Carla Shoff
Biographic Data
| ID | 286931 |
|---|---|
| NAME | Carla Shoff |
| GIVEN NAMES | Carla |
| FAMILY NAME | Shoff |
| SIGNATURE | SHOFF C |
| AFFILIATIONS | Centers for Medicare and Medicaid Services |
| ORCID | 0000-0001-9823-8997 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 122 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 7 |
The influence of the Covid-19 public health emergency and dental coverage on the utilization of endodontic treatment in the United States
Objectives: This study aims to examine the impact of the COVID-19 public health emergency on state-level dental service utilization, focusing on endodontic care; and to understand how benefit design and coverage influence healthcare disparities in oral health. Methods: The data comes from the 2019-2021 Centers for Medicare & Medicaid Services (CMS) unredacted Transformed Medicaid Statistical Information System (T-MSIS). State-level coverage was c…
Pandemic-driven shift: Increase in silver diamine fluoride utilization among Medicaid-enrolled children during the Covid-19 public health emergency
Introduction: Untreated dental caries remains a significant public health issue, particularly among children and adolescents from low-income families, where disparities persist. The COVID-19 public health emergency (PHE) changed dental care practices, leading to an increased focus on minimally aerosolizing treatments such as silver diamine fluoride (SDF). This study aimed to describe the temporal changes in SDF utilization among Medicaid-enrolled…
Features of Residential Counties and Individual Health Conditions for Opioid Use Disorder Among Older Medicare Beneficiaries
Objectives Little is known about how individual health conditions and residential characteristics jointly shape the risk of opioid use disorder (OUD) among older adults. This study examines hypotheses drawn from the collective resources and relative deprivation models to fill this gap. Methods Applying the cases/controls matching technique to the 2018–2021 Medicare Fee-for-Service Part A and Part B claims data, this study constructs a case-contro…
Rural–urban differences in dental opioid prescribing among adolescent/young adult and adult Medicaid beneficiaries
Introduction: There are ongoing concerns about opioid prescribing for surgical and non-surgical dental needs among adolescent/young adult and adult patients. Although there are known differences in the overall opioid prescription rates in rural areas compared to urban areas, the contribution of dental opioid prescriptions is still unclear. This study aims to examine the factors associated with receiving an opioid prescription following a dental v…
Social Vulnerability and the Prevalence of Opioid Use Disorder Among Older Medicare Beneficiaries in U.S. Counties
A perspective drawing upon contextual factors, especially social vulnerability, may be more effective in reducing OUD among older adults in U.S. counties than a one-size-fits-all approach
Multiscale dimensions of county-level disparities in opioid use disorder rates among older Medicare beneficiaries
Background: Opioid use disorder (OUD) among older adults (age ≥ 65) is a growing yet underexplored public health concern and previous research has mainly assumed that the spatial process underlying geographic patterns of population health outcomes is constant across space. This study is among the first to apply a local modeling perspective to examine the geographic disparity in county-level OUD rates among older Medicare beneficiaries and the spa…
Neighborhood characteristics and opioid use disorder among older Medicare beneficiaries: An examination of the role of the Covid-19 pandemic
County social isolation and opioid use disorder among older adults: A longitudinal analysis of Medicare data, 2013-2018
Social isolation, residential stability, and opioid use disorder among older Medicare beneficiaries: Metropolitan and non-metropolitan county comparison
Rural/Urban Differences in the Predictors of Opioid Prescribing Rates Among Medicare Part D Beneficiaries 65 Years of Age and Older
PURPOSE: While research has been done comparing rural/urban differences in opioid prescribing to the disabled Medicare Part D population, research on opioid prescribing among the aged Medicare Part D population is lacking. This study aims to fill this gap by exploring the predictors of opioid prescribing to aged Medicare Part D beneficiaries and investigating whether these predictors vary across rural and urban areas. METHODS: This is an analysis…
Spatial Non-stationarity in Opioid Prescribing Rates: Evidence from Older Medicare Part D Beneficiaries
Income Inequality and Opioid Prescribing Rates: Exploring Rural/Urban Differences in Pathways via Residential Stability and Social Isolation
While opioid prescribing rates have drawn researchers' attention, little is known about the mechanisms through which income inequality affects opioid prescribing rates and even less focuses on whether there is a rural/urban difference in mediating pathways. Applying mediation analysis techniques to a unique ZIP code level dataset from several sources maintained by the Centers for Medicare and Medicaid Services, we explicitly examine two mechanism…
Racial segregation and maternal smoking during pregnancy: A multilevel analysis using the racial segregation interaction index
Influence of Perceptions of Current and Future Community on Residential Aspirations of Rural Youth
Outmigration of youth has concerned rural communities and researchers for several decades. Yet not all communities experience extensive youth outmigration and some youth want to stay in their rural communities as adults. This article examines youth satisfaction with their current community and the importance of characteristics of the community in which they would like to live as an adult for youth preferences to leave or stay in their rural commu…
