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AHRQ Research Studies Date
Topics
- Access to Care (1)
- Adverse Drug Events (ADE) (1)
- Cancer (1)
- Cancer: Colorectal Cancer (1)
- Children/Adolescents (1)
- Chronic Conditions (3)
- Comparative Effectiveness (1)
- Critical Care (1)
- Data (1)
- Dental and Oral Health (1)
- Elderly (2)
- Electronic Health Records (EHRs) (1)
- Emergency Medical Services (EMS) (1)
- Eye Disease and Health (1)
- Healthcare Cost and Utilization Project (HCUP) (4)
- (-) Healthcare Costs (21)
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- Health Services Research (HSR) (1)
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- Human Immunodeficiency Virus (HIV) (2)
- Influenza (1)
- Injuries and Wounds (2)
- Long-Term Care (2)
- Low-Income (1)
- Medical Expenditure Panel Survey (MEPS) (5)
- Medicare (4)
- Medication (1)
- Mortality (1)
- Nursing Homes (1)
- Patient-Centered Healthcare (1)
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- Quality of Care (1)
- Quality of Life (2)
- Social Determinants of Health (2)
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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 21 of 21 Research Studies DisplayedHaukoos JS, Campbell JD, Conroy AA
Programmatic cost evaluation of nontargeted opt-out rapid HIV screening in the emergency department.
The researchers estimated the total direct costs associated with performing nontargeted opt-out rapid HIV screening in the emergency department per newly-identified HIV-infected patients and compared such costs to those associated with diagnostic rapid HIV testing. They found that compared to diagnostic testing, nontargeted opt-out rapid HIV screening was more costly but identified more HIV infections.
AHRQ-funded; HS017526
Citation: Haukoos JS, Campbell JD, Conroy AA .
Programmatic cost evaluation of nontargeted opt-out rapid HIV screening in the emergency department.
PLoS One. 2013 Dec 31;8(12):e81565. doi: 10.1371/journal.pone.0081565..
Keywords: Comparative Effectiveness, Human Immunodeficiency Virus (HIV), Emergency Medical Services (EMS), Healthcare Costs
Hellinger FJ
AHRQ Author: Hellinger FJ
Assessing the cost effectiveness of pre-exposure prophylaxis for HIV prevention in the US.
In order to assess the cost-effectiveness of pre-exposure prophylaxis for HIV prevention in the U.S., the author evaluates various studies and finds that they yield widely varying estimates of the cost per quality-adjusted life year (QALY) gained, and that this variations reflects the substantial uncertainty surrounding the determinants of HIV transmission as well as different approaches to translating a reduction in HIV cases into an estimate of the increase in the number of QALYs.
AHRQ-authored.
Citation: Hellinger FJ .
Assessing the cost effectiveness of pre-exposure prophylaxis for HIV prevention in the US.
Pharmacoeconomics. 2013 Dec;31(12):1091-104. doi: 10.1007/s40273-013-0111-0..
Keywords: Human Immunodeficiency Virus (HIV), Healthcare Costs, Quality of Life, Healthcare Costs, Prevention
McGuire TG, Glazer J, Newhouse JP
AHRQ Author: Zuvekas SH
Integrating risk adjustment and enrollee premiums in health plan payment.
Paying health plans from two different sources such as risk-adjusted payments from a regulator and premiums charged to individual enrollees raises issues in payment design for both Medicare Advantage plans and the new State-run exchanges created by the Affordable Care Act. The primary purpose of this study is to demonstrate the versatility of least squares methods for risk adjustment in individual insurance markets with enrollee premiums.
AHRQ-authored
Citation: McGuire TG, Glazer J, Newhouse JP .
Integrating risk adjustment and enrollee premiums in health plan payment.
J Health Econ. 2013 Dec;32(6):1263-77. doi: 10.1016/j.jhealeco.2013.05.002..
Keywords: Healthcare Costs, Medical Expenditure Panel Survey (MEPS), Medicare
Mennemeyer ST, Owsley C, McGwin Jr G
Reducing older driver motor vehicle collisions via earlier cataract surgery.
The researchers used a Monte Carlo simulation model to examine a hypothetical situation where rules in place in the U.S. for authorizing payment for cataract surgery were relaxed in favor of allowing surgery earlier for less bothersome complaints of visual difficulties in doing daily activities. They found that motor vehicle collisions, fatalities, and total societal costs can all be reduced by earlier cataract surgery.
AHRQ-funded; HS017962
Citation: Mennemeyer ST, Owsley C, McGwin Jr G .
Reducing older driver motor vehicle collisions via earlier cataract surgery.
Accid Anal Prev. 2013 Dec;61:203-11. doi: 10.1016/j.aap.2013.01.002..
