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Full-Text Articles in Social and Behavioral Sciences

Determinants Of Student Debt In New England, Alexis A. Gray Jan 2019

Determinants Of Student Debt In New England, Alexis A. Gray

Honors Theses and Capstones

This paper examines the determinants of average student debt in New England based on financial, institutional and demographic variables. The dataset is derived from CollegeInsight and measures 15 variables across 71 institutions during the 2011-2014 academic school years. Between 2011 and 2014, average student debt increased 7%, tuition and room and board increased 10%, the percentage of Hispanic students increased 20% and the percentage of international students increased 26%. The estimated model, ln(AVDEBT) = 7.401 – 0.090ln(TUITION) – 0.042ln(BOOKS) + 0.433ln(ROOMBOARD) + 0.07ln(ENROLLMENT) – 0.200PUBLIC – 4.106ASIAN – 1.992AFAMERICAN + 0.254HISPANIC + 0.007WHITE + 0.641INTERNATIONAL ...


Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, Jeff A. Auger, Kerrie Topi Jun 2018

Massoptions Transforms The Way Elderly And People With Disabilities Get Much Needed Long-Term Services And Supports In Massachusetts, Jeff A. Auger, Kerrie Topi

Commonwealth Medicine Publications

Some of the Commonwealth’s most underserved populations—the elderly, people with disabilities, and their caregivers— now have simplified access to the long-term services and supports (LTSS) they need, thanks to MassOptions, an innovative collaboration between UHealthSolutions, the nonprofit business affiliate of UMass Medical School, and the Massachusetts Executive Office of Elder Affairs.


Paid Family And Medical Leave: Cost And Coverage Estimates Of Three Choices In Massachusetts, Policy Brief, Randy Albelda, Alan Clayton-Matthews Dec 2017

Paid Family And Medical Leave: Cost And Coverage Estimates Of Three Choices In Massachusetts, Policy Brief, Randy Albelda, Alan Clayton-Matthews

Publications from the Center for Women in Politics and Public Policy

This policy brief explores the costs and coverage of three proposed paid family and medical leave programs for Massachusetts. These are House Bill 2172, Senate Bill 1048, and 2018 Initiative Petition C. Each of these proposed programs establishes a contributory fund paid by employers and employees, to be used for eligible workers when they are out of work for their own serious health condition or that of a family member, for pregnancy, or to bond with a new child. The medical leaves considered are for own health reasons, including those related to pregnancy. Family leaves are for bonding with a ...


Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, Jenifer Hartman Aug 2017

Integrating Third Party Liability (Tpl) Across Medicaid Operations And Enterprise Systems In Massachusetts, Jenifer Hartman

Commonwealth Medicine Publications

This poster highlights the results of a UMass Medical School partnership with MassHealth, the Massachusetts Medicaid program, to integrate third party liability (TPL) activities across all aspects of the Medicaid program. By embedding TPL at all stages of Medicaid operations and interfacing with all Medicaid systems, the partners optimized identification of and access to TPL sources for all Medicaid members.

The TPL activities include eligibility coordination, coverage coordination, payment coordination and recovery coordination. The partnership has achieved over $40 million in cost avoidance through the identification of missed Medicare benefits, over $64 million in cost avoidance over enhanced coordination of ...


When Trash Costs Money: Analyzing The Impact Of Pay-As-You-Throw Programs In Massachusetts, Thomas W. Barry Iv Jul 2017

When Trash Costs Money: Analyzing The Impact Of Pay-As-You-Throw Programs In Massachusetts, Thomas W. Barry Iv

Journal of Environmental and Resource Economics at Colby

This paper evaluates whether municipalities with Pay-As-You-Throw (PAYT) programs dispose of less trash per household than municipalities without them. Given how much trash U.S. residents produce, the negative environmental effects associated with trash disposal, as well as how much the U.S. Environmental Protection Agency advocates for PAYT, it is important to closely analyze whether these programs actually do their job. This paper formally analyzes the effects of PAYT programs using the Massachusetts Department of Environmental Protection’s trash disposal data from 2011-2015. After controlling for municipality and time heterogeneity, my analysis shows that PAYT programs reduce trash per ...


