Article
Oncology
Parsa Erfani, Jessica Phelan, E. John Orav, Jose F. Figueroa, Ashish K. Jha, Miranda B. Lam
Summary: This study found that accountable care organizations (ACOs) did not significantly impact cancer spending for patients in the first 4 years after implementation, compared to non-ACOs. The lack of difference in spending between ACO and non-ACO practices prompts a reevaluation of the current efficacy of ACOs in reducing spending for cancer care.
Letter
Medicine, General & Internal
Brandon W. Yan, Maya Shashoua, Jose F. Figueroa
Summary: This cohort study examines the impact of the COVID-19 pandemic on spending, utilization, and quality performance using data from the Medicare Shared Savings Program.
Article
Management
Yingchao Lan, Aravind Chandrasekaran, Deepa Goradia, Daniel Walker
Summary: This study examines the impact of collaboration structures on the performance of an integrated healthcare delivery system, namely an accountable care organization (ACO). The findings suggest that there are synergies between partnership scope and scale in improving ACO performance.
M&SOM-MANUFACTURING & SERVICE OPERATIONS MANAGEMENT
(2022)
Article
Multidisciplinary Sciences
Brandon W. W. Yan, Maya Shashoua, Jose F. F. Figueroa
Summary: The COVID-19 pandemic disrupted health care spending and utilization, but accountable care organizations (ACOs) in the Medicare Shared Savings Program (MSSP) returned a program record $1.9 billion in net savings to Medicare in 2020. Non-COVID-19 utilization decreased significantly, leading to financial success for ACOs, but there were concerns about worsening chronic disease measures.
Article
Health Care Sciences & Services
Seth A. Berkowitz, Katharine Ball Ricks, Jingyan Wang, Morgan Parker, Ram Rimal, Darren A. DeWalt
Summary: This study evaluated the nonemergency medical transportation benefit and found that participants had higher outpatient visits and spending, but no difference in inpatient admissions or emergency department visits. Participants were highly satisfied with the program, reporting financial relief, increased safety, empowerment, and better health control.
Article
Public, Environmental & Occupational Health
Sarah L. Goff, Deborah Gurewich, Matthew Alcusky, Aparna G. Kachoria, Joanne Nicholson, Jay Himmelstein
Summary: The study aims to identify barriers and facilitators to implementing and sustaining Medicaid ACOs by using methods such as document review, key informant interviews, site visits, and surveys. The Consolidated Framework for Implementation Research guides the study, which will provide important insights for understanding the overall impact of the Medicaid ACO experiment in Massachusetts. The study results will be disseminated through peer-reviewed journals, public reports, and directly to key stakeholders in ACO and CP leadership.
FRONTIERS IN PUBLIC HEALTH
(2021)
Article
Health Care Sciences & Services
Darin F. Ullman, Gregory J. Boyer, Brighita Negrusa, Richard A. Hirth, Jennifer Wiens, Grecia Marrufo
Summary: The Comprehensive End-Stage Renal Disease (ESRD) Care (CEC) Model showed significant improvements in Medicare payments, hospitalizations, and readmissions for beneficiaries with ESRD compared to primary care-based ACO models. However, neither model had significant impact on catheter use.
Article
Information Science & Library Science
Chenzhang Bao, Indranil R. Bardhan
Summary: Accountable care organizations (ACOs) were established to address issues of high costs and poor quality in the U.S. healthcare system. Efficient ACOs do not compromise healthcare quality, and effective use of health IT can help balance efficiency and quality objectives, leading to better patient health outcomes.
INFORMATION SYSTEMS RESEARCH
(2022)
Article
Multidisciplinary Sciences
Peter J. Etchells, Alexandra L. Morgan, Daniel S. Quintana
Summary: Recent research shows a significant correlation between loot box spending and problem gambling, but no relationship with mental wellbeing or psychological distress. Individuals who purchase loot boxes also tend to spend more on other digital purchases.
