P J Cunningham

Summary

Affiliation: Center for Studying Health System Change
Country: USA

Publications

  1. doi request reprint Despite the recession's effects on incomes and jobs, the share of people with high medical costs was mostly unchanged
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 31:2563-70. 2012
  2. doi request reprint Safety-net providers in some US communities have increasingly embraced coordinated care models
    Peter Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 31:1698-707. 2012
  3. ncbi request reprint Children's health coverage: a quarter-century of change
    Peter Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 23:27-38. 2004
  4. doi request reprint Caught in the competitive crossfire: safety-net providers balance margin and mission in a profit-driven health care market
    Peter J Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 27:w374-82. 2008
  5. ncbi request reprint Medicaid cost containment and access to prescription drugs
    Peter J Cunningham
    Center for Studying Health System Change, Washington, D C, USA
    Health Aff (Millwood) 24:780-9. 2005
  6. pmc Effects of changes in incomes and practice circumstances on physicians' decisions to treat charity and Medicaid patients
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC 20024, USA
    Milbank Q 86:91-123. 2008
  7. ncbi request reprint Medicaid/SCHIP cuts and hospital emergency department use
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 25:237-47. 2006
  8. ncbi request reprint Overburdened and overwhelmed: the struggles of communities with high medical cost burdens
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Issue Brief (Commonw Fund) 28:1-14. 2007
  9. ncbi request reprint The struggle to provide community-based care to low-income people with serious mental illnesses
    Peter Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 25:694-705. 2006
  10. ncbi request reprint What accounts for differences in the use of hospital emergency departments across U.S. communities?
    Peter J Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 25:w324-36. 2006

