Articles

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Variation in Electronic Health Record Adoption and Readiness for Meaningful Use: 2008-2011 (with Vaishali Patel, Eric Jamoom, Chun-Ju Hsiao, and Michael F. Furukawa), Journal of General Internal Medicine (2013)

Objective. We sought to examine readiness and interest in MU among primary care physicians and...

 

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Progress Towards Meaningful Use: Hospitals' Adoption of Electronic Health Records (with Ashish K. Jha, Matthew F. Burke, Catherine DesRoches, Maulik S. Joshi, Peter D. Kralovec, and Eric G. Campbell), The American Journal of Managed Care (2011)

Objectives: To update the status of electronic health record (EHR) adoption in US hospitals and...

 

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Healthcare Spending and Preventive Care in High-Deductible and Consumer-Directed Health Plans (with Amelia M. Haviland, Roland McDevitt, and Neeraj Sood), The American Journal of Managed Care (2011)

Objective. To investigate the effects of highdeductible health plans (HDHPs) and consumerdirected health plans (CDHPs)...

 

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More Than Four In Five Office-Based Physicians Could Qualify For Federal Electronic Health Record Incentives (with Brian Bruen, Leighton Ku, and Matthew F. Burke), Health Affairs (2011)

Our analyses of federal survey data show that more than four in five office-based physicians...

 

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The Benefits Of Health Information Technology: A Review Of The Recent Literature Shows Predominantly Positive Results (with Matthew F. Burke, Michael C. Hoaglin, and David Blumenthal), Health Affairs (2011)

An unprecedented federal effort is under way to boost the adoption of electronic health records...

 

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Alternative Measures of Electronic Health Record Adoption among Hospitals (with Fredric E. Blavin and Charles P. Friedman), The American Journal of Managed Care (2010)

Objective. To develop measures of the use of electronic health records (EHRs) that accurately reflect...

 

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Using Electronic Prescribing Transaction Data to Estimate Electronic Health Record Adoption - See more at: http://www.ajmc.com/publications/supplement/2010/AJMC_10dec_HIT/AJMC_10HITdecMaxson_eXclu_e320/#sthash.1sZgnsc6.dpuf (with Emily Ruth Maxson and Farzad Mostashari), The American Journal of Managed Care (2010)

Objective. To determine whether electronic prescribing transaction data can be used to accurately and efficiently...

 

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Effects of Competition on the Cost and Quality of Inpatient Rehabilitation Care under Prospective Payment (with Carrie Hoverman Colla, Jose J. Escarce, and Neeraj Sood), Health Services Research (2010)

Objective. To determine the effect of competition in postacute care (PAC) markets on resource intensity...

 

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Beacon Communities Aim To Use Health Information Technology To Transform The Delivery Of Care (with Emily R. Maxson, Sachin H. Jain, Aaron N. McKethan, Craig Brammer, Kelly Cronin, Farzad Mostashari, and David Blumenthal), Health Affairs (2010)

The Beacon Community Program, authorized under the 2009 American Recovery and Reinvestment Act (ARRA), aims...

 

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Medicare Spending and Outcomes After Postacute Care for Stroke and Hip Fracture (with Carrie Hoverman Colla, Partha Deb, Neeraj Sood, and Jose Escarce), Medical Care (2010)

Objective. To assess Medicare payments for and outcomes of patients discharged from acute care to...

 

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Health Information Technology: Laying The Infrastructure For National Health Reform (with Sachin H. Jain and David Blumenthal), Health Affairs (2010)

The enactment of the Patient Protection and Affordable Care Act is a signal achievement on...

 

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Effects of Payment Changes on Trends in Post-Acute Care (with Carrie Hoverman Colla and Jose Escarce), Health Services Research (2009)

Objective. To test how the implementation of new Medicare post-acute payment systems affected the use...

 

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The Medicare Hospice Payment System: A Consideration of Potential Refinements (with Nancy Nicosia, Elane Reardon, Karl Lorenz, and Joanne Lynn), Health Care Financing review (2009)

The purpose of this article is to examine variation in resource utilization across and within...

 

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Who Gets Disease Management? (with Arvind K. Jain, Soeren Mattke, and Nicole Lurie), Journal of General Internal Medicine (2009)

Objective.To quantify the differences between those who do and do not enroll in DM.

