Because our subject matter has not been widely studied, we initiated a broad literature review consisting of four components: (1) search of peer reviewed literature; (2) search of grey literature; (3) internet search; and (4) review of the CDC's Morbidity and Mortality Weekly Report (MMWR). We also accessed literature by asking our interviewees fo
This study examines the role of public health laboratories (PHLs) in the changing health care market, with an emphasis on delineating the relationship between PHLs and managed care. The topic is becoming the focus of considerable attention, particularly as the growth of managed care continues to alter the landscape of health care, and as emerging
Changes in health markets and the environment faced by PHLs naturally raise the questions of whether the core functions of laboratories must change in response or whether more leadership from the laboratories can improve public health. Our study suggests that while the overall charge of PHLs (involvement in assessment, assurance, and policy develo
Public Health Laboratories and Health System Change: Executive Summary. Competition from large commercial labs
The laboratory industry is rapidly consolidating, with the historical dominance of hospital-based labs giving way to increasing market power of large, national reference labs. These labs take advantage of scale, quick turn-around, powerful IT systems, and full service packages to garner exclusive contracts from MCOs and their associated providers.
The PHLs are part of a broader public health infrastructure responsible for assessment of public health needs, assurance that needs are met, and policy development. But while the state laboratories share this overarching philosophy, the structure, organization, and financing of each state laboratory is different. Each PHL also resides in a unique
As part of its ongoing research program in public health infrastructure, The Office of the Assistant Secretary for Planning and Evaluation (ASPE) of the Department of Health and Human Services (DHHS) commissioned The Lewin Group to study the relationship between public health laboratories (PHLs) and managed care organizations (MCOs). As the study
Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Appendix: The U.S. Interagency Council on Homelessness
Studies Summary of Cost Offset Studies Intervention Studies
Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.. Conclusion
Research on the cost and cost-effectiveness of homeless assistance programs indicates that costly interventions are not likely to be cost-effective, except for the most costly clients.
Toward Understanding Homelessness: The 2007 National Symposium on Homelessness Research. Accountability, Cost-Effectiveness, and Program Performance: Progress Since 1998.
The authors summarize the progress made in the past decade toward making homeless assistance programs more accountable to funders, consumers, and the public. They observe that research on the costs of homelessness and cost offsets associated with intervention programs has been limited to people who are homeless with severe mental illness. But this
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 6.2. How Medicaid Managed Care Is Evolving and What It Means for PSH
Medicaid managed care began in many states with a focus on enrolling children and families. However, a growing number of states now allow people with disabilities to enroll in managed care plans, and some states require that most seniors and people with disabilities do so. Frequently people who are "dualeligibles," enrolled in both Medicaid and Me
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. 5.3. What Services Do They Qualify For?
Depending on the state, public mental health services may include a wide range of services that vary in intensity and duration, from medications and medication management at an outpatient clinic (low intensity, varying duration depending on need), through crisis stabilization (very intense but usually lasting a few days at most), and inpatient hos
Medicaid and Permanent Supportive Housing for Chronically Homeless Individuals: Emerging Practices From the Field. Summary of Key Findings
Medicaid Eligibility, Enrollment, and Services
Bonnie O'Day, Crystal Blyler, Anna Collins, Benjamin Fischer, Claire Gill, Todd Honeycutt, Rebecca Kleinman, Frank Martin, Joseph Mastrianni, Eric Morris, Lisa Schottenfeld, Allison Thompkins, Allison Wishon-Siegwarth, and Michelle Bailey Mathematica Policy Research Abstract
Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States
Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States Executive Summary Kristin Andrews, Jonathan D. Brown, Tara Ferragamo, Rebecca Kleinman, Rebecca Newsham, and Allison Wishon Siegwarth Mathematica Policy Research January 2014
Environmental Scan of MLTSS Quality Requirements in MCO Contracts Executive Summary Pat Rivard, Beth Jackson, Jason Rachel, Julie Seibert and Taylor Whitworth Truven Health Analytics September 2013
Quality in Managed Long-Term Services and Supports Programs Executive Summary Beth Jackson, Pat Rivard, Julie Seibert, Jason Rachel and Taylor Whitworth Truven Health Analytics November 2013
Hospital and Emergency Department Use by People with Alzheimer’s Disease and Related Disorders: Final Report
Hospital and Emergency Department Use by People with Alzheimers Disease and Related Disorders: Final Report Executive Summary Zhanlian Feng, PhD, Laurie Coots, MS, MA, Yevgeniya Kaganova, PhD, and Joshua Wiener, PhD RTI International August 2013
Medicaid Substance Abuse Treatment Spending: Findings Report Executive Summary Ellen Bouchery, Rick Harwood, Rosalie Malsberger, Emily Caffery, Jessica Nysenbaum, and Kerianne Hourihan Mathematica Policy Research September 28, 2012