Does Increased Access To Health Insurance Impact Claims For Workers' Compensation? Evidence From Massachusetts Health Care Reform, Erin Todd Bronchetti, Melissa Mcinerney Jun 2017

Does Increased Access To Health Insurance Impact Claims For Workers' Compensation? Evidence From Massachusetts Health Care Reform, Erin Todd Bronchetti, Melissa Mcinerney

Upjohn Institute Working Papers

We study over 20 million emergency room (ER) discharges in Massachusetts and three comparison states to estimate the impact of Massachusetts health care reform on claims for Workers’ Compensation (WC). Prior evidence on the relationship between health insurance and WC claiming behavior is mixed. We find that the reform caused a significant decrease in the number of per-capita ER discharges billed to WC. This result is driven by larger decreases in WC discharges for conditions for which there is greater scope to change the payer or the location of care. Conversely, we estimate smaller impacts for weekend versus weekday admissions ...


Facilitating Access To Health Coverage And Care By Advancing Health Insurance Literacy, Debi Lang, Deborah Raymond, Suzanne B. Cashman, Jessica Larochelle, Jennifer Lee, Tina Alu, Karen Baumbach Mar 2017

Facilitating Access To Health Coverage And Care By Advancing Health Insurance Literacy, Debi Lang, Deborah Raymond, Suzanne B. Cashman, Jessica Larochelle, Jennifer Lee, Tina Alu, Karen Baumbach

Community Engagement and Research Symposia

Although Massachusetts currently has the highest rate of health insurance coverage in the nation, reports suggest health care consumers do not fully understand how their insurance works. Thus, the insured and uninsured populations alike need ongoing support in order to develop health insurance literacy, defined as the degree to which individuals obtain, process, and understand information about health insurance in order to make informed decisions about choosing and using their coverage, which in turn can lead to positive health outcomes. Educating consumers and giving them tools and resources are strategies that advance health insurance literacy. Since 2001, the Blue Cross ...


Evaluation Of Progesterone Agent Utilization And Birth Outcomes In A State Medicaid Plan, Tasmina Hydery, Mylissa K. Price, Bonnie C. Greenwood, Mito Takeshita, Rose Mauro, Parag Kunte, Kimberly J. Lenz, Paul L. Jeffrey Feb 2017

Evaluation Of Progesterone Agent Utilization And Birth Outcomes In A State Medicaid Plan, Tasmina Hydery, Mylissa K. Price, Bonnie C. Greenwood, Mito Takeshita, Rose Mauro, Parag Kunte, Kimberly J. Lenz, Paul L. Jeffrey

Commonwealth Medicine Publications

An analysis of medication adherence and birth outcomes among members receiving progesterone for the prevention of preterm birth in a state Medicaid program. Data is also used to evaluate the association between member characteristics and medication adherence and birth outcomes as well as whether there was a change in the cost of care.


Combining Earnings With Public Supports: Cliff Effects In Massachusetts, Randy Albelda, Michael Carr Jan 2017

Combining Earnings With Public Supports: Cliff Effects In Massachusetts, Randy Albelda, Michael Carr

Economics Faculty Publication Series

Safety-net benefits decrease as recipients’ income increases, but the result can be an overall drop in resources—sometimes so sharp that it feels like falling off a cliff.


Between A Rock And A Hard Place: A Closer Look At Cliff Effects In Massachusetts, Randy Albelda, Michael Carr Sep 2016

Between A Rock And A Hard Place: A Closer Look At Cliff Effects In Massachusetts, Randy Albelda, Michael Carr

Center for Social Policy Publications

This report shows that universal free education and child care would substantially increase family net resources and alleviate cliff effects.


The Pediatric Behavioral Health Medication Initiative, Neha Kashalikar Sep 2016

The Pediatric Behavioral Health Medication Initiative, Neha Kashalikar

Commonwealth Medicine Publications

How the Massachusetts Medicaid Pharmacy Program, which is managed by UMass Medical School, developed the Pediatric Behavioral Health Medication Initiative. The initiative was created in response to studies and reports that found pediatric behavioral health medication polypharmacy regimes had been increasing. Compared to the rest of the country, the prevalence was highest among the MassHealth pediatric population.