Keywords: Elderly, Eye Disease and Health, Healthcare Costs
Zanocco K, Elaraj D, Sturgeon C
Routine prophylactic central neck dissection for low-risk papillary thyroid cancer: a cost-effectiveness analysis.
The researchers hypothesized that routine prophylactic central neck dissection (pCND) is not cost-effective in low-risk papillary thyroid cancer (PTC).Using a Markov transition-state model, they found that pCND cost $10,315 and produced an effectiveness of 23.785 quality-adjusted life years. They concluded that routine pCND for low-risk PTC is not cost-effective unless the recurrence rate is greater than 10.3 percent.
AHRQ-funded; HS000078.
Citation: Zanocco K, Elaraj D, Sturgeon C .
Routine prophylactic central neck dissection for low-risk papillary thyroid cancer: a cost-effectiveness analysis.
Surgery 2013 Dec;154(6):1148-55; discussion 54-5..
Keywords: Cancer, Surgery, Prevention, Healthcare Costs, Quality of Life
Encinosa WE, Bae J
AHRQ Author: Encinosa WE
Will meaningful use electronic medical records reduce hospital costs?
The authors examined what impact the 5 core medication meaningful use (MU) criteria have on hospital-acquired adverse drug events (ADEs) and their costs in 2010, as a baseline for the start of MU implementation in 2011. They developed a quality indicator to track in-hospital ADEs and concluded that the adoption of core medication MU elements will cut ADE rates, with cost savings that recoup 22% of information technology costs.
AHRQ-authored.
Citation: Encinosa WE, Bae J .
Will meaningful use electronic medical records reduce hospital costs?
Am J Manag Care 2013 Nov;19(10 Spec No):eSP19-25.
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Keywords: Adverse Drug Events (ADE), Electronic Health Records (EHRs), Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Medication
Chen J, Liu L, Zhang D
A flexible model for the mean and variance functions, with application to medical cost data.
The authors considered an extension to generalized linear models by assuming nonlinear associations of covariates in the mean function and allowing the variance to be an unknown but smooth function of the mean. They discussed their application of the model to the annual medical costs of heart failure patients in the clinical data repository at the University of Virginia Hospital System.
AHRQ-funded; HS020263.
Citation: Chen J, Liu L, Zhang D .
A flexible model for the mean and variance functions, with application to medical cost data.
Stat Med 2013 Oct 30;32(24):4306-18. doi: 10.1002/sim.5838.
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Keywords: Healthcare Delivery, Healthcare Costs, Health Services Research (HSR)
Lieberthal RD
Analyzing the health care cost curve: a case study.
The author uses data from a self-insured employer plan to perform an analysis into the properties of the health care cost curve. He finds that costs rise continuously, not on an annual or monthly basis as typically charted by actuarial models. He concludes that population health management programs and health policy should be based on continuous analysis and adaption.
AHRQ-funded; HS018835
Citation: Lieberthal RD .
Analyzing the health care cost curve: a case study.
Popul Health Manag. 2013 Oct;16(5):341-8. doi: 10.1089/pop.2012.0102..
Keywords: Healthcare Costs, Health Insurance, Health Insurance
Levit KR, Friedman B, Wong HS
AHRQ Author: Friedman B, Wong HS
Estimating inpatient hospital prices from state administrative data and hospital financial reports.
The researchers developed a tool for estimating hospital-specific inpatient prices for major payers. They found that hospital prices can be reasonably estimated for 10 geographically diverse states. They further found that estimated prices compare well with Medicare, MarketScan private insurance, and the Medical Expenditure Panel Survey prices for major payers, given limitations of each dataset.
AHRQ-authored; AHRQ-funded.
Citation: Levit KR, Friedman B, Wong HS .
Estimating inpatient hospital prices from state administrative data and hospital financial reports.
Health Serv Res 2013 Oct;48(5):1779-97. doi: 10.1111/1475-6773.12065.
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Keywords: Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Medical Expenditure Panel Survey (MEPS)
Huckfeldt PJ, Sood NB, Romley JA
Medicare payment reform and provider entry and exit in the post-acute care market.
The researchers examined the impact of Medicare payment reform on the entry and exit of post-acute providers (home health agencies and skilled nursing facilities). They found that payment reforms reducing average and marginal payments reduced entries and increased exits from the market, with entries more likely to be affected.
AHRQ-funded; HS018541
Citation: Huckfeldt PJ, Sood NB, Romley JA .
Medicare payment reform and provider entry and exit in the post-acute care market.
Health Serv Res. 2013 Oct;48(5):1557-80. doi: 10.1111/1475-6773.12059..
