Justin Markowski

Targeted Regulations Of Abortion Providers Associated With Significant Decreases In OB-GYN Density, 1993–2021 | Health Affairs Journal Obstetricians and gynecologists (OB-GYNs) provide essential health care to women across their lifespan. Yet nearly half of US counties have no OB-GYNs, with nonmetropolitan communities disproportionately affected. Targeted Regulation of Abortion Providers (TRAP) laws, spurred by the 1992 US Supreme Court decision in Planned Parenthood v. Casey, impose regulatory burdens on abortion providers and may have influenced whether and where OB-GYNs choose to practice, which has not yet been comprehensively studied. Using a staggered difference-in-differences design and county-level data, we found that TRAP laws were associated with an average reduction of 4.67 percent in the density of OB-GYNs per 100,000 women ages 15–44 during the period 1993–2021, between Casey and the Dobbs v. Jackson Women’s Health Organization decision in 2022. TRAP laws affected both general and fellowship-trained OB-GYNs, as well as counties without abortion facilities. Concerningly, TRAP laws led to lower physician density in nonmetropolitan counties—a difference that persisted for a decade. As OB-GYN shortages are projected to worsen and TRAP laws are still in effect in twenty-four states, policy makers should consider the long-run effects of TRAP laws on women’s access to health care and their potential to exacerbate geographic disparities in access to care.

New work with a fantastic PhD Candidate Aline Vandenbroeck: we find that Targeted Restrictions on Abortion Providers are not so targeted… reshaping the whole OBGYN workforce in curious ways: www.healthaffairs.org/doi/full/10....

07.08.2025 12:54 — 👍 4    🔁 5    💬 1    📌 0

Community Health Centers’ Progress and Challenges in Meeting Patients’ Essential Primary Care Needs Amid major public health challenges, community health centers continue to provide millions of patients with accessible, comprehensive, and coordinated health care.

CHCs are meeting the health care moment by offering same-day care, expanding #behavioralhealth services, and scaling telehealth.

But federal funding and staffing challenges are mounting. Find out how Congress can help, and what the data show, here ⤵️

#NHCW25 #ValueCHCs

05.08.2025 15:09 — 👍 2    🔁 2    💬 0    📌 0

Yesterday, HHS revised its list of federal programs that many immigrants will be ineligible for to include community health centers. CHCs are a vital source of care for many immigrants; especially among those who are uninsured/on Medicaid, are Hispanic, may be undocumented, or have LEP
@kff.org

11.07.2025 14:23 — 👍 30    🔁 14    💬 5    📌 7

Turf Wars: How Growth and Competitive Shocks Have Affected the Performance and Stability of Community Health Centers Policy Points Community health centers (CHCs) are mandated to simultaneously maintain collaborative relationships with all other health care providers in their service area while consistently exp...

What happens when mission-driven CHCs start competing with each other? Despite policy mandates to collaborate, I find that CHCs are increasingly drawn into “turf wars” that may compromise their social mission.

Full study here: doi.org/10.1111/1468...

#HealthPolicy #CommunityHealth #CHCs #FQHCs

08.07.2025 14:08 — 👍 4    🔁 1    💬 0    📌 0

Alternative Payment Models and Performance in Federally Qualified Health Centers This cohort study examines whether Medicaid alternative payment models are associated with the health care quality, health outcome measures, payer mix,

New work with @jacobwswallace.bsky.social , Mark Schlesinger, and Chima Ndumele: we find significant improvements in quality of care at FQHCs w/o adverse shifts in patient composition after the introduction of Medicaid APMs. 📊 Read the study here: jamanetwork.com/journals/jam...

08.07.2024 16:53 — 👍 3    🔁 0    💬 0    📌 0

Opinion | How to Put ‘Community’ Back in the Mission of Community Hospitals Nonprofit hospitals are behaving in ways that seem to focus more on dollars than patients.

NON-profit hospitals — what’s in a name?

Check out my @nytimes.com oped asking nonprofit boards to come back to their mission

www.nytimes.com/2023/11/30/o...

@sangerkatz.bsky.social @dusetzinas.bsky.social @stevejoffe.bsky.social

30.11.2023 13:09 — 👍 11    🔁 7    💬 0    📌 2

New work with @jacobwswallace.bsky.social and Chima Ndumele: we find that despite their 50+ year history, HPSAs have had no significant impact on reducing disparities in physician density or mortality. Read the study here: healthaffairs.org/doi/10.1377/...

06.11.2023 23:30 — 👍 5    🔁 0    💬 0    📌 0