1. Approach to Public Health Analysis John Lewis, MPA Associate Director California Health Benefits Review Program

2. Inputs Public Health Impacts Medical Effectiveness Review Public Health Data on Morbidity & Mortality Benefit Coverage, Cost, and Utilization Impacts 2

3. 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

4. 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

5. www.chbrp.org