A prior authorization requirement, guidelines, case review and a prescriber outreach process were established as part of the initiative to ensure MassHealth pediatric members were being prescribed appropriate behavioral health medication.


Medical, Social, And Other Determinants Of Health Care Costs In Masshealth, Arlene S. Ash May 2016

Medical, Social, And Other Determinants Of Health Care Costs In Masshealth, Arlene S. Ash

UMass Center for Clinical and Translational Science Research Retreat

As part of the mini-symposium entitled "Innovations for Vulnerable Populations in Massachusetts," this presentation explores research into expanding the State’s existing risk models to include social determinants of health variables. Potential variables for inclusion in payment models (such as unstable housing, defined as having three or more addresses during a calendar year) have been identified. These models are being developed in support of alternative payment mechanisms for integrated delivery systems.


Innovations For Vulnerable Populations In Massachusetts, Melissa A. Clark May 2016

Innovations For Vulnerable Populations In Massachusetts, Melissa A. Clark

UMass Center for Clinical and Translational Science Research Retreat

This is the moderator's introductory presentation for the mini-symposium entitled "Innovations for Vulnerable Populations in Massachusetts," in which she places the session presentations in the context of an ongoing collaboration between Commonwealth Medicine, a division of the University of Massachusetts Medical School, and MassHealth.


Improving The Direct Care Workforce Through Core Competency Training, Leanne Winchester, Lauren Bercaw Apr 2016

Improving The Direct Care Workforce Through Core Competency Training, Leanne Winchester, Lauren Bercaw

Commonwealth Medicine Publications

This report provides a comprehensive overview of the MA Personal and Home Care Aide State Training (PHCAST) Grant Project funded by the U.S. Department of Health and Human Services, Health Resources and Services Administration, Bureau of Health Professions, Division of Nursing. The grant aimed to improve existing training for home care aides, offer training for personal care attendants, increase transferability of the workforce, and reduce turnover. The state also sought to standardize core competencies and training facilitation for direct care workers who provide long-term care in community‐based settings for diverse populations.

The accomplishments of the grant project include ...


Stories From The Frontline: Patient-Centered Medical Home Care Transitions, Anita Morris, Joan Johnston, Sai Cherala, Ruth Aboagye, Pam Senesac, Judith L. Steinberg, Jaime Vallejos Mar 2016

Stories From The Frontline: Patient-Centered Medical Home Care Transitions, Anita Morris, Joan Johnston, Sai Cherala, Ruth Aboagye, Pam Senesac, Judith L. Steinberg, Jaime Vallejos

Commonwealth Medicine Publications

The Massachusetts Patient-Centered Medical Home Initiative (MA PCMHI) was a three-year multi-payer demonstration designed to promote clinical model transformation in practices across the state and prepare the practices for PCMHI recognition. It was a partnership between MassHealth, the Massachusetts Medicaid program, and UMass Medical School. An analysis of the project at 46 participating practices finds that primary care practice transformation takes time; care transitions, including emergency room and post-discharge follow-up care, require the development of new clinical workflows; and the processes of care are more likely to improve before outcomes are affected. These lessons learned can aid provider organizations nationwide ...


Using Pdsas To Optimize Surgical Screening, Wesley Klein, Joan Johnston, Anita Morris Mar 2016

Using Pdsas To Optimize Surgical Screening, Wesley Klein, Joan Johnston, Anita Morris

Commonwealth Medicine Publications

This poster describes a project that used a patient-centered medical home model to improve cervical cancer screening for patients at Duffy Health Center in Hyannis. Lessons learned include: identifying existing opportunities to provide whole-person care may provide revenue enhancement opportunities; practice workflow tools require user input in their development to be accepted and effective; buy-in from all team members is crucial and it is important for the team to agree on the process; and data collection is essential, along with ongoing quality improvement and practice transformation coaching.


