A5085344141- Reproductive Health and Technologies
- Healthcare Policy and Management
- Health Systems, Economic Evaluations, Quality of Life
- Sperm and Testicular Function
- Male Reproductive Health Studies
- Reproductive Biology and Fertility
- Economic and Financial Impacts of Cancer
- Prostate Cancer Diagnosis and Treatment
- Sexual function and dysfunction studies
- Hormonal and reproductive studies
- Opioid Use Disorder Treatment
- Sexual Differentiation and Disorders
- Cardiac, Anesthesia and Surgical Outcomes
- Assisted Reproductive Technology and Twin Pregnancy
- Pain Management and Opioid Use
- Primary Care and Health Outcomes
- Prostate Cancer Treatment and Research
- Anesthesia and Pain Management
- Genital Health and Disease
- Testicular diseases and treatments
- Reproductive Health and Contraception
- Healthcare cost, quality, practices
- Family Dynamics and Relationships
- Patient Satisfaction in Healthcare
- Palliative Care and End-of-Life Issues
University of Michigan
2015-2024
Michigan Medicine
2017-2024
Colorado Center for Reproductive Medicine
2023
Institute for Healthcare Improvement
2021
Brigham and Women's Hospital
2021
Harvard University
2021
Ann Arbor Center for Independent Living
2015-2019
Michigan United
2016-2019
American Urological Association
2019
Massachusetts General Hospital
2019
The Affordable Care Act supports the growth of accountable care organizations (ACOs) as a potentially powerful model for health delivery and payment. focuses on primary care. However, surgeons other specialists have large role to play in caring ACOs' patients. No studies yet investigated surgical ACO model. Using case survey, we examined early experience fifty-nine Medicare-approved ACOs providing We found that so far devoted little attention Instead, they emphasized coordinating patients...
In an effort to reduce episode payment variation for joint replacement at US hospitals, the Centers Medicare and Medicaid Services (CMS) recently implemented Comprehensive Care Joint Replacement bundled program. Some stakeholders are concerned that program may unintentionally penalize hospitals because it lacks a mechanism (such as risk adjustment) sufficiently account patients' medical complexity. Using claims patients in Michigan who underwent lower extremity period 2011-13, we applied...
In 2012, the Centers for Medicare & Medicaid Services (CMS) implemented Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) to capture key elements patient satisfaction, including pain management. HCAHPS surveys are administered patients 48 hours 6 weeks after discharge, scores used determine hospital payments.1 However, complete during a time when many filling postdischarge opioid prescriptions. This timing has raised concerns that measures could inadvertently...
No AccessUrology PracticeOriginal Clinical Practice5 Feb 2024Short-Term Changes in Vasectomy Consults and Procedures Following Dobbs v Jackson Women's Health OrganizationThis article is commented on by the following:Editorial CommentaryEditorial Commentary Alex Zhu, Catherine S. Nam, Devon Gingrich, Nik Patel, Kristian Black, Juan J. Andino, Stephanie Daignault-Newton, Jaya Telang, James M. Dupree, Susanne Quallich, Dana Ohl, Miriam Hadj-Moussa ZhuAlex Zhu Corresponding Author: DO,...
Coronary artery bypass grafting (CABG) is scheduled to become a mandatory Medicare bundled payment program in January 2018. A contemporary understanding of 90-day CABG episode payments and their drivers necessary inform health policy, hospital strategy, clinical quality improvement activities. Furthermore, insight into current variation important for the potential effects models cardiac care.To examine its drivers.This retrospective cohort study used private payer claims identify patients...
Objective: To characterize differences in postoperative opioid prescribing across surgical, nonsurgical, and advanced practice providers. Background: There is a critical need to identify best practices around perioperative prescribing. date, among providers are poorly understood. Methods: This retrospective multicenter analysis of commercial insurance claims from statewide quality collaborative. We identified 15,657 opioid-naïve patients who underwent range surgical procedures between...
No AccessJournal of UrologyAdult Urology1 Dec 2022What Is a Normal Testosterone Level for Young Men? Rethinking the 300 ng/dL Cutoff Deficiency in Men 20-44 Years OldThis article is commented on by following:Editorial CommentEditorial Comment Alex Zhu, Juan Andino, Stephanie Daignault-Newton, Zoey Chopra, Aruna Sarma, and James M. Dupree ZhuAlex Zhu *Correspondence: 1500 E. Medical CenterDr., Ann Arbor, Michigan 48109 telephone: 949-633-6048; email: E-mail Address: [email protected]...
We sought to evaluate the incidence, risk factors, in-hospital, and long-term outcomes predictors of mortality coronary artery perforations (CAP) in contemporary percutaneous intervention (PCI) era.CAP is a rare but serious complication PCI associated with increased morbidity mortality.We included 181,590 procedures performed across 47 hospitals Michigan from January 1, 2010 December 31, 2015. Endpoints evaluated incidence CAP its association in-hospital outcomes. Logistic regression...
The aim of this study was to estimate Medicare payments for cancer care during the initial, continuing, and end-of-life phases 10 malignancies examine variation in expenditures according patient characteristics severity.We used linked Surveillance, Epidemiology End Results-Medicare data identify patients aged 66-99 years who were diagnosed with one following cancers: prostate, bladder, esophageal, pancreatic, lung, liver, kidney, colorectal, breast, or ovarian, from 2007 through 2012. We...
OBJECTIVE Spine surgery is expensive and marked by high variation across regions providers. Bundled payments have potential to reduce unwarranted spending associated with spine surgery. This study a cross-sectional analysis of commercial Medicare claims data from January 2012 through March 2015 in the state Michigan. The objective was quantify for adult patients, document sources variation, determine influence patient-level, surgeon-level, hospital-level factors. METHODS Hierarchical...
Under the Comprehensive Care for Joint Replacement (CJR) model, hospitals are held accountable nearly all Medicare payments that occur during initial hospitalization until 90 days after hospital discharge (ie, episode of care). It is not known whether unrelated expenditures resulting from this "broad" definition an care will affect participating hospitals' average episode-of-care payments.To compare CJR program's broad with a clinically narrow care.We identified claims 23 251 patients in...