A5006868514- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Patient Satisfaction in Healthcare
- Geriatric Care and Nursing Homes
- Emergency and Acute Care Studies
- Radiology practices and education
- Healthcare Systems and Technology
- Economic and Financial Impacts of Cancer
- Medical Malpractice and Liability Issues
- Innovations in Medical Education
- Clinical Reasoning and Diagnostic Skills
- Global Cancer Incidence and Screening
- Opioid Use Disorder Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Chronic Disease Management Strategies
- Empathy and Medical Education
- Patient-Provider Communication in Healthcare
- Pharmaceutical Practices and Patient Outcomes
- Radiation Dose and Imaging
- Appendicitis Diagnosis and Management
- Patient Safety and Medication Errors
- Cardiac Structural Anomalies and Repair
- Diversity and Career in Medicine
The University of Texas Southwestern Medical Center
2024-2025
University of Washington
2008-2025
Northwest University
2024-2025
University of Arizona
2025
Sichuan University
2025
National Taipei University of Nursing and Health Science
2025
Behavioral Tech Research, Inc.
2018-2024
Army Medical University
2024
University of Pennsylvania
2015-2024
Seattle University
2019-2024
Medicare launched the mandatory Comprehensive Care for Joint Replacement bundled payment model in 67 urban areas approximately 800 hospitals following its experience voluntary Acute Episodes (ACE) and Bundled Payments Improvement (BPCI) demonstration projects. Little information from ACE BPCI exists to guide redesigning care joint replacement bundles.To analyze changes quality, internal hospital costs, postacute (PAC) spending lower extremity episodes encompassing hospitalization 30 days of...
Medicare has reinforced its commitment to voluntary bundled payment by building upon the Bundled Payments for Care Improvement (BPCI) initiative via an ongoing successor program, BPCI Advanced Model. Although lower extremity joint replacement (LEJR) is highest-volume episode in both and Advanced, there a paucity of independent evidence about long-term impact on outcomes whether improvements vary timing participation or arise from patient selection rather than changes clinical practice. We...
<h3>Importance</h3> Medicare's Bundled Payments for Care Improvement (BPCI) initiative lower extremity joint replacement (LEJR) surgery has been associated with a reduction in episode spending and stable-to-improved quality. However, BPCI may create unintended effects by prompting participating hospitals to increase the overall volume of episodes paid Medicare, which could potentially eliminate program-related savings or prompt them shift case mix lower-risk patients. <h3>Objective</h3> To...
Medicaid programs provide health insurance coverage for many patients with hepatitis C, a public problem which effective but very expensive treatments are now available. Facing constrained budgets, most states adopted prior authorization criteria sofosbuvir, the first of these agents. Using fee-for-service utilization data from 42 in 2014, we found that strict behavioral criteria-those limited on basis drug or alcohol use and included specific abstinence treatment requirements-were...
This Viewpoint proposes payment reforms to incentivize health equity, including setting of national goals, equity audits models independent quality and cost, creation a learning action network guide the work achieving goals.
An initial opioid prescription with a greater number of pills is associated risk for future long-term use, yet few interventions have reliably influenced individual clinicians' prescribing. Our objective was to evaluate the effect feedback clinicians in reducing The included on clinician's outlier prescribing (individual audit feedback), peer comparison, and both combined. We conducted four-arm factorial pragmatic cluster randomized trial at forty-eight emergency department (ED) urgent care...
The dilemma of achieving 'onco-functional balance' in gliomas affecting the motor cortex highlights importance functionally-guided resection strategies. While accurate mapping eloquent areas often requires frequent electrical stimulation, this practice can lead to side effects like seizures and postoperative deficits. To enhance safety functional mapping, we studied how impact hand movement assessed effectiveness cortical activity for setting. We recruited patients with individuals an...
This cross-sectional study of national data on Part D and Medicare Advantage prescription drug plans compares utilization management plan-level patient out-of-pocket costs for varenicline in smoking cessation treatment.
Addressing health inequity should involve improving access and quality of care for individuals with low income. In the United States, programs that accountable incentives broader risk adjustment are poised to help address these issues. However, there is limited understanding perspectives among physicians as key stakeholders in determining quality. The authors surveyed about how they perceived (greater inclusion clinical, social, behavioral factors) would impact patients income insured...
This Viewpoint proposes that reminders about professional standards might prevent counterproductive responses of physicians to report card comparisons intended improve health care quality and reduce waste.
The purpose of this study was to determine if medication cost transparency alerts provided at time prescribing led ambulatory prescribers reduce their use low-value medications.Provider-level were deployed practices a single health system from February 2018 through April 2018. Practice sites included 58 primary care and 152 specialty clinics totaling 1896 attending physicians, residents, advanced practice nurses throughout western Washington. Prescribers in the randomly assigned intervention...
Abstract Objective To evaluate whether longer term participation in the bundled payments for care initiative (BPCI) medical conditions United States, which held hospitals financially accountable all spending during an episode of from hospital admission to 90 days after discharge, was associated with changes spending, mortality, or health service use. Design Quasi-experimental difference-in-differences analysis. Setting US participating acute myocardial infarction, congestive heart failure,...