Petra W. Rasmussen

Paying in the dark: third-party administrator fees and the limits of employer cost control in self-insured health plans

Christine Buttorff, Petra W. Rasmussen, Mallika Bhandarkar, Mekdes Shiferaw et autres

Introduction: Employers are one of the largest purchasers of health care in the United States, covering more than 165 million people, yet they face persistent difficulty controlling costs. Most enrollees are in self-insured plans, which rely on third-party administrators (TPAs) to build …

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The impact of Medicaid expansion on coverage among those lacking housing basics, 2010-2019

Chengcheng Zhang, Deborah Freund, Gerald F. Kominski, Petra W. Rasmussen

Introduction: Housing is a critical social determinant of health, and individuals living in substandard housing often face greater healthcare needs and financial burdens. Expanding health insurance is therefore especially important for this population. However, little is known about whether the Affordable Care …

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Understanding California's Safety Net: Identifying the Health Care Providers Delivering Primary Care to Medi-Cal Enrollees

Petra W. Rasmussen, Aaron Kofner, Cheryl L. Damberg

Nearly 14.5 million individuals are enrolled in California's Medicaid program, better known as "Medi-Cal." Medi-Cal enrollees receive their primary care from both Federally Qualified Health Centers (FQHCs) and non-FQHC clinics and providers. However, not much is known about the extent to which …

Cost-effectiveness of approaches to cervical cancer screening in Malawi: comparison of frequencies, lesion treatment techniques, and risk-stratified approaches

Petra W. Rasmussen, Risa M. Hoffman, Sam Phiri, Amos Makwaya et autres

BACKGROUND: Recently-updated global guidelines for cervical cancer screening incorporated new technologies-most significantly, the inclusion of HPV DNA detection as a primary screening test-but leave many implementation decisions at countries' discretion. We sought to develop recommendations for Malawi as a test case since …

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Abstract P115: Cost-related Medication Non-adherence Among Non-elderly Hypertensive Adults In The United States.

Anu Aryal, Petra W. Rasmussen, Corrina Moucheraud

Background: In the US, approximately 20% of prescriptions are never filled, and 50% of filled prescriptions are non-compliant with provider’s recommendations. The affordability of prescribed medicines could be a barrier for hypertensive patients leading to cost-related medication non-adherence (CRN). Methods: We used …

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Alternative Payment Models for California's Workers' Compensation System: A Review of Issues and Possible Next Steps

Denise D. Quigley, Petra W. Rasmussen, Nabeel Qureshi, Michael Dworsky et autres

The authors consider possible alternative payment models for use in the California workers' compensation (WC) system, including discussion of the unique constraints and factors embedded within the California WC environment. They recommend that California use a two-stage process to develop a pilot …

Exploring Alternative Health Care Payment Models for California’s Workers’ Compensation System: Alternatives, Recommendations, and Next Steps

Denise D. Quigley, Petra W. Rasmussen, Nabeel Qureshi, Michael Dworsky et autres

Researchers considered possible alternative payment models for use in the California workers’ compensation (WC) system, including discussion of the unique constraints and factors embedded within the California WC environment.

Understanding the Landscape of Public Funding for Organizations Serving Transition-Age Foster Youth

Petra W. Rasmussen, Sara G. McCleskey, Jamie Ryan, Emma Bianculli et autres

Youth in foster care face significant challenges as they transition to adulthood, and many depend on services provided by nongovernmental organizations. These organizations rely on a mix of private and public funding for their work, and public funding streams are varied, complex, …

The Importance of Getting the Affordable Part of the Affordable Care Act Right

Petra W. Rasmussen

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How Has Access to Care for Medi-Cal Enrollees Fared Relative to Employer-Sponsored Insurance 4 Years After the Affordable Care Act Expansion?

Susan H. Babey, Ninez A. Ponce, Tara Becker, Petra W. Rasmussen et autres

BACKGROUND: The number of Californians covered by Medi-Cal increased more than 50% between 2013 and 2018, largely due to expansion under the Affordable Care Act (ACA). This rapid expansion of Medicaid rolls prompted concerns that Medi-Cal enrollees would face greater difficulty accessing …

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The Promise and Challenges of VA Community Care: Veterans' Issues in Focus

Petra W. Rasmussen, Carrie M. Farmer

Despite an overall decline in the U.S. veteran population, the number of veterans using VA health care has increased. To deliver timely care to as many eligible veterans as possible, VA supplements the care delivered by VA providers with private-sector community care, …

The Rise in Health Care Coverage and Affordability Since Health Reform Took Effect

Sara R. Collins, Petra W. Rasmussen, Michelle M. Doty, Sophie Beutel

New results from the Commonwealth Fund Biennial Health Insurance Survey, 2014, indicate that the Affordable Care Act's subsidized insurance options and consumer protections reduced the number of uninsured working-age adults from an estimated 37 million people, or 20 percent of the population, …