Among the ways school districts can obtain the best possible health benefits at the lowest possible cost are the following: (1) reduce the number of full-time employees; (2) set up a utilization review committee; (3) enlist a preferred provider organization; (4) offer wellness programs; (5) develop a self-insurance plan; and (6) consider a…

A study examined the economic relationship between growth in dentistry and supply/demand factors. Output, or real per capita dental expenditures, is seen as a function of consumer income, dental insurance, and dentist supply. Analysis indicates a significant relationship between dental sector growth and economic market factors, including growth in…

Consumer choice of health provider plan and preference for a personal physician were studied for 1,438 elderly adults using a joint logit model (JL) and a nested logit model. Choice criteria used by senior citizens, and reasons the nested choice model explains choice behavior better than the JL are examined. (SLD)

Reports a study that examined the attitudes of Georgia citizens and legislators toward funding for specific health care services and national health insurance. Legislators were less in favor of national health insurance than were citizens. Both groups set a high priority on providing a wide range of health care services to everyone. (SM)

In 1998, the Making the Grade National Program Office and the National Assembly on School-Based Health Care sponsored a workshop on the relationship between the State Child Health Insurance Program (SCHIP) and school-based health centers. This paper presents information from the workshop and uses experiences from Colorado and Connecticut as case…

Reviews what is known about the effect of managed care on access to health services, as well as utilization of hospital care, emergency department visits, primary care services, and specialty pediatric services. The effect of managed care appears dependent on several factors and, thus, is likely to vary according to the population served. (SLD)

Determines the extent to which people with and without health care insurance use public health care facilities and various health care services. Analyzes 6,298 patients from 4 county-funded primary health care clinics. Patients were overwhelmingly poor regardless of insurance status. High cost-sharing requirements, coupled with larger families and…

Evaluated a school-based program designed to immunize adolescents in Kansas City, Missouri, schools against hepatitis B. Approximately 75 percent of 12,986 participating students completed the vaccine series. Larger schools reported decreased participation and completion rates. Both rates were highest in schools providing educational intervention.…

Purpose: Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings. Design and Methods: An expert panel established the dementia status of a stratified random sample of newly admitted residents in 59 Maryland nursing homes between 1992 and 1995. Medicare expenditures…

Because of the vast improvements in adolescent substance use assessment, it is widely recognized that adolescent substance use disorders (SUD) encompasses diverse drugs, patterns and etiologies and are characterized by extensive heterogeneity in other life domains. The next step in advancing adolescent SUD assessment is to classify adolescents…

The Health Insurance Portability and Accountability Act (HIPAA) of 1996 (PL. 104-191) is a multitiered, comprehensive, convoluted, and controversial federal law for sweeping health care reform. Although HIPAA is dramatically broader in scope than privacy protections for health care information, a provision for privacy in the form of a Privacy Rule…

According to the U.S. Census Bureau, about 45 million Americans do not have health insurance. What's surprising is the majority of those individuals are actually employed. Part-time workers make up a full 15 percent of the uninsured population and school systems have a share of that group. Every day in the United States, approximately 10 percent…

This article describes how the rising cost of health insurance is being picked as the top budget concern of school businesses. These data were the result of a survey conducted by the Association of School Business Officials International. Schools report that the cost of insuring employees is outpacing increases in state and local budgets that…

The mission of the Cornell StatsRRTC is to bridge the divide between the sources of disability data and the users of disability statistics. One product of this effort is a set of "User Guides" to national survey data that collect information on the disability population. The purpose of each of the "User Guides" is to provide…

Funding public education represents a massive state and local effort. Spending on education is second only to Medicaid in terms of the overall state budget and it consumes the largest share of local tax revenues. Between state and local taxes, Massachusetts taxpayers spent nearly $11 billion to operate the Commonwealth's PK-12 education system in…