Vulnerable Populations

Disparities in health and health care access, can be analyzed along lines of race, ethnicity, gender, sexual orientation, socio-economic status, disability and geography. The Affordable Care Act (ACA) has the potential to impact some measures of health equity and outcomes and ease the integration into the health care system of historically marginalized groups. However, it specifically excludes undocumented immigrants which means that uninsurance rates remain high for this group.  

Vulnerable Populations

Disparities in health and health care access, can be analyzed along lines of race, ethnicity, gender, sexual orientation, socio-economic status, disability and geography. The Affordable Care Act (ACA) has the potential to impact some measures of health equity and outcomes and ease the integration into the health care system of historically marginalized groups. However, it specifically excludes undocumented immigrants which means that uninsurance rates remain high for this group.  

What We Know

Medicaid access to care – Research on impact of pay bump; importance of  rural health clinics and Federally-Qualified Health Centers; appointment availability on traditional vs. premium assistance plans.

ACOs and health care disparitiesStudy shows lower physician participation in low SES areas

Public insurance programs for children – Research on how  Medicaid and CHIP compare to commercial insurance; challenges for pediatric Medicaid ACOs

Minority health - Analysis of the ACA's potential impact; ‘leaky pipeline’ for minorities in health professions

HIV diagnosis and care – Analysis of whether setting matters for health outcomes

Location matters - Neighborhood effects on outcomes; neighborhood food accessgeographic barriers to care; interplay between geographic and digital ‘neighborhoods’

What We're Watching

Health disparities of chronic diseases  NIH announces new research program

Redefining vulnerability  Research shows rise in mortality of white middle-aged Americans and forces a policy rethink

Unintended consequences of bundled paymentsA warning on how they may exacerbate racial disparities

Readmission penalties – Do they unfairly penalize provider organizations for serving high-risk populations? Commentary on NAM report series

The remaining uninsured  Kaiser looks at eligibility for ACA coverage among the uninsured population

Research

Commentary

Vulnerable Populations

Disparities in health and health care access, can be analyzed along lines of race, ethnicity, gender, sexual orientation, socio-economic status, disability and geography. The Affordable Care Act (ACA) has the potential to impact some measures of health equity and outcomes and ease the integration into the health care system of historically marginalized groups. However, it specifically excludes undocumented immigrants which means that uninsurance rates remain high for this group.  

What We Know

Medicaid access to care – Research on impact of pay bump; importance of  rural health clinics and Federally-Qualified Health Centers; appointment availability on traditional vs. premium assistance plans.

ACOs and health care disparitiesStudy shows lower physician participation in low SES areas

Public insurance programs for children – Research on how  Medicaid and CHIP compare to commercial insurance; challenges for pediatric Medicaid ACOs

Minority health - Analysis of the ACA's potential impact; ‘leaky pipeline’ for minorities in health professions

HIV diagnosis and care – Analysis of whether setting matters for health outcomes

Location matters - Neighborhood effects on outcomes; neighborhood food accessgeographic barriers to care; interplay between geographic and digital ‘neighborhoods’

What We're Watching

Health disparities of chronic diseases  NIH announces new research program

Redefining vulnerability  Research shows rise in mortality of white middle-aged Americans and forces a policy rethink

Unintended consequences of bundled paymentsA warning on how they may exacerbate racial disparities

Readmission penalties – Do they unfairly penalize provider organizations for serving high-risk populations? Commentary on NAM report series

The remaining uninsured  Kaiser looks at eligibility for ACA coverage among the uninsured population