Although interest in expanding SCHIP coverage to parents has grown over the past five years, few such expansions have actually been implemented. State governments and health plan administrators remain concerned that these expansions will attract only high-risk enrollees, resulting in costly premiums that require large subsidies. We examine characteristics of enrollees in an SCHIP-like expansion program in Alameda County, California. According to our survey data, the program did not experience unfavorable selection. Rather, it attracted a broad range of eligible adults. Enrollees were comparable to the overall low-income population in Alameda County in terms of age, health status, and various utilization measures.
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http://dx.doi.org/10.1377/hlthaff.w3.460 | DOI Listing |
Prehosp Emerg Care
January 2025
Department of Emergency Medicine, The University of Arizona at Tucson, Tucson, AZ.
Objectives: Emergency Medical Services (EMS) agencies are beginning to provide low-barrier access to treatment for opioid use disorder (OUD) through the development of EMS buprenorphine (EMS-Bupe) programs. However, evidence-based practices for these programs are lacking. Our aim was to review the current literature on EMS and emergency department (ED) based buprenorphine treatment programs to provide consensus recommendations on the EMS-Bupe program development.
View Article and Find Full Text PDFJAMA Netw Open
December 2024
Department of Emergency Medicine, University of California, San Francisco.
Importance: Ambulance offload delays are a timely and crucial issue with implications for patients, emergency medical services (EMS) agencies, hospitals, and communities. Published data on recent patterns in ambulance patient offload times (APOTs) are sparse.
Objective: To examine patterns in APOT by California local EMS agency and variation between and within local agencies.
J Subst Use
April 2023
Department of Behavioral and Community Health Sciences, University of Pittsburgh School of Public Health, 130 De Soto Street, Pittsburgh, PA 15261, USA.
Background: Research on alcohol-related problems often examines individual problem types in isolation or uses scales that provide a single cumulative severity score for alcohol-related harms. This study aims to assess the patterns of seventeen distinct alcohol-related problems and how they co-occur.
Methods: The East Bay Neighborhood Study surveyed a community sample of 864 adults who drank in the past year in Alameda County, California.
JAMA Netw Open
November 2024
Department of Emergency Medicine, University of California, San Francisco.
Int J Eat Disord
November 2024
Solano County Behavioral Health, Fairfield, California, USA.
Objective: This study describes the current management of patients with eating disorders (EDs) served by publicly-funded Medicaid behavioral health systems.
Method: Behavioral health leaders across nine counties in California met on a quarterly basis to share experiences, challenges, and lessons in the management of EDs within publicly-funded service systems. Detailed notes were taken, and a qualitative content analysis was undertaken to identify key themes.
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