Article
Health Care Sciences & Services
Anne B. Martin, Micah Hartman, Joseph Benson, Aaron Catlin
Summary: Health care spending in the US grew at a slower rate of 2.7 percent in 2021, reaching $4.3 trillion, compared to the 10.3 percent increase in 2020. The decrease in growth was primarily due to a 3.5 percent decline in federal government expenditures for health care, which was a response to the COVID-19 pandemic in 2020. However, there was an increase in the use of medical goods and services in 2021. The share of the economy accounted for by the health sector fell from 19.7 percent in 2020 to 18.3 percent in 2021, but it remained higher than the 17.6 percent share in 2019. Additionally, the number of uninsured people decreased for the second consecutive year in 2021 as Medicaid enrollment increased.
Article
Critical Care Medicine
Kevin Duan, Maxwell Birger, David H. Au, Laura J. Spece, Laura C. Feemster, Joseph L. Dieleman
Summary: This study estimates healthcare spending for respiratory conditions in the United States from 1996 to 2016, and identifies factors contributing to spending growth. The findings indicate high spending on respiratory conditions, particularly for asthma and chronic obstructive pulmonary disease. The study highlights the importance of addressing service price and intensity, especially for pharmaceuticals, in reducing healthcare spending growth.
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Sukruth A. Shashikumar, Jie Zheng, E. John Orav, Arnold M. Epstein, Karen E. Joynt Maddox
Summary: Participation in BPCM-A was not associated with spending reductions, changes in care utilization, or quality improvements for the cardiovascular medical events or procedures offered in the model.
Article
Public, Environmental & Occupational Health
Takanao Tanaka, Shohei Okamoto, David Canning
Summary: Cross-national studies have found limited evidence of benefits in the linkage between health-care spending and population health. This study suggests that variation in health spending is not associated with decreased mortality rates and has a weak association with increased health-care resources and service utilization. In contrast, gross domestic product per capita is significantly associated with increased health resources, higher service utilization, and lower mortality rates.
AMERICAN JOURNAL OF EPIDEMIOLOGY
(2022)
Article
Economics
Keyang Li, Yu Qin, Guoxu Wei, Jing Wu
Summary: In this study, we examine the variations of health-care spending in different regions of China based on a nationwide sample of inpatients insured under the urban basic medical insurance schemes in 2010. The findings indicate significant geographic variations in health-care spending in China, primarily driven by differences in quantity. The study also suggests potential allocation inefficiency in China's current urban health-care system.
Article
Medicine, General & Internal
Bhaavna Yalavarthi, Johari Summerville, Nikki Farahani, Lillian Z. Xiao, Christine Yu, Deena Aboul-Hassan, Sia Rajgarhia, Daniel J. Clauw, J. Michelle Kahlenberg, Melissa Dejonckheere, Rachel S. Bergmans
Summary: This qualitative study focused on the experiences of Black adults with SLE in Michigan, identifying opportunities for improving care based on their perspectives. Four main themes were identified: awareness of SLE signs and symptoms, patient-clinician interactions, medication adherence and health effects, and comprehensive care plans. Participants emphasized the importance of behavioral change in disease management and the negative impact of social risk factors.
Article
Health Care Sciences & Services
Michael Stucki, Janina Nemitz, Maria Trottmann, Simon Wieser
Summary: Decomposing outpatient spending by disease, age, sex, and service type can provide insights into the drivers of healthcare spending. Using health insurance claims data, diseases can be identified through diagnostic clues, enabling detailed analysis for informing health policies in Switzerland.
BMC HEALTH SERVICES RESEARCH
(2021)
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.
Article
Public, Environmental & Occupational Health
Rediet Emebet Getnet Alemu, Tom L. Osborn, Christine M. Wasanga
Summary: The violent colonial history in Africa has created a stigma around seeking mental health care, and current clinical research, practice, and policy fail to address the unique experiences of distress across African communities. To transform mental health care for all, adopting decolonizing frameworks that are ethical, democratic, and context-based is crucial. The network approach to psychopathology can play a vital role in achieving this goal.
FRONTIERS IN PUBLIC HEALTH
(2023)
Article
Economics
David Dranove, Christopher Ody, Amanda Starc
Summary: The study shows that privatizing Medicaid drug benefits leads to a significant decrease in drug spending by allowing private insurers to negotiate prices with pharmacies and increasing the use of lower cost drugs. The reduction in spending is not due to a decrease in prescriptions per enrollee and is smaller for drugs that lower medical spending.
AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
(2021)
Article
Economics
Edward S. Knotek, Saeed Zaman
Summary: Research shows asymmetric responses of consumer spending to energy price shocks in U.S. data, with a greater negative effect on consumption from positive energy price shocks compared to the increase from negative shocks, especially for larger shocks. Durable goods consumption exhibits the strongest asymmetric response, but asymmetries are also present in nondurables and services consumption.
Article
Public, Environmental & Occupational Health
Danyca Shade Breedt, Maria Lisa Odland, Balisi Bakanisi, Edward Clune, Moneimang Makgasa, John Tarpley, Margaret Tarpley, Akutu Munyika, Jacob Sheehama, Theresia Shivera, Bruce Biccard, Regan Boden, Sean Chetty, Liesl de Waard, Rowan Duys, Kristin Groeneveld, Susan Levine, Tamlyn Mac Quene, Salome Maswime, Megan Naidoo, Priyanka Naidu, Shrikant Peters, Che L. Reddy, Savannah Verhage, Godfrey Muguti, Shingai Nyaguse, Lucia D'Ambruoso, Kathryn Chu, Justine Davies
Summary: Surgical healthcare is prioritised in the SADC region, but challenges remain in translating political prioritisation into effective and equitable healthcare. The AfroSurg Collaborative aims to identify critical research areas to inform evidence-based policies and implementation across the region, with a focus on policy-related knowledge needs.
Article
Health Care Sciences & Services
Sungchul Park, Jie Chen, Grace X. Ma, Alexander N. Ortega
Summary: The study found that Asian Americans without cancer experienced limited access to care due to a lack of a usual source of care. However, inequities were not observed among Asian Americans with cancer. Additionally, there were no or marginal differences in health care spending between Whites and Asian Americans with cancer.
Article
Medicine, General & Internal
Yanan Zhang, Matthew R. Bennett, Sue Yeandle
Summary: The study revealed that unpaid carers in England generally have lower subjective well-being compared to non-carers, but in areas with higher local government spending on adult social care, the subjective well-being of carers is similar to that of non-carers, indicating a moderating effect of ASC spending on carers' well-being.
Article
Medicine, General & Internal
Muhammad Nabeel Ashraf, Mohammad Salman Khalil, Ahwaz Akhtar, Lubna Samad, Asad Latif
Summary: This study aims to develop a cost-effective trauma care network for Karachi, Pakistan by calculating the maximum timely trauma care coverage achieved with the addition of potential designated private and public level 1 and level 2 trauma centres. The results show that the addition of private and public trauma centres is necessary to achieve maximum coverage. The study also emphasizes the importance of government stewardship and coordinated efforts from multiple stakeholders to ensure standard trauma centre designation.
Article
Biochemistry & Molecular Biology
Emma Pierson, David M. Cutler, Jure Leskovec, Sendhil Mullainathan, Ziad Obermeyer
Summary: A deep learning approach using knee X-rays can predict underserved populations' experienced pain and reduce racial and socioeconomic disparities. Algorithmic predictions suggest that much of underserved patients' pain stems from factors within the knee.
Article
Medicine, General & Internal
A. Jay Holmgren, N. Lance Downing, David W. Bates, Tait D. Shanafelt, Arnold Milstein, Christopher D. Sharp, David M. Cutler, Robert S. Huckman, Kevin A. Schulman
Summary: This study found that US clinicians spend more time actively using the EHR for various clinical activities compared to their non-US counterparts, suggesting a greater EHR burden for US clinicians.
JAMA INTERNAL MEDICINE
(2021)
News Item
Medicine, General & Internal
David Cutler
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Editorial Material
Medicine, General & Internal
A. Jay Holmgren, David Cutler, Ateev Mehrotra
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Article
Oncology
Andrea C. Enzinger, Kaushik Ghosh, Nancy L. Keating, David M. Cutler, Mary Beth Landrum, Alexi A. Wright
Summary: From 2007 to 2017, there was a substantial decline in opioid use among cancer patients near the end of life. However, the proportion of patients with pain-related emergency department visits increased significantly, indicating potential worsening in end-of-life cancer pain management.
