- Pharmaceutical industry and healthcare
- Healthcare Policy and Management
- Geriatric Care and Nursing Homes
- COVID-19 and healthcare impacts
- Nursing education and management
- Pharmaceutical Economics and Policy
- Nursing Roles and Practices
- Substance Abuse Treatment and Outcomes
- Global Cancer Incidence and Screening
- Aortic Disease and Treatment Approaches
- Healthcare Operations and Scheduling Optimization
- Global Health Care Issues
- Financial Literacy, Pension, Retirement Analysis
- Emergency and Acute Care Studies
- Colorectal Cancer Screening and Detection
- Telemedicine and Telehealth Implementation
- Employment and Welfare Studies
- Consumer Market Behavior and Pricing
- Health Systems, Economic Evaluations, Quality of Life
- Opioid Use Disorder Treatment
- Cardiac Valve Diseases and Treatments
- Infective Endocarditis Diagnosis and Management
- Organizational Downsizing and Restructuring
- Scheduling and Timetabling Solutions
- Healthcare cost, quality, practices
University of Pennsylvania
2016-2024
California University of Pennsylvania
2021
National Bureau of Economic Research
2021
Abstract Objective To measure the extent to which provision of mammograms was impacted by COVID‐19 pandemic and surrounding guidelines. Data Sources De‐identified summary data derived from medical claims eligibility files were provided Independence Blue Cross for women receiving mammograms. Study Design We used a difference‐in‐differences approach characterize change in performed over time queueing formula estimate clear queue missed Collection first 30 weeks each year 2018 2020. Principal...
To determine the degree of telemedicine expansion overall and across patient subpopulations diagnoses. We hypothesized that visits would increase substantially due to need for continuity care despite disruptive effects COVID-19.A retrospective study health insurance claims from January 1, 2018, through March 10, 2020 (prepandemic period), 11, 2020, October 31, (pandemic period).We analyzed 1,589,777 were submitted Independence Blue Cross (Independence) telemedicine-only providers who...
Problem definition: Employers across many sectors of the economy have been fast to adopt variable work scheduling policies. The cost this flexibility for employers is usually borne by employees, whom unstable schedules create several disruptions. In context home healthcare, we examine how employer-driven volatility in nurses’ impacts their decision voluntarily leave job. Methodology/results: Using an instrumental variables approach, causally identify effect schedule on voluntary turnover. We...
To explore how differences in local socioeconomic deprivation impact access to aortic valve procedures and the treatment of disease, comparison other open minimally invasive surgical procedures.
Many physicians receive payments from medical device companies that make products can use or recommend. Such are controversial because of concerns they might influence to treat patients with devices made by the firms those payments, even if not optimal for patients. This issue has been studied extensively in drug industry. Medical entail a greater degree physician-industry interaction regarding treatment, training, and innovation than pharmaceuticals, have less data limitations. We summarize...
Despite considerable research on nursing turnover, few studies have considered turnover among nurses working in home health care. Using novel administrative data from one of the largest care organizations United States, this study examined nurses, focusing role schedule volatility. We estimated separation rates full-time and part-time registered licensed practical used daily visit logs to estimate volatility, which was defined as coefficient variation number visits prior four weeks. Between...
We draw upon newly merged administrative data sets to study the relationship between payments from medical technology firms physicians and device procurement by hospitals. These (and interactions that accompany them) may facilitate transfer of valuable information physicians. However, they also influence physicians’ preferences, in turn hospital procurement, favor paying firms. Payments are pervasive: 87 percent sales our sample occurred at a where relevant physician received payment firm....
To meet increasing demand for mental health and substance use services, the Centers Medicare & Medicaid Services launched 5-year Comprehensive Primary Care Plus (CPC+) demonstration in 2017, requiring primary care practices to integrate behavioral services.
Abstract Geographic disparities in access to inpatient procedures are a significant issue within the US healthcare system. This study introduces Procedure Access Inequality (PAI) index, standardized metric quantify these while adjusting for disease prevalence. Using data from Healthcare Cost and Utilization Project State Inpatient Databases, we analyzed procedure 18 states between 2016 2019. The PAI index reveals notable variability inequality across different procedures, with minimally...
Problem definition: Employers across many sectors of the economy have been fast to adopt variable work scheduling policies. The cost this flexibility for employers is usually borne by employees, whom unstable schedules create several disruptions. In context home health care, we examine how employer-driven volatility in nurses’ impacts their decision voluntarily leave job.Methodology/results: Using an instrumental variables approach, causally identify effect schedule on voluntary turnover. We...
We propose and test a model of the strategic interaction between public private insurers in physician services market. depart from standard healthcare service pricing allow physicians to (partially) adjust patient access based on price differences insurers. Analysis sector insurer prices quantities supports hypothesis that respond differences: A 10% increase decreases beneficiaries’ share by 4%, equivalent per capita decrease 1%-14% beneficiary, ceteris paribus.
Abstract Only a few studies of nursing turnover have examined post-acute home health care. This study examines factors that are associated with licensed nurse using linked employee-level and patient-level data from one the five largest companies in US. The include variables human resources payroll systems, visit logs, discharge records, physical mental assessments, care plans, patient encounters is organized at employee-day level. We measured data, including measures voluntary involuntary...
We draw upon newly merged administrative data sets to study the relationship between payments from medical technology firms physicians and device procurement by hospitals. These (and interactions that accompany them) may facilitate transfer of valuable information physicians. However, they also influence physicians’ treatment decisions, in turn hospital procurement, favor paying firms. Payments are pervasive: 87 percent sales our sample occurred at a where relevant physician received payment...