About
141
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Introduction
Additional affiliations
April 2003 - present
August 1998 - April 2003
Education
January 2002 - January 2006
August 1998 - January 2002
September 1995 - June 1998
Publications
Publications (141)
The California Assembly Committee on Health requested that the California Health Benefits Review Program (CHBRP)1 conduct an evidence-based assessment of California Assembly Bill (AB) 874.
The California Assembly Committee on Health has requested that the California Health Benefits Review Program (CHBRP)7 conduct an evidence-based assessment of the medical, financial, and public health impacts of Assembly Bill (AB) 85, Social Determinants of Health: Screening and Outreach.
The objective of this study is to assess the predictive value of self-reported need and psychological distress in mental healthcare service use across racial and ethnic groups in California. Using 2014–2018 data for adults aged 18–64 in the California Health Interview Survey, both logistic and Poisson regression models are used to estimate mental h...
AB 2709 requires a health care service plan contract or a health insurance policy issued, amended, or renewed on or after January 1, 2023, to undertake steps that reduce balance billing or high out-of�network charges for out-of-network emergency ground medical transport providers (in California). An enrollee or member who receives covered services...
Background
Community health centers (CHCs) provide comprehensive primary and preventive care to medically underserved, low-income, and racially/ethnically diverse populations. CHCs also offer enabling services, non-clinical assistance to reduce barriers to healthcare due to unmet social and material needs, to improve access to healthcare and reduce...
California Assembly Bill (AB) 933 impacts the flow of drug manufacturer rebate dollars. AB 933 would require that the defined cost sharing an enrollee pays at the point of sale (generally, the pharmacy) be based on a price that is reduced by approximately 90% of the rebate amount. These rebates should be provided at the point of sale but reconciled...
Background:
Under emergency coronavirus disease 2019 pandemic regulations, Medicare granted temporary payment parity with in-person visits for audio-only (telephone) telemedicine visits. This policy was designed to expand telemedicine to patients without camera-equipped devices and broadband internet. However, audio-only telemedicine use has been...
Major socioeconomic disparities persist in the management and outcomes of peripheral artery disease (PAD) globally. Allostatic load, which is described as a measure of physiologic adaptation to socio-environmental stress, has been reported to partially explain higher mortality rates in US Blacks. However, it is not clear if allostatic load is assoc...
Objective
While it has been shown that patient socioeconomic status (SES) is associated with the surgical treatments chosen for severe peripheral arterial disease (PAD), the association between SES and outcomes of arterial reconstruction have not been well studied. The objective of this study was to determine if SES is associated with outcomes foll...
Racial and ethnic inequities in the US health care system have been unremitting since the beginning of the country. In the 19th and 20th centuries, segregated black hospitals were emblematic of separate but unequal health care.¹ Racism resulted in hospitals refusing to desegregate despite the passage of the Civil Rights Act in 1964 until they were...
Puerto Rico is a US territory and a popular destination for Latino immigrants in the Caribbean. Even with few language and cultural barriers, however, many Latino immigrants in Puerto Rico are uninsured. Using data from the 2014-19 Puerto Rico Community Survey, we examined inequities in health insurance coverage for non-Puerto Rican Latinos ages 18...
Objective:
The objective of this study was to examine changes in health care access and utilization for White, Asian, and Latino immigrants associated with the implementation of the Patient Protection and Affordable Care Act (ACA) in California.
Study design:
Using the 2011-2013 and 2015-2017 California Health Interview Survey, we examined chang...
The California Assembly Committee on Health requested that the California Health Benefits Review Program (CHBRP) conduct a limited analysis of Assembly Bill 1400 (Kalra) Guaranteed Health Care for All. AB 1400, introduced on February 14, 2021, would create the California Guaranteed Health Care for All program, or CalCare, to provide comprehensive u...
California Senate Bill 428 analyzed by CHBRP would require DMHC-and CDI-regulated plans and policies to provide coverage for adverse childhood experiences (ACEs) screenings.
