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  1. Book ; Online: Investment in Social Marketing Campaign to Reduce Stigma and Discrimination Associated with Mental Illness Yields Positive Economic Benefits to California

    Ashwood, J. Scott / Briscombe, Brian / Collins, Rebecca L / Wong, Eunice C / Eberhart, Nicole K

    2016  

    Keywords History of the Americas ; Psychological methodology ; Psychology ; History
    Language English
    Size 1 Online-Ressource
    Publisher RAND Corporation
    Document type Book ; Online
    Note English
    HBZ-ID HT030611820
    ISBN 9780833095312 ; 0833095315
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Book ; Online: Analysis of the Benefits and Costs of CalMHSA's Investment in Applied Suicide Intervention Skills Training (ASIST)

    Ashwood, J. Scott / Briscombe, Brian / Ramchand, Rajeev / May, Elizabeth / Burnam, M. Audrey

    2015  

    Keywords History of the Americas ; Psychology ; History
    Language English
    Size 1 Online-Ressource
    Publisher RAND Corporation
    Document type Book ; Online
    Note English
    HBZ-ID HT030610533
    ISBN 9780833091260 ; 0833091263
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  3. Article: Identifying Strategies for Strengthening the Health Care Workforce in the Commonwealth of Virginia.

    Andrew, Megan / Briscombe, Brian / Vardavas, Raffaele / Wolters, Nazia / Qureshi, Nabeel / Nham, Wilson / Abir, Mahshid

    Rand health quarterly

    2024  Volume 11, Issue 2, Page(s) 1

    Abstract: Like the United States as a whole, Virginia faces a significant shortage of health care workers in nursing, primary care, and behavioral health. If current trends persist, these shortages will increase across Virginia. The authors of this study identify ... ...

    Abstract Like the United States as a whole, Virginia faces a significant shortage of health care workers in nursing, primary care, and behavioral health. If current trends persist, these shortages will increase across Virginia. The authors of this study identify interventions that can help the Virginia Health Workforce Development Authority (VHWDA) address these health care workforce shortages. To accomplish this goal, they applied an analytic framework to existing or potential interventions for retaining, recruiting, and improving the structural efficiency of the nursing, primary care, and behavioral health workforces in Virginia. In this study, they highlight which interventions VHWDA should prioritize based on its desired outcomes and policy goals.
    Language English
    Publishing date 2024-03-04
    Publishing country United States
    Document type Journal Article
    ISSN 2162-8254
    ISSN 2162-8254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book ; Online: Payoffs for California College Students and Taxpayers from Investing in Student Mental Health

    Ashwood, J. Scott / Stein, Bradley D / Briscombe, Brian / Sontag-Padilla, Lisa M / Woodbridge, Michelle W

    2015  

    Keywords Accounting ; Organization & management of education ; History of the Americas ; Psychology ; History ; Education ; Finance
    Language English
    Size 1 Online-Ressource
    Publisher RAND Corporation
    Document type Book ; Online
    Note English
    HBZ-ID HT030612149
    ISBN 9780833094001 ; 0833094009
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  5. Article: Prices Paid to Hospitals by Private Health Plans: Findings from Round 4 of an Employer-Led Transparency Initiative.

    Whaley, Christopher M / Briscombe, Brian / Kerber, Rose / O'Neill, Brenna / Kofner, Aaron

    Rand health quarterly

    2022  Volume 10, Issue 1, Page(s) 5

    Abstract: Because employer-sponsored spending comes from employee wages and benefits, employers have a fiduciary responsibility to administer benefits in the interest of participants. The lack of transparency of prices in the health care market limits the ability ... ...

    Abstract Because employer-sponsored spending comes from employee wages and benefits, employers have a fiduciary responsibility to administer benefits in the interest of participants. The lack of transparency of prices in the health care market limits the ability of employers to knowledgeably develop or implement benefit design decisions. This study uses medical claims data from a large population of privately insured individuals, including hospitals and other facilities from across the United States, and allows an easy comparison of hospital prices using a single metric. An important innovation of this study is that our data use agreements allow reporting on prices paid to hospitals and hospital systems (hospitals under joint ownership) identified by name.
    Language English
    Publishing date 2022-11-14
    Publishing country United States
    Document type Journal Article
    ISSN 2162-8254
    ISSN 2162-8254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Association Between COVID-19 Relief Funds and Hospital Characteristics in the US.

    Cantor, Jonathan / Qureshi, Nabeel / Briscombe, Brian / Chapman, Justin / Whaley, Christopher M

    JAMA health forum

    2021  Volume 2, Issue 10, Page(s) e213325

    Abstract: Importance: In response to financial stress created by the reduction in care during the COVID-19 pandemic, hospitals received financial assistance through the Coronavirus Aid, Relief, and Economic Security (CARES) Act program. To date, the allocation of ...