Detail Information

Publications37

  1. doi request reprint Despite the recession's effects on incomes and jobs, the share of people with high medical costs was mostly unchanged
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 31:2563-70. 2012
    ..Virtually all of this decreased spending was because of lower spending on prescription drugs as people shifted from brand-name medications to less expensive generics...
  2. doi request reprint Safety-net providers in some US communities have increasingly embraced coordinated care models
    Peter Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 31:1698-707. 2012
    ....
  3. ncbi request reprint Children's health coverage: a quarter-century of change
    Peter Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 23:27-38. 2004
    ..Public coverage expansions have reversed the surge in uninsurance rates during 1977-1987...
  4. doi request reprint Caught in the competitive crossfire: safety-net providers balance margin and mission in a profit-driven health care market
    Peter J Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 27:w374-82. 2008
    ..Providers are adopting some of the same strategies being used in the private sector to attract higher-paying patients and changing their "image" as a safety-net provider...
  5. ncbi request reprint Medicaid cost containment and access to prescription drugs
    Peter J Cunningham
    Center for Studying Health System Change, Washington, D C, USA
    Health Aff (Millwood) 24:780-9. 2005
    ..In terms of specific policies, prior authorization and mandatory generic substitutions had the largest effects on access to prescription drugs...
  6. pmc Effects of changes in incomes and practice circumstances on physicians' decisions to treat charity and Medicaid patients
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC 20024, USA
    Milbank Q 86:91-123. 2008
    ..This study examines how changes in physicians' practice income, ownership, and size affect their decisions to stop or start treating charity care and Medicaid patients...
  7. ncbi request reprint Medicaid/SCHIP cuts and hospital emergency department use
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 25:237-47. 2006
    ..The results suggest that cost containment efforts that reduce eligibility and enrollment will achieve cost savings largely by reducing access and shifting costs away from Medicaid/SCHIP...
  8. ncbi request reprint Overburdened and overwhelmed: the struggles of communities with high medical cost burdens
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Issue Brief (Commonw Fund) 28:1-14. 2007
    ..To address this problem, many states are undertaking expansions of insurance coverage, but federal support will be critical, particularly in states with large numbers of low-income residents...
  9. ncbi request reprint The struggle to provide community-based care to low-income people with serious mental illnesses
    Peter Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 25:694-705. 2006
    ..Some states and communities are aggressively addressing these gaps, although funding for new programs remains scarce...
  10. ncbi request reprint What accounts for differences in the use of hospital emergency departments across U.S. communities?
    Peter J Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 25:w324-36. 2006
    ..Outpatient capacity constraints also contribute to high ED use. However, high ED use in some communities also likely reflects generic preferences for EDs as a source of care for nonurgent problems...
  11. doi request reprint Do reimbursement delays discourage Medicaid participation by physicians?
    Peter J Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 28:w17-28. 2009
    ..Increasing these rates may be insufficient to increase physicians' participation unless accompanied by reductions in administrative burden...
  12. ncbi request reprint Expanding care versus expanding coverage: how to improve access to care
    Peter Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 23:234-44. 2004
    ..Policymakers should consider CHC expansions as complementary to insurance coverage expansions rather than as a substitute...
  13. pmc High medical cost burdens, patient trust, and perceived quality of care
    Peter J Cunningham
    Center for Studying Health System Change, 600 Maryland Ave, S W, Suite 550, Washington, DC 20024, USA
    J Gen Intern Med 24:415-20. 2009
    ..The financial burden of medical care expenses is increasing for American families. However, the association between high medical cost burdens and patient trust in physicians is not known...
  14. doi request reprint Raising low 'patient activation' rates among Hispanic immigrants may equal expanded coverage in reducing access disparities
    Peter J Cunningham
    Center for Studying Health System Change, in Washington, D C, USA
    Health Aff (Millwood) 30:1888-94. 2011
    ..The findings indicate that increasing activation levels among Hispanic immigrants may be as important as expanding insurance coverage in reducing disparities in unmet medical need...
  15. doi request reprint Explaining the increase in family financial pressures from medical bills between 2003 and 2007: do affordability thresholds change over time?
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC 20024, USA
    Med Care Res Rev 68:352-66. 2011
    ....
  16. ncbi request reprint Does managed care enable more low income persons to identify a usual source of care? Implications for access to care
    P J Cunningham
    Center for Studying Health System Change, Washington, DC 20024, USA
    Med Care 39:716-26. 2001
    ..By requiring or encouraging enrollees to obtain a usual source of care, managed care programs hope to improve access to care without incurring higher costs...
  17. ncbi request reprint Differences between symptom-specific and general survey questions of unmet need in measuring insurance and racial/ethnic disparities in access to care
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC 20024, USA
    Med Care 45:842-50. 2007
    ..To examine differences in insurance and racial/ethnic disparities in access to care between a single-item measure of general unmet medical need and a multi-item measure of symptom-specific unmet medical need...
  18. doi request reprint The growing financial burden of health care: national and state trends, 2001-2006
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 29:1037-44. 2010
    ..Moreover, almost 30 percent of the U.S. population either had a high financial burden of health costs or were uninsured. These facts underscore that escalating health care costs affect all socioeconomic strata, not just the poor...
  19. ncbi request reprint Targeting communities with high rates of uninsured children
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) . 2001
