E Kathleen Adams
Biographic Data
| ID | 5536668 |
|---|---|
| NAME | E Kathleen Adams |
| GIVEN NAMES | E Kathleen |
| FAMILY NAME | Adams |
| SIGNATURE | ADAMS E K |
| AFFILIATIONS | Emory University |
| ORCID | 0000-0002-4811-2752 |
| VERIFIED | Yes |
| TOTAL WORKS | 31 |
| TOTAL CITATIONS | 8 |
| AUTHOR COUNT | 31 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 1990 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
Postpartum severe maternal morbidity
Severe maternal morbidity (SMM) is a composite measure comprising a spectrum of pregnancy-related complications that have substantial implications for short- and long-term maternal health. Existing research focuses primarily on the occurrence of SMM at delivery, but growing evidence points to risks throughout the post-partum period. While racial, ethnic, economic, and geographic disparities in SMM are well documented, the underlying drivers of in…
Effects of Georgia's Medicaid Family Planning Waiver on Pregnancy Characteristics and Birth Outcomes
Severe Maternal Morbidity in Georgia, 2009–2020
BACKGROUND: The increasing focus of population surveillance and research on maternal-and not only fetal and infant-health outcomes is long overdue. The United States maternal mortality rate is higher than any other high-income country, and Georgia is among the highest rates in the country. Severe maternal morbidity (SMM) is conceived of as a "near miss" for maternal mortality, is 50 times more common than maternal death, and efforts to systematic…
Postpartum Medicaid Coverage and Contraceptive Use Before and After Ohio's Medicaid Expansion Under the Affordable Care Act
Impacts of the Affordable Care Act's Medicaid Expansion on Women of Reproductive Age
The Role of Public and Private Insurance Expansions and Premiums for Low-income Parents
BACKGROUND: Numerous states have implemented policies expanding public insurance eligibility or subsidizing private insurance for parents. OBJECTIVES: To assess the impact of parental health insurance expansions from 1999 to 2012 on the likelihood that parents are insured; their children are insured; both the parent and child within a family unit are insured; and the type of insurance. DESIGN: Cross-sectional analysis of the 2000-2013 March suppl…
Georgia's Medicaid Family Planning Waiver
Insuring Women in the United States Before, During, and After Pregnancies
Insuring Women in the United States Before, During, and After Pregnancies Affiliation E. Kathleen Adams PhD, and Emily M. Johnston BAE. Kathleen Adams is a Professor in the Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA. Emily M. Johnston is a PhD Candidate in the Department of Health Policy and Management, Rollins School of Public Health, Emory University.CopyRightCorrespondence should …
Screening Mammography in a Public Hospital Serving Predominantly African-American Women
Medicaid Family Planning Waivers in 3 States
Effects of Medicaid family planning waivers on unintended births and contraceptive use postpartum were examined in Illinois, New York, and Oregon using the Pregnancy Risk Assessment Monitoring System. Estimates for women who would be Medicaid eligible "if" pregnant in the waiver states and states without expansions were derived using a difference-in-differences approach. Waivers in New York and Illinois were associated with almost a 5.0 percentag…
Breast Cancer Treatment Experiences by Race and Location in Georgia's Women's Health Medicaid Program
Public and Private Health Insurance Premiums
The Patient Protection and Affordable Care Act (ACA) will substantially increase public health insurance eligibility and alter the costs of insurance coverage. Using Current Population Survey (CPS) data from the period 2000–2008, we examine the effects of public and private health insurance premiums on the insurance status of low-income childless adults, a population substantially affected by the ACA. Results show higher public premiums to be ass…
The Impact of the Individual Mandate and Internal Revenue Service Form 990 Schedule H on Community Benefits From Nonprofit Hospitals
In response to a growing concern that nonprofit hospitals are not providing sufficient benefit to their communities in return for their tax-exempt status, the Internal Revenue Service (IRS) now requires nonprofit hospitals to formally document the extent of their community contributions. While the IRS is increasing financial scrutiny of nonprofit hospitals, many provisions in the recently passed historical health reform legislation will also have…
Medicaid Enrollment at Early Stage of Disease
This study linked data from the Georgia Comprehensive Cancer Registry to Medicaid enrollment and claims to test whether the Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA), which provided a new and quicker pathway to Medicaid eligibility for low-income breast cancer patients, led to more patients enrolling at an early stage of disease. Results based on difference-in-differences analysis indicated that Georgia's BCCPTA increased b…
