Access & Equity

How health care resources are distributed across the population and how access and health outcomes vary across different groups. LDI Senior Fellows focus on how to achieve greater access for vulnerable populations and how to reduce disparities in health outcomes.

The Patient-Centered Transition Project for Dual Eligibles

Jan, 2012
Principal Investigator:
Shreya Kangovi, MD, MSHP

Abstract: Dually eligible individuals, who qualify for both Medicare and Medicaid, are among the poorest and most vulnerable patients in the American health care system (1). As a result, these patients are particularly vulnerable to socioeconomic factors which can impede the successful transition from hospital to ambulatory care (2). They are more likely than other patients to lack timely primary care provider (PCP) follow-up, to return to the ED following hospital discharge, and to be readmitted to the hospital (3, 4).

The Burden of Health Care Costs for Working Families

Jul. 20, 2009

Health care spending represents a growing share of our national income, and based on current projections, will increase from 16% of the gross domestic product today to 20% by 2018. What does this mean for typical working families with private health insurance, who shoulder the financial burden of maintaining the current system? In this Issue Brief, Polsky and Grande construct a typical health care budget for working families of various income levels, calculate the percentage of total compensation devoted to health care over time, and project how rising health care costs will affect standards of living in the future. 

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