Dan M Shane
Biographic Data
| ID | 5538357 |
|---|---|
| NAME | Dan M Shane |
| GIVEN NAMES | Dan M |
| FAMILY NAME | Shane |
| SIGNATURE | SHANE D M |
| AFFILIATIONS | University of Iowa |
| ORCID | 0000-0003-4751-1863 |
| VERIFIED | Yes |
| TOTAL WORKS | 9 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 9 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Growth in Medicare Advantage by organizational size across rural and urban counties
PURPOSE: To understand the changing landscape of Medicare Advantage (MA) markets in urban and rural counties with particular focus on the size of MA organizations. With MA covering more than half of all Medicare enrollees and notably different health and access conditions in rural areas, understanding the extent of participation in MA markets in both urban and rural areas is critical. In this paper, we establish which organizations are offering M…
Variation in dentist participation between dental medicaid managed care organizations
There was considerable variation in dentist-reported acceptance of new adult and child Medicaid patients, and in the factors affecting acceptance of new patients between MCOs in Iowa dental Medicaid. Future studies of Medicaid participation should consider variations by MCO in states with more than one dental MCO so as not to miss important factors affecting Medicaid participation
Effects of the Recent Medicaid Expansions on Dental Preventive Services and Treatments
BACKGROUND: Low-income adults in the United States have historically had poor access to dental services largely due to limited dental coverage. OBJECTIVE: We examined the effects of recent Medicaid income-eligibility expansions under the Affordable Care Act on dental visits separately for preventive care and treatments. RESEARCH DESIGN: We used restricted data from the 2011 to 2016 Medical Expenditure Panel Survey with state geocodes. The main an…
The Impact of the ACA Medicaid Expansions on Dental Visits by Dental Coverage Generosity and Dentist Supply
BACKGROUND: Low-income adults in the United States have historically had limited access to dental coverage and poor dental health outcomes. OBJECTIVE: We examined the effects of the Affordable Care Act Medicaid expansions on dental visits among low-income adults focusing on the generosity of dental coverage and heterogeneity in effects by dentist supply. RESEARCH DESIGN: We used data from 2012, 2014, and 2016 Behavioral Risk Factor Surveillance S…
Safety of Back‐Transfer to Local Hospitals During an Acute Care Hospitalization
PURPOSE: This paper investigates patient outcomes including length of stay (LOS), cost of hospitalization, bounce-back rates, transition to hospice care, and mortality, following back-transfer. METHODS: This study was an observational case-control study of adults hospitalized in Iowa between 2005 and 2013 to identify back-transferred patients. Back-transfer was defined as the transfer of rural patients near the end of their acute hospitalization …
The Impact of the Affordable Care Act’s Dependent Coverage Mandate on Use of Dental Treatments and Preventive Services
BACKGROUND: Oral health problems are the leading chronic conditions among children and younger adults. Lack of dental coverage is thought to be an important barrier to care but little empirical evidence exists on the causal effect of private dental coverage on use of dental services. We explore the relationship between dental coverage and dental services utilization with an analysis of a natural experiment of increasing private dental coverage st…
Variation in Primary Care Service Patterns by Rural‐Urban Location
BACKGROUND: Rural communities have disproportionately faced primary care shortages for decades in spite of policy efforts to prepare and attract primary care health professionals to practice in rural locales. Insight into how primary care physicians' service patterns in rural areas differ from those in less rural places is important to better inform recruitment strategies that target primary care providers and rural communities. OBJECTIVES: The p…
Medicaid Health Home Reducing Costs and Reliance on Emergency Department
BACKGROUND: The Affordable Care Act allowed an optional Medicaid State Plan benefit for states to establish Health Homes coordinating care for people who have chronic conditions. Differences in medical home program incentives and implementation styles are important to understand in evaluating effects on key outcomes such as cost and acute care. In Iowa, a Medicaid Health Home (MHH) program was developed targeting Medicaid members with multiple ch…
Will Health Care Reform Reduce Disparities in Insurance Coverage
OBJECTIVES: We used data from the Medical Expenditure Panel Survey to assess the impact of the Affordable Care Act's dependent coverage mandate on disparities in health insurance coverage rates and evaluated whether non-Hispanic blacks and Hispanics gained coverage at the same rates as non-Hispanic whites. METHODS: To estimate changes in insurance rates, we employed a difference-in-difference regression approach comparing 7962 young adults aged 1…