    Abstract Importance: In response to financial stress created by the reduction in care during the COVID-19 pandemic, hospitals received financial assistance through the Coronavirus Aid, Relief, and Economic Security (CARES) Act program. To date, the allocation of CARES Act funding is not well understood.
    Objective: To examine the disbursement of the High-Impact Distribution CARES Act funds and the association between financial assistance and hospital-level financial resources prior to the COVID-19 pandemic.
    Design setting and participants: This cross-sectional analysis of US-based hospitals and health systems assesses the hospital characteristics associated with CARES Act funding with linear regression models using linked hospital and health system-level information on CARES Act funding with hospital characteristics from Hospital Cost Report data.
    Exposures: Hospital and health system CARES Act financial assistance.
    Main outcomes and measures: Hospital and health system affiliation, status, and financial health prior to the COVID-19 pandemic. Data analysis took place from December 2020 through June 2021.
    Results: The analysis included 952 hospital-level entities with an average payment of $33.6 million, most of which was received during the first payment round. Wide ranges existed in CARES Act funding, with 24% of matched hospitals receiving less than $5 million in funding and 8% receiving more than $50 million. Academic-affiliated hospitals, hospitals with higher pre-COVID-19 assets and hospitals with higher COVID-19 cases received higher levels of funding, while critical access hospitals received lower levels of financial assistance. A 10% increase in hospital assets, endowment size, and COVID-19 cases was associated with 1.4% (95% CI, 0.8% to 2.0%;
    Conclusions and relevance: In this cross-sectional study of US hospitals and health systems, findings suggest that High-Impact Distribution CARES Act funds may have disproportionately gone to hospitals that were in a stronger financial situation prior to the pandemic compared with those that were not, but funds also went disproportionately to those that eventually had the most cases.
    MeSH term(s) COVID-19/epidemiology ; Cross-Sectional Studies ; Financial Management ; Hospitals ; Humans ; Pandemics
    Language English
    Publishing date 2021-10-22
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2689-0186
    ISSN (online) 2689-0186
    DOI 10.1001/jamahealthforum.2021.3325
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Implementation and 12-Month Health Service Utilization and Cost Outcomes from a Managed Care Health Plan's Permanent Supportive Housing Program.

    Hunter, Sarah B / Scherling, Adam / McBain, Ryan K / Cefalu, Matthew / Briscombe, Brian / Mcconnell, William / Batra, Priya

    Rand health quarterly

    2022  Volume 9, Issue 4, Page(s) 8

    Abstract: Homelessness, which refers to the lack of a fixed, regular, and adequate nighttime residence, is a pervasive public health issue. This article presents results from an implementation and outcome study of an ongoing permanent supportive housing (PSH) ... ...

    Abstract Homelessness, which refers to the lack of a fixed, regular, and adequate nighttime residence, is a pervasive public health issue. This article presents results from an implementation and outcome study of an ongoing permanent supportive housing (PSH) program-including service utilization and associated costs review-operated by a large not-for-profit Medicaid and Medicare managed care plan serving more than 1 million members in the Inland Empire area of Southern California. This PSH program combines a long-term housing subsidy with intensive case management services for adult plan members experiencing homelessness who have one or more chronic physical or behavioral health conditions and represent high utilizers of inpatient health care. The aim of this research was to determine whether programmatic costs incurred by the health plan supporting the PSH program were partially or fully offset by decreased costs attributable to health care utilization within the health system. The evaluation used a quasi-experimental research design with an observational control group. The authors differentiated the program's effect during the transitional period-that is, after program enrollment and prior to housing placement-from its effect during the period after members were housed. In addition, the authors present participant flow through the key program milestones (e.g., referral, enrollment, housing placement, program exit) and describe health care utilization and associated costs for members who exited the program. Finally, they report the PSH programmatic expenditures relative to the changes in health care costs to provide an overall picture of the intervention's benefits and costs to the health plan.
    Language English
    Publishing date 2022-08-31
    Publishing country United States
    Document type Journal Article
    ISSN 2162-8254
    ISSN 2162-8254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Estimating the Costs of Implementing Comprehensive Primary Care: A Narrative Review.

    Martsolf, Grant R / Kandrack, Ryan / Friedberg, Mark W / Briscombe, Brian / Hussey, Peter S / LaBonte, Christiane

    Health services research and managerial epidemiology

    2019  Volume 6, Page(s) 2333392819842484

    Abstract: The performance of the any health-care system relies on a high-functioning primary care system. Increasing primary care practices' adoption of "comprehensive primary care" capabilities might yield meaningful improvements in the quality and efficiency of ... ...