Keywords: Medicare, Critical Care, Healthcare Costs, Home Healthcare, Long-Term Care
Liss DT, Fishman PA, Rutter CM
Outcomes among chronically ill adults in a medical home prototype.
The researchers compared quality, utilization, and cost outcomes for patients with selected chronic illnesses at a patient-centered medical home (PCMH) prototype site with outcomes for patients with the same chronic illnesses at 19 nonintervention control sites. They concluded that a clinic-level population-based PCMH redesign can decrease downstream utilization and reduce total healthcare costs in a subpopulation of patients with common chronic illnesses.
AHRQ-funded; HS019129.
Citation: Liss DT, Fishman PA, Rutter CM .
Outcomes among chronically ill adults in a medical home prototype.
Am J Manag Care 2013 Oct;19(10):e348-58.
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Keywords: Chronic Conditions, Healthcare Costs, Quality of Care, Patient-Centered Healthcare, Patient-Centered Outcomes Research
Sheppard KD, Brown CJ, Hearld KR
Symptom burden predicts nursing home admissions among older adults.
Using a sample of community-dwelling Medicare beneficiaries in Alabama who were contacted by telephone every 6 months during an eight and a half-year study, researchers found that symptom burden is an independent risk factor for NH admission. The study suggests that symptom assessment and management may reduce NH utilization.
AHRQ-funded; HS013852
Citation: Sheppard KD, Brown CJ, Hearld KR .
Symptom burden predicts nursing home admissions among older adults.
J Pain Symptom Manage. 2013 Oct;46(4):591-7. doi: 10.1016/j.jpainsymman.2012.10...
Keywords: Medicare, Long-Term Care, Elderly, Nursing Homes, Healthcare Costs
O'Donnell BE, Schneider KM, Brooks JM
Standardizing Medicare payment information to support examining geographic variation in costs.
This paper describes a method for standardizing claim payments, and demonstrates the difference in actual versus standardized payments by geographic region. It found that without standardization of payments, certain areas of the country are mischaracterized as either high or low healthcare resource-consuming areas.
AHRQ-funded; HS019574; HS019440.
Citation: O'Donnell BE, Schneider KM, Brooks JM .
Standardizing Medicare payment information to support examining geographic variation in costs.
Medicare Medicaid Res Rev 2013 Sep 10;3(3). doi: 10.5600/mmrr.003.03.a06..
Keywords: Medicare, Healthcare Costs, Hospitalization, Hospitals
Abasaeed R, Kranz AM, Rozier RG
The impact of the Great Recession on untreated dental caries among kindergarten students in North Carolina.
This study to determine the impact of the Great Recession on untreated dental caries in kindergarten-aged children in North Carolina found there were a higher proportion of children with more than one untreated decayed primary tooth as well as fewer children receiving dental treatment after 2006. The study covering 7 school years from 2003 to 2010 and 1,215 schools used increased participation in the National School Lunch Program as an indicator of the Great Recession.
AHRQ-funded; HS000032
Citation: Abasaeed R, Kranz AM, Rozier RG .
The impact of the Great Recession on untreated dental caries among kindergarten students in North Carolina.
J Am Dent Assoc. 2013 Sep;144(9):1038-46..
Keywords: Children/Adolescents, Dental and Oral Health, Healthcare Costs, Access to Care, Low-Income
Mohanan M
Causal effects of health shocks on consumption and debt: Quasi-experimental evidence from bus accident injuries.
Mohanan presented new evidence of causal effects on consumption and debt, finding that households faced with shock-related expenditures are able to smooth consumption on food, housing, and festivals, with small reductions in educational spending.
AHRQ-funded; HS000055.
Citation: Mohanan M .
Causal effects of health shocks on consumption and debt: Quasi-experimental evidence from bus accident injuries.
Rev Econ Stat 2013 May;95(2):673-81. doi: 10.1162/REST_a_00262..
Keywords: Healthcare Costs, Injuries and Wounds, Social Determinants of Health
Mohanan M
Causal effects of health shocks on consumption and debt: Quasi-experimental evidence from bus accident injuries.
Mohanan presented new evidence of causal effects on consumption and debt, finding that households faced with shock-related expenditures are able to smooth consumption on food, housing, and festivals, with small reductions in educational spending.
AHRQ-funded; HS000055.
Citation: Mohanan M .
Causal effects of health shocks on consumption and debt: Quasi-experimental evidence from bus accident injuries.
Rev Econ Stat 2013 May;95(2):673-81. doi: 10.1162/REST_a_00262.
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Keywords: Healthcare Costs, Injuries and Wounds, Social Determinants of Health
Cohen SB, Cohen JW
AHRQ Author: Cohen SB, Cohen JW
The capacity of the Medical Expenditure Panel Survey to inform the Affordable Care Act.