The version of California Assembly Bill (AB) 32 analyzed by CHBRP would require coverage and reimbursement at parity with the equivalent in-person service for synchronous telehealth, including live video and telephone (audio-only) visits.
The version of California Assembly Bill (AB) 114 analyzed by CHBRP would expand the Medi-Cal schedule of benefits to include rapid whole genome sequencing (rWGS), including individual sequencing, trio sequencing for a parent or parents and their baby, and ultra-rapid sequencing, for any Medi-Cal beneficiary who is 1 year of age or younger receiving...
Purpose:
The aim was to examine differences in health care access at the intersections of urbanicity and sexual identity in California.
Methods:
We used the 2014-2017 Adult California Health Interview Survey paired with the sexual orientation special use research file to create dummy groups representing each dimension of urbanicity and sexual iden...
Objectives. To measure changes in the contraceptive methods used by Title X clients after implementation of Delaware Contraceptive Access Now, a public–private initiative that aims to increase access to contraceptives, particularly long-acting reversible contraceptives (LARCs).
Methods. Using administrative data from the 2008–2017 Family Planning A...
The version of California Assembly Bill (AB) 2258 analyzed by CHBRP would establish a three-year pilot program in Medi-Cal for coverage of doula care across 14 specified counties.
The version of California Senate Bill 855 analyzed by CHBRP would expand the mental health and substance use disorders (MH/SUD) required to be covered by plans and policies at parity, define medical necessity, and place additional requirements on plans and policies.
Immigrants living in the United States experience disparities in satisfaction with medical care. Practicing patient-centered communication and providing racially (or race-concordant) concordant care are suggested as effective approaches to improve care satisfaction. Using the Medical Expenditure Panel Survey, we found that immigrant patients with m...
Objective:
We examined changes in insurance coverage and health care utilization associated with the Affordable Care Act (ACA) among subgroups of Asian youth relative to non-Latino white youth.
Methods:
Data were from the 2010-2017 American Community Survey and National Health Interview Survey. Difference-in-difference models were used to examin...
Using a nationally representative sample from the 2013 to 2016 Medical Expenditure Panel Survey, we examined differences among non-Latino Whites and Asian subgroups (Asian Indians, Chinese, Filipinos, and other Asians) across distributions of total health care expenditures and out-of-pocket (OOP) expenditures. For total health care expenditures, di...
Objectives:
We examined changes in health care access and utilization associated with the Patient Protection and Affordable Care Act (ACA) for different Asian American subgroups relative to non-Latino whites (whites).
Research design:
Using 2003-2017 California Health Interview Survey data, we examined changes in 4 health care access measures an...
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of proposed health insurance coverage of telehealth services.
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for California Assembly Bill 744
Telehealth
With increased negative impacts from opioid and other substance use disorders in the US, it is important for treatments to not only be effective, but also accessible to patients. Treatment delivery via telemedicine, specifically, the use of videoconferencing, which allows real time communication between a patient and a clinician at a distant site,...
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for medications for substance use disorder.
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for California Senate Bill 11 Mental Health Parity and Substance Use Medications
The aim of this study was to examine disparities in provider-related barriers to health care by race and ethnicity of children in California after the implementation of the Affordable Care Act (ACA). California Health Interview Survey child (0-11 years) survey data from 2014 to 2016 were used to conduct multivariable logistic regressions to estimat...
Policy makers and practitioners show a continued interest in
telehealth’s potential to increase efficiency and reach patients facing access barriers. However, telehealth encompasses many applications for varied conditions and populations. It is therefore
difficult to draw broad conclusions about telehealth’s efficacy. This rapid review examines re...
Objective
To compare the impact of implementing team-based diabetes care management involving community health workers (CHWs) vs. medical assistants (MA) in community health centers (CHCs) on diabetes care processes, intermediate outcomes, and patients’ experiences of chronic care.
Data sources
Clinical and administrative data (n = 6111) and patie...
