This study highlights how health insurance predicts the job performance of secondary school teachers in Cross River State, Nigeria. Using a descriptive survey design, data were collected from 190 public secondary school teachers and 72 principals, vice-principals across the three senatorial districts. Instruments employed were structured…

Hypertension remains one of the leading causes of morbidity and mortality worldwide, affecting more than 1.28 billion people. Refugees have almost twice the risk of cardiovascular disease compared to native populations and other immigrants due to uncontrolled hypertension. Evidence on aspects of structural oppression that impact hypertension…

People with intellectual and developmental disabilities (IDD) often have higher rates of comorbid mental health conditions compared to the general population. Yet, many people with IDD also have unmet needs for mental and behavioral health services. The aim of this study was to examine how states provided mental and behavior health, and crisis…

We evaluated the success of a best practice alert (BPA) in recruiting underrepresented families into an autism spectrum disorder research cohort by comparing BPA-response outcomes ("Interested," "Declined," "Enrolled," "Dismissed") in pediatric primary care practices (TCPs) serving diverse communities with…

School districts determine the types of health services and health professionals needed in schools, as well as how to deliver and pay for these services. This policy brief outlines four models for delivering school-based health services and explains who is responsible for billing Medicaid under each one. Understanding the different Medicaid…

The authors analyzed data from 5,528 American Counseling Association members to examine advocacy beliefs and behavior regarding Medicare reimbursement and advocacy for counselors. Nearly half (49.3%) of the respondents had participated in one or more forms of Medicare reimbursement advocacy. Advocacy participation differed significantly by…

The authors describe an asymmetric information demonstration that assigns students different probabilities of incurring healthcare expenses. In each round, students choose whether to purchase insurance; then, the instructor randomly determines who gets "sick." After computing insurer profits, students help determine a new insurance price…

This paper examines the incidence of the cost burden associated with expanding public health insurance to low-income adults in the context of the Affordable Care Act. Using data from the Medical Expenditures Panel Survey (MEPS), I exploit exogenous variation in Medicaid eligibility rules across states, income groups and time. I find that public…

Objective: The aim of this study was to assess health insurance acquisition awareness, knowledge, and associated emotions among college students preparing to enter the workforce. Methods: A 21-item survey was developed to gather data on knowledge, awareness, and emotions associated with health insurance acquisition conversations with future…

Racial disparities in infant health conditions have persisted for decades. However, there is surprisingly limited evidence regarding the long-term consequences of these disparities. Using novel linked administrative data from Texas and the shift to Medicaid Managed Care (MMC), I show that MMC-driven declines in infant health worsened cognitive and…

Background: Long-term care services are funded primarily by Medicaid long-term services and support in the United States, where eligibility is based on care needs of the individual with intellectual and developmental disability alone. Impact of Medicaid waiver services on self-reported caregiver needs is not well understood. Method: Caregivers (n…

Dealing with numbers is an inherent aspect of interpreting health statistics, and negative emotions may interfere with medical decision making. One emotionally charged decision-making context is parents making medical decisions for their children. Knowing which factors--such as anxiety specific to math contexts--are associated with parents'…

Purpose: Racial differences in prevalence rates of autism spectrum disorder (ASD) have shifted in the United States (US) since the 1990s. This review addresses the nature and context of this shift and discusses potential contributing factors and areas for future research. Methods: Seventeen population-based epidemiological birth cohort studies on…

Background: Australia's National Disability Insurance Scheme (NDIS) funds individualised supports to increase choice and control. The relationship between NDIS individualised funding, outcomes for wellbeing and exercising choice and control for people with intellectual disability has been unclear. Method: Adult NDIS participants with intellectual…

This article examines children's health coverage today and explores the ways and means to ensure its financial sustainability and the factors associated with it. As extensively argued, long term negative effects could be on health, education, and financial success as an adult. It also suggests that reductions in children's coverage could have…