The enactment of the Patient Protection and Affordable Care Act (ACA) can be considered an important policy intervention in the context of the U.S. health care. The ACA supported non-elderly adults to obtain health insurance coverage. While Medicare provided health insurance to almost all elderly-adults (persons over 65), the ACA...
In August 2012, Oregon began enrolling Medicaid beneficiaries in coordinated care organizations (CCOs), a unique mandatory-enrollment accountable care organization (ACO) model with payment methods strongly tied to preventive care; care coordination; and integration of physical, mental and dental health care through patient-centered medical homes. This dissertation, consisting of two studies,...
In 2012, Oregon began it enrolling its Medicaid beneficiaries in an accountable care model called Coordinated Care Organizations (CCOs). As one of the of the earliest state-wide efforts to implement this type of healthcare reform among Medicaid enrollees, and thus one of the most mature, Oregon’s CCO implementation provided a...
Drug policies in the United States are rapidly changing at the state and national level paralleling a shift in drug culture from a societal perspective. This dissertation addresses current public health policy topics with a focus on three recent drug policies. As of 2015, medical cannabis is legal in 23...