Center researchers have evaluated the effects of health care reform and new health insurance strategies, including high-deductible health plans and nonpayment policies for potentially preventable adverse events. Specific studies include:
- The Understanding Preferences for Insurance Coverage (U-PIC) study, which is an AHRQ-funded project that examines the decision making and experiences of enrollees in non-group insurance plans in and outside health insurance exchanges in three states.
A study that found that nearly half of families with chronic conditions in high-deductible health plans report experiencing financial burden due to health care costs, and that adults and children in high-deductible plans were more likely to report delayed or forgone care due to cost than those in traditional plans.
One of the first studies of the experiences of families obtaining insurance coverage through a Health Insurance Exchange as part of health reform in Massachusetts, which is evaluating health plan decision making, financial burden, and patient-provider discussion about health care costs.
Evaluation of the Medicare policy of non-payment for preventable complications on rates of hospital-acquired infections using billing and NHSN data.
Related News and Recent Publications
Galbraith AA, Meyers DJ, Ross-Degnan D, Burns ME, Vialle-Valentin CE, Larochelle MR, Touw S, Zhang F, Rosenthal M, Balaban RB. Long-term impact of a post-discharge community health worker intervention on health care costs in a safety-net system. Health Services Research. 2017 Nov 12; 52(6): 2061-2078.
Sinaiko AD, Kingsdale J, Galbraith AA. Consumer health insurance shopping behavior and challenges: lessons from two state-based marketplaces. Medical Care Research and Review. 2017 July 5. doi:10.1177/1077558717718625.
- Wisk LE, Finkelstein JA, Toomey SL, Sawicki GS, Schuster MA, Galbraith AA. Impact of an Individual Mandate and Other Health Reforms on Dependent Coverage for Adolescents and Young Adults. Health services research. May 30 2017.
- Balaban RB, Zhang F, Vialle-Valentin CE, et al. Impact of a Patient Navigator Program on Hospital-Based and Outpatient Utilization Over 180 Days in a Safety-Net Health System. Journal of general internal medicine. May 18 2017
- Calderwood MS, Vaz LE, Tse Kawai A, Jin R, Rett MD, Grant PS, Lee GM. Impact of Hospital Operating Margin on Central Line-Associated Bloodstream Infections Following Medicare's Hospital-Acquired Conditions Payment Policy. Infect Control Hosp Epidemiol. 2015 Nov 3:1-4. [Epub ahead of print]
- Vaz LE, Kleinman KP, Kawai AT, Jin R, Kassler WJ, Grant PS, Rett MD, Goldmann DA, Calderwood MS, Soumerai SB, Lee GM. Impact of Medicare's Hospital-Acquired Condition policy on infections in safety net and non-safety net hospitals. Infect Control Hosp Epidemiol. 2015 Jun;36(6):649-55. Epub 2015 Mar 3.
For more information on the Center's work please contact Kelly Horan.