ROYAL SOCIETY OPEN SCIENCE
(2022)
Article
Health Care Sciences & Services
Catherine Hersey, J. Michael McWilliams, Betty Fout, Matthew J. Trombley, Lauren Scarpati
Summary: AIM ACOs invested heavily in personnel, information technology, and care management, with less than half of the investments explicitly tied to a strategy for improving quality or reducing spending. Efforts to change clinician practice patterns, alter the way patients access the health care system, and institute other practice redesigns were not primary targets for investment.
AMERICAN JOURNAL OF MANAGED CARE
(2021)
Article
Health Care Sciences & Services
Kathleen Madden, Arnold DoRosario, Ryan O'Connell, William Aberizk, Karen Brown, Carrie Guttman, Richard Goldstein, Peter Logue, Prathibha Varkey
Summary: The leadership of a recognized multispecialty group practice within a health system realized that population health management requires quality performance improvement and organizational culture change. They achieved this through clinician education and engagement, prioritizing prevention and achieving benchmarks, developing supportive roles, more precise documentation of accurate diagnostic coding, and risk stratification. Although the quality scores initially dipped, they have since risen significantly.
AMERICAN JOURNAL OF MEDICAL QUALITY
(2022)
Article
Health Care Sciences & Services
Emanuel Lucas, Miao Liu, Jason Ouyang, Benjamin Vicidomina, Milam Ford, Brian P. Keller, Somesh Nigam
Summary: A study on Blue Cross and Blue Shield of Louisiana members found that those with chronic illnesses who received an integrated pharmacy benefit experienced slower medical cost growth compared to those covered by a pharmacy carve-out. This suggests potential cost savings with integrated pharmacy benefits for patients with chronic illnesses.
AMERICAN JOURNAL OF MANAGED CARE
(2021)
Article
Health Care Sciences & Services
Bill Wang, Ateev Mehrotra, Ari B. Friedman
Summary: Despite reducing lower-acuity emergency department visits, the impact of urgent care centers was found to be small. Each 37 additional urgent care center visits were associated with a reduction of a single lower-acuity ED visit.
Article
Health Care Sciences & Services
Benjamin Y. Urick, Amanda Peters, Shweta Pathak, Mary-Haston Vest, Evan Colmenares, Carrie Blanchard, Jon Easter, Leigh Foushee, Penny DeFalco
Summary: Value-based care provides an opportunity for medication optimization services to reduce healthcare spending. A pharmacist-driven telehealth intervention has been shown to significantly reduce total medical spending and offer a positive return on investment.
JOURNAL OF MANAGED CARE & SPECIALTY PHARMACY
(2023)
Article
Multidisciplinary Sciences
Christine R. Keenan, Michael J. Mlodzianoski, Hannah D. Coughlan, Naiara G. Bediaga, Gaetano Naselli, Erin C. Lucas, Qike Wang, Carolyn A. de Graaf, Douglas J. Hilton, Leonard C. Harrison, Gordon K. Smyth, Kelly L. Rogers, Thomas Boudier, Rhys S. Allan, Timothy M. Johanson
Summary: This study demonstrates that human chromosomes randomly distribute within neutrophil nuclear lobes while maintaining a non-random radial distribution; chromosome length correlates with three-dimensional volume, showing consistency in neutrophils and other immune cells.
Article
Pediatrics
Lori Uscher-Pines, Bonnie Ghosh-Dastidar, Debra L. Bogen, Kristin N. Ray, Jill R. Demirci, Ateev Mehrotra, Kandice A. Kapinos
ACADEMIC PEDIATRICS
(2020)
Article
Health Care Sciences & Services
Emma E. Thomas, Helen M. Haydon, Ateev Mehrotra, Liam J. Caffery, Centaine L. Snoswell, Annie Banbury, Anthony C. Smith
Summary: The COVID-19 pandemic has led to significant growth in telehealth services globally, including in Australia. It is crucial to consider the long-term sustainability of telehealth post-pandemic, with a focus on developing a skilled workforce, empowering consumers, reforming funding, improving digital ecosystems, and integrating telehealth into routine care.
