Senior Fellow
Health Policy Center
Ph.D., Economics, University of North Carolina
Publications
| Viewing 1-10 of 85. Most recent posts listed first. | Next Page >> |
Health Reform in Massachusetts as of Fall 2010: Getting Ready for the Affordable Care Act & Addressing Affordability (Research Report)Five years after the enactment of Massachusetts health reform initiative, gains in insurance coverage and access to care have been sustained. This report provides an update on trends in the Bay State since fall 2006, just prior to the implementation of the state's health reform initiative, along with a more in-depth overview of the circumstances of working-age adults in 2010, as the state begins implementation of the Affordable Care Act.
| Posted to Web: January 27, 2012 | Publication Date: January 27, 2012 |
Massachusetts Health Reforms: Uninsurance Remains Low, Self- Reported Health Status Improves As State Prepares To Tackle Costs (Research Report)Massachusetts is in its sixth year of a reform initiative that provided the template for the federal Affordable Care Act of 2010. This Health Affairs article reports on the status of health reform in Massachusetts as of 2010, providing an early indication of potential gains and challenges under national reform.
| Posted to Web: January 27, 2012 | Publication Date: January 27, 2012 |
Does High Caregiver Stress Predict Nursing Home Entry? (Research Report)This study estimates how informal care, paid formal care, and caregiver stress or burden relate to nursing home placement. Data came from the 1999 National Long Term Care Survey and were merged with administrative data. Results show that stress is a strong predictor of entry over follow-up periods of up to two years, and physical strain and financial hardship are important predictors of high levels of caregiver stress. The estimates indicate that reducing these stress factors would significantly reduce caregiver stress and, as a result, nursing home entry. We conclude that initiatives to reduce caregiver stress hold promise as a strategy to avoid or defer nursing home entry.
| Posted to Web: July 17, 2010 | Publication Date: June 01, 2009 |
Does High Caregiver Stress Lead to Nursing Home Entry? (Research Report)Understanding the role of informal caregiving in keeping chronically disabled elders out of nursing homes is increasingly important for policy. Demographic shifts are likely to increase the caregiving burden for a smaller number of caregivers per elder in the coming decades. This study examines how informal care, paid formal care, and stress or burden experienced by caregivers relate to nursing home placement. Data are from the 1999 National Long Term Care Survey and Informal Caregiver Survey merged with Minimum Data Set and other external data. Results from instrumental variables models indicate that stress is a strong predictor of nursing home entry over follow-up periods of up to two years, and that caregiving-related physical strain, financial hardship, and recipient behavior problems are important predictors of high levels of caregiver stress.
| Posted to Web: July 14, 2010 | Publication Date: January 01, 2007 |
What Is the Evidence on Health Reform in Massachusetts and How Might the Lessons from Massachusetts Apply to National Health Reform? (Policy Briefs/Timely Analysis of Health Policy Issues)The Patient Protection and Affordable Care Act (PPACA) is in many ways patterned after the Massachusetts 2006 reforms. These reforms provided for an expansion of public programs, income related subsidies, health insurance exchanges, and an individual mandate. This paper reviews the evidence from Massachusetts and shows that there was a substantial increase in coverage, little crowding out of employer-sponsored insurance, high levels of compliance with individual mandate, improvement to access and use of health care services, and reduced financial burdens from health reform. The paper concludes by considering issues of provider capacity and health care costs that were not directly a focus of the legislation and but now being addressed.
| Posted to Web: June 24, 2010 | Publication Date: June 21, 2010 |
Health Insurance Coverage and Access to Care in Massachusetts: Detailed Tabulations Based on the 2009 Massachusetts Health Insurance Survey (Research Report)The Massachusetts Health Insurance Survey (MHIS) collects information on health insurance coverage and access to and use of health care for the non-institutionalized population in Massachusetts. It is funded by the Massachusetts Division of Health Care Finance and Policy (DHCFP) and is conducted by the Urban Institute, along with its subcontractor, Social Science Research Solutions (SSRS). This report presents the detail tabulations from the 2009 MHIS on health insurance coverage and access to and use of health care in Massachusetts.
| Posted to Web: June 23, 2010 | Publication Date: November 01, 2009 |
Barriers to Obtaining Health Care among Insured Massachusetts Residents (Research Report)Although Massachusetts' 2006 health reform initiative led to significant gains in insurance coverage and improvements in access to health care, barriers to obtaining care still exist for some Massachusetts residents, including difficulties finding providers who will see them and high health care costs. This policy brief uses the 2008 and 2009 Massachusetts Health Insurance Survey (MHIS) to examine reported difficulties in obtaining health care for insured residents in the state, focusing on difficulties related to access to providers and unmet need for care because of health care costs.
| Posted to Web: June 23, 2010 | Publication Date: May 01, 2010 |
Access to Health Care in Massachusetts: Results from the 2008 and 2009 Massachusetts Health Insurance Survey (Presentation)The Massachusetts Health Insurance Survey (MHIS) collects information on health insurance coverage and access to and use of health care for the non-institutionalized population in Massachusetts. It is funded by the Massachusetts Division of Health Care Finance and Policy (DHCFP) and is conducted by the Urban Institute, along with its subcontractor, Social Science Research Solutions (SSRS). This report examines health care access and use in 2008 and 2009 in Massachusetts.
| Posted to Web: June 23, 2010 | Publication Date: November 01, 2009 |
Health Reform in Massachusetts: An Update as of Fall 2009 (Research Report)This report provides a comprehensive update on the status of health reform in Massachusetts as of fall 2009. The report examines the overall impact of reform on non-elderly adults; the impacts on vulnerable population subgroups of adults; impacts on racial/ethnic disparities; the status of the remaining uninsured adults in the state; an assessment of the adequacy of coverage under health reform; and support for reform over time. The authors find that Massachusetts has made significant progress in accomplishing the goals of the legislation, although some challenges with respect to the cost of health care remain. A chartbook of key findings was also released as a supplement to the full report.
| Posted to Web: June 23, 2010 | Publication Date: June 11, 2010 |
The Impacts of Health Reform on Health Insurance Coverage and Health Care Access, Use, and Affordability for Women in Massachusetts (Research Report)This policy brief examines the progress women have made in under health reform in Massachusetts. The authors find that women achieved significant gains in coverage, access, use, and affordability under health reform, although gains in affordability were more limited. Gains were particularly strong for vulnerable subgroups of women, including lower-income women and racial/ethnic minority women.
| Posted to Web: June 23, 2010 | Publication Date: June 11, 2010 |
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