A5027705786- Healthcare Policy and Management
- COVID-19 and healthcare impacts
- Health disparities and outcomes
- Global Health Care Issues
- Heart Failure Treatment and Management
- COVID-19 epidemiological studies
- Health Systems, Economic Evaluations, Quality of Life
- Healthcare cost, quality, practices
- Patient Satisfaction in Healthcare
- Primary Care and Health Outcomes
- ECG Monitoring and Analysis
- Cardiovascular Function and Risk Factors
- Radiation Dose and Imaging
- Occupational and environmental lung diseases
- Populism, Right-Wing Movements
- Political Economy and Marxism
- COVID-19 and Mental Health
- Global Health Workforce Issues
- Influenza Virus Research Studies
- Orthopedic Infections and Treatments
- Total Knee Arthroplasty Outcomes
- Trauma and Emergency Care Studies
- Animal Disease Management and Epidemiology
- Cardiac electrophysiology and arrhythmias
- Orthopaedic implants and arthroplasty
University of California, San Francisco
2019-2024
Harvard University
2022-2023
Office of the Assistant Secretary for Planning and Evaluation
2020
Lee University
2020
Duke University
2018-2020
Duke Medical Center
2016
This cross-sectional study systematically examines the contributions of COVID-19 and other underlying causes death to widened gender life expectancy gap from 2010 2021.
Multidisciplinary care (MDC) programs have been proposed as a way to alleviate the cost and morbidity associated with chronic kidney disease (CKD) in US.We assessed cost-effectiveness of theoretical Medicare-based MDC program for CKD compared usual Medicare beneficiaries stage 3 4 between 45 84 years old US. The used nephrologists, advanced practitioners, educators, dieticians, social workers. From claims published literature, we developed novel deterministic Markov model progression...
The 2022 clinical guidelines for management of heart failure with reduced ejection fraction call quadruple therapy. Quadruple therapy consists an angiotensin receptor-neprilysin inhibitor (ARNi), sodium-glucose cotransporter-2 (SGLT2i), mineralocorticoid receptor antagonist, and beta blocker. ARNi are newer additions to standard care the replacing ACE (angiotensin-converting enzyme) inhibitors II blockers.We investigate cost-effectiveness sequentially adding SGLT2i form as compared previous...
This cohort study uses data from the Medicare Shared Savings Program to assess changes in spending, utilization, and quality performance before COVID-19 pandemic (2019) year 2 of (2021).
The COVID pandemic disrupted health care spending and utilization, the Medicare Shared Savings Program (MSSP), Medicare’s largest value-based payment model with 11.2 million assigned beneficiaries, was no exception. Despite COVID, 513 accountable organizations (ACO) in MSSP returned a program record $1.9 billion net savings to 2020. To understand extent of COVID’s impact on cost quality, we describe how ACO changed 2020 further analyze changes measured quality utilization. We found that...
Adverse local tissue reactions secondary to mechanically assisted crevice corrosion (MACC) at the trunnion is a complication of total hip arthroplasty known cause soft-tissue damage. However, what not as well appreciated that MACC in metal-on-polyethylene (MOP) articulations can lead cobalt ion serum elevations with associated neurological dysfunction just metal-on-metal articulations. We report compelling case for association neurologic tied metal two distinct MOP tapers 58-year-old...
Although the Affordable Care Act’s Medicaid expansion reduced uninsurance, less is known about its impact on mortality, especially in context of opioid epidemic. We conducted a difference-in-differences study comparing trends mortality between and nonexpansion states from 2011 to 2016 using Centers for Disease Control Prevention data. analyzed all-cause deaths, health care amenable drug overdose deaths causes other than among adults aged 20 64 years. was associated with 2.7% reduction ( p =...
A 69-year-old woman was admitted after a cardiac arrest. She developed status epilepticus and later found to have variable morphologies of "spiked helmet sign" (SHS) on ECGs in the setting prolonged QT interval, raising question whether this sign is manifestation prolongation.
Medicare Accountable Care Organizations (ACOs) have achieved high-quality performance and recent cost savings, but little is known about how local market conditions influence provider adoption. The authors describe physician practice participation in ACOs at the county level use adjusted logistic regression to assess association between ACO presence 3 characteristics hypothesized formation: concentration, Advantage (MA) penetration, commercial health insurance concentration. Analyses are...
IntroductionThe Affordable Care Act’s Medicaid expansion in 2014 improved access to care. However, not all states adopted the expansion, and debates on reform or repeal continue. In addition, few studies have analyzed differential effects by demographic characteristics.MethodsUsing nationally representative data from 2011-2016 Behavioral Risk Factor Surveillance System, we applied a difference-in-differences approach compare changes health care access, preventive utilization, status, chronic...
This study uses commercial claims data to assess whether quaternary hospitals charge higher prices for common, unspecialized services also offered by nonquaternary hospitals.
The Affordable Care Act’s (ACA) expansion of Medicaid in 2014 has improved access to care, but data on its impact health and mortality is limited. In this study, we use U.S. from 2011 2017 analyze trends among adults ages 25-64 before after expansion. We both all-cause causes considered amenable care compare states that did not expand Medicaid. found while rose steadily for non-elderly between 2013 2017, fell 68% more (-3.70% vs. -2.20%) expanded compared those not. Although varied widely by...