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Search All Research Studies
AHRQ Research Studies Date
Topics
- Cardiovascular Conditions (1)
- Elderly (2)
- Healthcare-Associated Infections (HAIs) (1)
- Healthcare Costs (5)
- Health Information Technology (HIT) (1)
- (-) Health Insurance (7)
- Heart Disease and Health (1)
- Medicaid (1)
- Medical Expenditure Panel Survey (MEPS) (1)
- Medicare (2)
- Obesity (1)
- Obesity: Weight Management (1)
- Outcomes (2)
- (-) Payment (7)
- Pneumonia (1)
- Surgery (3)
- Telehealth (1)
AHRQ Research Studies
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Research Studies is a compilation of published research articles funded by AHRQ or authored by AHRQ researchers.
Results
1 to 7 of 7 Research Studies DisplayedKelsall AC, Cassidy R, Ghaferi AA
Variation in bariatric surgery episode costs in the commercially insured: implications for bundled payments in the private sector.
The authors described hospital-level variation in roux-en-Y gastric bypass and sleeve gastrectomy in Michigan. Their findings suggested that there are previously underappreciated differences in episode payment variation between bariatric surgery procedures. The authors also suggested that sleeve gastrectomy may be more amenable to cost containment under bundled payment initiatives by virtue of the greater share of variation explained by readmission and post-discharge payments.
AHRQ-funded; HS023621; HS024403.
Citation: Kelsall AC, Cassidy R, Ghaferi AA .
Variation in bariatric surgery episode costs in the commercially insured: implications for bundled payments in the private sector.
Ann Surg 2018 Dec;268(6):1014-18. doi: 10.1097/sla.0000000000002462..
Keywords: Surgery, Obesity: Weight Management, Obesity, Payment, Health Insurance, Healthcare Costs
Yu J, Mink PJ, Huckfeldt PJ
Population-level estimates of telemedicine service provision using an all-payer claims database.
Researchers used information from the Minnesota All Payer Claims Database to conduct a population-level analysis of telemedicine service provision from 2010 to 2015. Variations in provision by coverage type, provider type, and rurality of patient residence were documented. During the 2010-15 period, the number of telemedicine visits increased enormously; rates of use varied by coverage type and location. Telemedicine visits in metropolitan areas were usually direct-to-consumer services covered by commercial insurance and provided by nurse practitioners or physician assistants, while telemedicine use in nonmetropolitan areas was more often real-time provider-initiated, publicly insured services. The researchers conclude that expanded coverage and increased provider reimbursement for telemedicine services could lead to expanded use of telemedicine and new approaches to reach new patient populations.
AHRQ-funded; HS026088.
Citation: Yu J, Mink PJ, Huckfeldt PJ .
Population-level estimates of telemedicine service provision using an all-payer claims database.
Health Aff 2018 Dec;37(12):1931-39. doi: 10.1377/hlthaff.2018.05116..
Keywords: Health Information Technology (HIT), Health Insurance, Payment, Telehealth
Thompson MP, Cabrera L, Strobel RJ
Association between postoperative pneumonia and 90-day episode payments and outcomes among Medicare beneficiaries undergoing cardiac surgery.
Postoperative pneumonia is the most common healthcare-associated infection in cardiac surgical patients, yet their impact across a 90-day episode of care remains unknown. The objective of this study was to examine the relationship between pneumonia and 90-day episode payments and outcomes among Medicare beneficiaries undergoing cardiac surgery. The investigators concluded that postoperative pneumonia was associated with significantly higher 90-day episode payments and inferior outcomes at the patient and hospital level.
AHRQ-funded; HS022535.
Citation: Thompson MP, Cabrera L, Strobel RJ .
Association between postoperative pneumonia and 90-day episode payments and outcomes among Medicare beneficiaries undergoing cardiac surgery.
Circ Cardiovasc Qual Outcomes 2018 Sep;11(9):e004818. doi: 10.1161/circoutcomes.118.004818..
Keywords: Elderly, Surgery, Medicare, Cardiovascular Conditions, Heart Disease and Health, Pneumonia, Payment, Healthcare Costs, Outcomes, Healthcare-Associated Infections (HAIs), Health Insurance
Whaley CM, Brown TT
Firm responses to targeted consumer incentives: evidence from reference pricing for surgical services.
This study examined how health care providers respond to a reference pricing insurance program that increases consumer cost sharing when they chose high-priced surgical providers. Geographic variation was used to estimate supply-side responses. Limited evidence of market segmentation and price reductions for providers with baseline prices above the reference price was found. However, 75% of the reduction in provider prices benefited a population that was not subject to the program.
AHRQ-funded; HS022098.
Citation: Whaley CM, Brown TT .
Firm responses to targeted consumer incentives: evidence from reference pricing for surgical services.
J Health Econ 2018 Sep;61:111-33. doi: 10.1016/j.jhealeco.2018.06.012..
Keywords: Health Insurance, Surgery, Payment, Healthcare Costs
Perez V
Does capitated managed care affect budget predictability? Evidence from Medicaid programs.
This study is the first to test whether managed care enrollment reduces the variance of Medicaid spending, in contrast to the focus of the existing literature on spending levels. Although the majority of Medicaid enrollees are in managed care, the study shows that managed care use has been concentrated among the enrollees with the most stable spending, resulting in only small gains to budget predictability. Perez concludes that this finding is robust to the exclusion of the claims expenditures that exhibit the most variance.
AHRQ-funded; HS022797.
Citation: Perez V .
Does capitated managed care affect budget predictability? Evidence from Medicaid programs.
Int J Health Econ Manag 2018 Jun;18(2):123-52. doi: 10.1007/s10754-017-9227-7.
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Keywords: Healthcare Costs, Payment, Medicaid, Health Insurance
Nyman JA, Koc C, Dowd BE
Decomposition of moral hazard.
This study sought to simulate the portion of moral hazard that is due to the income transfer contained in the coinsurance price reduction. The investigators found that the efficient proportion of moral hazard varied from disease to disease, but was the highest for those with diabetes and cancer.
Citation: Nyman JA, Koc C, Dowd BE .
Decomposition of moral hazard.
J Health Econ 2018 Jan;57:168-78. doi: 10.1016/j.jhealeco.2017.12.003..
Keywords: Health Insurance, Healthcare Costs, Medical Expenditure Panel Survey (MEPS), Payment
Koroukian SM, Basu J, Schiltz NK
AHRQ Author: Basu J
Changes in case-mix and health outcomes of Medicare fee-for-service beneficiaries and managed care enrollees during the years 1992-2011.
This study examined changes in differentials between managed care enrollees (MCEs) and fee-for-service beneficiaries (FFSBs) both in case-mix and health outcomes over time. It found that the case-mix differential between MCEs and FFSBs persisted over time. Both MCEs and FFSBs were as likely to die within 2 years from the Health and Retirement Study interview.
AHRQ-authored; AHRQ-funded; HS023113.
Citation: Koroukian SM, Basu J, Schiltz NK .
Changes in case-mix and health outcomes of Medicare fee-for-service beneficiaries and managed care enrollees during the years 1992-2011.
Med Care 2018 Jan;56(1):39-46. doi: 10.1097/mlr.0000000000000847.
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Keywords: Elderly, Payment, Medicare, Health Insurance, Outcomes