Gerald F. Kominski

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Health impact assessment (HIA), a systematic assessment of potential health impacts of proposed public polices, programs, and projects, offers a means to advance population health by bringing public health research to bear on questions of public policy. The United States has been slow to adopt HIA, but considerable strides have been made in many other(More)
STUDY OBJECTIVE To estimate the relative health effects of the income and health insurance provisions of the Los Angeles City living wage ordinance. SETTING AND PARTICIPANTS About 10 000 employees of city contractors are subject to the Los Angeles City living wage ordinance, which establishes an annually adjusted minimum wage (7.99 US dollars per hour in(More)
Hospital length of stay (LOS) declined steadily during the 1970s, then rapidly during the early years of the Medicare prospective payment system (PPS). In this article, the authors examine trends in hospital LOS for Medicare patients from 1979 through 1987 for all cases combined, for medical and surgical cases separately, and for different geographic(More)
Medicare's prospective payment system (PPS) for hospital cases is based on diagnosis-related groups (DRGs). A wide variety of other third-party payers for hospital care have adapted elements of this system for their own use. The extent of DRG use varies considerably both by type of payer and by geographical area. Users include: 21 State Medicaid programs, 3(More)
BACKGROUND The Chinese government has provided health services to those infected by the human immunodeficiency virus (HIV) under the acquired immunodeficiency syndrome (AIDS) care policy since 2003. Detailed research on the actual expenditures and costs for providing care to patients with AIDS is needed for future financial planning of AIDS health care(More)
The 28-percent change in average Medicare inpatient cost per case between 1984 and 1987 is decomposed into three components: input price inflation, changes in average cost within diagnosis-related groups (DRGs) (intensity), and changes in the distribution of cases across DRGs (case mix). We estimate the contributions of technology diffusion and outpatient(More)
and conclusions contained within this report are the sole responsibility of the authors. Acknowledgments The authors would like to thank Allison Diamant and Erin Salce for their thoughtful reviews and insights. Additionally, the authors would like to thank Molly Battistelli, Magaly Chavez, and Natasha Purington for their hard work and support of the Low(More)
While the Affordable Care Act (ACA) is expected to reduce California's uninsurance rate by at least half, we project that between 2.7 and 3.4 million Californians will remain uninsured by 2019. Projections from the California Simulation of Insurance Markets (CalSIM) model indicate that up to half of Californians remaining uninsured will be undocumented(More)