About The Journal
Subscribe to JHHSA
A Symposium on Rural Health and Health Policy
Policy and program solutions to rural health necessitate interdisciplinary and multi-pronged approach and proposals from a variety of fields and specializations are strongly encouraged. These may include those that focus on rural health, health disparities, public health, health care policy and administration, clinical health care practice, social work, and others. A 500-word proposal should be submitted via email to firstname.lastname@example.org by December 15, 2019.
Proposals should include information on the purpose or aim of the article, a discussion of the methods or approach used, and a discussion of the fit with the symposium topic. Please also include author name(s), affiliation(s), and full contact information. See the attached for full details.
Call for Papers: Symposium in honor of Dr. Felice D. Perlmutter
Dr. Felice D. Perlmutter was at the vanguard of that interdisciplinary conversation, and her contributions to our understanding of human services practice are both significant and impactful. The purpose of this symposium is to honor this outstanding work by publishing conceptual or empirical research that synthesizes, extends, or applies Dr. Perlmutter’s work. Please see the attached for full details.
2018 best paper
We are pleased to announce that Karen Pearson & George Shaler’s article "Community Paramedicine Pilot Programs: Lessons From Maine" has been recognized as JHHSA's Best Paper, 2018. Congratulations to Karen & George. We are pleased to make this available here - please see the attached file for their work.
Avoidable Emergency Department Visits: Differences between Texas and Washington Medicaid Enrollees
Author: BIDISHA MANDAL
Published in JHHSA, Vol. 42 No. 2
Administrative claims data from 2012 are used from Texas and Washington State to understand state differences in the likelihood of non-urgent emergency department utilization prior to the implementation of the Affordable Care Act. Texas is currently the largest state that has opted to not expand Medicaid. Washington State has expanded Medicaid, and it had more generous pre-expansion Medicaid income eligibility criterion compared to Texas. I find that emergency department use for non-urgent reasons was higher in Texas compared to the state of Washington in 2012. Additionally, in Texas, there was a disproportionately high demand for obstetric services that are typically provided in outpatient settings. Non-urgent emergency department demand was associated with disruption in Medicaid coverage in both states. In Texas, especially, Medicaid coverage disruption and rural area residency were associated with higher likelihood of emergency department use for emergent but primary care treatable reasons.
Keywords: Emergency department; Medicaid; Women’s health; Churning
Subscribers: Login to read this article
Guests: Subscribe to JHHSA, or purchase individual article access for $10.
The article is not available for automatic download. We will email the article to you as a PDF file upon receiving your payment, typically within 24 hours.