Ashley M Kranz
Datos Biográficos
| ID | 5541449 |
|---|---|
| NOMBRE | Ashley M Kranz |
| NOMBRES | Ashley M |
| APELLIDO | Kranz |
| FIRMA | KRANZ A M |
| AFILIACIONES | RAND Corporation |
| ORCID | 0000-0003-0507-7800 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 24 |
| TOTAL DE CITAS | 1 |
| TOTAL COMO AUTOR | 24 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2010 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 1 |
The Changing Landscape of School‐Based Health Centers and Other School‐Based Clinics in C alifornia, 2011–2023
BACKGROUND: School-based health centers (SBHCs) and other school-based clinics (OSBCs) reduce health care access barriers and support positive outcomes in disadvantaged children by providing primary medical care and other services, respectively. This study describes California SBHCs and OSBCs and identifies school characteristics associated with access. METHODS: Databases on California SBHCs, OSBCs, and schools were compiled. Descriptive statisti…
Association Between Perceived Racial Discrimination, Socioeconomic Status, and Oral Health Among Children
Perceived racial discrimination is associated with worse oral health and inconsistently with having a dental visit. The stronger association with oral health problems among children in the lowest SES strata highlights the need for targeted interventions addressing both racial discrimination and SES disparities to improve child oral health outcomes
Barriers and Facilitators to Providing Preventive Dental Care for Young Children in Dental Settings
Potentially modifiable barriers were identified at provider, practice, and policy levels. Further research is needed regarding the financial impacts of public insurance reimbursement rates, the potential role of bias in access to preventive dental services, and the effects of systematic accountability for performance on quality and equity measures related to preventive dental care
Medicaid Managed Care and Pediatric Dental Emergency Department Visits
In this cohort study, Florida Medicaid's adoption of managed care for pediatric dental services was associated with increased emergency department visits for children, which could be associated with decreased access to dental care
Barriers and Strategies Used to Continue School-Based Health Services During the Covid-19 Pandemic
The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity
Studies have established that nurse practitioners (NPs) deliver primary care comparable to physicians in quality and cost, but most focus on Medicare, a program that reimburses NPs less than physicians. In this retrospective cohort study, we evaluated the quality and cost implications of receiving primary care from NPs compared to physicians in 14 states that reimburse NPs at the Medicaid fee-for-service (FFS) physician rate (i.e., pay parity). W…
Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States
Background: The United States Preventive Services Task Force recommends that medical providers apply fluoride varnish (FV) to the teeth of all children under 6 years of age, but fewer than 10% of eligible children receive FV as recommended. Prior studies suggest that variation in clinical guidelines is associated with low uptake of other evidence-based health-related interventions, but consistency of national guidelines for the delivery of FV in …
School‐Based Health Services in Virginia and the Covid ‐19 Pandemic
BACKGROUND: Schools have a long history of delivering health services, but it is unclear how the COVID-19 pandemic may have disrupted this. This study examined changes in school-based health services and student needs before and during the pandemic and the factors important for delivering school-based health services. METHODS: A web-based survey regarding the impact of the pandemic on school-based health services was distributed via email to all …
Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy
Delivery of fluoride varnish during pediatric medical visits by rurality
All young children are recommended to receive fluoride varnish applications in medical settings, yet overall rates were low. For privately insured young children, pediatric well-child medical visits were more likely to include fluoride varnish in rural and rural remote counties than metropolitan counties
Impact of state‐level training requirements for medical providers on receipt of preventive oral health services for young children enrolled in Medicaid
Medicaid policies increased young children's receipt of POHS and at higher rates in states that required POHS training. These results suggest that oral health training for nondental practitioners is a key component of policy success
Outcomes Associated With State Policies Enabling Provision of Oral Health Services in Medical Offices Among Medicaid-enrolled Children
BACKGROUND: To increase receipt of preventive oral health services (POHS), all state Medicaid programs have enacted policies to encourage nondental providers to deliver POHS in medical offices. This study examined if these Medicaid policies improved oral health, as measured by reductions in dental visits with treatment and preventable emergency department (ED) visits for nontraumatic dental conditions (NTDC). METHODS: Using data on children aged …
Antenatal Admissions Among Women with Opioid-Affected and Non-Opioid-Affected Deliveries
Provision of Social Services and Health Care Quality in US Community Health Centers, 2017
Objectives. To describe the types of social services provided at community health centers (CHCs), characteristics of CHCs providing these services, and the association between on-site provision and health care quality. Methods. We surveyed CHCs in 12 US states and the District of Columbia during summer 2017 (n = 208) to identify referral to and provision of services to address 8 social needs. Regression models estimated factors associated with th…
Delivery of Preventive Oral Health Services by Rurality
PURPOSE: Integrating oral health care into primary care has been promoted as a strategy to increase delivery of preventive oral health services (POHS) to young children, particularly in rural areas where few dentists practice. Using a multistate sample of Medicaid claims, we examined a child's odds of receiving POHS in a medical office by county rurality. METHODS: We used 2012-2014 Medicaid Analytic extract claims data for 6,275,456 children youn…