The Effect of the Breast and Cervical Cancer Prevention and Treatment Act on Medicaid Disenrollment
Evaluating social and behavioural impacts of English smoke-free legislation in different ethnic and age groups
Although our study suggests that SFL can lead to reductions in tobacco consumption, it also shows that impacts vary by ethnicity, age and sex. This study highlights the importance of understanding the meaning of smoking in different social contexts so future tobacco control interventions can be developed to reduce health and social inequalities
Racial Disparities in Medicaid Enrollment and Prenatal Care Initiation Among Pregnant Teens in Florida
BACKGROUND: Teens and racial and ethnic minority women are less likely to initiate prenatal care (PNC) in the first trimester of pregnancy than their counterparts. OBJECTIVE: This study examines the impact of Medicaid program changes in the late 1990s on the timing of Medicaid enrollment and PNC initiation among pregnant teens by race and ethnicity. RESEARCH DESIGN: Using Medicaid enrollment and claims data and a difference-in-differences method,…
The State Children's Health Insurance Program (SCHIP) and Prepregnancy Coverage of Teenage Mothers
BACKGROUND: The 1997 State Children's Health Insurance Program (SCHIP) program allowed states to expand Medicaid to uninsured children through age 18 in families under 200% of the federal poverty level. Prepregnancy insurance coverage of adolescents may help reduce unintended pregnancies, address other medical issues, and allow for early and adequate prenatal care for those carrying to term. OBJECTIVES: We tested the effects of SCHIP implementati…
Racial and Ethnic Disparities in Prenatal Syphilis Screening among Women with Medicaid-covered Deliveries in Florida
The stigma of public programs
Previous studies suggest access to and satisfaction with care may be different for enrollees in S-CHIP and Medicaid, but it is unclear whether those differences are fully explained by socioeconomic characteristics of the enrollees. We analyze access and satisfaction of three groups of children: Medicaid enrolled, S-CHIP enrolled, and children who are income eligible for Medicaid but carry a card similar to the state's S-CHIP children's card. Both…
Prenatal care initiation among very low-income women in the aftermath of welfare reform
Health service use and outcomes among disabled Medicaid pregnant women
Welfare Reform, Insurance Coverage Pre-Pregnancy, and Timely Enrollment
Implementation of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) broke the automatic linkage between Medicaid eligibility/enrollment and welfare cash assistance for women eligible at welfare income levels. This study used data from the Pregnancy Risk Assessment Monitoring System (PRAMS) for the period 1996-1999 to examine insurance coverage of these and other pregnant women pre- and post-PRWORA. Controlling for indiv…
Racial and Ethnic Disparities in the Use of Pregnancy-Related Health Care Among Medicaid Pregnant Women
Patient Satisfaction With Primary Care
OBJECTIVE: The objective of this study was to evaluate the association of patient satisfaction with type of practitioner attending visits in the primary care practice of a managed care organization (MCO). STUDY DESIGN: We conducted a retrospective observational study of 41,209 patient satisfaction surveys randomly sampled from visits provided by the pediatrics and adult medicine departments from 1997 to 2000. Logistic regression, with practitione…
The stigma of public programs
Previous studies suggest access to and satisfaction with care may be different for enrollees in S-CHIP and Medicaid, but it is unclear whether those differences are fully explained by socioeconomic characteristics of the enrollees. We analyze access and satisfaction of three groups of children: Medicaid enrolled, S-CHIP enrolled, and children who are income eligible for Medicaid but carry a card similar to the state's S-CHIP children's card. Both…
The Impact of the Individual Mandate and Internal Revenue Service Form 990 Schedule H on Community Benefits From Nonprofit Hospitals
In response to a growing concern that nonprofit hospitals are not providing sufficient benefit to their communities in return for their tax-exempt status, the Internal Revenue Service (IRS) now requires nonprofit hospitals to formally document the extent of their community contributions. While the IRS is increasing financial scrutiny of nonprofit hospitals, many provisions in the recently passed historical health reform legislation will also have…
Insuring Women in the United States Before, During, and After Pregnancies
