Designing health insurance information for the Medicare beneficiary: a policy synthesis.

abstract：:In late 1982, as an alternative to Medicaid, Arizona implemented a prepaid, competitively bid medical care program--the Arizona Health Care Cost Containment System (AHCCCS). Before its introduction, the poor had been cared for primarily by a network of county-supported centers. Impact of the AHCCCS initiative was exam...

journal_title：Health services research

authors： Freeman HE,Kirkman-Liff BL

更新日期：1985-08-01 00:00:00

abstract：OBJECTIVE:To compare standardized estimates of the true resource costs of outpatient health care to the allowable and billed charges for that care among Medicare Fee for Service (FFS) beneficiaries. DATA SOURCES/STUDY SETTING:Medicare Carrier and Outpatient Standard Analytic (SAF) files linked to participant data in t...

journal_title：Health services research

authors： Schousboe JT,Paudel ML,Taylor BC,Kats AM,Virnig BA,Ensrud KE,Dowd BE

更新日期：2016-02-01 00:00:00

abstract：:We examined the effect of the Delphi iteration procedure in developing explicit criteria for ambulatory care assessment. Practicing internists chose items they believed to be essential with regard to the care of certain specified conditions. The initial responses were tabulated and "fed-back" to the participants. The ...

journal_title：Health services research

authors： Romm FJ,Hulka BS

更新日期：1979-01-01 00:00:00

abstract：OBJECTIVE:To investigate disparities in mental health care episodes, aligning our analyses with decisions to start or drop treatment, and choices made during treatment. STUDY DESIGN:We analyzed whites, blacks, and Latinos with probable mental illness from Panels 9-13 of the Medical Expenditure Panel Survey, assessing ...

journal_title：Health services research

authors： Cook BL,Zuvekas SH,Carson N,Wayne GF,Vesper A,McGuire TG

更新日期：2014-02-01 00:00:00

abstract：OBJECTIVE:To efficiently estimate race/ethnicity using administrative records to facilitate health care organizations' efforts to address disparities when self-reported race/ethnicity data are unavailable. DATA SOURCE:Surname, geocoded residential address, and self-reported race/ethnicity from 1,973,362 enrollees of a...

journal_title：Health services research

authors： Elliott MN,Fremont A,Morrison PA,Pantoja P,Lurie N

更新日期：2008-10-01 00:00:00

abstract：OBJECTIVE:To explore state patterns in the racial life expectancy gap. DATA SOURCES:The 1997-2004 Multiple Cause of Death PUF, 2000 U.S. Census. STUDY DESIGN:We calculated life expectancy at birth for black and white men and women. DATA EXTRACTION METHODS:Data were obtained by the NCHS and U.S. Census Bureau. PRINC...

journal_title：Health services research

authors： Bharmal N,Tseng CH,Kaplan R,Wong MD

更新日期：2012-02-01 00:00:00

abstract：OBJECTIVE:To measure the association between clinician specialization in nursing home (NH) practice and outcomes of patients who received postacute care in skilled nursing facilities (SNFs). DATA SOURCES:Medicare claims and NH assessments for 2 118 941 hospital discharges to 14 526 SNFs in January 2012-October 2014 an...

journal_title：Health services research

authors： Ryskina KL,Yuan Y,Werner RM

更新日期：2019-06-01 00:00:00

abstract：OBJECTIVE:This study investigated whether unexpected length of stay (LOS) could be used as an indicator to identify hospital patients who experienced complications or whose care exhibited low adherence to normative practices. DATA SOURCES AND STUDY SETTING:We analyzed 1,477 cases admitted for one of three medical cond...

journal_title：Health services research

authors： Kuykendall DH,Ashton CM,Johnson ML,Geraci JM

更新日期：1995-10-01 00:00:00

abstract：OBJECTIVES:To assess the use and timing of scheduled cesareans and other categories of cesarean delivery and the prevalence of neonatal morbidity among cesareans in Oregon before and after the implementation of Oregon's statewide policy limiting elective early deliveries. DATA SOURCES:Oregon vital statistics records, ...

journal_title：Health services research

authors： Muoto I,Darney BG,Lau B,Cheng YW,Tomlinson MW,Neilson DR Jr,Friedman SA,Rogovoy J,Caughey AB,Snowden JM

更新日期：2018-08-01 00:00:00

abstract：OBJECTIVE:Evaluate the association between opioid therapy and health-related quality of life (HRQoL) in participants with chronic, noncancer pain (CNCP). DATA SOURCES:Medical Expenditure Panel Survey Longitudinal, Medical Conditions, and Prescription Files. STUDY DESIGN:Using a retrospective cohort study design, the ...