Exploring Geographic Variation in US Mortality Rates Using a Spatial Durbin Approach
Previous studies focused on identifying the determinants of mortality in US counties have examined the relationships between mortality and explanatory covariates within a county only, and have ignored the well-documented spatial dependence of mortality. We challenge earlier literature by arguing that the mortality rate of a certain county may also be associated with the features of its neighboring counties beyond its own features. Drawing from bo…
Understanding maternal smoking during pregnancy: Does residential context matter
Using quantile regression to examine the effects of inequality across the mortality distribution in the U.S. counties
Untangling the associations among distrust, race, and neighborhood social environment: A social disorganization perspective
Spatially varying predictors of teenage birth rates among counties in the United States
BACKGROUND: Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation's youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR) across metropolitan and nonmetropolitan areas is important, because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastru…
Individual Health Care System Distrust and Neighborhood Social Environment: How Are They Jointly Associated with Self-rated Health
What has geography got to do with it? Using GWR to explore place-specific associations with prenatal care utilization
Influence of Perceptions of Current and Future Community on Residential Aspirations of Rural Youth
Outmigration of youth has concerned rural communities and researchers for several decades. Yet not all communities experience extensive youth outmigration and some youth want to stay in their rural communities as adults. This article examines youth satisfaction with their current community and the importance of characteristics of the community in which they would like to live as an adult for youth preferences to leave or stay in their rural commu…
Individual Health Care System Distrust and Neighborhood Social Environment: How Are They Jointly Associated with Self-rated Health
Untangling the associations among distrust, race, and neighborhood social environment: A social disorganization perspective
What has geography got to do with it? Using GWR to explore place-specific associations with prenatal care utilization
Racial segregation and maternal smoking during pregnancy: A multilevel analysis using the racial segregation interaction index
Exploring Geographic Variation in US Mortality Rates Using a Spatial Durbin Approach
Previous studies focused on identifying the determinants of mortality in US counties have examined the relationships between mortality and explanatory covariates within a county only, and have ignored the well-documented spatial dependence of mortality. We challenge earlier literature by arguing that the mortality rate of a certain county may also be associated with the features of its neighboring counties beyond its own features. Drawing from bo…
Understanding maternal smoking during pregnancy: Does residential context matter
Using quantile regression to examine the effects of inequality across the mortality distribution in the U.S. counties
Social isolation, residential stability, and opioid use disorder among older Medicare beneficiaries: Metropolitan and non-metropolitan county comparison
County social isolation and opioid use disorder among older adults: A longitudinal analysis of Medicare data, 2013-2018
Spatially varying predictors of teenage birth rates among counties in the United States
BACKGROUND: Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation's youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR) across metropolitan and nonmetropolitan areas is important, because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastru…
Income Inequality and Opioid Prescribing Rates: Exploring Rural/Urban Differences in Pathways via Residential Stability and Social Isolation
While opioid prescribing rates have drawn researchers' attention, little is known about the mechanisms through which income inequality affects opioid prescribing rates and even less focuses on whether there is a rural/urban difference in mediating pathways. Applying mediation analysis techniques to a unique ZIP code level dataset from several sources maintained by the Centers for Medicare and Medicaid Services, we explicitly examine two mechanism…
Individual Health Care System Distrust and Neighborhood Social Environment: How Are They Jointly Associated with Self-rated Health
What has geography got to do with it? Using GWR to explore place-specific associations with prenatal care utilization
Using quantile regression to examine the effects of inequality across the mortality distribution in the U.S. counties
Untangling the associations among distrust, race, and neighborhood social environment: A social disorganization perspective
Spatially varying predictors of teenage birth rates among counties in the United States
BACKGROUND: Limited information is available about teenage pregnancy and childbearing in rural areas, even though approximately 20 percent of the nation's youth live in rural areas. Identifying whether there are differences in the teenage birth rate (TBR) across metropolitan and nonmetropolitan areas is important, because these differences may reflect modifiable ecological-level influences such as education, employment, laws, healthcare infrastru…
Exploring Geographic Variation in US Mortality Rates Using a Spatial Durbin Approach
Previous studies focused on identifying the determinants of mortality in US counties have examined the relationships between mortality and explanatory covariates within a county only, and have ignored the well-documented spatial dependence of mortality. We challenge earlier literature by arguing that the mortality rate of a certain county may also be associated with the features of its neighboring counties beyond its own features. Drawing from bo…
