Article
Oncology
Margaret I. Liang, Ling Chen, Dawn L. Hershman, Grace C. Hillyer, Warner K. Huh, Allison Guyton, Jason D. Wright
Summary: This study evaluated the total and out-of-pocket costs for PARP inhibitors among ovarian cancer patients with different insurance characteristics. The findings revealed that commercially insured patients had lower out-of-pocket costs compared to SEER-Medicare beneficiaries. Additionally, patients with supplemental Medicaid prescription coverage were able to offset the increased out-of-pocket costs.
GYNECOLOGIC ONCOLOGY
(2021)
Article
Cardiac & Cardiovascular Systems
Kamil F. Faridi, Elias J. Dayoub, Joseph S. Ross, Sanket S. Dhruva, Tariq Ahmad, Nihar R. Desai
Summary: This study investigated the Medicare coverage and out-of-pocket costs of quadruple therapy for patients with heart failure. The findings showed that Medicare drug plans restrict coverage of quadruple therapy through cost sharing, making it unaffordable for many patients unless medication prices and cost sharing are reduced.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Cardiac & Cardiovascular Systems
Kamil F. Faridi, Elias J. Dayoub, Joseph S. Ross, Sanket S. Dhruva, Tariq Ahmad, Nihar R. Desai
Summary: This study examines the Medicare coverage and out-of-pocket costs of quadruple therapy and regimens excluding ARNI or SGLT2i. The findings suggest that Medicare drug plans restrict the coverage of quadruple therapy through cost sharing, leading to substantially higher out-of-pocket costs compared to generic regimens.
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY
(2022)
Article
Management
Joshua D. Frederick, Derrick W. H. Fung, Charles C. Yang, Jason J. H. Yeh
Summary: The research found that expanding interstate markets is not associated with efficiency improvement in individual health insurance markets. When minimizing premiums or expenses given enrollment and utilization of medical services, individual health plans are less efficient than Medicaid managed care plans, but more efficient than Medicare Advantage plans. Therefore, it is suggested to structure individual health insurance markets following the Medicaid managed care model.
EUROPEAN JOURNAL OF OPERATIONAL RESEARCH
(2022)
Article
Pharmacology & Pharmacy
Mohammed Khaled Al-Hanawi, Martin Limbikani Mwale, Ameerah M. N. Qattan
Summary: The study examined the impact of health insurance on healthcare and medicine expenses and found that the effects varied across different income levels. Additionally, the research highlighted that the influence of health insurance was more pronounced among citizens, particularly those with access to free public healthcare.
FRONTIERS IN PHARMACOLOGY
(2021)
Article
Pediatrics
Stephen Rogers, Arvin Garg, Yorghos Tripodis, Annelise Brochier, Emily Messmer, Mikayla Gordon Wexler, Alon Peltz
Summary: This study examines the impact of continuous Supplemental Nutrition Assistance Program (SNAP) enrollment on health care costs for children in low-income households. The results suggest that sustained SNAP enrollment over a two-year period does not generate significant short-term reductions in health care costs for children, despite the demonstrated benefits on child health outcomes. This finding highlights the need for further research to understand the factors influencing health care costs in this population.
Article
Development Studies
Samuel Ampaw, Simon Appleton, Xuyan Lou
Summary: Membership in Ghana's national health insurance scheme is associated with a reduction in out-of-pocket healthcare expenditure, although the effectiveness of the insurance scheme has declined in 2017.
JOURNAL OF DEVELOPMENT STUDIES
(2023)
Article
Health Care Sciences & Services
Narae Kim, Mireille Jacobson
Summary: The study compared the catastrophic out-of-pocket medical spending among adults ages 65 and older in the United States and South Korea, and found that exposure to catastrophic out-of-pocket medical spending is considerably higher in the US than in South Korea, with a significant portion of the difference attributed to unobserved health system-level factors.
BMC HEALTH SERVICES RESEARCH
(2022)
Article
Oncology
Mohammad A. Karim, Amit G. Singal, Robert L. Ohsfeldt, Michael A. Morrisey, Hye-Chung Kum
Summary: The study highlights that many insured non-elderly cancer survivors allocate a substantial portion of their out-of-pocket expenditure for healthcare services, with nearly 8.8% facing underinsurance. Utilization of healthcare services varies across different sociodemographic groups.
Article
Oncology
Andrew M. Moon, Hanna K. Sanoff, YunKyung Chang, Jennifer L. Lund, A. Sidney Barritt, Paul H. Hayashi, Karyn B. Stitzenberg
Summary: This study found that patients with Medicare/Medicaid insurance, residing in rural areas, and of Black race were associated with lower provision of HCC treatment and poorer survival. Efforts should be made to improve access to care for these vulnerable populations.
JOURNAL OF THE NATIONAL COMPREHENSIVE CANCER NETWORK
(2021)
Article
Economics
Xue Li, Russell Smyth, Yao Yao
Summary: We estimate the causal effect of extreme temperatures on out-of-pocket medical expenditure using data from three waves of China Family Panel Studies. Both extreme cold and extreme heat increase expenditure, with hot days having a larger effect. Extreme temperatures lead to sedentary activities, sleep disruption, and energy poverty, negatively impacting physical and mental health. Combining our estimates with temperature projections, we find that out-of-pocket medical expenditure is projected to increase in the future, depending on greenhouse gas emissions.
