Proposals to address the needs of uninsured Californians take one of two broadly different emphases: assuring that the uninsured have access to health services by expanding community health centers and clinics; or by extending health insurance coverage to those without it. This policy brief examines literature on the effect of expanding access to safety net health services versus extending heal...

In the 1990s states were particularly active in efforts to improve perceived inefficiencies in their non-group health insurance markets. Among the reforms that were implemented the strongest measure, which was adopted by several states, was community rating. Our goal is to identify the impact of community rating in state non-group insurance markets on 1) the decision to purchase non-group insur...

The Sikh American Families Oral Health Promotion Program used a community-based participatory approach to develop, implement, evaluate, and disseminate a culturally tailored oral health/healthy living curriculum for the Sikh-South Asian community. Here, we examine the impact of community engagement throughout the process of program implementation in five Gurdwaras (places of worship) in New Yor...

BACKGROUND Little is known about the association between cardiovascular (CV) health and health insurance status. We hypothesized that U.S. adults without health insurance coverage would have a lower likelihood of ideal cardiovascular health. METHODS AND RESULTS Using National Health and Nutrition Examination Survey (NHANES) data from 2007-2010, we examined the relationship between health insu...

in 2010, the united states adopted its first-ever comprehensive set of health system reforms in the affordable care act (aca). implementation of the law, though politically contentious and controversial, has now reached a stage where reversal of most elements of the law is no longer feasible. the controversial portions of the law that expand affordable health insurance coverage to most u.s. cit...

payment mechanism health insurance is a serious challenge for policy makers, access to health, continuing care, need to technology, huge expenses a considerable part of health funds is collected. therefore organizing and designing appropriate policies for organizing, financing, payment mechanism for providers and role of diagnostic related groups system. in this study, our main objective study ...