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The Partners for Advancing Health Equity (P4HE) Resource Library is a virtual portal containing action-oriented health equity research, practice, and policies. The library aims to increase equity in health by offering free access to field-tested, evidence-informed and evidence-based programs strategies and high-quality research.
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- Objective: We examine whether broadened access to Medicaid helped insulate households from declines in health coverage and health care access linked to the 2007-2009 Great Recession. Data source: 2004-2010 Behavioral Risk Factor Surveillance System (BRFSS). Study design: Flexible difference-in-difference regressions were used to compare the impact of county-level unemployment on health…March 2021Medicaid
- Inequities in dental care are prevalent across the United States, with significant disparities based on age, race, ethnicity, and socioeconomic status. Economic factors, such as ability to pay for dental insurance, and social factors such as food insecurity and access to nutritious food options also play a large role in oral health outcomes. In Michigan, state Medicaid medical and dental managed…January 2021Medicaid
- Importance There has been little rigorous evidence to date comparing public vs private health insurance. With policy makers considering a range of policies to expand coverage, understanding the trade-offs between these coverage types is critical. Objective To compare months of coverage, utilization, quality, and costs between low-income adults with Medicaid vs those with…January 2021Medicaid
- As states seek to address the social determinants of health and advance health equity, they face longstanding and persistent challenges in collecting complete, accurate, and consistent race, ethnicity and language (REL) data. This expert perspective provides an overview of current REL data collection standards; ideas for increasing completeness in data by engaging the enrollee and enrollment…October 2020Medicaid
- Maternal morbidity and mortality (MMM) is a significant problem in the USA, with about 700 maternal deaths every year and an estimated 50,000 "near misses." Disparities in MMM by race are marked; black women are disproportionately affected. We use Urie Bronfenbrenner's ecological systems theory to examine the root causes of racial disparities in MMM at the individual (microsystem), interpersonal…July 2020Maternal Morbidity and Mortality, Medicaid, Racism
- There is a well-established association between income and child health. We examine the Supplemental Security Income (SSI) program, which provides cash assistance to low-income children with disabilities, to assess how this relationship arises. We use a large database of Medicaid administrative records to estimate the causal effects of SSI receipt on children’s health, using a regression…January 2020Maternal/Child Health, Medicaid
- Issue: Kentucky was the first state approved to implement a work requirement for adult Medicaid beneficiaries. A federal judge blocked implementation right before it was scheduled to take effect, but the program may be reinstated on appeal. Goal: To examine several aspects of Kentucky’s Medicaid work requirements, including awareness and current work activities among Medicaid beneficiaries,…September 2019Medicaid
- States developing accountable health models often look to Oregon for inspiration. Oregon established its Coordinated Care Organizations (CCOs) in 2012, pursuant to a Medicaid Section 1115 demonstration waiver. CCOs are local networks of all types of health care providers – including physical, behavioral, and oral health providers – that the state pays a global capitated rate to provide…March 2019Medicaid
- Across the country, states are launching new payment models that reward quality, promote care integration, improve access, and address the social determinants of health (SDOH) in an effort to improve population health. One of these ground-breaking initiatives is Rhode Island’s Accountable Entity (AE) Program, created to improve the health of Rhode Islanders enrolled in Medicaid managed care plans…November 2018Medicaid
- Introduction: Clinician perceptions of patients with low socioeconomic status (SES) have been shown to affect clinical decision making and health care delivery in this group. However, it is unknown how and if low SES patients perceive clinician bias might affect their health care. Methods: In-depth interviews with 80 enrollees in a state Medicaid program were analyzed to identify…March 2017Medicaid
- With so many challenges in finding equitable ways for Coloradans to live, it should come as no surprise there are troubling challenges in finding equitable ways to die. Deep questions of how Colorado values individual lives and freedoms, and how to assure fairness in the most daunting of medical situations, were not solved when voters in November overwhelmingly passed Proposition 106 to legalize…February 2017Medicaid, Frailty
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