    ..Participation in SCHIP may increase in high-uninsurance communities as the new programs mature, although low participation rates in public programs prior to SCHIP suggest that enrollment barriers may still be greater in such communities...
  20. ncbi request reprint Chronic burdens: the persistently high out-of-pocket health care expenses faced by many Americans with chronic conditions
    Peter J Cunningham
    Center for Studying Health System Change, USA
    Issue Brief (Commonw Fund) 63:1-14. 2009
    ..The prevalence of persons with persistently high financial burdens is likely to increase in the future, because of expected increases in prescription drug costs as well as chronic disease prevalence...
  21. doi request reprint Beyond parity: primary care physicians' perspectives on access to mental health care
    Peter J Cunningham
    Center for Studying Health System Change in Washington, DC, USA
    Health Aff (Millwood) 28:w490-501. 2009
    ..The results suggest that implementing mental health parity nationally will reduce some but not all of the barriers to mental health care...
  22. pmc Racial and ethnic differences in access to medical care in managed care plans
    J L Hargraves
    Center for Studying Health System Change, Washington, DC 20024, USA
    Health Serv Res 36:853-68. 2001
    ....
  23. ncbi request reprint Ability to obtain medical care for the uninsured: how much does it vary across communities?
    P J Cunningham
    Center for Studying Health System Change, Washington, DC 20024, USA
    JAMA 280:921-7. 1998
    ..Changes in the health care system, many of which are driven locally, may further exacerbate these differences...
  24. ncbi request reprint Do consumers know how their health plan works?
    P J Cunningham
    Center for Studying Health System Change, Washington, D C, USA
    Health Aff (Millwood) 20:159-66. 2001
    ..In general, consumers tended to overreport plan restrictions, especially the need for approval to see specialists...
  25. ncbi request reprint Managed care and physicians' provision of charity care
    P J Cunningham
    Center for Studying Health System Change, Washington, DC 20024, USA
    JAMA 281:1087-92. 1999
    ..Health system changes may be affecting the ability of physicians to provide care with little or no compensation from patients who are uninsured and under-insured and may result in decreased access to physicians for uninsured persons...
  26. ncbi request reprint What accounts for differences in uninsurance rates across communities?
    P J Cunningham
    Center for Studying Health System Change, 600 Maryland Ave, S W, Suite 550, Washington, DC 20024, USA
    Inquiry 38:6-21. 2001
    ..Despite the large number of identifiable factors included in the analysis, there is still a substantial amount of unexplained regional variation in uninsurance rates...
  27. ncbi request reprint Would safety-net expansions offset reduced access resulting from lost insurance coverage? Race/ethnicity differences
    Jack Hadley
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 25:1679-87. 2006
    ..Access gaps either remained the same or worsened slightly for English-speaking Hispanics and African Americans relative to whites...
  28. pmc Availability of safety net providers and access to care of uninsured persons
    Jack Hadley
    Center for Studying Health System Change, 600 Maryland Ave, SW, Suite 550, Washington DC 20024, USA
    Health Serv Res 39:1527-46. 2004
    ..To understand how proximity to safety net clinics and hospitals affects a variety of measures of access to care and service use by uninsured persons...
  29. ncbi request reprint Insurance premiums and insurance coverage of near-poor children
    Jack Hadley
    Urban Institute, Washington, DC 20037, USA
    Inquiry 43:362-77. 2006
    ..Sustained increases in private insurance premiums will continue to create enrollment pressures on state insurance programs for children...
  30. ncbi request reprint Popular Medicaid programs do battle with state budget pressures: perspectives from twelve states
    John F Hoadley
    Georgetown University s Health Policy Institute, Washington, DC, USA
    Health Aff (Millwood) 23:143-54. 2004
    ..However, the limits to this surprising level of support are exemplified by decisions in many states to shelve some planned future expansions indefinitely...
  31. ncbi request reprint Changes in medicaid physician fees, 1998-2003: implications for physician participation
    Stephen Zuckerman
    Urban Institute, Washington, DC, USA
    Health Aff (Millwood) . 2004
    ..However, large fee increases were associated with primary care physicians' greater willingness to accept new Medicaid patients...
  32. ncbi request reprint Community approaches to providing care for the uninsured
    Erin Fries Taylor
    Mathematica Policy Research, Washington, DC, USA
    Health Aff (Millwood) 25:w173-82. 2006
    ..Although local strategies can fill some holes, communities often do not have the resources necessary to fully address the problems of the uninsured on their own...
  33. ncbi request reprint SCHIP making progress: increased take-up contributes to coverage gains
    Peter J Cunningham
    Center for Studying Health System Change, Washington, DC, USA
    Health Aff (Millwood) 22:163-72. 2003
    ..Although uninsurance rates still can be decreased further, state budget pressures threaten the momentum toward higher participation in public programs...
  34. ncbi request reprint The effects of SCHIP on children's health insurance coverage: early evidence from the community tracking study
    Peter J Cunningham
    Center for Studying Health System Change, USA
    Med Care Res Rev 59:359-83. 2002
    ..These results reflect the early stages of SCHIP implementation, however, and are subject to change as the SCHIP programs mature...
  35. ncbi request reprint Declining employer-sponsored coverage: the role of public programs and implications for access to care
    Peter J Cunningham
    Center for Studying Health System Change, USA
    Med Care Res Rev 59:79-98; discussion 99-103. 2002
    ..Implications concerning policies to improve access to care for the uninsured are discussed...
  36. ncbi request reprint The effects of medicaid reimbursement on the access to care of medicaid enrollees: a community perspective
    Peter J Cunningham
    Center for Studying Health System Change, USA
    Med Care Res Rev 62:676-96. 2005
    ..The results suggest that a broad range of factors need to be considered to increase access to physicians for Medicaid enrollees...
  37. pmc Identifying affordable sources of medical care among uninsured persons
    Peter J Cunningham
    Center for Studying Health System Change, 600 Maryland Ave, S W, Suite 550, Washington, DC 20024, USA
    Health Serv Res 42:265-85. 2007
    ....