Background on the 1115 Waiver: The State of North Carolina is transitioning the Medicaid and NC Health Choice programs from fee-for-service models to managed care. The transition to managed care will be paired with initiatives to: (a) support and enhance the capabilities of Medicaid providers; (b) strengthen access to care for beneficiaries; and (c)… Read more »
North Carolina Medicaid Projects
The Sheps Center has a long partnership with Medicaid, including early evaluations of Community Care of North Carolina (CCNC), evaluations of the medical home, etc. We now hold data through the The Carolina Cost and Quality Initiative (CCQI) and have recently launched a partnership with the NC Division of Health Benefits to coordinate the Medicaid… Read more »
Research on Redesigning Graduate Medical Education to Better Meet Population Health Needs
This brief summarizes research conducted by the Program on Health Workforce Research and Policy on graduate medical education (GME). Originally prepared for the U.S. House of Representative Committee on Veterans’ Affairs, this summary will benefit policymakers and other stakeholders, such as HRSA, COGME, ACGME, and states interested in reforming Medicaid GME and evaluating the outcomes… Read more »
The Workforce Outcomes of Physicians Completing Residency Programs in North Carolina
North Carolina Session Law 2017-57, Section 11J.2, the Current Operations Appropriations Act of 2017, directed the North Carolina Department of Health and Human Services (DHHS) and The University of North Carolina (UNC) to assess the degree to which physician training programs in North Carolina meet the healthcare needs of North Carolina’s citizens. The Program on… Read more »
Workforce Outcomes of North Carolina Medical School Graduates: A Report to the Joint Legislative Oversight Committee on Health and Human Services and the Joint Legislative Education Oversight Committee
North Carolina Session Law 2017-57, Section 11J.2, the Current Operations Appropriations Act of 2017, directed the North Carolina Department of Health and Human Services (DHHS) and The University of North Carolina (UNC) to assess the degree to which physician training programs in North Carolina meet the healthcare needs of North Carolina’s citizens. The Program on… Read more »
The Physician Assistant Workforce In North Carolina and a Potential Physician Assistant Program at Winston-Salem State University
The 2017 State Appropriations Act directed the Board of Governors (BOG) of the University of North Carolina (UNC) to study the feasibility of establishing a physician assistant (PA) program at Winston-Salem State University (WSSU). The Program on Health Workforce Research and Policy conducted a study of PA supply and demand in North Carolina and the… Read more »
The Chiropractic Workforce In North Carolina and a Potential School of Chiropractic Medicine at Winston-Salem State University
The 2017 State Appropriations Act directed the Board of Governors (BOG) of the University of North Carolina (UNC) to study the feasibility of establishing a school of chiropractic medicine at Winston-Salem State University (WSSU). The Program on Health Workforce Research and Policy conducted a study of the supply and characteristics of chiropractors in North Carolina… Read more »
The Workforce Transformations Needed to Staff Value‐Based Models of Care
Erin Fraher, PhD, MPP; Rachel Machta, BS; Jacqueline Halladay, MD, MPH Research brief, November 2015 Key Findings: 1) Health care professionals are taking on new roles with medical assistants having one of the most rapidly evolving roles in new models of care. 2) New roles are emerging that focus on coordinating and managing patients’ care… Read more »
The State of the Physician Workforce in North Carolina: Overall Physician Supply Will Likely Be Sufficient but Is Maldistributed by Specialty and Geography
The number of physicians in North Carolina currently meets the needs of the population, but there are problems with geographic and specialty distribution. The match of supply to demand is likely to remain in rough balance due to the rapid increase in the number of new medical schools in the nation, the expansion of medical school classes in North Carolina, and a… Read more »
Tough choices: Autism, private health insurance and family out-of-pocket spending
Emerging patterns in our current work suggest that insurance choices of families raising children with autism are influenced by out-of-pocket expenditures without regard to the breadth and depth of services covered. This is troubling from a policy perspective since low deductible and co-payment plans are expensive and reduce resources thereby constraining use of uncovered services…. Read more »
Adequate Health Insurance for Children with Autism
Evidence and Implications for Defining Essential Benefits – Families raising children with autism contribute significant amounts out-of-pocket to the cost of care and that this pay-as-you-go strategy is associated with disparities in use for vulnerable families (Thomas, Williams et al, 2013; Parish, Thomas, Williams et al, 2013). As a result, in comparison to other children… Read more »
Pathways in Nursing Careers: Transitions from the Role of Licensed Practical Nurse to Registered Nurse in North Carolina (2014-15)
Investigators: Cheryl Jones, PhD, RN, FAAN; George Knafl, PhD; Mark Toles, PhD, RN; Anna Beeber, PhD, RN Background: In a reforming health care system, nursing personnel, including licensed practical nurses (LPNs) and registered nurses (RNs), are viewed as flexible health care workers because they are readily deployed in diverse health care settings, reduce workforce shortages,… Read more »
Understanding How the Diffusion of Physicians Creates Areas of Underservice (2014-15)
Investigators: Thomas Ricketts, PhD; Erin Fraher, PhD, MPP; Andy Knapton, MSc Background: States and the federal government devote substantial resources to influence physicians to practice in underserved areas. Like the general population, the physician workforce is mobile. About 20% of the active employed physician workforce will relocate to another county within a five-year period. Federal… Read more »
Philip Sloane, MD, MPH and Sheryl Zimmerman, PhD lead team to develop Alzheimer’s Medical Advisor website
Program on Aging, Disability, and Long-term Care co-directors Philip Sloane, MD, MPH and Sheryl Zimmerman, PhD are leading a multidisciplinary team to develop Alzheimer’s Medical Advisor,© a website that aims to help family caregivers of persons with dementia deal with new and worsening medical symptoms in their relatives. When people with Alzheimer’s disease or related… Read more »
Community Reentry of Persons with Severe Mental Illness Released from State Prison
Joseph P Morrissey, PhD, Co-Principal Investigator Gary Cuddeback, PhD, MSW, MPH, Co-Investigator Marisa Domino, PhD, Co-Investigator Subcontractors: Linda Frisman, PhD, Co-Principal Investigator; Director of Research, Connecticut Department of Mental Health & Addiction Services David Mancuso, PhD, Responsible Investigator, Senior Research Supervisor, Washington State Department of Social and Health Services, Research and Data Analysis Division Consultants:… Read more »
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