Health Insurance/Access to Care

Adults with Diagnosed and Untreated Diabetes: Who Are They? How Can We Reach Them? S. Hill, G. Miller, M. Sing, Journal of Health Care for the Poor and Underserved, November 2011; 22(4):1221-1238. Assesses factors related to lack of treatment for diabetes using 2000-2006 data from the Medical Expenditure Panel Survey (MEPS) Diabetes Care Supplement. (AHRQ 12-R025)

Adverse Selection and the Effect of Health Insurance on Utilization of Prescribed Medicine Among Patients with Chronic Conditions. Y. Pylypchuk, Advances in Health Economics and Health Services Research, 2010; 22:233-272. Examines the effects of health insurance types on the use of prescribed medications among patients with hypertension, diabetes, and asthma. (AHRQ 11-R011)

Characteristics of Employers Offering Dental Coverage in the United States. R. Manski, P. Cooper, Journal of the American Dental Association, June 2010; 141(6):700-711. Describes the current market for dental benefit offerings by employers, including the number and percentage of establishments that offer dental care coverage. (AHRQ 10-R077)

Connecting Those at Risk to Care: A Guide to Building a Community "HUB" to Promote a System of Collaboration, Accountability, and Improved Outcomes. Agency for Healthcare Research and Quality, September 2010, 88 pp. Provides guidance to help improve the system by which at-risk individuals within a community are identified and connected to appropriate health care and social services. (AHRQ 09(10)-0088)

Connecting Those at Risk to Care: The Quick Start Guide to Developing Community Care Coordination Pathways. Agency for Healthcare Research and Quality, December 2011, 31 pp. Describes a “Pathways Community HUB,” a new type of infrastructure that provides the beginning tools and strategies needed to ensure that at-risk individuals can access timely and coordinated health and social services in the community. (AHRQ 09(12)-0088-1)

Declines in Employer-Sponsored Insurance Between 2000 and 2008: Examining the Components of Coverage by Firm Size. J. Vistnes, A. Zawacki, K. Simon, et al., Health Services Research, June 2012;47(3pt1):919-938. Examines trends in employer-sponsored health insurance coverage rates and the associated components to provide a baseline for later evaluations of the Affordable Care Act and to provide information to policymakers as they design the implementation details of the law. (AHRQ 12-R073)

Do Medicare Advantage Enrollees Tend to Be Admitted to Hospitals with Better or Worse Outcomes Compared with Fee-for-Service Enrollees? B. Friedman, H. Jiang, International Journal of Health Care Finance and Economics, February 2010; 10(2):171-185. Discusses the effects of enrollment in a Medicare Advantage plan on choice of hospital for Medicare beneficiaries, taking into account attributes of the plan and the tradeoffs of consumer preferences for annual premium vs. outcomes of care in the hospital. (AHRQ 10-R042)

The Financing of Mental Health and Substance Abuse Services: Insurance, Managed Care, and Reimbursement. S. Zuvekas. In: Mental Health Services: A Public Health Perspective, 3rd Edition, B. Levin, K. Hennessy, J. Petrila, editors, 2010; chapter 2, pp. 13-41. Discusses how private-sector insurance models, including Medicare and Medicaid, operate in delivering and financing mental health and substance abuse services and examines the implications of increasing strains on public and employer-based private health insurance systems for the future of these services. (AHRQ 11-R007)

A Game-Theoretical Interpretation of Guaranteed Renewability in Health Insurance. S. Abdus, Risk Management and Insurance Review, Fall 2010; 13(2):195-206. Identifies and discusses the reasons why the premiums of health insurance contracts in the individual health insurance market do not vary much over time, even in the absence of any legal restriction on premiums. (AHRQ 11-R024)

The Health Insurance Status of Low-Wage Workers: The Role of Workplace Composition and Marital Status. J. Vistnes, A. Monheit, Medical Care Research and Review, October 2011; 68(5):607-23. Epub May 2011. Uses data from the 2006 Medical Expenditure Panel Survey to examine offers of coverage and cost-sharing requirements by the wage distribution and firm size dimensions of employers and describes the household circumstances of low-wage workers. (AHRQ 11-R051)

How Often Do Catastrophic Injury Victims Become Medicaid Recipients? E. Zaloshnja, T. Miller, J. Coben, et al., Medical Care, June 2012; 50(6):513-9.. Estimates Medicaid conversions due to injury for people 21-64 years old. (AHRQ 12-R062)

The Impact of National Health Care Reform on Adults with Severe Mental Disorders. R. Garfield, S. Zuvekas, J. Lave, American Journal of Psychiatry, May 2011; 168(5):486-494. Examines current and predicted sources of insurance coverage and use of mental health services among adults with and without severe mental disorders and models post-reform changes. (AHRQ 12-R018)

Individual Insurance and Access to Care. S. Hill, Inquiry, Summer 2011; 48(2):155-168. Compares access to care for those with individual insurance and those who have employment-related insurance. (AHRQ 12-R002)

The Influence of Changes in Dental Care Coverage on Dental Care Utilization Among Retirees and Near-Retirees in the United States, 2004-2006. R. Manski, J. Moeller, P. St. Clair, et al., American Journal of Public Health, October 2011; 101(10):1882-1891. Examines dental care utilization transition dynamics between 2004 and 2006 in the context of changing dental coverage status. (AHRQ 12-R016)

Medicare Managed Care Plan Performance: A Comparison Across Hospitalization Types. J. Basu, L. Mobley, Medicare& Medicaid Research Review, 2012; 2(1):E1-E21. Evaluates the performance of Medicare managed care in comparison to Medicare fee-for-service in three States with high Medicare managed care penetration in terms of lowering the risks of preventable or ambulatory care sensitive hospital admissions. (AHRQ 12-R061)

Payment Reform. I. Fraser, W. Encinosa, L. Baker, Health Services Research, December 2010; 45(6 Part II):1847-1853. Introduces a themed issue of the journal that provides new information about how to best design and implement health care payment reforms. (AHRQ 11-R027)

Premium Growth and Its Effect on Employer-Sponsored Insurance. J. Vistnes, T. Selden, International Journal of Health Care Finance and Economics, March 2011; 11(1):55-81. Examines the effect of premium growth on the likelihood that an employer offers insurance, eligibility rates among employees, continuous measures of employee premium contributions for single and family coverage, and deductibles. (AHRQ 11-R064).

Unhealthy and Uninsured: Exploring Racial Differences in Health and Health Insurance Coverage Using a Life Table Approach. J. Kirby, T. Kaneda, Demography, November 2010; 47(4):1035-1051. Uses a life-table approach to calculate health- and insurance-specific life expectancies for whites and blacks to provide estimates of the duration of exposure to different insurance and health states over a typical lifetime. (AHRQ 11-R0037)

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