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Advancing The Science And Practice Of Health Care For Justice-Involved Individuals, Dyana Nickl 2018 University of Massachusetts Medical School

Advancing The Science And Practice Of Health Care For Justice-Involved Individuals, Dyana Nickl

Commonwealth Medicine Publications

Our nation’s correctional population is about 6.6 million including those individuals supervised by probation and/or parole agencies, according to the latest figures from the U.S. Bureau of Justice Statistics. Over two million of those are incarcerated and in the custody of a state or federal prison or local jail. It has been reported time and time again that inmates have greater health needs than those living in the community, including higher rates of Hepatitis C, HIV/AIDS, mental health issues and substance use disorder. There is still much we can improve upon in the way we ...


The Role Of Clinical Guidelines In A Managed Long Term Services & Supports Framework, Jessica Carpenter, Jill Morrow-Gorton 2018 University of Massachusetts Medical School

The Role Of Clinical Guidelines In A Managed Long Term Services & Supports Framework, Jessica Carpenter, Jill Morrow-Gorton

Commonwealth Medicine Publications

This presentation describes the managed long-term services and supports (MLTSS) national landscape since 2012 as well as some LTSS utilization trends. A key part of the presentation is our MLTSS best practice framework and the role of LTSS clinical guidelines in that framework. The presentation includes a case study.

Experts from Disability Community Services and the Office of Clinical affairs gave the presentation during a webinar hosted by the Association for Community Affiliated Plans.


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

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.


Congenital Chagas Disease In The United States: Cost Savings Through Maternal Screening, Eileen Stillwaggon, Victoria Perez-Zetune, Stephanie R. Bialek, Susan P. Montgomery 2018 Gettysburg College

Congenital Chagas Disease In The United States: Cost Savings Through Maternal Screening, Eileen Stillwaggon, Victoria Perez-Zetune, Stephanie R. Bialek, Susan P. Montgomery

Economics Faculty Publications

Chagas disease, caused by Trypanosoma cruzi, is transmitted by insect vectors through transfusions, transplants, insect feces in food, and from mother to child during gestation. Congenital infection could perpetuate Chagas disease indefinitely, even in countries without vector transmission. An estimated 30% of infected persons will develop lifelong, potentially fatal, cardiac or digestive complications. Treatment of infants with benznidazole is highly efficacious in eliminating infection. This work evaluates the costs of maternal screening and infant testing and treatment of Chagas disease in the United States. We constructed a decision-analytic model to find the lower cost option, comparing costs of testing and ...


Women’S Health Must Be A Criminal Justice Concern, Robert DeLanders 2018 University of Massachusetts Medical School

Women’S Health Must Be A Criminal Justice Concern, Robert Delanders

Commonwealth Medicine Publications

One of the most compelling arguments for improvements to healthcare for individuals who are incarcerated is the fact that “[a]t least 95% of all state prisoners will be released…”1 Further, pursuant to a 2014 study by the Sentencing Project, more than 215,332 women and girls are now incarcerated in the U.S.2 This figure represents both a record percentage of the total prison population in the U.S. and an eight-fold rise in the incarceration of females since 1980.3 Critically, more than two thirds of these women are mothers and 60% of these women have ...


Empirical Essays In Household Economics, Hao Li 2018 Southern Methodist University

Empirical Essays In Household Economics, Hao Li

Economics Theses and Dissertations

This dissertation is consist of three empirical studies in economics. The first part empirically examines the effect of universal pre-k on labor force participation of fertility age women in Oklahoma. I investigate the policy effect from both theoretical and empirical perspectives. I apply the synthetic control method (SCM) to the Current Population Survey (CPS) data to identify the causal relationship between universal pre-k and female labor outcomes. I find that universal pre-k increases labor supply of women aged 25 to 45 in Oklahoma. The second empirical study focuses on how the birth outcomes of US children respond to exposure to ...


Boosting Demand For Biofortified Foods: The Case Of Orange Fleshed Sweet Potato Bread In Tamale, Ghana, Tchassanty Ouro-Gbeleou 2018 The University of San Francisco

Boosting Demand For Biofortified Foods: The Case Of Orange Fleshed Sweet Potato Bread In Tamale, Ghana, Tchassanty Ouro-Gbeleou

Master's Theses

Abstract: In the context of introducing biofortification of staple crops as a food-based approach to combat micronutrient malnutrition in Sub Saharan Africa (SSA), we carried out a survey in Tamale, Ghana to elicit consumers’ preference of and willingness to pay for one of the highly nutritious biofortified staple crop processed product: the Orange Fleshed Sweet Potato (OFSP) bread. Our results indicate that scores of respondents in the sample show preference for OFSP bread. The most important determinants of OFSP bread preference are its sweet taste and soft texture and consumers are willing to pay 0.634 pesewas more for the ...


