Approach to Public Health Analysis John Lewis, MPA Associate Director California Health Benefits Review Program
Inputs Public Health Impacts Medical Effectiveness Review Public Health Data on Morbidity & Mortality Benefit Coverage, Cost, and Utilization Impacts 2
Public Health Impacts Health Outcomes Morbidity & mortality Functional status & quality of life Disparities in Outcomes Between genders or races/ethnicities Economic loss associated with disease Long Term Impacts 3
Public Health Impacts 4 QuantitativeQualitative No Impact Unknown Impact Tobacco Cessation Services +5,000 quitters and +40,000 life years Maternity Services Less infant mortality and fewer pre-term births Cancer Related Lumpectomy Coverage mandated - so no utilization change & no PH impact Fail First for Pain Drugs Effect unknown, so PH impact of change unknown