journal_title：Health services research

authors： Hayes CJ,Li X,Li C,Shah A,Kathe N,Bhandari NR,Payakachat N

更新日期：2018-10-01 00:00:00

abstract：OBJECTIVES:(1) To examine the association of socioeconomic characteristics (SES) with hospitalization by age group, and when using measures of SES at the community as opposed to the individual level. (2) Thus, to support the inference that socioeconomic factors are important in the analysis of small area utilization da...

journal_title：Health services research

authors： Hofer TP,Wolfe RA,Tedeschi PJ,McMahon LF,Griffith JR

更新日期：1998-06-01 00:00:00

abstract：OBJECTIVE:To test the hypothesis that a greater commitment to strategic adaptation, as exhibited by more extensive implementation of a subacute/rehabilitation care strategy in nursing homes, will be associated with superior performance. DATA SOURCES:Online Survey, Certification, and Reporting (OSCAR) data from 1997 to...

journal_title：Health services research

authors： Zinn JS,Mor V,Feng Z,Intrator O

更新日期：2007-06-01 00:00:00

abstract：OBJECTIVE:To compare the costs of physician-owned cardiac, orthopedic, and surgical single specialty hospitals with those of full-service hospital competitors. DATA SOURCES:The primary data sources are the Medicare Cost Reports for 1998-2004 and hospital inpatient discharge data for three of the states where single sp...

journal_title：Health services research

authors： Carey K,Burgess JF Jr,Young GJ

更新日期：2008-10-01 00:00:00

abstract：OBJECTIVE:To evaluate whether community-based health insurance (CBHI) protects household assets in rural Burkina Faso, Africa. DATA SOURCES:Data were used from a household panel survey that collected primary data from randomly selected households, covering 41 villages and one town, during 2004-2007(n = 890). STUDY DE...

journal_title：Health services research

authors： Parmar D,Reinhold S,Souares A,Savadogo G,Sauerborn R

更新日期：2012-04-01 00:00:00

abstract：OBJECTIVE:To compare the performance of various risk adjustment models in behavioral health applications such as setting mental health and substance abuse (MH/SA) capitation payments or overall capitation payments for populations including MH/SA users. DATA SOURCES/STUDY DESIGN:The 1991-93 administrative data from the...

journal_title：Health services research

authors： Ettner SL,Frank RG,McGuire TG,Hermann RC

更新日期：2001-08-01 00:00:00

abstract：OBJECTIVE:To evaluate the prevalence of seven social factors using physician notes as compared to claims and structured electronic health records (EHRs) data and the resulting association with 30-day readmissions. STUDY SETTING:A multihospital academic health system in southeastern Massachusetts. STUDY DESIGN:An obse...

journal_title：Health services research

authors： Navathe AS,Zhong F,Lei VJ,Chang FY,Sordo M,Topaz M,Navathe SB,Rocha RA,Zhou L

更新日期：2018-04-01 00:00:00

abstract：OBJECTIVE:This paper analyzes whether the rise in managed care during the 1990s caused the increase in hospital concentration. DATA SOURCES:We assemble data from the American Hospital Association, InterStudy and government censuses from 1990 to 2000. STUDY DESIGN:We employ linear regression analyses on long differenc...

journal_title：Health services research

authors： Town RJ,Wholey D,Feldman R,Burns LR

更新日期：2007-02-01 00:00:00

abstract：OBJECTIVE:Patients discharged from a self-managed nursing unit are compared with patients from traditionally managed units on postdischarge outcomes. DATA SOURCES AND STUDY SETTING:Primary data were collected on patients discharged from eight nursing units in three clinical areas in one hospital from August through No...

journal_title：Health services research

authors： Cassard SD,Weisman CS,Gordon DL,Wong R

更新日期：1994-10-01 00:00:00

abstract：OBJECTIVE:To examine trends in employer-sponsored health insurance coverage rates and its associated components between 2000 and 2008, to provide a baseline for later evaluations of the Affordable Care Act, and to provide information to policy makers as they design the implementation details of the law. DATA SOURCES:P...

journal_title：Health services research

authors： Vistnes J,Zawacki A,Simon K,Taylor A

更新日期：2012-06-01 00:00:00

abstract：OBJECTIVES:To study the impact of eliminating cost sharing for screening mammography on mammography rates in a large Medicare Advantage (MA) health plan which in 2010 eliminated cost sharing in anticipation of the Affordable Care Act mandate. STUDY SETTING:Large MA health maintenance organization offering individual-s...

journal_title：Health services research

authors： Jena AB,Huang J,Fireman B,Fung V,Gazelle S,Landrum MB,Chernew M,Newhouse JP,Hsu J

