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Achieving the Right Balance: Privacy and Security Policies to Support Electronic Health Information Exchange

June 4, 2012

Outlines the importance of a statewide health information exchange system to ensure efficient information flows, as well as the role of robust privacy and security policies in maintaining the public trust. Proposes a framework of nine principles.

Medical Bill Problems Steady for U.S. Families, 2007-2010

December 22, 2011

Examines changes in the proportion of people in families having difficulty paying medical bills during the recession by age group, insurance status, income, amount owed, amount paid off, and estimated time to pay off bills. Considers contributing factors.

State Variation in Primary Care Physician Supply: Implications for Health Reform Medicaid Expansions

March 17, 2011

Examines regional and state variations in primary care supply, physicians' acceptance of new patients, and capacity to meet increased demand from Medicaid's expansion. Considers policy implications, including reimbursement and scope-of-practice issues.

Who Are the Uninsured Eligible for Premium Subsidies in the Health Insurance Exchanges?

December 16, 2010

Outlines characteristics of the uninsured who will be eligible for subsidies in insurance exchanges in 2014, including health, access to care, age, income, and attitudes about insurance. Explores policy implications for enrollment and adverse selection.

The Economic Recession: Early Impacts on Health Care Safety Net Providers

January 27, 2010

Examines how the recession and state and local budget cuts affected safety-net clinics' capacity to meet demand in five communities, the extent to which federal stimulus funds mitigated the impact, strategies for sustainability, and implications.

Suburban Poverty and the Health Care Safety Net

July 30, 2009

Examines trends in the number of suburban poor, their access to health care, and efforts to improve safety-net services in the suburbs of five cities. Explores causes of limited safety net capacity, community strategies, and policy implications.

Chronic Burdens: The Persistently High Out-of-Pocket Health Care Expenses Faced by Many Americans With Chronic Conditions

July 22, 2009

Outlines trends in the long-term financial burden insurance premiums and out-of-pocket costs pose on patients with chronic illnesses. Analyzes data by number of conditions, income, and percentage of income spent and examines the composition of expenses.

How Engaged Are Consumers in Their Health and Health Care, and Why Does It Matter?

November 7, 2008

Summarizes findings on U.S. patients' ability to manage their health and health care by income level, education, Medicaid status, and health status. Examines access to care by level of engagement among the chronically ill. Discusses policy implications.

Community Efforts to Expand Dental Services for Low-Income People

July 31, 2008

Examines low-income patients' limited access to dental care, as well as state and community efforts to expand services, including changing Medicaid and State Children's Health Insurance Program reimbursement rates and licensing laws for preventive care.

Falling Behind: Americans' Access to Medical Care Deteriorates, 2003-2007

June 26, 2008

Presents survey results on access to medical care for the insured and the uninsured, the healthy and the ill, and for children in wealthy and poor families. Discusses causes of unmet needs such as rising costs and obstacles in the health system and plans.

Do Reductions in Medicaid/SCHIP Enrollment Increase Emergency Department Use Among Low-Income Persons?

January 23, 2007

Outlines estimates of the impact on emergency department visits by the uninsured and the overall low-income population if Medicaid and State Children's Health Insurance Program enrollment and physicians' acceptance rates of Medicaid patients were to fall.

Health Coverage and Access to Care for Hispanics in "New Growth Communities" and "Major Hispanic Centers"

September 1, 2006

Examines healthcare coverage for Hispanics when they migrate from cities to smaller urban and rural areas, and encounter roadblocks such as language barriers, lack of insurance, and access to health clinics.