Patriarchal Norms, Bargaining, And Gendered Attitudes On Intimate Partner Violence, Anna Eckenrode 2018 The University of San Francisco

Patriarchal Norms, Bargaining, And Gendered Attitudes On Intimate Partner Violence, Anna Eckenrode

Master's Theses

How do the underlying mechanisms of social norms and bargaining power relate to the acceptance of intimate partner violence within households? How do short run and long run determinants of gender norms affect attitudes toward IPV? This study begins to decompose the dynamics of the acceptance of IPV within couples using data from the Demographic Health Survey, as well as examine the relationship in the context of patriarchal societies using data from the Ethnographic Atlas. I find that females are more accepting than males of intimate partner violence, and females becoming more educated is associated with her being less accepting ...


The Causal Impact Of Cleft Lip And Palate Surgery On Psychological Wellbeing, Sam Manning 2018 The University of San Francisco

The Causal Impact Of Cleft Lip And Palate Surgery On Psychological Wellbeing, Sam Manning

Master's Theses

Cleft lip and/or cleft palate (CL/P) are birth conditions in which a newborn has an opening in the roof of their mouth or a slit in their upper lip. Left untreated, CL/P can lead to speech impediments and an unsightly orofacial deformity. However, a sequence of simple, common surgical procedures can restore function with minimal scarring. To date, the psychological effects of being born with CL/P have been investigated in the literature, but the restorative impact of CL/P surgery on psychological wellbeing has not been rigorously evaluated. This study uses a quasi-experimental approach to estimate ...


Swimming For More Than Gold: How Swimming Participation And Success In Elite International Swimming Events Can Decrease Drowning Rates Across The World, Joshua R. Cottle 2018 Grinnell College

Swimming For More Than Gold: How Swimming Participation And Success In Elite International Swimming Events Can Decrease Drowning Rates Across The World, Joshua R. Cottle

Undergraduate Economic Review

International swimming provides an opportunity for thousands of swimmers to compete at the highest level of the sport. In this paper, I argue that participation and success in these events can influence drowning rates across the world. My analysis suggests that one of the most notable negative influences on drowning rates is swimming participation in countries that have the smallest roster sizes and the lowest average income levels. My analysis shows that swimming success in the Olympics has a significant positive effect on drowning rates in countries in the middle-income brackets.


The Pricing Impact Of The Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson 2018 The University of Tennessee, Knoxville

The Pricing Impact Of The Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson

EURēCA: Exhibition of Undergraduate Research and Creative Achievement

The Affordable Care Act created the national insurance exchanges of qualified health plans to encourage a higher insured rate, larger risk pools, and lower prices for quality health coverage. Consolidation of insurers can have opposing effects. The insurers’ risk pools will grow, allowing insurers to better hedge for risk. However, consolidation decreases the prevalence of competition in the market, and past research shows that insurer consolidation decreases market competition and increases prices.

I examine how the number of plans offered in a set market, pricing components, and county health variables impact the monthly premium pricing of plans sold on the ...


Insurance Coverage Policies For Pharmacogenomic And Multi-Gene Testing For Cancer, Christine Y. Lu, Stephanie Loomer, Rachel Ceccarelli, Kathleen M. Mazor, James Sabin, Ellen Wright Clayton, Geoffrey S. Ginsburg, Ann Chen Wu 2018 Harvard Medical School

Insurance Coverage Policies For Pharmacogenomic And Multi-Gene Testing For Cancer, Christine Y. Lu, Stephanie Loomer, Rachel Ceccarelli, Kathleen M. Mazor, James Sabin, Ellen Wright Clayton, Geoffrey S. Ginsburg, Ann Chen Wu

Open Access Articles

Insurance coverage policies are a major determinant of patient access to genomic tests. The objective of this study was to examine differences in coverage policies for guideline-recommended pharmacogenomic tests that inform cancer treatment. We analyzed coverage policies from eight Medicare contractors and 10 private payers for 23 biomarkers (e.g., HER2 and EGFR) and multi-gene tests. We extracted policy coverage and criteria, prior authorization requirements, and an evidence basis for coverage. We reviewed professional society guidelines and their recommendations for use of pharmacogenomic tests. Coverage for KRAS, EGFR, and BRAF tests were common across Medicare contractors and private payers, but ...