JOURNAL OF CLINICAL ONCOLOGY
(2021)
Article
Health Policy & Services
Morgan C. Shields, Nancy D. Beaulieu, Sifan Lu, Alisa B. Busch, David M. Cutler, Alyna T. Chien
Summary: This study examined trends in the quantity of inpatient psychiatry beds and facility characteristics. The results showed that the number of psychiatric beds remained relatively stable, but there was an increase in beds operated by systems and for-profit organizations. The net increase in beds was primarily concentrated in for-profit freestanding psychiatric hospitals. The study suggests that payers and policy makers should be cautious of profiteering and further research should investigate the implications of these trends on care quality.
PSYCHIATRIC SERVICES
(2022)
Editorial Material
Medicine, General & Internal
Nikhil R. Sahni, Brandon Carrus, David M. Cutler
Summary: The report discusses steps to simplify administrative functions, reduce administrative spending, and increase overall productivity in US health care in specific areas.
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION
(2021)
Letter
Oncology
Andrea C. Enzinger, Kaushik Ghosh, Nancy L. Keating, David M. Cutler, Mary Beth Landrum, Alexi A. Wright
JOURNAL OF CLINICAL ONCOLOGY
(2022)
Article
Economics
David M. Cutler, Kaushik Ghosh, Kassandra L. Messer, Trivellore Raghunathan, Allison B. Rosen, Susan T. Stewart
Summary: This paper develops a satellite account for the US health sector and measures productivity growth in health care for the elderly population between 1999 and 2012. The study finds that medical care has a positive overall productivity growth rate of 1.5 percent per year, with significant heterogeneity in productivity growth across different conditions. Care for cardiovascular disease exhibits high productivity growth, while care for musculoskeletal conditions is costly but does not lead to improved outcomes.
AMERICAN ECONOMIC REVIEW
(2022)
Article
Economics
David M. Cutler, Edward L. Glaeser
JOURNAL OF ECONOMIC PERSPECTIVES
(2021)
Article
Economics
David M. Cutler, Grant Miller
Summary: After correcting data errors, the revised estimates show that municipal water disinfection accounts for 38% of the total mortality rate decline, with smaller effects on infant mortality. Differences between their analysis and ours are mainly due to coding of partial intervention years and population denominator variations.
AMERICAN ECONOMIC JOURNAL-APPLIED ECONOMICS
(2022)
Article
Health Care Sciences & Services
Madina Agenor, Emily S. Unger, Margaret A. McConnell, Courtney Brown, Meredith B. Rosenthal, Sebastien Haneuse, Deborah J. Bowen, S. Bryn Austin
Summary: The objective of this study was to examine the impact of Medicaid expansion on HPV vaccination among adolescent and young adult US women. The findings showed a decrease in vaccination rates in the first year post-expansion, followed by an increase in the third year post-expansion.
HEALTH SERVICES RESEARCH
(2023)
Article
Medicine, General & Internal
Jinyi Zhu, Hooman Kamel, Ajay Gupta, Alvin I. Mushlin, Nicolas A. Menzies, Thomas A. Gaziano, Meredith B. Rosenthal, Ankur Pandya
Summary: This study aims to prioritize the quality measures endorsed by the American Heart Association and American Stroke Association for acute ischemic stroke (AIS) based on health impact and cost-effectiveness. The results show that early carotid imaging and intravenous tissue plasminogen activator are the most promising measures for quality improvement, and focusing on the top 5 quality measures in AIS care can achieve 92% of the potential value. Our findings can assist providers and payers in setting priorities for quality improvement efforts and value-based payments in AIS care.
ANNALS OF INTERNAL MEDICINE
(2023)
Article
Health Care Sciences & Services
Anna D. Sinaiko, Vilsa E. Curto, Elizabeth Bambury, Mark J. Soto, Meredith B. Rosenthal
Summary: This study aims to understand the variation in enrollment in tiered network health plans (TNPs) and the characteristics of the local provider market associated with TNP penetration. The study found that market competition, rather than the absolute quantity of physicians in an area, is associated with TNP penetration.
HEALTH SERVICES RESEARCH
(2023)
Article
Social Sciences, Mathematical Methods
Trivellore Raghunathan, Kaushik Ghosh, Allison Rosen, Paul Imbriano, Susan Stewart, Irina Bondarenko, Kassandra Messer, Patricia Berglund, James Shaffer, David Cutler
Summary: Combining information from various data sources, we derived model-based dummy variables for 107 health conditions among elderly subjects. The aim is to utilize these corrected variables for policy analysis and trend estimation.
JOURNAL OF SURVEY STATISTICS AND METHODOLOGY
(2021)