CHINA ECONOMIC REVIEW
(2023)
Article
Surgery
Charles Liu, Melinda Maggard-Gibbons, Thomas G. Weiser, Arden M. Morris, Yusuke Tsugawa
Summary: The study found that the ACA's insurance Marketplaces were associated with improved financial protection among low-income surgical patients eligible for both cost-sharing and premium subsidies, but not in middle-income patients eligible for only premium subsidies.
Article
Endocrinology & Metabolism
Joohyun Park, Ping Zhang, Yu Wang, Xilin Zhou, Kevin A. Look, Elizabeth T. Bigman
Summary: Over the past two decades, Medicare beneficiaries age 65 years or older with diabetes have faced substantial out-of-pocket burden, with large income-related disparities.
Article
Health Care Sciences & Services
Ahmed Alghamdi, Eman Algarni, Bander Balkhi, Abdulaziz Altowaijri, Abdulaziz Alhossan
Summary: This study estimated the healthcare expenditures associated with heart failure in Saudi Arabia, revealing a high economic burden primarily driven by hospitalization costs, medication, and diagnostics costs. Decision makers in Saudi Arabia should focus on strategies to prevent frequent hospitalizations and improve heart failure management and patient outcomes.
Article
Economics
Timothy J. van Dover, David D. Kim
Summary: This study aimed to analyze cost-effectiveness evidence associated with the quality measures used by the Centers for Medicare and Medicaid Services, finding that while there was consistent cost-effectiveness evidence for measures where it was available, the majority of measures were based on subjective ratings or outcome measures, presenting a challenge in identifying supporting economic evidence. Refining and aligning quality measures with cost-effectiveness evidence can help further improve healthcare efficiency by demonstrating that they are good indicators of both quality and cost-effectiveness of care.
Article
Health Care Sciences & Services
Antonia K. Bernhardt, Joanne Lynn, Gregory Berger, James A. Lee, Kevin Reuter, Joan Davanzo, Anne Montgomery, Allen Dobson
Article
Health Care Sciences & Services
Edward S. Kielb, Corwin N. Rhyan, James A. Lee
INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING
(2017)
Article
Health Care Sciences & Services
Michael Mihailoff, Shreyasi Deb, James A. Lee, Joanne Lynn
INQUIRY-THE JOURNAL OF HEALTH CARE ORGANIZATION PROVISION AND FINANCING
(2017)
Review
Oncology
James A. Lee, Lukas Bubendorf, Rolf Stahel, Solange Peters
EXPERT REVIEW OF ANTICANCER THERAPY
(2013)
Article
Oncology
Guido Sauter, James Lee, John M. S. Bartlett, Dennis J. Slamon, Michael F. Press
JOURNAL OF CLINICAL ONCOLOGY
(2009)
Article
Primary Health Care
John Hickner, Pamela J. Thompson, Tom Wilkinson, Paul Epner, Meghan Sheehan, Anne M. Pollock, Jim Lee, Christopher C. Duke, Brian R. Jackson, Julie R. Taylor
JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE
(2014)
Article
Health Care Sciences & Services
James A. Lee, Megan Shaheen, Thomas Walke, Matt Daly
EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH
(2011)
Article
Health Care Sciences & Services
Jim Lee, Erik Tollefson, Matthew Daly, Edward Kielb
EXPERT REVIEW OF PHARMACOECONOMICS & OUTCOMES RESEARCH
(2013)
Article
Nutrition & Dietetics
Jim Lee, Kathaleen Briggs Early, Csaba P. Kovesdy, Kristie Lancaster, Nicci Brown, Alison Leah Steiber
Summary: In the United States, nutrition-related morbidities are on the rise due to increasing overweight and obesity rates, causing significant health impacts and placing high costs on healthcare systems. The State of Food and Nutrition Series project aims to demonstrate the value of nutrition interventions led by registered dietitian nutritionists for individuals with high-priority non-communicable diseases. The lack of access to registered dietitian nutritionists prevents many individuals with conditions like type 2 diabetes mellitus, chronic kidney disease, and hypertension from receiving needed nutrition care.
JOURNAL OF THE ACADEMY OF NUTRITION AND DIETETICS
(2022)
Article
Oncology
Dolores D. Guest, Tricia Cox, Anne Coble Voss, Kathryn Kelley, Xingya Ma, Andreea Nguyen, Kerry McMillen, Valaree Williams, James A. Lee, Jennifer Petersen, Karilynne Lenning, Elizabeth Yakes Jimenez
Summary: This study aimed to assess the impact of outpatient nutrition care from a registered dietitian nutritionist (RDN) on patient outcomes. The results showed that RDN nutrition care did not have a significant impact on medical outcomes of the patients.
NUTRITION AND CANCER-AN INTERNATIONAL JOURNAL
(2023)
Article
Nutrition & Dietetics
Stephen Randolph, Vikkie A. Mustad, James Lee, Jianqin Sun
ASIA PACIFIC JOURNAL OF CLINICAL NUTRITION
(2010)