Upham’S Corner Main Street: Developing Ideas For Promoting Arts And Businesses In Upham’S Corner, Werner Kunz, Barbara Lewis Oct 2015

Upham’S Corner Main Street: Developing Ideas For Promoting Arts And Businesses In Upham’S Corner, Werner Kunz, Barbara Lewis

Barbara Lewis

Dorchester’s Upham’s Corner neighborhood is home to a diverse mix of neighborhood residents, many historical landmarks, and a commercial district. At one point, Upham’s Corner was one of the top five market hubs for New England. It was because of this market history that the Strand Theater was built as a community home, as a community connection, and as a network. UMass Boston’s College of Management undergraduate students have developed ideas for promoting the arts and bringing businesses to the Upham’s Corner neighborhood. Assistant Professor of Marketing, Werner Kunz, coordinated the project with students in ...


Massachusetts Eligibility Data Platforms: Integrating State And Federal Data Sets To Maximize Benefits And Savings, Jenifer Hartman, Yuping Su Aug 2015

Massachusetts Eligibility Data Platforms: Integrating State And Federal Data Sets To Maximize Benefits And Savings, Jenifer Hartman, Yuping Su

Commonwealth Medicine Publications

This poster presentation shows how UMass Medical School works with state Medicaid programs to customize and implement business methodologies to maximize benefits for individuals and savings for states. The medical school’s collaboration with state and federal agencies has resulted in two national corrections of federal benefits systems in the past five years that led to increased benefits for individuals and increased Medicaid savings and revenue in all states.

Presented at the Medicaid Enterprise Systems Conference 2015.


The Potential Effects Of Federal Health Insurance Reforms On Employment Arrangements And Compensation, Marcus Dillender, Carolyn J. Heinrich, Susan N. Houseman Apr 2015

The Potential Effects Of Federal Health Insurance Reforms On Employment Arrangements And Compensation, Marcus Dillender, Carolyn J. Heinrich, Susan N. Houseman

Upjohn Institute Working Papers

The Affordable Care Act (ACA) presents an opportunity to significantly improve compensation for American workers. A potential concern, though, is that employers will circumvent the employer mandate by increasing their use of workers in staffing arrangements that are not covered by the mandate: workers averaging less than 30 hours per week, working on a temporary basis, or working in organizations with fewer than 50 full-time employees. In this paper, we shed light on the likely effects that the ACA will have on employment arrangements. We first examine how part-time employment in Massachusetts changed after its health insurance reform, which is ...


The Potential Effects Of Federal Health Insurance Reforms On Employment Arrangements And Compensation, Marcus Dillender, Carolyn Heinrich, Susan Houseman Mar 2015

The Potential Effects Of Federal Health Insurance Reforms On Employment Arrangements And Compensation, Marcus Dillender, Carolyn Heinrich, Susan Houseman

Susan N. Houseman

The Affordable Care Act (ACA) presents an opportunity to significantly improve compensation for American workers. A potential concern, though, is that employers will circumvent the employer mandate by increasing their use of workers in staffing arrangements that are not covered by the mandate: workers averaging less than 30 hours per week, working on a temporary basis, or working in organizations with fewer than 50 full-time employees. In this paper, we shed light on the likely effects that the ACA will have on employment arrangements. We first examine how part-time employment in Massachusetts changed after its health insurance reform, which is ...


The Potential Effects Of Federal Health Insurance Reforms On Employment Arrangements And Compensation, Marcus Dillender, Carolyn Heinrich, Susan Houseman Mar 2015

The Potential Effects Of Federal Health Insurance Reforms On Employment Arrangements And Compensation, Marcus Dillender, Carolyn Heinrich, Susan Houseman

Marcus Dillender

The Affordable Care Act (ACA) presents an opportunity to significantly improve compensation for American workers. A potential concern, though, is that employers will circumvent the employer mandate by increasing their use of workers in staffing arrangements that are not covered by the mandate: workers averaging less than 30 hours per week, working on a temporary basis, or working in organizations with fewer than 50 full-time employees. In this paper, we shed light on the likely effects that the ACA will have on employment arrangements. We first examine how part-time employment in Massachusetts changed after its health insurance reform, which is ...


Massachusetts Expert Panel On End Of Life Report: Looking Forward: 2014 And Beyond, Linda J. Cragin Mar 2015

Massachusetts Expert Panel On End Of Life Report: Looking Forward: 2014 And Beyond, Linda J. Cragin

Commonwealth Medicine Publications

This report provides a brief snapshot of end of life care activity in Massachusetts, identifies related themes and trends in Massachusetts health care institutions, and conveys current concerns and priorities for improving end of life care in the Commonwealth.


