gail Bolan
In California, chlamydia and gonorrhea are the most common reportable sexually transmitted diseases (STDs).
  Research Report Sep 2006

Cost-Effectiveness Analysis of Unicompartmental Knee Arthroplasty as an Alternative to Total Knee Arthroplasty for Unicompartmental Osteoarthritis (The Journal of Bone and Joint Surgery)
Nelson Fong SooHoo, Husham Sharifi, Gerald F. Kominski, Jay R. Lieberman
This study supports unicompartmental knee arthroplasty as a cost-effective alternative for the treatment of unicompartmental arthritis when the durability and function of a unicompartmental replacement are assumed to be similar to those of a primary total knee replacement.
  Journal Article Sep 2006

Cost-effectiveness Analysis of Core Decompression (The Journal of Arthroplasty)
Nelson Fong SooHoo, Shail Vyas, Jesse Manunga, Husham Sharifi, Gerald F. Kominski, Jay R. Lieberman
Core decompression is widely used to treat the early stages of osteonecrosis of the hip. The purpose of this analysis is to assist orthopedic surgeons in judging whether currently available data support the use of core decompression as cost-effective.
  Journal Article Aug 2006

An Analysis of California Assembly Bill 2185: Mandating Coverage of Pediatric Asthma Self-Management Training and Education (Health Services Research)
Helen Ann Halpin, Sara McMenamin, Nadereh Pourat, Edward Yelin
This paper summarize for the California Legislature the evidence on the medical effectiveness of pediatric asthma self-management training and education (PASMTE), including the use of peak flow meters, spacers and nebulizers and the impact that mandated coverage of these services and devices under Assembly Bill (AB) 2185 would have on total health care expenditures, monthly premiums, health services utilization and the public's health.
  Journal Article Jun 2006

High Cost of Insurance Outweighs Other Barriers for Mid-Size Firms
Nadereh Pourat, Jay C. Ripps
The continued decline of employment-based coverage in California and more than 6.6 million uninsured residents are major reasons for concern, since health insurance is the primary means by which health care for employed persons and their families is financed in the state.
  Policy Research Report Jun 2006

The California Cost and Coverage Model: Analyses of the Financial Impacts of Benefit Mandates for the California Legislature (Health Services Research)
Gerald F. Kominski, Jay C. Ripps, Miriam J. Laugesen, Robert G. Cosway, Nadereh Pourat
Kominski GF, Ripps JC, Laugesen MJ, Cosway RG, Pourat N. The California Cost and Coverage Model: Analyses of the Financial Impacts of Benefit Mandates for the California Legislature.
  Journal Article Jun 2006

Cost-Effectiveness Analysis of Total Ankle Arthroplasty (The Journal of Bone & Joint Surgery)
Nelson Fong SooHoo, Gerald F. Kominski
The purpose of this cost-effectiveness analysis was to evaluate whether the currently available literature justifies the emerging use of total ankle arthroplasty.
  Journal Article Nov 2004

Health of California’s Adults, Adolescents and Children: Findings from CHIS 2001
Sue Holtby, Elaine Zahnd, Wei Yen, Nicole Lordi, Christy McCain, Charles A. DiSogra
This report summarizes selected findings from the 2001 California Health Interview Survey. A broad range of health topics are addressed.
  Research Report May 2004

Exploring Health Care Quality and Effectiveness at Federally-Funded Community Health Centers: Results from the Patient Experience Evaluation Report System (1993-2001)
Dylan H. Roby, Sara Rosenbaum, Dan Hawkins
The findings in this study are derived from data collected from the Patient Experience Evaluation Report System (PEERS), a patient survey administered at a subset of health centers nationally in both 1993 and 2001.
  Outside Publication Mar 2003

An Analysis of Implementation Issues Relating to CHIP Cost-Sharing Provisions for Certain Targeted Low-Income Children
Sara Rosenbaum, Anne Markus, Dylan H. Roby
This analysis, prepared for the Health Care Financing Administration and the Health Resources and Services Administration, examines issues that arise under laws designed to avert excessive cost-sharing in the case of low income families whose children participate in the State Children's Health Insurance Program (CHIP).
  Outside Publication Jun 1999

CHIP Health Insurance Premiums and Cost-Sharing: Lessons from the Literature
Anne Markus, Sara Rosenbaum, Dylan H. Roby
This paper presents the principal findings of more than 30 articles and reports on premiums and cost-sharing.
  Outside Publication Oct 1998



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