更新日期：2017-02-01 00:00:00

abstract：OBJECTIVE:We estimate long-term health care costs of former smokers compared with continuing and never smokers using a retrospective cohort study of HMO enrollees. Previous research on health care costs associated with former smokers has suggested that quitters may incur greater health care costs than continuing smoker...

journal_title：Health services research

authors： Fishman PA,Khan ZM,Thompson EE,Curry SJ

更新日期：2003-04-01 00:00:00

abstract：OBJECTIVES:To examine organizational structural attributes associated with counselor-client contact. DATA SOURCES:Data were collected in 2004 and 2005 for a federally funded project, which simultaneously examines organizational structure, functioning, and resources among outpatient substance abuse treatment programs. ...

journal_title：Health services research

authors： Knight DK,Broome KM,Simpson DD,Flynn PM

更新日期：2008-04-01 00:00:00

abstract：OBJECTIVE:To determine whether (a) quality in schizophrenia care varies by race/ethnicity and over time and (b) these patterns differ across counties within states. DATA SOURCES:Medicaid claims data from California, Florida, New York, and North Carolina during 2002-2008. STUDY DESIGN:We studied black, Latino, and whi...

journal_title：Health services research

authors： Horvitz-Lennon M,Volya R,Garfield R,Donohue JM,Lave JR,Normand SL

更新日期：2015-10-01 00:00:00

abstract：OBJECTIVE:To determine the extent to which the elimination of behavioral health benefits for selected beneficiaries of Oregon's Medicaid program affected general medical expenditures among enrollees using outpatient mental health and substance abuse treatment services. DATA SOURCE/STUDY SETTING:Twelve months of claims...

journal_title：Health services research

authors： McConnell KJ,Wallace NT,Gallia CA,Smith JA

更新日期：2008-08-01 00:00:00

abstract：OBJECTIVE:To review two indirect methods, geocoding and surname analysis, for estimating race/ethnicity as a means for health plans to assess disparities in care. STUDY DESIGN:Review of published articles and unpublished data on the use of geocoding and surname analyses. PRINCIPAL FINDINGS:Few published studies have ...

journal_title：Health services research

authors： Fiscella K,Fremont AM

更新日期：2006-08-01 00:00:00

abstract：OBJECTIVE:To examine the impact of pay for performance in Medicaid on the quality and utilization of care. DATA SOURCES:Medicaid claims and encounter data in three intervention states (Pennsylvania, Minnesota, and Alabama) and three comparison states. STUDY DESIGN:Difference-in-difference analysis with propensity sco...

journal_title：Health services research

authors： Rosenthal MB,Landrum MB,Robbins JA,Schneider EC

更新日期：2016-08-01 00:00:00

abstract：OBJECTIVE:To develop a framework that public health practitioners could use to measure the value of public health services. DATA SOURCES:Primary data were collected from August 2006 through March 2007. We interviewed (n=46) public health practitioners in four states, leaders of national public health organizations, an...

journal_title：Health services research

authors： Jacobson PD,Neumann PJ

更新日期：2009-10-01 00:00:00

abstract：OBJECTIVE:To compare response rate and nonresponse bias across two mixed-mode survey designs and two single-mode designs. DATA SOURCES:This experiment was embedded in a clinician survey of knowledge and attitudes regarding HPV vaccination (n = 275). STUDY DESIGN:Clinicians were randomly assigned one of two mixed-mode...

journal_title：Health services research

authors： Beebe TJ,Jacobson RM,Jenkins SM,Lackore KA,Rutten LJF

更新日期：2018-08-01 00:00:00

abstract：OBJECTIVE:To quantify between-unit variability in mean length of stay (LoS) between intensive care units (ICUs) after adjusting for differences in case mix using a method that does not require arbitrary trimming of data. SETTING:An analysis of registry data from pediatric ICUs (PICUs) in Australia and New Zealand. ST...

journal_title：Health services research

authors： Straney L,Clements A,Alexander J,Slater A,ANZICS Paediatric Study Group.

更新日期：2012-12-01 00:00:00

abstract：OBJECTIVE:To test the effectiveness of financial incentives for smoking cessation in the Medicaid population. DATA SOURCES:Secondary data from the Medicaid Incentives for Prevention of Chronic Disease (MIPCD) program and Medicaid claims/encounter data from 2010 to 2015 for five states. STUDY DESIGN:Beneficiaries were...

journal_title：Health services research

authors： Witman A,Acquah J,Alva M,Hoerger T,Romaire M

更新日期：2018-12-01 00:00:00