One State's Perspective On The Management Of Hepatitis C Drugs, Pavel Lavitas Feb 2015

One State's Perspective On The Management Of Hepatitis C Drugs, Pavel Lavitas

Commonwealth Medicine Publications

This presentation provides an overview of the hepatitis C virus monitoring program implemented for state Medicaid to contain costs and to promote optimal member care. Key clinical and economic outcomes of the monitoring program are highlighted and formulary management strategies for novel hepatitis C virus agents identified.

Presented at the American Drug Utilization Review Society 2015 Conference.


Unemployment Insurance Policy In New England: Background And Issues, Robert Tannenwald, Christopher J. O'Leary Feb 2015

Unemployment Insurance Policy In New England: Background And Issues, Robert Tannenwald, Christopher J. O'Leary

Christopher J. O'Leary

Most states have exhausted their unemployment insurance (UI) trust fund and borrowed from the federal government at least once during the past 35 years. Under such circumstances, states are required by law to raise UI taxes to replenish their trust funds and to pay off their debts to the federal government. Since higher UI taxes increase employer costs, replenishment forces states into a trade-off between economic competitiveness and trust fund adequacy. Competitive pressures have raised questions about prevailing standards of adequacy and the speed at which they should be attained. Consequently, several states are contemplating tax reductions despite low reserves ...


Massachusetts Hospital Profiles: Data Through Fiscal Year 2013, Michael Chin Jan 2015

Massachusetts Hospital Profiles: Data Through Fiscal Year 2013, Michael Chin

Commonwealth Medicine Publications

An industry overview and chartbook that provides a comprehensive look at the Massachusetts' hospital system.


Evidence About The Effectiveness Of Public Training Programs For Incumbent Workers, Kevin Hollenbeck, Sarah M. Klerk Jan 2015

Evidence About The Effectiveness Of Public Training Programs For Incumbent Workers, Kevin Hollenbeck, Sarah M. Klerk

Kevin Hollenbeck

No abstract provided.


The Return On Investment To Training Programs For Incumbent Workers, Kevin Hollenbeck Jan 2015

The Return On Investment To Training Programs For Incumbent Workers, Kevin Hollenbeck

Kevin Hollenbeck

No abstract provided.


Evaluation Of Massachusetts Workforce Training Fund, Kevin Hollenbeck Jan 2015

Evaluation Of Massachusetts Workforce Training Fund, Kevin Hollenbeck

Kevin Hollenbeck

The Massachusetts Workforce Training Fund (WTF), funded by employer contribution (surcharge) of 0.075% of its unemployment insurance taxable wage base, provides training grants and technical assistance to organizations located in the state. The purposes of these activities are to impart or upgrade knowledge and skills of Massachusetts’ workers so that they and their employing firms can compete in the world economy. This study provided 10 case studies of firms who have received a training grant. The case studies combined qualitative and quantitative data analytical techniques to provide evidence about the net impact and return on investment of the training ...


Evaluation Evidence About The Effectiveness Of Public Training Programs For Incumbent Workers, Kevin Hollenbeck Jan 2015

Evaluation Evidence About The Effectiveness Of Public Training Programs For Incumbent Workers, Kevin Hollenbeck

Kevin Hollenbeck

No abstract provided.


An Investigation Of Renewable Energy Projects And Their Potential Applications At Assumption College: Wind Turbines And Geothermal Heat Pumps, Melanie Mccauley Jan 2015

An Investigation Of Renewable Energy Projects And Their Potential Applications At Assumption College: Wind Turbines And Geothermal Heat Pumps, Melanie Mccauley

Honors Theses

This thesis researches the possibility of a renewable energy project specifically for Assumption College. As the school is already investing in solar power, my study looked at the feasibility of a wind turbine or geothermal heat pump unit on the campus. I conducted interviews with various institutions that have already undertaken similar projects so that I could better understand the process of installing these technologies, to discover possible funding that could be available, and the success of this technology in other schools. The economic advantages and the positive impacts on students and the neighboring communities were some of the benefits ...