Journal Article
High-cost patients are a frequent focus of improvement projects based on primary care and other settings. Efforts to characterize high-cost, high-need patients are needed to inform care planning, but such efforts often rely on a priori assumptions, masking underlying complexities of a heterogenous population. In this study, authors define recognizable subgroups of patients among high-cost adults based on clinical conditions, and describe their survival and future spending.
Journal Article
High-cost patients are a frequent focus of improvement projects based on primary care and other settings. Efforts to characterize high-cost, high-need patients are needed to inform care planning, but such efforts often rely on a priori assumptions, masking underlying complexities of a heterogenous population. In this study, authors define recognizable subgroups of patients among high-cost adults based on clinical conditions, and describe their survival and future spending.
Journal Article
Congressional and Veterans Affairs (VA) leaders have recommended the VA become more of a purchaser than a provider of health care. Fee-for-service Medicare provides an example of how purchased care differs from the VA's directly provided care. Using established indicators of overly intensive end-of-life care, authors compared the quality of care provided through the two systems to veterans dying of cancer in fiscal years 2010–14.
Journal Article
Congressional and Veterans Affairs (VA) leaders have recommended the VA become more of a purchaser than a provider of health care. Fee-for-service Medicare provides an example of how purchased care differs from the VA's directly provided care. Using established indicators of overly intensive end-of-life care, authors compared the quality of care provided through the two systems to veterans dying of cancer in fiscal years 2010–14.
Journal Article
The Emergency Medical Treatment and Labor Act (EMTALA), which requires Medicare-participating hospitals to provide emergency care to patients regardless of their ability to pay, plays an important role in protecting the uninsured. Yet many hospitals do not comply. The study examines the reasons for noncompliance and proposes solutions.
Journal Article
The Emergency Medical Treatment and Labor Act (EMTALA), which requires Medicare-participating hospitals to provide emergency care to patients regardless of their ability to pay, plays an important role in protecting the uninsured. Yet many hospitals do not comply. The study examines the reasons for noncompliance and proposes solutions.
Research Report
This report evaluates the progress of California’s Delivery System Reform Incentive Payments (DSRIP) program, a five-year initiative to improve care delivery and performance of designated public hospitals (DPHs) throughout California through the use of financial incentives.
Research Report
This report evaluates the progress of California’s Delivery System Reform Incentive Payments (DSRIP) program, a five-year initiative to improve care delivery and performance of designated public hospitals (DPHs) throughout California through the use of financial incentives.
Journal Article
Long-term care hospitals are post-acute care facilities for patients requiring extended hospital-level care. These facilities are reimbursed by Medicare under a prospective payment system with a short-stay outlier policy, which results in substantially lower payments for patients discharged before a diagnosis-related group–specific short-stay threshold.
Journal Article
Long-term care hospitals are post-acute care facilities for patients requiring extended hospital-level care. These facilities are reimbursed by Medicare under a prospective payment system with a short-stay outlier policy, which results in substantially lower payments for patients discharged before a diagnosis-related group–specific short-stay threshold.
Journal Article
Prior literature on social capital and health has predominantly focused on health outcomes and individual access to health care services. It is not known to what degree, if any, community social capital influences the performance or behaviors of public hospitals, a key source of health care for disadvantaged communities in the United States.
Journal Article
Prior literature on social capital and health has predominantly focused on health outcomes and individual access to health care services. It is not known to what degree, if any, community social capital influences the performance or behaviors of public hospitals, a key source of health care for disadvantaged communities in the United States.
Journal Article
Safety-net hospitals in California rely on disproportionate-share hospital (DSH) payments to help cover uncompensated care costs and underpayments by Medicaid, known as Medicaid shortfalls. The Affordable Care Act (ACA) anticipates that insurance expansion will increase the revenues of safety-net hospitals, and DSH payments are scheduled to be reduced accordingly.
Journal Article
Safety-net hospitals in California rely on disproportionate-share hospital (DSH) payments to help cover uncompensated care costs and underpayments by Medicaid, known as Medicaid shortfalls. The Affordable Care Act (ACA) anticipates that insurance expansion will increase the revenues of safety-net hospitals, and DSH payments are scheduled to be reduced accordingly.
Journal Article
Residential segregation is associated geographic disparities in access to care, but its impact on local health care policy, including public hospitals, is unknown. The authors examined the effects of racial residential segregation on U.S. urban public hospital closures from 1987 to 2007, controlling for hospital, market, and policy characteristics.
Journal Article
Residential segregation is associated geographic disparities in access to care, but its impact on local health care policy, including public hospitals, is unknown. The authors examined the effects of racial residential segregation on U.S. urban public hospital closures from 1987 to 2007, controlling for hospital, market, and policy characteristics.
Journal Article
This article in the Journal of Family and Economic Issues highlights research conducted jointly by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center on who is likely to secure insurance coverage through the "individual mandate" specified under health care reform. The research builds upon a previous Center publication that projects that 1.8 million Californians (38%) of the 4.
Journal Article
This article in the Journal of Family and Economic Issues highlights research conducted jointly by the UCLA Center for Health Policy Research and the UC Berkeley Labor Center on who is likely to secure insurance coverage through the "individual mandate" specified under health care reform. The research builds upon a previous Center publication that projects that 1.8 million Californians (38%) of the 4.
Policy Brief
Nine out of ten Californians under the age of 65 will enroll in health insurance as a result of the Patient Protection and Affordable Care Act (ACA), according to this joint study by the UC Berkeley Center for Labor Research and Education and UCLA Center for Health Policy Research. Between 1.8 million and 2.7 million previously uninsured Californians will gain coverage by 2019, when the law's effect is fully realized.
Policy Brief
Nine out of ten Californians under the age of 65 will enroll in health insurance as a result of the Patient Protection and Affordable Care Act (ACA), according to this joint study by the UC Berkeley Center for Labor Research and Education and UCLA Center for Health Policy Research. Between 1.8 million and 2.7 million previously uninsured Californians will gain coverage by 2019, when the law's effect is fully realized.