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Journal Article

Effects of Employer-Offered High-Deductible Plans on Low-Value Spending in the Privately Insured Population

This study uses insurance claims data and changes in plan offerings within firms over time to estimate treatment effects of high-deductible plans on spending on 24 low-value services received in the outpatient setting.

Feb 12, 2021

Brendan Rabideau, Matthew Eisenberg, Rachel O. Reid, Neeraj Sood
Journal Article

Primary Care Physician Migration Patterns and Their Implications for Workforce Distribution

Using primary care physician practice locations, we described physician migration between 2008 and 2013. We found very little physician migration; however, among those who did change, net movement was away from rural counties and HPSAs.

Feb 12, 2021

Ryan Kandrack, Grant R. Martsolf, Rachel O. Reid, Mark W. Friedberg
Journal Article

Impact of Consumer-Directed Health Plans on Low-Value Healthcare

Switching to a consumer-directed health plan is associated with reduced overall outpatient spending, but not with reduced spending on low-value healthcare services.

Feb 12, 2021

Rachel O. Reid, Brendan Rabideau, Neeraj Sood
Journal Article

Characteristics of US Adults Delaying Dental Care Due to the COVID-19 Pandemic

Coronavirus disease 2019 (COVID-19) has disrupted the delivery of health care services, including dental care. The objective of this study was to quantify and describe US adults who delayed dental care due to the COVID-19 pandemic.

Feb 12, 2021

Ashley M. Kranz, Grace Gahlon, Andrew W. Dick, Bradley D. Stein
Journal Article

Association of Primary and Specialty Care Integration on Physician Communication and Cancer Screening in Safety-Net Clinics

This study aimed to describe strategies CHCs use to integrate care with specialists and examine whether more strongly integrated CHCs have higher rates of screening for colorectal and cervical cancers and report better communication with specialists.

Feb 12, 2021

Ashley M. Kranz, Jamie Ryan, Ammarah Mahmud, Claude Messan Setodji, Cheryl L. Damberg, Justin W. Timbie
Journal Article

Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in Ohio

The Ohio Department of Medicaid introduced requirements to be delivered by Medicaid managed care organizations (MCOs). This study evaluated the impact of care management on reducing infant mortality in the largest Medicaid MCO in Ohio.

Feb 12, 2021

Alex J. Hollingsworth, Ashley M. Kranz, Deborah Anne Freund
Journal Article

Perspectives on Opportunities and Challenges for Medicare Advantage Plans to Address Social Determinants of Health Via the CHRONIC Care Act

The effect of the 2018 CHRONIC Care Act and how it may evolve before implementation begins in 2020 remains uncertain as we wait to see how MA plans will interpret eligibility criteria and services offered without any additional allotted funding.

Feb 12, 2021

Melony E. Sorbero, Ashley M. Kranz
Journal Article

Patterns of Postoperative Visits Among Medicare Fee-for-service Beneficiaries

To describe patterns of postoperative visits reported for Medicare fee-for-service (FFS) patients.

Feb 12, 2021

Ashley M. Kranz, Andrew W. Mulcahy, Teague Ruder, Susan L. Lovejoy, Ateev Mehrotra
Journal Article

Does Removing Financial Incentives Lead to Declines in Performance? A Controlled Interrupted Time Series Analysis of Medicare Advantage Star Ratings Programme Performance

We performed an observational cohort analysis of Medicare Advantage plans that were eligible for the Star Ratings program.

Feb 12, 2021

Rachel O. Reid, Mallika Kommareddi, Susan M. Paddock, Cheryl L. Damberg
Journal Article

Impact of a Medicaid Policy on Preventive Oral Health Services for Children with Intellectual Disabilities, Developmental Disabilities, or Both

The authors examined the impact of state policies allowing delivery of POHS in medical offices on receipt of POHS among Medicaid enrollees with IDD.

Feb 12, 2021

Ashley M. Kranz, Rachel Ross, Mark J. Sorbero, Aaron Kofner, Bradley D. Stein, Andrew W. Dick
Journal Article

Low Rates of Pediatric Dental Coverage for Families Purchasing Marketplace Insurance Plans

Pediatric dental care is an essential health benefit that the Affordable Care Act requires most private health plans to cover. It is unknown how these different pediatric dental coverage offerings may affect uptake of coverage.