Perspectives on Opportunities and Challenges for Medicare Advantage Plans to Address Social Determinants of Health via the CHRONIC Care Act
There is increasing recognition of the role of social determinants of health (SDOH) in the ability of Medicare Advantage (MA) enrollees to obtain needed care. The 2018 CHRONIC Care Act established Special Supplemental Benefits for the Chronically Ill (SSBCI), which for the first time gives MA plans the flexibility to provide supplemental benefits to enrollees to address SDOH. Given the role of SDOH in chronic disease, this represents an opportuni…
Low rates of pediatric dental coverage for families purchasing marketplace insurance plans
Few families obtaining private medical insurance on the marketplaces report having pediatric dental coverage, suggesting that the ACA essential health benefit policy may not be having its intended effect
Impact of Medicaid Policy on the Oral Health of Publicly Insured Children
Association between type of health insurance and children's oral health, NHANES 2011–2014
Oral health outcomes, after adjusting for covariates, were similar for children with public and private health insurance. However, children in low-income families and with less educated parents had greater odds of untreated caries and dental caries, suggesting that initiatives focused on publicly insured populations may miss other vulnerable children of low socioeconomic status
Dental Caries
Objectives. We examined racial/ethnic disparities in dental caries among kindergarten students in North Carolina and the cross-level effects between students’ race/ethnicity and school poverty status. Methods. We adjusted the analysis of oral health surveillance information (2009–2010) for individual-, school-, and county-level variables. We included a cross-level interaction of student’s race/ethnicity (White, Black, Hispanic) and school Nationa…
Examining Continuity of Care for Medicaid-Enrolled Children Receiving Oral Health Services in Medical Offices
Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience
Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999–2006) to oral health surveillance data (2005–2006). Regression models estimat…
Oral health activities of Early Head Start teachers directed toward children and parents
The level of oral health activity in EHS programs is less than optimal. Several characteristics of EHS staff were identified that can be targeted with education interventions. Evidence for effectiveness of EHS interventions needs to be strengthened, but results of this survey provide encouraging findings about the potential effects of teacher training on their oral health practices
Oral health content of early education and child care regulations and standards
Detailed guidelines for oral health practices exist but they exhibit large variation in number and content. States can use the comprehensive standards from the AAP/APHA and OHS to inform and strengthen the oral health content of their licensing regulations. Research is needed to determine compliance with regulations and standards, and their effect on oral health
Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience
Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999–2006) to oral health surveillance data (2005–2006). Regression models estimat…
Oral health content of early education and child care regulations and standards
Detailed guidelines for oral health practices exist but they exhibit large variation in number and content. States can use the comprehensive standards from the AAP/APHA and OHS to inform and strengthen the oral health content of their licensing regulations. Research is needed to determine compliance with regulations and standards, and their effect on oral health
Oral health activities of Early Head Start teachers directed toward children and parents
The level of oral health activity in EHS programs is less than optimal. Several characteristics of EHS staff were identified that can be targeted with education interventions. Evidence for effectiveness of EHS interventions needs to be strengthened, but results of this survey provide encouraging findings about the potential effects of teacher training on their oral health practices
Examining Continuity of Care for Medicaid-Enrolled Children Receiving Oral Health Services in Medical Offices
Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience
Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999–2006) to oral health surveillance data (2005–2006). Regression models estimat…
Dental Caries
Objectives. We examined racial/ethnic disparities in dental caries among kindergarten students in North Carolina and the cross-level effects between students’ race/ethnicity and school poverty status. Methods. We adjusted the analysis of oral health surveillance information (2009–2010) for individual-, school-, and county-level variables. We included a cross-level interaction of student’s race/ethnicity (White, Black, Hispanic) and school Nationa…
Impact of Medicaid Policy on the Oral Health of Publicly Insured Children
Association between type of health insurance and children's oral health, NHANES 2011–2014
Oral health outcomes, after adjusting for covariates, were similar for children with public and private health insurance. However, children in low-income families and with less educated parents had greater odds of untreated caries and dental caries, suggesting that initiatives focused on publicly insured populations may miss other vulnerable children of low socioeconomic status
Delivery of Preventive Oral Health Services by Rurality
PURPOSE: Integrating oral health care into primary care has been promoted as a strategy to increase delivery of preventive oral health services (POHS) to young children, particularly in rural areas where few dentists practice. Using a multistate sample of Medicaid claims, we examined a child's odds of receiving POHS in a medical office by county rurality. METHODS: We used 2012-2014 Medicaid Analytic extract claims data for 6,275,456 children youn…
Perspectives on Opportunities and Challenges for Medicare Advantage Plans to Address Social Determinants of Health via the CHRONIC Care Act
