Linda T. Bilheimer

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This study examines the effects of prenatal WIC participation and the use of prenatal care on Medicaid costs and birth outcomes in five states--Florida, Minnesota, North Carolina, South Carolina, and Texas. The study period is 1987 for Florida, Minnesota, North Carolina, and South Carolina and January-June 1988 for Texas. Prenatal WIC participation was(More)
OBJECTIVES This report examines trends in health status and risk factors, health care utilization, and health care expenditures among older men in the United States. METHODS The estimates in this report are based on data from the National Vital Statistics System, National Health Interview Survey, National Health and Nutrition Examination Survey, National(More)
OBJECTIVE To describe measurement challenges and strategies in identifying and analyzing health disparities and inequities. METHODS We discuss the limitations of existing data sources for measuring health disparities and inequities, describe current strategies to address those limitations, and explore the potential of emerging strategies. PRINCIPAL(More)
The gap between the two worlds of researchers and policymakers renders the use of research in the policy-making process problematic. Policymakers have three primary needs in their use of research evidence: clear translation, accessible and easy-to-use information, and relevance to the policy context. These needs are sometimes at odds with the priorities of(More)
Following the demise of President Clinton’s health care reform initiative in 1994, policy makers have adopted a series of incremental strategies to expand health insurance coverage. To date, those strategies have focused primarily on expansions of public coverage, through the State Children’s Health Insurance Program (SCHIP), enacted by the Congress in(More)
Data limitations continue to pose challenges for efforts to identify racial and ethnic disparities in health and health care and analyze the underlying causes. Given budget constraints, the most feasible federal strategies to improve national data are those requiring only modest expenditures. Collaborations among private and public stakeholders hold promise(More)
The first goal of Healthy People 2010, to increase quality and years of healthy life, does not necessarily coincide with the second goal, to eliminate disparities among population groups. Improvement in the health of the total population without any reduction in relative disparities among racial and ethnic groups was the most frequent outcome at mid-decade(More)
OBJECTIVES This report presents long-term trends in the number and percentage of persons under age 65 years with different types of health insurance coverage and with no coverage. It documents changes in how the National Health Interview Survey (NHIS) has collected information about coverage over almost 50 years. It also compares recent trends in coverage(More)
T fiscal challenges facing the federal government in coming decades are widely recognized. According to a recent analysis by the Congressional Budget Office (CBO), if current policies continue, the amount of federal debt held by the public would be nearly as large as the annual gross domestic product (GDP) in 10 years and would spiral upward even more(More)