The Health Reform Monitoring Survey: Addressing Data Gaps To Provide Timely Insights Into The Affordable Care Act (Article)
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The Health Reform Monitoring Survey (HRMS) was launched in 2013 as a mechanism to obtain timely information on the ACA during the period before federal survey data will be available. The HRMS provides quarterly data on insurance coverage, access to health care, and health care affordability, along with changing topics of relevance to current policy and program issues. For example, data from summer 2013 show that more than 60 percent of those targeted by the health insurance exchanges struggle with understanding key health insurance concepts, raising concerns about their ability to evaluate trade-offs when choosing coverage.
The Feasibility of Using Electronic Health Data for Research on Small Populations (Research Report)
|Posted to Web: February 11, 2014||Publication Date: December 01, 2013|
This report explores the feasibility of using electronic health record (EHR) and other electronic health data for research on small populations. The first part of the report illustrates the challenges and limitations of using existing federal surveys and federal claims databases for studying small populations. The second part explores the potential of the increasingly available EHR and other existing electronic health data to complement federal data sources, as well as potential next steps to demonstrate and improve the feasibility of using EHRs for research on small populations.
The Health of Disconnected Low-Income Men (Research Brief)
|Posted to Web: February 06, 2014||Publication Date: September 01, 2013|
This brief examines the health insurance coverage and health status of disconnected low-income men from 2008 to 2010, focusing primarily on men’s connections to health care providers and systems. Less than half of low-income men age 18–44 in the United States have any insurance coverage; coverage rates vary significantly by state, citizenship, ethnicity, and education. Compared with higher-income men the same age, low-income men also have lower access to routine health care and have worse health outcomes.
Registries as a Knowledge-Development Tool: The Experience of Sweden and England (Research Report)
|Posted to Web: January 08, 2014||Publication Date: January 08, 2014|
Registries of patients with particular conditions or who have received a particular treatment have a long history and are widely used in many countries. This paper focuses on two kinds of registries – for patients with diabetes and for those who have received a joint hip replacement – in Sweden and England. These examples illustrate how registries can serve multiple purposes, including providing quality and safety feedback to providers and purchasers, generating planning data for health systems, evaluating guidelines, and performing outcomes research. While registries are not foreign to the United States, the completeness and accomplishments of Sweden and England’s registry system go well beyond the American experience, and show how more can be done to make use of these valuable tools.
How are States and Evaluators Measuring Medical Homeness in the CHIPRA Quality Demonstration Grant Program? (Research Report)
|Posted to Web: July 12, 2013||Publication Date: July 01, 2013|
Many Medicaid and CHIP programs and private health plans are pursuing medical home initiatives aimed at improving the quality of health care, but varying conceptual definitions and measurement goals have led to the development of a number of different medical home measurement tools. This Evaluation Highlight, funded by the U.S. Department of Health and Human Services, examines the measurement of "medical homeness" in selected CHIPRA Quality Demonstration projects, describes the development of the Medical Home Index-Revised Short Form (an adaptation of the Medical Home Index survey), and presents preliminary statistics on medical homeness for demonstration practices in six States.
Achieving the Potential of Health Care Performance Measures (Policy Briefs/Timely Analysis of Health Policy Issues)
|Posted to Web: June 14, 2013||Publication Date: June 14, 2013|
There is a consensus that evaluating and reporting on the performance of health care providers can be instrumental in improving value in U.S. health care. But the growth of performance measurement has been accompanied by increasing concerns about the scientific rigor, transparency, and limitations of available measure sets, and how measures should be used to provide incentives to improve performance. This Robert Wood Johnson Foundation-funded paper describes the current state of performance measurement and reporting, details what’s wrong, and outlines seven policy recommendations that offer a path to achieving the promise of performance measurement while avoiding its adverse consequences.
Enrollment-Driven Expenditure Growth: Medicaid Spending during the Economic Downturn, FY 2007-2011 (Research Report)
|Posted to Web: May 23, 2013||Publication Date: May 23, 2013|
This report presents data on changes in Medicaid's enrollment and spending between federal fiscal year 2007 and federal fiscal year 2011, a period which includes the worst economic downturn in the United States since the Great Depression of the 1930s. The paper also examines what factors drove Medicaid spending over the period, and concludes that overall spending growth from 2007 to 2011 was driven largely by the enrollment growth that resulted from many people losing jobs and income during the recession. However, on a per enrollee basis, Medicaid spending has grown more slowly than other sectors of the health system.
|Posted to Web: April 24, 2013||Publication Date: April 24, 2013|