Insuring Women in the United States Before, During, and After Pregnancies Affiliation E. Kathleen Adams PhD, and Emily M. Johnston BAE. Kathleen Adams is a Professor in the Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA. Emily M. Johnston is a PhD Candidate in the Department of Health Policy and Management, Rollins School of Public Health, Emory University.CopyRightCorrespondence should …
Spend-Down of Assets Before Medicaid Eligibility Among Elderly Nursing-Home Recipients in Michigan
Many elderly persons enter nursing homes as private pay clients, spend their available life savings, and then apply for medical assistance under Medicaid after their assets are depleted. However, reliable data on the size and characteristics of this "spend-down" population have been lacking. This study used Medicaid claims and enrollment data to identify the proportion of elderly Medicaid nursing-home users who originally entered nursing homes as…
Hospital Choice of Medicare Beneficiaries in a Rural Market
As part of a larger study of hospital choice, the travel patterns of more than 12,000 Medicare beneficiaries residing in three overlapping rural areas were examined. During 1986 these Medicare beneficiaries were admitted to one of 53 hospitals in an area that encompassed parts of Minnesota, North Dakota, and South Dakota. Information on ZIP code of residence, closest hospital, and hospital of admission were used to analyze hospital choices of the…
Asset Spend-Down in Nursing Homes
The issue of how many elderly are affected by catastrophic nursing home expenses is a major part of the debate over if and/or how to reform long-term-care financing. Currently, there is some discussion regarding the magnitude of this catastrophic event, referred to as "asset spend-down", among the elderly. National data suggest the magnitude is small, while state-specific studies indicate it is greater. In addition, the literature regarding asset…
Going Beyond Costs When Evaluating Surgical Options for Women Newly Diagnosed With Breast Cancer
From the Rollins School of Public Health, Emory University, Atlanta, Georgia. Please send all correspondence regarding this manuscript to: E. Kathleen Adams,Ph.D., Rollins School of Public Health at Emory University, 1518 Clifton Road NE, Atlanta, GA, 30322. E-mail: [email protected]
Rural‐Urban Differences in Health Risks, Resource Use and Expenditures Within Three State Medicaid Programs
This study uses Medicaid claims data for income‐eligible enrollees in California, Georgia and Mississippi to compare expenditures, resource usage and health risks between residents of rural and urban areas of the states. Resource use is measured using the Resource Based Relative Value Scale (RBRVS) system for professional services, hospital days and outpatient facility visits; it also is valued at private insurance reimbursement rates for the sta…
The Impact of Medicaid Primary Care Case Management on Office-Based Physician Supply in Alabama and Georgia
The success of the "primary care case management (PCCM)" form of managed care implemented in many state Medicaid programs over the past several years depends in part on the expanded availability of primary care physician sites to substitute for hospital-based outpatient care and to provide a medical home for enrollees. However, the PCCM requirement for physicians to accept assignment of a caseload of patients and to provide all of their primary c…
Racial and Ethnic Disparities in the Use of Pregnancy-Related Health Care Among Medicaid Pregnant Women
Patient Satisfaction With Primary Care
OBJECTIVE: The objective of this study was to evaluate the association of patient satisfaction with type of practitioner attending visits in the primary care practice of a managed care organization (MCO). STUDY DESIGN: We conducted a retrospective observational study of 41,209 patient satisfaction surveys randomly sampled from visits provided by the pediatrics and adult medicine departments from 1997 to 2000. Logistic regression, with practitione…
Welfare Reform, Insurance Coverage Pre-Pregnancy, and Timely Enrollment
Implementation of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) broke the automatic linkage between Medicaid eligibility/enrollment and welfare cash assistance for women eligible at welfare income levels. This study used data from the Pregnancy Risk Assessment Monitoring System (PRAMS) for the period 1996-1999 to examine insurance coverage of these and other pregnant women pre- and post-PRWORA. Controlling for indiv…
Prenatal care initiation among very low-income women in the aftermath of welfare reform
Health service use and outcomes among disabled Medicaid pregnant women
Racial and Ethnic Disparities in Prenatal Syphilis Screening among Women with Medicaid-covered Deliveries in Florida
The stigma of public programs
Previous studies suggest access to and satisfaction with care may be different for enrollees in S-CHIP and Medicaid, but it is unclear whether those differences are fully explained by socioeconomic characteristics of the enrollees. We analyze access and satisfaction of three groups of children: Medicaid enrolled, S-CHIP enrolled, and children who are income eligible for Medicaid but carry a card similar to the state's S-CHIP children's card. Both…