 

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Use of Postacute Care by Nursing Home Residents Hospitalized for Stroke or Hip Fracture: How Prevalent and to What End? (with Carrie Hoverman, Lisa R. Shugarman, and Debra Saliba), Journal of the American Geriatrics Society (2008)

OBJECTIVES. To examine nursing home (NH) residents' use of Medicare-paid skilled nursing facility (SNF) services...

 

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Does How Much and How You Pay Matter? Evidence from the Inpatient Rehabilitation Facility Prospective Payment System (with Neeraj Sood and José J. Escarce), Journal of Health Economics (2008)

We use the implementation of a new prospective payment system (PPS) for inpatient rehabilitation facilities...

 

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The Role of Product Design in Consumers' Choices in the Individual Insurance Market (with M. Susan Marquis, Jose Escarce, and Kanika Kapur), Health Services Research (2007)

Objective. To evaluate the role of health plan benefit design and price on consumers' decisions...

 

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What Is the Right Price of Health Insurance? A Rejoinder (with M. Susan Marquis, Jose Escarce, and Kanika Kapur), Health Services Research (2007)
 

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Access to Postacute Rehabilitation, Archives of Physical Medicine and Rehabilitation (2007)

Each year, more than 10 million Medicare beneficiaries are discharged from acute care hospitals into...

 

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Did the Medicare Inpatient Rehabilitation Facility Prospective Payment System Result in Changes in Relative Patient Severity and Relative Resource Use? (with Susan M. Paddock, Jose J. Escarce, and Orla Hayden), Medical Care (2007)

Objective. We sought to examine changes in the composition of Medicare beneficiaries in IRFs by...

 

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Consumer-Directed Health Care: Early Evidence About Effects On Cost And Quality (with Cheryl Damberg, Amelia Haviland, Kanika Kapur, Nicole Lurie, Roland McDevitt, and M. Susan Marquis), Health Affairs (2006)

Demand for consumer-directed health care (CDHC) is growing among purchasers of care, and early evidence...

 

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How Much Risk Pooling Is There in the Individual Insurance Market? (with M. Susan Marquis), Health Services Research (2006)

Objective. To examine how much pooling of risks occurs among potential purchasers in the individual...

 

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Consumer Decision Making In The Individual Health Insurance Market (with M. Susan Marquis, José J. Escarce, Kanika Kapur, Thomas A. Louis, and Jill M. Yegian), Health Affairs (2006)

This paper summarizes the results from a study of consumer decision making in California’s individual...

 

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Changes in Patient Severity Following Implementation of the Inpatient Rehabilitation Facility Prospective Payment System (with Susan M. Paddock, Jose J. Escarce, and Orla Hayden), RAND Technical Report (2006)

The Medicare program in 2002 instituted an inpatient rehabilitation facility (IRF) prospective payment system (PPS)....

 

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Inpatient Rehabilitation Facility Care Use Before and After Implementation of the IRF Prospective Payment System (with Grace M. Carter, Orla Hayden, Carrie Hoverman, and Susan M. Paddock), RAND Technical Report (2006)

The Medicare program in 2002 instituted an inpatient rehabilitation facility (IRF) prospective payment system (PPS)....

 

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Is the Individual Market More than a Bridge Market? An Analysis of Disenrollment Decisions (with M. Susan Marquis, Jose J. Escarce, Kanika Kapur, and Thomas A. Louis), Inquiry (2005)

The individual insurance market is perceived by many to provide primarily transition coverage, but there...

 

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Using contingent choice methods to assess consumer preferences about health plan design (with M. Susan Marquis, Kanika Kapur, and Jill Yegian), Applied Health Economics and Health Policy (2005)
 

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How Much Is Postacute Care Use Affected by Its Availability? (with Anita Datar Garten, Susan Paddock, Debra Saliba, Mark Totten, and José J. Escarce), Health Services Research (2005)

Objective. To assess the relative impact of clinical factors versus nonclinical factors—such as postacute care...

 

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Effects of Payment Changes on Trends in Access to Post-Acute Care (with Jose J. Escarce, Carrie Hoverman, Susan M. Paddock, and Mark E. Totten), RAND Technical Report (2005)

Medicare has instituted a prospective payment system (PPS) for patients receiving post-acute care (PAC). Prospective...

 

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Possible Refinements to the Construction of Function-Related Groups for the Inpatient Rehabilitation Facility Prospective Payment System (with Daniel A. Relles, Greg Ridgeway, and Grace M. Carter), RAND Technical Report (2005)

In 2002, Medicare implemented a prospective payment system (PPS) for inpatient rehabilitation facilities (IRFs). The...