The authors provided a summary of the capacity of the Medical Expenditure Panel Survey to inform program planning, implementation, and evaluations of program performance for several components of the Affordable Care Act.
AHRQ-authored.
Citation: Cohen SB, Cohen JW .
The capacity of the Medical Expenditure Panel Survey to inform the Affordable Care Act.
Inquiry 2013 May;50(2):124-34. doi: 10.1177/0046958013513678.
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Keywords: Data, Healthcare Costs, Health Insurance, Policy, Medical Expenditure Panel Survey (MEPS)
Machlin SR, Soni A
AHRQ Author: Machlin SR, Soni A
Health care expenditures for adults with multiple treated chronic conditions: estimates from the Medical Expenditure Panel Survey, 2009.
The authors illustrated the usefulness of MEPS data for examining variations in medical expenditures for people with multiple chronic conditions (MCC). They found that the proportion of adults treated for MCC increased with age, with white non-Hispanic adults most likely and Hispanic and Asian adults least likely to be treated for MCC. Regardless of age or sex, hypertension and hyperlipidemia was the most common dyad among adults treated for MCC, and diabetes in conjunction with these 2 conditions was a common triad. They concluded that MEPS has the capacity to produce national estimates of health care expenditures associated with MCC.
AHRQ-authored.
Citation: Machlin SR, Soni A .
Health care expenditures for adults with multiple treated chronic conditions: estimates from the Medical Expenditure Panel Survey, 2009.
Prev Chronic Dis 2013 Apr 25;10:E63. doi: 10.5888/pcd10.120172.
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Keywords: Cancer: Colorectal Cancer, Chronic Conditions, Healthcare Costs, Medical Expenditure Panel Survey (MEPS)
Steiner CA, Friedman B
AHRQ Author: Steiner CA, Friedman B
Hospital utilization, costs, and mortality for adults with multiple chronic conditions, Nationwide Inpatient Sample, 2009.
The investigators provided a national estimate across all payers of the distribution and cost of selected chronic conditions for hospitalized adults in 2009, stratified by demographic characteristics. They found that there were approximately 28 million adult discharges from US hospitals other than those related to pregnancy and maternity; 39% had 2 to 3 multiple chronic conditions (MCC), and 33% had 4 or more. They concluded that their descriptive analysis of multipayer inpatient data provides a robust national view of the substantial use and costs among adults hospitalized with MCC.
AHRQ-authored.
Citation: Steiner CA, Friedman B .
Hospital utilization, costs, and mortality for adults with multiple chronic conditions, Nationwide Inpatient Sample, 2009.
Prev Chronic Dis 2013 Apr 25;10:E62. doi: 10.5888/pcd10.120292.
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Keywords: Chronic Conditions, Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Mortality
Braithwaite S, Friedman B, Mutter R
AHRQ Author: Friedman B, Mutter R
Microsimulation of financial impact of demand surge on hospitals: the H1N1 influenza pandemic of fall 2009.
Microsimulation was used to assess the financial impact on hospitals of a surge in influenza admissions in advance of the H1N1 pandemic in the fall of 2009 with the goal of estimating net income and losses of a response of filling unused hospital bed capacity proportionately and postponing elective admissions. They concluded that aggregate and distributional results did not suggest that a policy of promising additional financial compensation to hospitals in anticipation of the surge in flu cases was necessary.
AHRQ-authored.
Citation: Braithwaite S, Friedman B, Mutter R .
Microsimulation of financial impact of demand surge on hospitals: the H1N1 influenza pandemic of fall 2009.
Health Serv Res 2013 Apr;48(2 Pt 2):735-52. doi: 10.1111/1475-6773.12041.
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Keywords: Healthcare Costs, Healthcare Cost and Utilization Project (HCUP), Hospitalization, Influenza
Miller GE, Selden TM
AHRQ Author: Miller GE, Selden TM
Tax subsidies for employer-sponsored health insurance: updated microsimulation estimates and sensitivity to alternative incidence assumptions.
Using MEPS data, the authors estimated 2012 tax expenditures for employer-sponsored insurance (ESI) in the United States and explored the sensitivity of estimates to assumptions regarding the incidence of employer premium contributions. They concluded that the aggregate value of the ESI tax subsidy and its distribution across firms can be reliably estimated using simplified incidence assumptions.
AHRQ-authored.
Citation: Miller GE, Selden TM .
Tax subsidies for employer-sponsored health insurance: updated microsimulation estimates and sensitivity to alternative incidence assumptions.
Health Serv Res 2013 Apr;48(2 Pt 2):866-83. doi: 10.1111/1475-6773.12037.
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Keywords: Healthcare Costs, Health Insurance, Medical Expenditure Panel Survey (MEPS)