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Will Health Care Reform Reduce Disparities in Insurance Coverage
OBJECTIVES: We used data from the Medical Expenditure Panel Survey to assess the impact of the Affordable Care Act's dependent coverage mandate on disparities in health insurance coverage rates and evaluated whether non-Hispanic blacks and Hispanics gained coverage at the same rates as non-Hispanic whites. METHODS: To estimate changes in insurance rates, we employed a difference-in-difference regression approach comparing 7962 young adults aged 1…
Variation in Primary Care Service Patterns by Rural‐Urban Location
BACKGROUND: Rural communities have disproportionately faced primary care shortages for decades in spite of policy efforts to prepare and attract primary care health professionals to practice in rural locales. Insight into how primary care physicians' service patterns in rural areas differ from those in less rural places is important to better inform recruitment strategies that target primary care providers and rural communities. OBJECTIVES: The p…
Medicaid Health Home Reducing Costs and Reliance on Emergency Department
BACKGROUND: The Affordable Care Act allowed an optional Medicaid State Plan benefit for states to establish Health Homes coordinating care for people who have chronic conditions. Differences in medical home program incentives and implementation styles are important to understand in evaluating effects on key outcomes such as cost and acute care. In Iowa, a Medicaid Health Home (MHH) program was developed targeting Medicaid members with multiple ch…
The Impact of the Affordable Care Act’s Dependent Coverage Mandate on Use of Dental Treatments and Preventive Services
BACKGROUND: Oral health problems are the leading chronic conditions among children and younger adults. Lack of dental coverage is thought to be an important barrier to care but little empirical evidence exists on the causal effect of private dental coverage on use of dental services. We explore the relationship between dental coverage and dental services utilization with an analysis of a natural experiment of increasing private dental coverage st…
Safety of Back‐Transfer to Local Hospitals During an Acute Care Hospitalization
PURPOSE: This paper investigates patient outcomes including length of stay (LOS), cost of hospitalization, bounce-back rates, transition to hospice care, and mortality, following back-transfer. METHODS: This study was an observational case-control study of adults hospitalized in Iowa between 2005 and 2013 to identify back-transferred patients. Back-transfer was defined as the transfer of rural patients near the end of their acute hospitalization …
The Impact of the ACA Medicaid Expansions on Dental Visits by Dental Coverage Generosity and Dentist Supply
BACKGROUND: Low-income adults in the United States have historically had limited access to dental coverage and poor dental health outcomes. OBJECTIVE: We examined the effects of the Affordable Care Act Medicaid expansions on dental visits among low-income adults focusing on the generosity of dental coverage and heterogeneity in effects by dentist supply. RESEARCH DESIGN: We used data from 2012, 2014, and 2016 Behavioral Risk Factor Surveillance S…
Effects of the Recent Medicaid Expansions on Dental Preventive Services and Treatments
BACKGROUND: Low-income adults in the United States have historically had poor access to dental services largely due to limited dental coverage. OBJECTIVE: We examined the effects of recent Medicaid income-eligibility expansions under the Affordable Care Act on dental visits separately for preventive care and treatments. RESEARCH DESIGN: We used restricted data from the 2011 to 2016 Medical Expenditure Panel Survey with state geocodes. The main an…
Variation in dentist participation between dental medicaid managed care organizations
There was considerable variation in dentist-reported acceptance of new adult and child Medicaid patients, and in the factors affecting acceptance of new patients between MCOs in Iowa dental Medicaid. Future studies of Medicaid participation should consider variations by MCO in states with more than one dental MCO so as not to miss important factors affecting Medicaid participation
Growth in Medicare Advantage by organizational size across rural and urban counties
PURPOSE: To understand the changing landscape of Medicare Advantage (MA) markets in urban and rural counties with particular focus on the size of MA organizations. With MA covering more than half of all Medicare enrollees and notably different health and access conditions in rural areas, understanding the extent of participation in MA markets in both urban and rural areas is critical. In this paper, we establish which organizations are offering M…
Health care (8 works) · Medicine (8 works) · Healthcare Policy and Management (7 works) · Environmental health (5 works) · Family medicine (5 works) · Dental care (4 works) · Medicaid (4 works) · Business (3 works) · Dental Health and Care Utilization (3 works) · Food Security and Health in Diverse Populations (3 works)