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Staff Profiles
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Carole Roan GresenzWashington Office Senior Economist EducationPh.D. in economics, Brown University; B.A. in economics, Loyola College of Maryland |
Biography
Carole Roan Gresenz is a senior economist and the Associate Director of RAND's Institute for Civil Justice. Within the Institute for Civil Justice, her research has explored the effects of legislation that would remove obstacles to civil litigation against managed care organizations for wrongful benefit denial or delay, described the nature of disputes between patients and managed care organizations, and analyzed the system of external review of managed care organizations' decisions. Dr. Gresenz has also been active in a number of other health-related research areas. Her current research addresses how characteristics of the local health care market and health care safety net influence access to health care among the uninsured, and in other work, she is evaluating a pathbreaking initiative in Montgomery County, Maryland aimed at improving access to care among the uninsured. Dr. Gresenz has also done research on issues related to mental health and substance abuse. Studies include an analysis of labor market transitions among individuals with mental health problems, a report on children's use of behavioral health services, analysis of economic well-being among individuals with mental illness, and the relationship between community income inequality and mental health.
Research Focus
Access to health care; coverage decisionmaking in managed care organizations; civil justice; health care markets; the uninsured
RAND Research Areas
Child Policy; Civil Justice; Health and Health Care; Workforce and Workplace
Recent Projects
- Co-Principal Investigator, Evaluation to Inform Health Service Delivery Improvement in Washington, D.C., District of Columbia Executive Office of the Mayor, April 2007-April 2008.
- Co-Principal Investigator, Evaluating Montgomery Cares, Primary Care Coalition of Montgomery County, Maryland, January 2006-December 2011.
- Investigator, Impact of Changing Health Care Markets on Vulnerable Populations and Their Providers, Agency for Healthcare Research and Quality, July 2000-December 2006.
Selected Publications
Carole Roan Gresenz et al., "Health Care Markets, the Safety Net, and Utilization of Care Among the Uninsured", Health Services Research, 42(1), 2007
C. R. Gresenz et al., "Dimensions of the Local Health Care Environment and Use of Care by Uninsured Children in Rural and Urban Areas", Pediatrics, 117(3), 2006
C. R. Gresenz and D. Studdert, "External Review of Coverage Denials by Managed Care Organizations in California", Journal of Empirical Legal Studies, 2(3), 2005
C. R. Gresenz and D. M. Studdert, "Disputes over Coverage of Emergency Department Services: A Study of Two Health Maintenance Organizations", Annals of Emergency Medicine, 32(2), 2004
C. R. Gresenz and R. Sturm, Mental Health and Employment Transitions, in Marcotte and Wilcox-Gok, eds., The Economics of Gender and Mental Illness, Elsevier Press, 2004
Biography
Carole Roan Gresenz is a Senior Economist and has been affiliated with RAND since 1993. Her research within the Institute for Civil Justice has explored the effects of legislation that would remove obstacles to civil litigation against managed care organizations for wrongful benefit denial or delay, described the nature of disputes between patients and managed care organizations, and analyzed the system of external review of managed care organizations' decisions. Dr. Gresenz recently led a health needs assessment for the District of Columbia and is currently co-leading an evaluation of a program in Montgomery County, Maryland providing financial support to clinics serving the uninsured. Her other research includes an evaluation of health reforms in three states that provide universal coverage for children through expansions to their State Children's Health Insurance (SCHIP) program. In addition, in recently funded work, she has begun studying how new migration patterns among Hispanic immigrants are contributing to their ability to access health care and receive high quality care. Her previous research spans a broad range of topics, including the safety net and access to health care among uninsured children and adults; mental health, with analyses of labor market transitions among individuals with mental health problems, and behavioral health care service use among children in managed behavioral health care plans.
RAND Research Areas
Child Policy; Civil Justice; Health and Health Care; Workforce and Workplace
Research Focus
Health economics; labor economics; Access to health care; health care financing and organization; health care safety net; vulnerable populations; mental health; community partnerships
RAND Research Areas
Child Policy; Civil Justice; Health and Health Care; Workforce and Workplace
Recent Projects
- Health needs assessment for Washington, D.C.
- Evaluation of Montgomery Cares, a program to improve access to health care among the uninsured in Montgomery County, Maryland
- Evaluation of three states' efforts to provide health insurance coverage to all children
- Analysis of access to health care among immigrants to the U.S. in new and traditional destinations
Selected Publications
Lurie, N., C.R. Gresenz, C.R., J. Blanchard, et al, Assessing Health and Health Care in the District of Columbia, RAND Corporation, 2008
Gresenz, C.R., J. Rogowski, and J.J. Escarce, "Healthcare Markets, the Safety Net, and Utilization of Care Among the Uninsured", Health Services Research, 42(1) 239-264, 2007
Gresenz, C.R., J. Rogowski, and J. Escarce, "Dimensions of the Local Health Care Environment and Use of Care By Uninsured Children in Rural and Urban", Areas, Pediatrics, 117 509-517, 2006
Gresenz, C.R. and D. Studdert, "External Review of Coverage Denials by Managed Care Organizations in California", Journal of Empirical Legal Studies, 2(3) 449-468, 2005
Gresenz, C.R. and R. Sturm, Mental Health and Employment Transitions, The Economics of Gender and Mental Illness, Elsevier Press, 2004
Research Focus
Access to health care, coverage decisionmaking in managed care organizations, civil justice, health care markets, the uninsured
Recent Projects
- Effects of health care markets and the safety net on access to care among the uninsured
- Independent medical review system in California
- Coverage decisionmaking in managed care organizations
Selected Publications
"Health Care Markets, the Safety Net, and Utilization of Care Among the Uninsured," Carole Roan Gresenz et al., Health Services Research, Vol. 42, No. 1, Feb 2007
"Dimensions of the Local Health Care Environment and Use of Care by Uninsured Children in Rural and Urban Areas," C. R. Gresenz et al., Pediatrics, Vol. 117, No. 3, Mar 2006
"External Review of Coverage Denials by Managed Care Organizations in California," C. R. Gresenz and D. Studdert, Journal of Empirical Legal Studies, Vol. 2, No. 3, Nov 2005
"Disputes over Coverage of Emergency Department Services: A Study of Two Health Maintenance Organizations," C. R. Gresenz and D. M. Studdert, Annals of Emergency Medicine, Vol. 32, No. 2, Feb 2004
"Mental Health and Employment Transitions," C. R. Gresenz and R. Sturm, in The Economics of Gender and Mental Illness, Dave E. Marcotte and Virginia Wilcox-Gok, eds., Elsevier Press, 2004
To arrange an interview:
Contact the RAND Office of Media Relations, (703) 413-1100, x5117 or (310) 451-6913, or send an email to media@rand.org.
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