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Pregnant and Poor: Did Medicaid and Welfare Policy Changes Improve Care for these Women as Intended?

Presenters and Discussants

Meet our participants for this Cyber Seminar!

Presenters

E. Kathleen Adams, Ph.D.

Dr. Adams is an associate professor in the Rollins School of Public Health at Emory University. In her career as a health economist, she has completed an extensive amount of health services research focused on low-income, vulnerable populations. She has directed several large projects related to Medicaid populations and policies at the national level and has worked extensively on issues of access for low-income women and children. Examples of her work include evaluation of Medicaid’s EPSDT program, changes in provider participation in Medicaid related to fee changes and implementation of managed care, comparisons of utilization/costs of Medicaid and privately insured and most recently, the impact of the Child Health Insurance Program (CHIP) in Georgia and Alabama on children’s access to care. Dr. Adams has also completed extensive work on the effects of prenatal smoking on infant outcomes and costs in her work with the Centers for Disease Control (CDC). She is currently working to derive costs of evidence-based smoking cessation programs for pregnant women in three settings—public clinic, managed care and state quit lines—in order to estimate potential net savings. Finally, she is completing a major project on the effects of welfare reform on the insurance status of pregnant women and in turn, their use of early and adequate prenatal care. Dr. Adams received her Ph.D. in economics from University of Colorado in Boulder, CO. She earned her Masters and B.A. from Florida State University.

Learn more about Adams’ HCFO grant.

Genevieve M. Kenney, Ph.D.

Dr. Kenney is a Principal Research Associate and health economist at The Urban Institute, with over twenty years experience conducting research. Her health policy research has focused on analyzing the effects of public policies on access and coverage for low-income populations. Currently, she is co-director of the Urban Institute’s multi-year evaluation of the State Children’s Health Insurance Program (SCHIP). As part of her work on SCHIP, she has examined a range of issues, including family coverage policies and SCHIP financing; participation in Medicaid and SCHIP and barriers to enrollment; access and use differentials among low-income children; effects on children of family coverage expansions; and impacts of SCHIP expansions on insurance coverage, crowd-out and access to care. She recently completed a project designed to examine the impacts of Medicaid managed care on prenatal care timing and birth weight. In previous research, she has conducted analyses of Medicaid expansions for pregnant women and children. She received her Ph.D. in Economics and a M.A. in Statistics from University of Michigan. She earned her B.A. from Smith College.

Learn more about Kenney’s HCFO grant.

Discussants

Debbie I. Chang

Ms. Chang is Director of Strategic Development and Policy at the National Academy for State Health Policy. She leads development of the organization’s health policy agenda and work including fundraising of projects and provides strategic direction on the Academy’s projects including those related to Medicaid, the State Children’s Health Insurance Program, managed care, and drug coverage and costs. She is also leading an effort to analyze and make recommendations on improving the Medicaid program. From 1999-2003, Ms. Chang was Deputy Secretary of Health Care Financing of the Maryland Department of Health and Mental Hygiene. She oversaw Medicaid and the Maryland Children’s Health Program with an annual budget of $3.3 billion and 600 staff. Prior to working for the State of Maryland, Ms. Chang held various positions in the federal government. Most notably, in 1997 to mid-1999, Ms. Chang led the implementation of the State Children’s Health Insurance Program for the Health Care Financing Administration (HCFA), the Federal agency that oversees Medicare and Medicaid, now called the Centers for Medicare and Medicaid Services (CMS). She was the Director of the Office of Legislation for HCFA from July 1994 to July 1998. Prior to her tenure at HCFA, Ms. Chang worked for over 5 years as the Senior Health Policy Advisor to Senator Donald W. Riegle, Jr., who chaired the Finance Subcommittee on Health for Families and the Uninsured. Ms. Chang has a Master’s of Public Health Policy and Administration from the University of Michigan and a B.S. in Chemical Engineering from the Massachusetts Institute of Technology.

Rachel Benson Gold

Rachel Benson Gold is the Director of Policy Analysis and Washington Office Operations in The Alan Guttmacher Institute's Public Policy Division. She joined the Institute in 1979. Her expertise is on the role of the public and private sectors in financing reproductive health care. Ms. Gold is the author of several reports and articles in the field of reproductive health and recently completed an analysis of Medicaid support for family planning services in the managed care era. She currently serves on the Board of Directors of the National Family Planning and Reproductive Health Association. Ms. Gold earned a Master of Public Affairs from the Woodrow Wilson School of Public and International Affairs of Princeton University and B.A. with Honors in Government from Wesleyan University.

Moderator

Deborah Rogal

Ms. Rogal is a Senior Manager at AcademyHealth which was formed in June 2000 following the merger of the Alpha Center and the Association for Health Services Research (AHSR). She joined the Alpha Center in 1991. She serves as Deputy Director for The Robert Wood Johnson Foundation's Changes in Health Care Financing and Organization (HCFO) initiative. In addition, she has assisted with the administration and provision of technical assistance under the Foundation's State Initiatives in Health Care Reform program. For five years prior to joining the Alpha Center, Ms. Rogal was a Senior Planning Associate and then a Program Manager at Blue Cross and Blue Shield of Massachusetts. There she conducted analyses on utilization, cost, and demographics in support of product management for the Medicare supplementary insurance product. She then incorporated these analyses into annual rate filings, program development, and program operations. Ms. Rogal received her Masters in Public Policy from Harvard University's Kennedy School of Government and her B.A. with Honors from Ohio State University.

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AcademyHealth RWJF
hcfo@academyhealth.org