Feb 12, 2021

Ashley M. Kranz, Andrew W. Dick
Report

Measuring the Value of Invention: The Impact of Lemelson-MIT Prize Winners' Inventions

This report uses the inventions of Lemelson-MIT Prize winners as examples to illustrate the scientific, technological, economic, and social impacts that inventions can have on society.

Feb 11, 2021

Benjamin M. Miller, David Metz, Jon Schmid, Paige M. Rudin, Marjory S. Blumenthal
Journal Article

Impact of State-Level Training Requirements for Medical Providers on Receipt of Preventive Oral Health Services for Young Children Enrolled in Medicaid

Our objective was to test whether training requirements were associated with higher rates of preventive oral health services for Medicaid-enrolled children <6 years.

Feb 11, 2021

Evan Goldstein, Andrew W. Dick, Rachel Ross, Bradley D. Stein, Ashley M. Kranz
Journal Article

Planificación De Infraestructura Hídrica Para El Futuro Incierto En América Latina: Un Enfoque Eficiente En Costos Y Tiempo Para Tomar Decisiones Robustas De Infraestructura, Con Un Estudio De Caso En Mendoza, Argentina

El presente estudio demuestra la utilidad del enfoque de Toma de Decisiones Robustas para evaluar la vulnerabilidad y las oportunidades de adaptación de la gestión de los recursos hídricos en Mendoza, Argentina.

Feb 11, 2021

David G. Groves, Michelle E. Miro, James Syme, Alejandro U. Becerra-Ornelas, Edmundo Molina-Perez, Valentina Saavedra Gómez, Adrien Vogt-Schilb
Report

Alternatives in the Israeli-Palestinian Conflict

RAND researchers used a novel focus group approach to assess which, if any, of five possible alternative futures in the Israeli-Palestinian conflict would be supported by Israelis and Palestinians.

Feb 10, 2021

Daniel Egel, C. Ross Anthony, Shira Efron, Rita T. Karam, Mary E. Vaiana, Charles P. Ries
Report

Department of the Air Force Civilian Compensation and Benefits: How Five Mission Critical and Hard-to-Fill Occupations Compare to the Private Sector and Key Federal Agencies

The authors examine U.S. Air Force civilian compensation for hard-to-fill and mission critical occupations, comparing it with other federal agencies and the private sector and providing recommendations for recruiting and retaining civilian talent.

Feb 10, 2021

Ginger Groeber, Kirsten M. Keller, Philip Armour, Samantha E. DiNicola, Irina A. Chindea, Brandon Crosby, Ellen E. Tunstall, Shreyas Bharadwaj
Journal Article

Children and Mental Health: Preventive Approaches to Anxiety and Depression

This research note summarises findings from twelve systematic reviews and meta-analyses on interventions aimed at preventing the development of anxiety and depression in children.

Feb 10, 2021

William D. Phillips, Michaela Bruckmayer
Journal Article

Patterns of Substance Use and Associations with Mental, Physical, and Social Functioning: A Latent Class Analysis of a National Sample of U.S. Adults Ages 30–80

This study identifies distinct patterns (classes) of substance use among 30- to 80-year olds, identifies demographic subgroups with the highest probability of class memberships, and compares classes on key indicators of functioning.

Feb 10, 2021

Joan S. Tucker, Wenjing Huang, Harold D. Green, Michael S. Pollard
Journal Article

Trends in Antibiotics Use Among Long-Term US Nursing-Home Residents

The increased proportion of assessments recording antibiotics but no infection may not be clinically appropriate.

Feb 10, 2021

Catherine C. Cohen, Andrew W. Dick, Mansi Agarwal, Tadeja Gracner, Susan Mitchell, Patricia Stone
Journal Article

What Drives Greater Assimilation of Telestroke in Emergency Departments?

Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke.

Feb 10, 2021

Lori Uscher-Pines, Jessica L. Sousa, Kori Zachrison, Amy Guzik, Lee H. Schwamm, Ateev Mehrotra

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