Policy & Research

We believe that a broad approach is needed to improve the health of Kansans. To make sound decisions that optimize health, policymakers must understand how our health is influenced by a wide range of factors. Among these are the lifestyle choices we make, our socioeconomic status, our cultural diversity, the quality of our communities and schools and the financing, organization and effectiveness of our public health and health care systems.

KHI helps policymakers understand the linkages between these factors and the health of Kansans in several ways. We conduct research; provide policy analysis; convene conversations; and sponsor educational forums. This section highlights our recent work and our commitment to encouraging a comprehensive approach to health policy.

Featured Reports

Health Reform Brief 5: Medicare Changes Include Care Coordination and Prescription Drug Costs

0 | Health Reform

This brief — the fifth in a series focusing on how health reform affects Kansans — examines the changes that will occur in Medicare under the health reform law.

Health Reform Brief 4: Affordable Care Act's Expansion of Medicaid Expected to Boost Kansas Enrollment

0 | Health Reform, Medicaid-CHIP

This brief — the fourth in a series focusing on how health reform affects Kansans — examines the changes that will occur in Medicaid under the health reform law.

Health Reform Brief 3: A Health Insurance Exchange in Kansas? Decisions and Deadlines Ahead for State Leaders

0 | Health Reform

This brief — the third in a series about the impact of health reform in Kansas — examines the requirements for a state health insurance exchange and how the exchange will affect Kansans seeking health insurance.

The Great Health Reform Debate: Some Kansas experts weigh in

0 | May. 10, 2012 | Health Reform

To help Kansans better understand the law, the problems it was intended to address and the issues that prompted Kansas and 25 other states to challenge it in court, the Kansas Health Institute recently talked to several experts. Excerpts from those conversations are featured in this collection of short videos.

KanCare: Key Elements of the Medicaid Managed Care Proposal

0 | Apr. 26, 2012 | Medicaid-CHIP

This issue brief examines a proposal by Gov. Sam Brownback’s administration to change the structure and operations of the $2.8 billion Kansas Medicaid program.

Health Reform Brief 6: What the Affordable Care Act Could Mean for Kansas Employers and Health Insurance

0 | Apr. 24, 2012 | Health Insurance, Health Reform

This brief — the sixth in a series focusing on how health reform affects Kansans — examines the Affordable Care Act’s provisions for employers and how these rules might alter the system of employment-based insurance.

Online tool tracks health reform spending by state

0 | Apr. 18, 2012 | Health Reform

A new online tool tracks federal funding made available by the Affordable Care Act. To date, Kansas has received $63 million in ACA funding.

The 2012 County Health Rankings

0 | Apr. 03, 2012 | Community Health

With the release of the 2012 County Health Rankings, Kansas counties can see how they compare with their neighbors so they can identify where they are doing well and where they need to improve.

The Health Reform Challenge Before the Supreme Court

0 | Mar. 27, 2012 | Health Reform

The Supreme Court has dedicated a substantial amount of time — three days — to hear the arguments in the health reform lawsuit, in which 26 plaintiff states are suing the federal government over the constitutionality of the Affordable Care Act. This tutorial provides a brief overview of the four major issues before the court.

Status of states' action on implementing the Affordable Care Act

0 | Mar. 22, 2012 | Health Reform

The Commonwealth Fund and the Kaiser Family Foundation each recently released reports about the wide variance in health reform implementation going on across the states. While some states have led the way on implementation, others like Kansas have held back.

Testimony - KanCare Accountability Act

0 | Mar. 14, 2012 | KHI Legislative Testimony

In testimony to the House Committee on Health and Human Services, KHI discusses the proposed KanCare Accountability Act.

Annual Insurance Update 2011

0 | Mar. 12, 2012 | Health Insurance

This report examines the sources of health insurance for Kansans and details the demographic characteristics of uninsured Kansans.

Testimony - Kansas Indoor Clean Air Act

0 | Mar. 12, 2012 | KHI Legislative Testimony, Tobacco, Tobacco

In testimony to the House Federal and State Affairs Committee, KHI discusses tax data and alcoholic beverage license data to help assess the impact of the Kansas Indoor Clean Air Act.

Special Report: Early Childhood Mental Health Services in Kansas

0 | Feb. 16, 2012 | Child Health, Medicaid-CHIP

Early childhood is a vital period for a child’s development. National studies show that up to a fourth of children younger than 5 have mental health issues. This special report outlines information on the types of early childhood mental health services in Kansas and the availability of services in regions of the state.

Testimony - A Planned Health Impact Assessment of Casino Development in Southeast Kansas

0 | Feb. 01, 2012 | KHI Legislative Testimony

In testimony to the Senate Federal and State Affairs Committee, KHI discusses a planned health impact assessment of casino development in Southeast Kansas.

Testimony - Kansas Partnership for Improving Community Health

0 | Jan. 25, 2012 | KHI Legislative Testimony, Public Health Systems and Services

In testimony to a joint meeting of the Senate Public Health and Welfare Committee and House Health and Human Services Committee, KHI discusses the Kansas Partnership for Improving Community Health and the new KansasHealthMatters.org website.

Health Reform Brief 5: Medicare Changes Include Care Coordination and Prescription Drug Costs

0 | Jan. 24, 2012 | Health Reform

This brief — the fifth in a series focusing on how health reform affects Kansans — examines the changes that will occur in Medicare under the health reform law.

Snapshot of Insurance Coverage in Kansas

0 | Jan. 23, 2012 | Health Insurance

This fact sheet outlines major findings from recent U.S. Census Bureau data about the insurance status of Kansans.

