Managerial Epidemiology Case Study


We examined associations of health insurance status with self-perceived poor/fair health and frequent mental distress (FMD) among working-aged US adults from 42 states and the District of Columbia using data from the 2014 Behavioral Risk Factor Surveillance System. After multiple-variable adjustment, compared with adequately insured adults, underinsured and never insured adults were 39% and 59% more likely to report poor/fair health, respectively, and 38% more likely to report FMD.

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Compared with working-aged adults with employer-based insurance, adults with Medicaid/Medicare or other public insurance coverage were 28% and 13% more likely to report poor/fair health, respectively, and 15% more likely to report FMD. Increasing insurance coverage and reducing cost barriers to care may improve general and mental health.



After reading the full paper, answer the following questions. Provide detailed information. The full paper is in the module section.

  1. What is the role of epidemiology in finance?
  2. Based on table 1 in the full paper, of the 201,423 participants who reported poor/fair health status, what percentages of participants are unemployed, and leave at less than 100% poverty level?
  3. By comparing smokers or obese participants (Mass Index (BMI) more or equal to 30kg/m2), how many times more likely is poor/fair health among those who either smoke or obese compared to those who do not smoke or are not obese? (compare smokers to non-smokers and obese to non-obese)
  4. Assuming that the average cost of being hospitalized for mental distress is $3,985, and that people with chronic conditions more or equal to 3 have 50 percent annual risk of being hospitalized, what is the total cost of hospitalization paid by people with chronic conditions more or equal to 3 in 2014?
  5. Assuming that each person with mental health distress visits a physician once a year with an average cost of $120 per visit. Assuming that the risk of hospitalization drops to “0” if each person visits a physician once a year. What would be the cost savings among people with chronic conditions more or equal to 3?
  6. Do you think capitation system based on the prevalence of risk factors is actuarially fair? (provide detailed explanation)









Zhao, G., Okoro, C. A., Hsia, J., & Town, M. (2018). Self-Perceived Poor/Fair Health, Frequent Mental

Distress, and Health Insurance Status Among Working-Aged US Adults. Preventing chronic

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