State governments, with federal subsidies under the Medicaid program, are the source of the largest share of expenditures to support patients in the long-term institutional nursing care. A major state policy tool that has been evolving is the authority to approve or deny expansions in bed...

This study provides (a) new estimates of U.S. hospital profitability by payer group, controlling for hospital characteristics, and (b) evidence about the intensity of care for particular diseases associated with the generosity of the patient's payer and other payers at the same hospital. The...

The long-distance travellers could be important to any cost-benefit assessment of policies to increase or improve local resources. This study examines the out-of-area hospital admission pattern for patients with Ambulatory Care Sensitive (ACS) conditions, also known as preventable conditions....

The study analyzes the hospitalization patterns of elderly residents to examine whether the relation between distant travel and severity of illness is uniform across racial|ethnic subgroups. A hypothesis is made that severity thresholds could be higher for minorities than whites. Hospital...

The Elementary and Secondary Education Act of 1965 introduced a program to provide financial assistance to school districts in relation to their numbers of low-income pupils. In the fiscal year 1977, this Title I program provided more than $2.2 billion of aid. There is now substantial debate in...

Abstract In 2012, the share of California’s Gross State Product consumed by healthcare was 15.4%, and approximately 50% of healthcare spending went to care for 5% of the population. To address such cost challenges as well as to improve quality of care and patient outcomes, a group of...

Abstract The ACA’s passage was followed by great uncertainty about how the healthcare landscape would transform. During this tumultuous period, a unique group of California’s private sector health systems, medical groups and health plans, alongside public sector leaders, came together to...