Zobrazeno 1 - 10
of 58
pro vyhledávání: '"Lena M. Chen"'
Autor:
Arnold M. Epstein, Karen E. Joynt Maddox, Lena M. Chen, E. John Orav, Rachael B. Zuckerman, Lok Wong Samson
Publikováno v:
J Gen Intern Med
As the US healthcare system transitions from fee-for-service to value-based purchasing, evaluating physician practice performance on cost is central to driving value. Two measures—Total per Capita Cost (TPCC) and Medicare Spending per Beneficiary (
Publikováno v:
Health Aff (Millwood)
Postacute care costs are the primary determinant of episode spending around hospitalization. Yet there is little evidence that greater spending on postacute care improves readmission rates or functional recovery. Recent Medicare payment reform evalua
Publikováno v:
Medical decision making : an international journal of the Society for Medical Decision Making. 42(1)
Medicare’s Hospital Value-Based Purchasing Program (HVBP) is the first national pay-for-performance program to combine measures of quality of care with a measure of episode spending. We estimated the implicit tradeoffs between mortality reduction a
Autor:
Arnold M. Epstein, Karen E. Joynt Maddox, Steven H. Sheingold, Shannon Wu, Rachael B. Zuckerman, Lena M. Chen
Publikováno v:
Journal of the American Geriatrics Society. 67:108-114
Objectives To examine characteristics and locations of high‐ and low‐quality skilled nursing facilities (SNFs) and whether certain vulnerable individuals were differentially discharged to facilities with lower quality ratings. Design Retrospectiv
Autor:
Lena M. Chen, Adam A. Markovitz, Brahmajee K. Nallamothu, Chandy Ellimoottil, Andrew M. Ryan, Devraj Sukul, Samyukta Mullangi
Publikováno v:
Health Affairs. 36:2165-2174
To reduce variation in spending, Medicare has considered implementing a cardiac bundled payment program for acute myocardial infarction and coronary artery bypass graft. Because the proposed program does not account for patient risk factors when calc
Autor:
Karen E. Joynt Maddox, Rachael B. Zuckerman, Arnold M. Epstein, Lena M. Chen, Steven H. Sheingold
Publikováno v:
New England Journal of Medicine. 377:1551-1558
The Hospital Readmissions Reduction Program penalizes hospitals that have high 30-day readmission rates across specific conditions. There is support for changing to a hospital-wide readmission measure to broaden hospital eligibility and provide incen
Publikováno v:
Journal of the American Geriatrics Society. 66:239-246
Background/Objectives More than 3 million Medicare beneficiaries use home health care annually, yet little is known about how vulnerable beneficiaries fare in the home health setting. This is particularly important given the recent launch of Medicare
Publikováno v:
Health Affairs. 36:1615-1623
The Affordable Care Act allows commercial insurers participating in the Marketplaces to vary the size of their provider networks as long as the providers are "sufficient" in numbers and types. Concerns have been growing over the increasing use of res
Autor:
Mousumi Banerjee, Anne H. Cain-Nielsen, Edward C. Norton, Scott E. Regenbogen, John D. Birkmeyer, Lena M. Chen
Publikováno v:
Health Affairs. 36:83-90
The rising popularity of episode-based payment models for surgery underscores the need to better understand the drivers of variability in spending on postacute care. Examining postacute care spendi...
Adding A Spending Metric To Medicare’s Value-Based Purchasing Program Rewarded Low-Quality Hospitals
Publikováno v:
Health Affairs. 35:898-906
In fiscal year 2015 the Centers for Medicare and Medicaid Services expanded its Hospital Value-Based Purchasing program by rewarding or penalizing hospitals for their performance on both spending and quality. This represented a sharp departure from t