Background
Little is known regarding the characteristics of hospitals that violate the Emergency Medical Treatment and Labor Act (EMTALA). This study addresses this gap by examining EMTALA settlements from violating hospitals and places these descriptive results within the current debate surrounding the Patient Protection and Affordable Care Act (A...
OBJECTIVE: Latino youth experience worse access to and utilization of health care compared with non-Latino "white" youth, with inequities persisting following the implementation of the Affordable Care Act (ACA). To better understand these disparities, we examine changes in youth's access and utilization associated with the ACA for different Latino...
Background: This paper provides statewide estimates on health care access and utilization patterns and physical and behavioral health by citizenship and documentation status among Latinos in California.
Methods: This study used data from the 2011–2015 California Health Interview Survey to examine health care access and utilization and physical and...
Objective:
To examine insurance-based disparities in provider-related barriers to care among children in California in the wake of changes to the insurance market resulting from the Affordable Care Act.
Methods:
Our sample included 6,514 children (ages 0-11 years) from the 2014-2016 California Health Interview Survey. We examined parent reports...
We use data from the 2011-2016 National Health Interview Survey to examine how the Patient Protection and Affordable Care Act (ACA) has influenced disparities in health care–related financial strain, access to care, and utilization of services by categories of the Federal Poverty Level (FPL). We use multivariable regression analyses to determine th...
Analysis of the medical effectiveness, cost and utilization, and public health impacts of mandated insurance coverage of medication-assisted treatment for opioid use disorder.
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Comprehensive Medication Management
Non-partisan literature review of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Medi-Cal: Telehealth and Substance Use Disorder Services
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Advanced Practice Pharmacistberkele
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for California Senate Bill 1285
Advanced Practice Pharmacist.
Non-partisan literature review of the medical effectiveness of dense breast notification legislation
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Dentistry: General Anesthesia
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Medication-Assisted Treatment
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Prescription Drugs
The New York Delivery System Reform Incentive Payment (DSRIP) waiver was viewed as a prototype for Medicaid and safety net redesign waivers in the Affordable Care Act (ACA) era. After the insurance expansions of the ACAwere implemented, it was apparent that accountability, value, and quality improvement would be priorities in futurewaivers inmany s...
Background:
Millions of adults have gained insurance through the Affordable Care Act (ACA). However, disparities in access to care persist.
Objective:
This study examined differences in access to primary and specialty care among patients insured by private individual market insurance plans (both on-exchange and off-exchange) and Medicaid compare...
Behavioral and mental health risk factors are prevalent among primary care patients and contribute substantially to premature morbidity and mortality and increased health care utilization and costs. Although prior studies have found most adults screen positive for multiple risk factors, limited research has attempted to identify factors that most c...
Objectives: Mexican-heritage Latinos have lower prevalence of hypertension, but have worse patterns of treatment and control compared with non-Latino whites. This study examined the impact of the Affordable Care Act (ACA) insurance expansion on reducing disparities in treatment and medication use among Mexican-heritage Latinos with hypertension.
R...
Objective:
To examine whether there have been changes in insurance coverage and health care utilization for youth before and after the national implementation of the Patient Protection and Affordable Care Act (ACA) and to assess whether racial and ethnic inequities have improved.
Methods:
Data are from 64,565 youth (ages 0-17) participants in th...
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of proposed health insurance coverage of continuous glucose monitors.
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of proposed health insurance benefit coverage for telehealth services in California.
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Drug Utilization Management Exceptions
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Pervasive Developmental Disorder or Autism
The version of California Assembly Bill (AB) 1107 analyzed by CHBRP would require a health plan or insurer that develops and implements a clinical pathway for cancer treatment, as defined, to comply with certain requirements. In addition, the bill would prohibit a plan/insurer from developing and implementing an oncology clinical pathway (OCP) that...
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Pervasive Developmental Disorder or Autism
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Fertility Preservation
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Fertility Preservation
Non-partisan analysis of the medical effectiveness, cost and utilization, and public health impacts of insurance coverage for Fertility Preservation
