Quarterly Department

Original Scholarship

Content Type:

  • Quarterly Article

    The Shadow Price of Uncertainty: Consequences of Unpredictable Insurance Coverage for Access, Care, and Financial Security

    April 2025 Mark Schlesinger Deepon Bhaumik

    Context: Health insurance reform in the United States has focused on expanding enrollment, a goal inhibited by complex insurance provisions. Research… More

  • Reported Strategies by Medicaid Managed Care Organizations to Improve Access to Behavioral Health Services

    Quarterly Article

    Reported Strategies by Medicaid Managed Care Organizations to Improve Access to Behavioral Health Services

    April 2025 Jane M. Zhu Ruth Rowland Inga Suneson Deborah J. Cohen K. John McConnell Daniel Polsky

    Behavioral health access gaps are well documented in Medicaid, in which managed care now covers most enrollees, and for which there are typically fewer options for going out-of-network for care. Despite the growing role of managed care organizations (MCOs) in financing and delivering behavioral health services, little is known about MCO levers that can improve access to care. More

  • Quarterly Article

    What Happened in Delaware Following a Statewide Contraceptive Initiative?

    April 2025 Constanza Hurtado-Acuna Michael S. Rendall

    Context: The 2015 to 2020 Delaware Contraceptive Access Now (DelCAN) initiative was motivated by Delaware’s having among the highest rates of… More

  • Quarterly Article

    Scaling an Evidence-Based Community Health Worker Program with Fidelity: Results and Lessons Learned

    April 2025 Molly Knowles Aditi Vasan Ziwei Pan Judith A. Long Shreya Kangovi

    Context: Community health worker (CHW) programs represent a key strategy for addressing social and structural drivers of health and have the… More

  • Quarterly Article

    Medicaid Expansion Among Nonelderly Adults and Cardiovascular Disease: Efficiency Vs. Equity

    April 2025 Luke E. Barry Sanjay Basu May Wang Roch A. Nianogo

    Context: Evidence suggests Medicaid expansion has improved cardiovascular disease (CVD) outcomes, especially among those of lower socioeconomic… More

  • Quarterly Article

    The Political Economy of the World Health Organization Model Lists of Essential Medicines

    February 2025 Kristina Jenei

    The World Health Organization (WHO) Model Lists of Essential Medicines (EML) aims to help countries select medicines based on the priority needs of their populations. However, rapid evolution within the pharmaceutical sector toward complex, high-priced medicines has challenged WHO decision making, leading to inconsistent decisions. The purpose of this paper is to investigate how political factors impact the WHO EML. More

  • Quarterly Article

    Naming and Framing: Six Principles for Embedding Health Equity Language in Policy Research, Writing, and Practice

    February 2025 Kamaria Kaalund Jay A. Pearson Andrea Thoumi

    Language specificity in research, advocacy, and writing is an important tool to ensure more equitable health policies. All health policy practitioners working at the intersection of health care, health policy, and health equity have a role in upholding ethical standards that promote the use of humanizing, inclusive, and antisupremacist language. More

  • Quarterly Article

    Innovative Insurance to Improve US Patient Access to Cell and Gene Therapy

    January 2025 Rena M. Conti Patrick DeMartino Jonathan Gruber Andrew W. Lo Yutong Sun Jackie Wu

    Cell and gene therapies (CGTs) offer treatment to rare and oftentimes deadly diseases. Because of their high price and uncertain clinical outcomes, US insurers commonly restrain patient access to CGTs, and these barriers may create or perpetuate existing disparities. A reconsideration of existing insurance policies to improve access and reduce disparities is currently underway. More

  • Quarterly Article

    How Are You Doing… Really? A Review of Whole Person Health Assessments

    January 2025 Stephanie B. Gold Allison Costello Maura Gissen Selin Odman Larry A. Green Kurt C. Stange Réna Swann Rebecca S. Etz

    To provide a foundation for assessing whole person health and support further instrument development, this review summarizes past work on assessing person-reported whole health, articulates conceptual domains encompassing whole health, and identifies lessons from existing instruments, including considerations for administration. More

  • Quarterly Article

    Mental Health Treatment Access: Experience, Hypotheticals, and Public Opinion

    January 2025 Jake Haselswerdt

    Mental health problems represent a major public health issue for the United States, and access to mental health treatment is both inadequate and unevenly distributed. There is a strong justification for government action on mental health treatment, but it is unclear whether there is a political constituency for such action. Existing work suggests that stigma and othering of people with mental illnesses contributes to reduced support for intervention. I expand on the existing literature by focusing on mental health as an issue that may apply to Americans’ own lives rather than only to a stigmatized outgroup. More