There is increasing recognition of the role of social determinants of health (SDOH) in the ability of Medicare Advantage (MA) enrollees to obtain needed care. The 2018 CHRONIC Care Act established Special Supplemental Benefits for the Chronically Ill (SSBCI), which for the first time gives MA plans the flexibility to provide supplemental benefits to enrollees to address SDOH. Given the role of SDOH in chronic disease, this represents an opportuni…
Low rates of pediatric dental coverage for families purchasing marketplace insurance plans
Few families obtaining private medical insurance on the marketplaces report having pediatric dental coverage, suggesting that the ACA essential health benefit policy may not be having its intended effect
Antenatal Admissions Among Women with Opioid-Affected and Non-Opioid-Affected Deliveries
Provision of Social Services and Health Care Quality in US Community Health Centers, 2017
Objectives. To describe the types of social services provided at community health centers (CHCs), characteristics of CHCs providing these services, and the association between on-site provision and health care quality. Methods. We surveyed CHCs in 12 US states and the District of Columbia during summer 2017 (n = 208) to identify referral to and provision of services to address 8 social needs. Regression models estimated factors associated with th…
Impact of state‐level training requirements for medical providers on receipt of preventive oral health services for young children enrolled in Medicaid
Medicaid policies increased young children's receipt of POHS and at higher rates in states that required POHS training. These results suggest that oral health training for nondental practitioners is a key component of policy success
Outcomes Associated With State Policies Enabling Provision of Oral Health Services in Medical Offices Among Medicaid-enrolled Children
BACKGROUND: To increase receipt of preventive oral health services (POHS), all state Medicaid programs have enacted policies to encourage nondental providers to deliver POHS in medical offices. This study examined if these Medicaid policies improved oral health, as measured by reductions in dental visits with treatment and preventable emergency department (ED) visits for nontraumatic dental conditions (NTDC). METHODS: Using data on children aged …
Variation in Current Guidelines for Fluoride Varnish Application for Young Children in Medical Settings in the United States
Background: The United States Preventive Services Task Force recommends that medical providers apply fluoride varnish (FV) to the teeth of all children under 6 years of age, but fewer than 10% of eligible children receive FV as recommended. Prior studies suggest that variation in clinical guidelines is associated with low uptake of other evidence-based health-related interventions, but consistency of national guidelines for the delivery of FV in …
School‐Based Health Services in Virginia and the Covid ‐19 Pandemic
BACKGROUND: Schools have a long history of delivering health services, but it is unclear how the COVID-19 pandemic may have disrupted this. This study examined changes in school-based health services and student needs before and during the pandemic and the factors important for delivering school-based health services. METHODS: A web-based survey regarding the impact of the pandemic on school-based health services was distributed via email to all …
Racial/Ethnic Differences in Receipt of Dental Cleanings During Pregnancy
Delivery of fluoride varnish during pediatric medical visits by rurality
All young children are recommended to receive fluoride varnish applications in medical settings, yet overall rates were low. For privately insured young children, pediatric well-child medical visits were more likely to include fluoride varnish in rural and rural remote counties than metropolitan counties
Barriers and Strategies Used to Continue School-Based Health Services During the Covid-19 Pandemic
The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity
Studies have established that nurse practitioners (NPs) deliver primary care comparable to physicians in quality and cost, but most focus on Medicare, a program that reimburses NPs less than physicians. In this retrospective cohort study, we evaluated the quality and cost implications of receiving primary care from NPs compared to physicians in 14 states that reimburse NPs at the Medicaid fee-for-service (FFS) physician rate (i.e., pay parity). W…
Medicaid Managed Care and Pediatric Dental Emergency Department Visits
In this cohort study, Florida Medicaid's adoption of managed care for pediatric dental services was associated with increased emergency department visits for children, which could be associated with decreased access to dental care
Barriers and Facilitators to Providing Preventive Dental Care for Young Children in Dental Settings
Potentially modifiable barriers were identified at provider, practice, and policy levels. Further research is needed regarding the financial impacts of public insurance reimbursement rates, the potential role of bias in access to preventive dental services, and the effects of systematic accountability for performance on quality and equity measures related to preventive dental care
The Changing Landscape of School‐Based Health Centers and Other School‐Based Clinics in C alifornia, 2011–2023
BACKGROUND: School-based health centers (SBHCs) and other school-based clinics (OSBCs) reduce health care access barriers and support positive outcomes in disadvantaged children by providing primary medical care and other services, respectively. This study describes California SBHCs and OSBCs and identifies school characteristics associated with access. METHODS: Databases on California SBHCs, OSBCs, and schools were compiled. Descriptive statisti…
Association Between Perceived Racial Discrimination, Socioeconomic Status, and Oral Health Among Children
Perceived racial discrimination is associated with worse oral health and inconsistently with having a dental visit. The stronger association with oral health problems among children in the lowest SES strata highlights the need for targeted interventions addressing both racial discrimination and SES disparities to improve child oral health outcomes
Medicine (22 obras) · Family medicine (18 obras) · Dental Health and Care Utilization (16 obras) · Health care (16 obras) · Environmental health (13 obras) · Nursing (13 obras) · Public health (11 obras) · Medicaid (10 obras) · Logistic regression (9 obras) · Oral health (9 obras)