Understanding maternal smoking during pregnancy: Does residential context matter
Racial segregation and maternal smoking during pregnancy: A multilevel analysis using the racial segregation interaction index
Influence of Perceptions of Current and Future Community on Residential Aspirations of Rural Youth
Outmigration of youth has concerned rural communities and researchers for several decades. Yet not all communities experience extensive youth outmigration and some youth want to stay in their rural communities as adults. This article examines youth satisfaction with their current community and the importance of characteristics of the community in which they would like to live as an adult for youth preferences to leave or stay in their rural commu…
Rural/Urban Differences in the Predictors of Opioid Prescribing Rates Among Medicare Part D Beneficiaries 65 Years of Age and Older
PURPOSE: While research has been done comparing rural/urban differences in opioid prescribing to the disabled Medicare Part D population, research on opioid prescribing among the aged Medicare Part D population is lacking. This study aims to fill this gap by exploring the predictors of opioid prescribing to aged Medicare Part D beneficiaries and investigating whether these predictors vary across rural and urban areas. METHODS: This is an analysis…
Spatial Non-stationarity in Opioid Prescribing Rates: Evidence from Older Medicare Part D Beneficiaries
Income Inequality and Opioid Prescribing Rates: Exploring Rural/Urban Differences in Pathways via Residential Stability and Social Isolation
While opioid prescribing rates have drawn researchers' attention, little is known about the mechanisms through which income inequality affects opioid prescribing rates and even less focuses on whether there is a rural/urban difference in mediating pathways. Applying mediation analysis techniques to a unique ZIP code level dataset from several sources maintained by the Centers for Medicare and Medicaid Services, we explicitly examine two mechanism…
Multiscale dimensions of county-level disparities in opioid use disorder rates among older Medicare beneficiaries
Background: Opioid use disorder (OUD) among older adults (age ≥ 65) is a growing yet underexplored public health concern and previous research has mainly assumed that the spatial process underlying geographic patterns of population health outcomes is constant across space. This study is among the first to apply a local modeling perspective to examine the geographic disparity in county-level OUD rates among older Medicare beneficiaries and the spa…
Neighborhood characteristics and opioid use disorder among older Medicare beneficiaries: An examination of the role of the Covid-19 pandemic
County social isolation and opioid use disorder among older adults: A longitudinal analysis of Medicare data, 2013-2018
Social isolation, residential stability, and opioid use disorder among older Medicare beneficiaries: Metropolitan and non-metropolitan county comparison
Social Vulnerability and the Prevalence of Opioid Use Disorder Among Older Medicare Beneficiaries in U.S. Counties
A perspective drawing upon contextual factors, especially social vulnerability, may be more effective in reducing OUD among older adults in U.S. counties than a one-size-fits-all approach
Rural–urban differences in dental opioid prescribing among adolescent/young adult and adult Medicaid beneficiaries
Introduction: There are ongoing concerns about opioid prescribing for surgical and non-surgical dental needs among adolescent/young adult and adult patients. Although there are known differences in the overall opioid prescription rates in rural areas compared to urban areas, the contribution of dental opioid prescriptions is still unclear. This study aims to examine the factors associated with receiving an opioid prescription following a dental v…
Pandemic-driven shift: Increase in silver diamine fluoride utilization among Medicaid-enrolled children during the Covid-19 public health emergency
Introduction: Untreated dental caries remains a significant public health issue, particularly among children and adolescents from low-income families, where disparities persist. The COVID-19 public health emergency (PHE) changed dental care practices, leading to an increased focus on minimally aerosolizing treatments such as silver diamine fluoride (SDF). This study aimed to describe the temporal changes in SDF utilization among Medicaid-enrolled…
Features of Residential Counties and Individual Health Conditions for Opioid Use Disorder Among Older Medicare Beneficiaries
Objectives Little is known about how individual health conditions and residential characteristics jointly shape the risk of opioid use disorder (OUD) among older adults. This study examines hypotheses drawn from the collective resources and relative deprivation models to fill this gap. Methods Applying the cases/controls matching technique to the 2018–2021 Medicare Fee-for-Service Part A and Part B claims data, this study constructs a case-contro…
The influence of the Covid-19 public health emergency and dental coverage on the utilization of endodontic treatment in the United States
Objectives: This study aims to examine the impact of the COVID-19 public health emergency on state-level dental service utilization, focusing on endodontic care; and to understand how benefit design and coverage influence healthcare disparities in oral health. Methods: The data comes from the 2019-2021 Centers for Medicare & Medicaid Services (CMS) unredacted Transformed Medicaid Statistical Information System (T-MSIS). State-level coverage was c…
Medicine (15 works) · Sociology (15 works) · Demography (14 works) · Health disparities and outcomes (12 works) · Demography (11 works) · Environmental health (10 works) · Population (10 works) · Gerontology (9 works) · Economics (8 works) · Geography (8 works)