    Abstract The performance of the any health-care system relies on a high-functioning primary care system. Increasing primary care practices' adoption of "comprehensive primary care" capabilities might yield meaningful improvements in the quality and efficiency of primary care. However, many comprehensive primary care capabilities, such as care management and coordination, are not compensated via traditional fee-for-service payment. To calculate new payments for these capabilities, policymakers would need estimates of the costs that practices incur when adopting, maintaining, and using the capabilities. We performed a narrative review of the existing literature on the costs of adopting and implementing comprehensive primary care capabilities. These studies have found that practices incur significant costs when adopting and implementing comprehensive primary care capabilities. However, the studies had significant limitations that prevent extensive use of their estimates for payment policy. Particularly, the strongest studies focused on a small numbers of practices in specific geographic areas and the concepts and methods used to assess costs varied greatly across the studies. Furthermore, none of the studies in our review attempted to estimate differences in costs across practices with patients at varying levels of complexity and illness burden which is important for risk-adjusting payments to practices. Therefore, due to the heterogeneous designs and limited generalizability of published studies highlight the need for additional research, especially if payers wish to link their financial support for comprehensive primary care capabilities to the costs of these capabilities for primary care practices.
    Language English
    Publishing date 2019-04-30
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2805732-6
    ISSN 2333-3928 ; 2333-3928
    ISSN (online) 2333-3928
    ISSN 2333-3928
    DOI 10.1177/2333392819842484
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Practice Expenses Associated with Comprehensive Primary Care Capabilities.

    Friedberg, Mark W / Martsolf, Grant R / Tomoaia-Cotisel, Andrada / Mendel, Peter / McBain, Ryan K / Raaen, Laura / Kandrack, Ryan / Qureshi, Nabeel Shariq / Etchegaray, Jason Michel / Briscombe, Brian / Hussey, Peter S

    Rand health quarterly

    2020  Volume 9, Issue 1, Page(s) 2

    Abstract: Through the Comprehensive Primary Care (CPC) and Comprehensive Primary Care Plus (CPC+) programs, the Centers for Medicare & Medicaid Services (CMS) has encouraged primary care practices to invest in "comprehensive primary care" capabilities. Empirical ... ...

    Abstract Through the Comprehensive Primary Care (CPC) and Comprehensive Primary Care Plus (CPC+) programs, the Centers for Medicare & Medicaid Services (CMS) has encouraged primary care practices to invest in "comprehensive primary care" capabilities. Empirical evidence suggests these capabilities are under-reimbursed or not reimbursed under prevailing fee-for-service payment models. To help CMS design alternative payment models (APMs) that reimburse the costs of these capabilities, the authors developed a method for estimating related practice expenses. Fifty practices, sampled for diversity across CPC+ participation status, geographic region, rural status, size, and parent-organization affiliation, completed the study. Researchers developed a mixed-methods strategy, beginning with interviews of practice leaders to identify their capabilities and the types of costs incurred. This was followed by researcher-assisted completion of a workbook tailored to each practice, which gathered related labor and nonlabor costs. In a final interview, practice leaders reviewed cost estimates and made any needed corrections before approval. A main goal was to address a persistent question faced by CMS: When practices reported widely divergent costs for a given capability, was that divergence due to practices having different prices for the same capability or from their having substantially different capabilities? The cost estimation method developed in this project collected detailed data on practice capabilities and their costs. However, the small sample did not allow quantitative estimation of the contributions of service level and pricing to the variation in overall costs. This cost estimation method, deployed on a larger scale, could generate robust data to inform new payment models aimed at incentivizing and sustaining comprehensive primary care.
    Language English
    Publishing date 2020-06-15
    Publishing country United States
    Document type Journal Article
    ISSN 2162-8254
    ISSN 2162-8254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Analysis of the Benefits and Costs of CalMHSA's Investment in Applied Suicide Intervention Skills Training (ASIST).

    Ashwood, J Scott / Briscombe, Brian / Ramchand, Rajeev / May, Elizabeth / Burnam, M Audrey

    Rand health quarterly

    2015  Volume 5, Issue 2, Page(s) 9

    Abstract: Estimates the possible reductions in suicide attempts resulting from investment in ASIST and estimates the financial return to Californians from reduced medical costs associated with suicide attempts and increased earnings from each life saved. ...

    Abstract Estimates the possible reductions in suicide attempts resulting from investment in ASIST and estimates the financial return to Californians from reduced medical costs associated with suicide attempts and increased earnings from each life saved.
    Language English
    Publishing date 2015-11-30
    Publishing country United States
    Document type Journal Article
    ISSN 2162-8254
    ISSN 2162-8254
    Database MEDical Literature Analysis and Retrieval System OnLINE

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