 

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Identifying and Accommodating Statistical Outliers When Setting Prospective Payment Rates for Inpatient Rehabilitation Facilities, Health Services Research (2004)

ObjectiveTo demonstrate how a Bayesian outlier accommodation model identifies and accommodates statistical outlier hospitals when...

 

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The Role Of The Individual Health Insurance Market And Prospects For Change (with M. Susan Marquis and Jill M. Yegian), Health Affairs (2004)

The individual market is the only source of health insurance for the more than 20...

 

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Subsidies and the Demand for Individual Health Insurance in California (with M. Susan Marquis, José J. Escarce, Kanika Kapur, and Jill M. Yegian), Health Services Research (2004)

Objective. To estimate the effect of changes in premiums for individual insurance on decisions to...

 

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Too much ado about two-part models and transformation? Comparing methods of modeling Medicare expenditures (with Alan M. Zaslavsky), Journal of Health Economics (2004)

Many methods for modeling skewed health care cost and use data have been suggested in...

 

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Increased Medicare Expenditures for Physicians' Services: What Are the Causes? (with Jose J. Escarce, Dana Goldman, Honjun Kan, Miriam J. Laugesen, and Paul Shekelle), Inquiry (2004)

In light of rising expenditures for physicians' services and the scheduled decreases in the amounts...

 

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The Costs of Decedents in the Medicare Program: Implications for Payments to Medicare+Choice Plans (with Alan M. Garber, Mark McClellan, and Joseph P. Newhouse), Health Services Research (2004)

Objective. To discuss and quantify the incentives that Medicare managed care plans have to avoid...

 

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Trends And Variability In Individual Insurance Products In California (with Jose S. Escarce, Kanika Kapur, Jill M. Yegian, and M. Susan Marquis), Health Affairs (2003)

This paper examines recent trends in benefits and premiums for individual health insurance products purchased...

 

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What Is Known About the Economics of End-of-Life Care for Medicare Beneficiaries? (with Haiden Huskamp), The Gerontologist (2002)

Purpose: This article reviews the state of science on the economics of end-of-life care for...

 

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Managed Care: An Industry Snapshot, Inquiry (2002)

Together with the American Association of Health Plans (AAHP), we surveyed health maintenance organizations (HMOs)...

 

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Using Survey Measures to Assess Risk Selection Among Medicare Managed Care Plans (with Alan M. Zaslavsky), Inquiry (2002)

This paper quantifies risk selection among competing Medicare managed care plans, using beneficiary survey data...

 

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Analyses for the Initial Implementation of the Inpatient Rehabilitation Facility Prospective Payment System (with Grace M. Carter, Orla Hayden, Susan M. Paddock, Daniel A. Relles, Greg Ridgeway, Mark E. Totten, and Barbara O. Wynn), RAND Monograph Report (2002)

In the Balanced Budget Act of 1997, Congress mandated that Health Care Financing Administration (HCFA)...

 

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The Prevalence of Formal Risk Adjustment in Health Plan Purchasing (with Patricia Seliger Keenan, Thomas G. McGuire, and Joseph P. Newhouse), Inquiry (2001)

This paper describes the prevalence of formal risk adjustment of payments made to health plans...

 

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Providing Care At The End Of Life: Do Medicare Rules Impede Good Care? (with Haiden A. Huskamp, Virginia Wang, and Joseph P. Newhouse), Health Affairs (2001)

Medicare spends more than a quarter of its annual budget on care for those in...

 

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Paying Medicare Managed Care Plans (with Joseph P. Newhouse), Generations (1998)
 

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Carve outs: definition, experience, and choice among candidate conditions. (with D Blumenthal), The American Journal of Managed Care (1998)

Despite increasing discussion of carve outs as a device for controlling costs and improving quality...

 

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Risk adjustment and Medicare: taking a closer look (with Joseph P. Newhouse and J. D. Chapman), Health Affairs (1997)

Medicare's method for reimbursing at-risk managed care plans causes potential problems with selection (when beneficiaries...

 

Unpublished Papers

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Comparison of Medicare Spending and Outcomes for Beneficiaries with Lower Extremity Joint Replacements (with Partha Deb, José Escarce, Carrie Hoverman, Susan Paddock, and Neeraj Sood), RAND Health working paper series (2005)

The primary objective of this study is to conduct a set of analyses comparing costs...