Accounting For Geographic Variation In Social Security Disability Program Participation, John Gettens, Pei-Pei Lei, Alexis D. Henry 2018 University of Massachusetts Medical School

Accounting For Geographic Variation In Social Security Disability Program Participation, John Gettens, Pei-Pei Lei, Alexis D. Henry

Commonwealth Medicine Publications

There is wide geographic variation in Social Security Disability Insurance and Supplementary Security Income participation across the United States. Some policymakers and members of the public may assume that interregional administrative inconsistencies are a major reason for the geographic variation. To test this assumption, and to reveal other potential explanations for the variation, we decompose the total variation into components by examining regional differences in disability prevalence and in program participation among persons with disabilities as well as the correlation between those two factors. We further decompose the variation in participation among persons with disabilities into socioeconomic components. Our findings ...


Impacts Of Antepartum Health Status And Health Insurance Coverage, Anjelica Gangaram 2018 CUNY Hunter College

Impacts Of Antepartum Health Status And Health Insurance Coverage, Anjelica Gangaram

School of Arts & Sciences Theses

This paper examines how a woman's antepartum health and health insurance status affect her likelihood of experiencing postpartum maternal morbidity complications.


Examining The Impact Of Education On Diabetes Rates, Mackenzie Bogiages 2018 University of North Carolina at Chapel Hill

Examining The Impact Of Education On Diabetes Rates, Mackenzie Bogiages

Undergraduate Economic Review

Diabetes rates are a problem of growing concern in the U.S. Over 30 million people in the U.S. have been diagnosed with diabetes, and over 90 percent of that group has the largely preventable type 2 diabetes. In order to thwart the disease that costs the U.S. $245 billion a year, the populations most susceptible to diabetes need to be identified and educated. Using data from MEPS, education and several other factors have been identified and their relationships with diabetes have been analyzed to target at risk populations and outline tactics to educate those in dire need ...


Sne-Ptn Initiative Helps Optometrists Keep Thousands Of Patients Out Of The Emergency Department, Jay Flanagan 2018 Southern New England Practice Transformation Network

Sne-Ptn Initiative Helps Optometrists Keep Thousands Of Patients Out Of The Emergency Department, Jay Flanagan

Commonwealth Medicine Publications

It’s a common scenario: a patient injures his eye, self-refers to the Emergency Department, and receives treatment from a doctor who does not specialize in optometry. The result? Higher medical bills to address an ocular trauma that could have been successfully treated in an optometrist’s office.

The Southern New England Practice Transformation Network (SNE-PTN) led by the University of Massachusetts Medical School and UConn Health, is addressing this costly issue head on with its Emergency Department Avoidance initiative, and the results are astounding.


Hospital Cost Accounting: Saving Lives And Saving On Costs, Amanda Whitehouse 2018 Bryant University

Hospital Cost Accounting: Saving Lives And Saving On Costs, Amanda Whitehouse

Honors Projects in Accounting

Within an industry constantly pursuing accuracy, a cost accounting system that addresses the ongoing concerns of saving money and increasing efficiency is a must. Now more than ever, hospitals require reliable information to combat the conflicting relationship between an increase in spending on new instruments and specialized staff, but a decrease in funding. This project explores potential avenues to find a successful cost accounting method using past research, analysis of hospitals’ current environments, and expert opinions from hospital and healthcare personnel. Each hospital is different based on their environment, surrounding population, type of services provided, and personal demands. This study ...


Global Climate Change, The Political Economy, And Development A Case Study: The Kingdom Of Tonga, Demonte Simon 2018 California State University, Monterey Bay

Global Climate Change, The Political Economy, And Development A Case Study: The Kingdom Of Tonga, Demonte Simon

Capstone Projects and Master's Theses

Globalization has created prosperity and growth for many of the countries across the globe especially in the Global North, which experience some of the greatest benefits of globalization while being the least affected by its negative impacts. Small island nation states tend to experience these negative impacts of globalization more often than the states that are fueling these trends. Globalization has many meanings, but the most agreed upon definition is the increasing interaction between people and corporations due to advances in transportation and communication technology. These advances have created a more interconnected world where trade, and culture have become international ...


The Pricing Impact Of Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson 2018 The University of Tennessee, Knoxville

The Pricing Impact Of Decreasing Competitiveness Of The Health Insurance Market, Lauren N. Patterson

Chancellor’s Honors Program Projects

No abstract provided.


A Study Into The Relationship Between Nutrition And Income In A College Setting, Alyssa Hicks 2018 University of Arkansas, Fayetteville

A Study Into The Relationship Between Nutrition And Income In A College Setting, Alyssa Hicks

Economics Undergraduate Honors Theses

Many health related issues in the United States are linked to Americans’ poor diet choices. College students, a subset of that population, establish important trends in their diet habits that they will maintain over their four years in college and beyond. Although previous literature has found income to be a determinant of diet, this paper does not find income to be a significant predictor of student nutrition. One potential explanation is that college provides a unique environment and circumstance. Yet, additional income suggests it could be important for students who suffer from a lack of funds—increasing their income brings ...


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