Racial Disparities in Medicaid Enrollment and Prenatal Care Initiation Among Pregnant Teens in Florida
BACKGROUND: Teens and racial and ethnic minority women are less likely to initiate prenatal care (PNC) in the first trimester of pregnancy than their counterparts. OBJECTIVE: This study examines the impact of Medicaid program changes in the late 1990s on the timing of Medicaid enrollment and PNC initiation among pregnant teens by race and ethnicity. RESEARCH DESIGN: Using Medicaid enrollment and claims data and a difference-in-differences method,…
The State Children's Health Insurance Program (SCHIP) and Prepregnancy Coverage of Teenage Mothers
BACKGROUND: The 1997 State Children's Health Insurance Program (SCHIP) program allowed states to expand Medicaid to uninsured children through age 18 in families under 200% of the federal poverty level. Prepregnancy insurance coverage of adolescents may help reduce unintended pregnancies, address other medical issues, and allow for early and adequate prenatal care for those carrying to term. OBJECTIVES: We tested the effects of SCHIP implementati…
The Effect of the Breast and Cervical Cancer Prevention and Treatment Act on Medicaid Disenrollment
Evaluating social and behavioural impacts of English smoke-free legislation in different ethnic and age groups
Although our study suggests that SFL can lead to reductions in tobacco consumption, it also shows that impacts vary by ethnicity, age and sex. This study highlights the importance of understanding the meaning of smoking in different social contexts so future tobacco control interventions can be developed to reduce health and social inequalities
Medicaid Enrollment at Early Stage of Disease
This study linked data from the Georgia Comprehensive Cancer Registry to Medicaid enrollment and claims to test whether the Breast and Cervical Cancer Prevention and Treatment Act (BCCPTA), which provided a new and quicker pathway to Medicaid eligibility for low-income breast cancer patients, led to more patients enrolling at an early stage of disease. Results based on difference-in-differences analysis indicated that Georgia's BCCPTA increased b…
Public and Private Health Insurance Premiums
The Patient Protection and Affordable Care Act (ACA) will substantially increase public health insurance eligibility and alter the costs of insurance coverage. Using Current Population Survey (CPS) data from the period 2000–2008, we examine the effects of public and private health insurance premiums on the insurance status of low-income childless adults, a population substantially affected by the ACA. Results show higher public premiums to be ass…
The Impact of the Individual Mandate and Internal Revenue Service Form 990 Schedule H on Community Benefits From Nonprofit Hospitals
In response to a growing concern that nonprofit hospitals are not providing sufficient benefit to their communities in return for their tax-exempt status, the Internal Revenue Service (IRS) now requires nonprofit hospitals to formally document the extent of their community contributions. While the IRS is increasing financial scrutiny of nonprofit hospitals, many provisions in the recently passed historical health reform legislation will also have…
Breast Cancer Treatment Experiences by Race and Location in Georgia's Women's Health Medicaid Program
Screening Mammography in a Public Hospital Serving Predominantly African-American Women
Medicaid Family Planning Waivers in 3 States
Effects of Medicaid family planning waivers on unintended births and contraceptive use postpartum were examined in Illinois, New York, and Oregon using the Pregnancy Risk Assessment Monitoring System. Estimates for women who would be Medicaid eligible "if" pregnant in the waiver states and states without expansions were derived using a difference-in-differences approach. Waivers in New York and Illinois were associated with almost a 5.0 percentag…
Georgia's Medicaid Family Planning Waiver
Insuring Women in the United States Before, During, and After Pregnancies
Insuring Women in the United States Before, During, and After Pregnancies Affiliation E. Kathleen Adams PhD, and Emily M. Johnston BAE. Kathleen Adams is a Professor in the Department of Health Policy and Management, Rollins School of Public Health, Emory University, Atlanta, GA. Emily M. Johnston is a PhD Candidate in the Department of Health Policy and Management, Rollins School of Public Health, Emory University.CopyRightCorrespondence should …
Medicine (30 works) · Health care (24 works) · Medicaid (22 works) · Family medicine (19 works) · Healthcare Policy and Management (18 works) · Environmental health (15 works) · Demography (14 works) · Population (13 works) · Nursing (12 works) · Political science (12 works)