More research from

Measuring the Success of Medical Homes: Recommendations from the PCMH Evaluators' Collaborative

May 18, 2012

There is an urgent need for rigorous data to strengthen the evidence base of the medical home model. In an effort to harness and share lessons from the many disparate medical home pilots and evaluations under way, The Commonwealth Fund established the Patient-Centered Medical Home Evaluators’ Collaborative in 2009.

Achieving Better Quality of Care for Low-Income Populations: The Roles of Health Insurance and the Medical Home in Reducing Health Inequities

May 16, 2012

A new analysis of the Commonwealth Fund 2010 Biennial Health Insurance Survey demonstrates that when low-income adults have both health insurance and a medical home, they are less likely to report cost-related access problems, more likely to be up-to-date with preventive screenings, and report greater satisfaction with the quality of their care.

Recommended Core Measures for Evaluating the Patient-Centered Medical Home: Cost, Utilization, and Clinical Quality

May 16, 2012

This Commonwealth Fund data brief describes how more than 70 researchers came together as part of the Patient-Centered Medical Home Evaluators’ Collaborative to identify a set of standardized measures to assess patient-centered medical homes.

The World Health Report 2008—Primary Healthcare: How Wide Is the Gap Between Its Agenda and Implementation in 12 High-Income Health Systems?

May 11, 2012

The authors of this Commonwealth Fund-supported study report on how the policy reforms set forth by the World Health Organization in 2008 are being implemented in 12 wealthy health systems.

Guidelines International Network: Toward International Standards for Clinical Practice Guidelines

May 11, 2012

The authors of this Commonwealth Fund-supported study identified some steps that can be taken by the Guidelines International Network to ensure that guideline development processes "are both rigorous and feasible even for modestly funded groups to implement."

'Atlanta Declaration' Addresses How U.S. Can Advance World's Health

May 21, 2012

The World Affairs Council of Atlanta, CARE USA, and the Center for Strategic and International Studies (CSIS) last week held a conference "on how the United States, even in the midst of fiscal austerity and political division, can best advance the world's health," CSIS' "Smart Global Health" blog reports (5/17). According to CSIS, "This Atlanta Summit addresses how the next U.S. Congress and presidential administration can best sustain United States leadership in improving world health, with a particular focus on the role of safe water and sanitation." A new report by the three sponsoring agencies, titled "The Atlanta Declaration: U.S. Leadership in Improving the World's Health," is available online (5/21).

Ugandan AIDS Activists Concerned Over Proposed Cuts In Nation's Health Budget

May 17, 2012

AIDS activists in Uganda are worried about a proposed reduction in the country's health budget, as Parliament begins "a months-long budgeting process for the ... next fiscal year," VOA News reports. "AIDS activists have expressed concern that Uganda's proposed budget for the next fiscal year includes a six percent cut in health funding to $307.5 million," which "is less than 10 percent of the country's overall budget," the news service writes. Joshua Wamboga of The AIDS Support Organization said a lack of financial commitment from the government could undermine efforts to fight HIV/AIDS in the country, VOA notes, adding, "Government officials said the cut to the health budget reflects construction projects in that sector that have been completed and no longer require funding." According to VOA, "The budget is months away from being finalized and activists hope there is still time to increase funds" (Green, 5/15).

More Research Needed Into How Transgender Persons In Asia, Pacific Affected By HIV, Stigma, Report Says

May 17, 2012

A report released Thursday in Bangkok by the United Nations Development Programme (UNDP) and the Asia Pacific Transgender Network (APTN) says more research needs to be conducted to determine the extent to which transgender persons in Asia and the Pacific are affected by HIV, are socially ostracized, and lack fundamental rights, including access to basic health care, a UNDP press release reports. The report, released to mark the International Day Against Homophobia and Transphobia, is "a comprehensive review of material gathered from across the region over the past 12 years" and "emphasizes that inclusive research, designed and implemented in partnership with the transgender community, is critical to enable governments, community-based organizations and supporting organizations to enhance HIV and sexual health care services specific to the needs of transgender people, and foster action by governments to adopt more socially equitable policies and practices to protect their rights," according to the press release (5/17).

Study Looking At Impact Of HIV Funding On Rwanda's Health System Has 'Serious Limitations'

May 11, 2012

In this post on the Center for Global Development's (CGD) "Global Health Policy" blog, Research Fellow Victoria Fan, Director of Global Health Policy Amanda Glassman, and Research Assistant Rachel Silverman of CGD examine what they call the "serious limitations" of a study published recently in the American Journal of Tropical Medicine & Hygiene that looked at the impact of HIV/AIDS funding on Rwanda's health system. After describing several "shortcomings," they write, "We understand that the authors likely suffered from significant data constraints; likewise, we recognize the enormous empirical challenges in demonstrating system-wide effects at the national level. Still, it remains important to carefully state results and recognize the limitations of one's research." They conclude, "The jury is still out on whether HIV/AIDS funding has displaced or improved efforts on other disease control priorities" (5/10).

Improving Rural Health Care Systems Would Help Progress In Child Survival

May 11, 2012

In a post on USAID's "IMPACTblog," Jonathan Quick, president and CEO of Management Sciences for Health (MSH), discusses USAID's "Every Child Deserves a 5th Birthday" campaign and several MSH programs working to improve child survival. He writes, "Expanding access to quality health care closer to the home will improve child survival in low-income countries. Training and certifying rural medicine dispensers at a national scale, and providing community-based care by community health workers, will help empower rural communities and improve the health of children in these resource-poor areas. Through these cost-effective, high-impact interventions closer to the home, we can accelerate the reduction in child mortality and save millions of lives" (5/10).

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What is underinsurance?

Being underinsured means someone has inadequate health insurance coverage to address the financial expenses associated with health care services, resulting in financial strain, medical debt, or postponing needed care due to cost.