JOURNAL OF TELEMEDICINE AND TELECARE
(2022)
Article
Health Care Sciences & Services
Kelsi Carolan, David C. Grabowski, Ateev Mehrotra, Laura A. Hatfield
JOURNAL OF MEDICAL INTERNET RESEARCH
(2020)
Letter
Medicine, General & Internal
Sadiq Y. Patel, Ateev Mehrotra, Haiden A. Huskamp, Lori Uscher-Pines, Ishani Ganguli, Michael L. Barnett
Summary: This cohort study investigates the trends of telemedicine and in-person outpatient visits in 2020 among a national sample of 16.7 million individuals with commercial or Medicare Advantage insurance.
JAMA INTERNAL MEDICINE
(2021)
Letter
Medicine, General & Internal
J. Michael McWilliams, Ateev Mehrotra, Ali Russo
Summary: This cohort study investigates the impact of increasing COVID-19 cases on early spending changes and how policies to limit transmission affect healthcare spending as the pandemic progresses.
JAMA INTERNAL MEDICINE
(2021)
Letter
Medicine, General & Internal
Tara Jain, Ateev Mehrotra
Article
Health Care Sciences & Services
Sunita M. Desai, Sonali Shambhu, Ateev Mehrotra
Summary: Insurers and policy makers have created health care price transparency websites to reduce spending but have faced low use. An advertising campaign in New Hampshire led to a significant increase in website visits, but did not result in more consumers choosing lower-cost providers. The limited success of price transparency tools in reducing health care spending may be due to structural factors limiting consumers' ability to use price information.
Article
Health Care Sciences & Services
Sadiq Y. Patel, Ateev Mehrotra, Haiden A. Huskamp, Lori Uscher-Pines, Ishani Ganguli, Michael Lawrence Barnett
Summary: During the pandemic, there was a significant increase in the use of telemedicine, but there were notable variations in usage across different populations and specialties. Telemedicine use was lower in communities with higher poverty rates and some medical specialties. Telemedicine was more commonly used for certain common conditions, and its usage for these conditions was associated with smaller decreases in total weekly visits during the pandemic.
Editorial Material
Medicine, General & Internal
Ateev Mehrotra, R. Sacha Bhatia, Centaine L. Snoswell
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Editorial Material
Medicine, General & Internal
Ateev Mehrotra, Alok Nimgaonkar, Barak Richman
NEW ENGLAND JOURNAL OF MEDICINE
(2021)
Article
Clinical Neurology
Andrew D. Wilcock, Lee H. Schwamm, Jose R. Zubizarreta, Kori S. Zachrison, Lori Uscher-Pines, Jessica V. Richard, Ateev Mehrotra
Summary: This study found that patients with acute ischemic stroke treated at hospitals with telestroke capacity were more likely to receive reperfusion treatment and had lower 30-day mortality. There were no differences in days spent living in the community following discharge or in spending.
Article
Health Care Sciences & Services
Bill Wang, Ateev Mehrotra, Ari B. Friedman
Summary: Despite reducing lower-acuity emergency department visits, the impact of urgent care centers was found to be small. Each 37 additional urgent care center visits were associated with a reduction of a single lower-acuity ED visit.
Article
Health Care Sciences & Services
Annie Banbury, Anthony C. Smith, Ateev Mehrotra, Matthew Page, Liam J. Caffery
Summary: This study explores the factors contributing to the variation in telehealth adoption in Queensland, Australia. It found that metropolitan areas with more telehealth use had greater investment, higher population referral areas, well-developed communication strategies, and better understanding of the value proposition of telehealth. In rural areas, telehealth activity was influenced by onboarding processes, clinician willingness, strategic challenges, and primary care activity.
JOURNAL OF TELEMEDICINE AND TELECARE
(2023)
Article
Medicine, General & Internal
David M. Levine, Ateev Mehrotra
Summary: This study revealed that searching for health information on the internet was associated with slight increases in diagnostic accuracy but not with triage accuracy. Older adults, women, individuals with poorer health status, and those with more than two chronic diseases showed better performance in correct diagnosis.
Article
Health Care Sciences & Services
David M. Levine, Pragya Kakani, Ateev Mehrotra
Summary: The study found that tailored text messages were not effective in helping new Medicaid beneficiaries visit primary care within 120 days, but there was a slight increase in emergency department use within 1 year.
NPJ DIGITAL MEDICINE
(2021)