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Pages 89-94

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From page 89...
... Chapter 9: Conclusions While there is substantial uncertainty in the precise computations at the condition level, a strong case can be made that improved access to NEMT for transportationdisadvantaged persons is cost-effective in terms of better healthcare. In some cases, this cost-effectiveness translates directly into decreases in healthcare costs that exceed the added transportation costs.
From page 90...
... In the sections that follow, we describe other important results as they relate to the objectives of the study and to the spreadsheet tool that was developed to foster local and regional analyses. 9.1.1 The Transportation-Disadvantaged Population and Access to Healthcare Defining the transportation-disadvantaged population is a complex and contentious problem, made more difficult when trying to identify members of this population who miss non-emergency medical care due to transportation shortcomings – this project's study population.
From page 91...
... transportation status is certainly not driven by race, it is associated with it. In the target population, African Americans and Hispanics are disproportionately represented (see Table 9-2)
From page 92...
... 9.1.4 Optimal Method for an Economic Evaluation of Healthcare Costs, Outcomes, and Offsetting Transportation Costs In completing this study, including review of relevant literature and investigation and analysis of available data sets, we determined that cost-effectiveness analysis is a more appropriate method for meeting the objectives than is cost benefit analysis. As a result, we conducted twelve cost-effectiveness analyses based on identified medical conditions from which members of the target population suffer.
From page 93...
... the current study in this regard are (1) the use of MEPS to select the target population based on primary and secondary reasons for missing care only and (2)
From page 94...
... analyses. In addition, when using the MEPS, one finds people with a condition by finding condition-related expenditures and then working backwards to the individuals.

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