Article
Medicine, General & Internal
Robert E. Burke, Yao Xu, Liam Rose
Summary: The Medicare Skilled Nursing Facility Value-Based Purchasing program (SNF VBP) aims to improve patient outcomes by providing financial incentives or penalties based on hospital readmission rates. This study suggests that the program did not offer a viable path for most low-performing SNFs to avoid financial penalties through improved readmission rates.
Article
Health Care Sciences & Services
Laura Coots Daras, Alison Vadnais, Ye Zhang Pogue, Michael DiBello, Christopher Karwaski, Melvin Ingber, Fang He, Micah Segelman, Lang Le, James Poyer
Summary: Medicare's Skilled Nursing Facility Value-Based Purchasing Program distributed its first two rounds of incentives in fiscal years 2019 and 2020 based on hospital readmissions. The program rewarded facilities based on achievement or improvement scores, with higher payments going to larger, rural, and not-for-profit facilities with higher registered nurse staffing levels. Close monitoring of intended and unintended outcomes of the program, especially in light of the disproportionate impacts of COVID-19 on nursing facilities, is necessary for potential refinements.
Article
Health Care Sciences & Services
Lee Revere, Barbara Langland-Orban, John Large, Yijiong Yang
Summary: The study explores the variation in hospital performance scores and domains under the Hospital Value-Based Purchasing Program from 2014 to 2018. It shows a decrease in overall performance scores but improvement in clinical outcome domain scores. There is evidence that lower-performing hospitals are making consistent annual movements to higher categories, while top-performing hospitals remain in the top category.
HEALTH SERVICES RESEARCH
(2021)
Article
Green & Sustainable Science & Technology
Giacomo Staffolani, Deborah Bentivoglio, Adele Finco
Summary: Mountain agriculture is an important source of ecosystem services, but traditional farming practices, especially dairy livestock, are declining. A mountain product label can be a suitable tool to improve sustainability. Consumers are interested in buying mountain products and willing to pay a premium price, yet the label is still poorly recognized and applied.
Article
Health Care Sciences & Services
Edward C. Norton, Jun Li, Anup Das, Andrew M. Ryan, Lena M. Chen
Summary: The study found that the value of improving quality in hospitals in the HVBP program is overestimated relative to reducing spending, resulting in a tradeoff between spending and QALYs that is greatly imbalanced compared to high-value health interventions.
MEDICAL DECISION MAKING
(2022)
Article
Cardiac & Cardiovascular Systems
Monil Majmundar, Rajkumar Doshi, Kunal N. Patel, Harshvardhan Zala, Ashish Kumar, Ankur Kalra
Summary: This study analyzed the prevalence, trends, and outcomes of cardiovascular diseases (CVDs) in hospitalized pregnant patients in the USA from 2010 to 2019. The prevalence of CVDs increased over the years, but the in-hospital mortality rate decreased. CVDs were associated with higher rates of 6-week postpartum all-cause readmission, myocardial infarction, and stroke.
EUROPEAN HEART JOURNAL
(2023)
Editorial Material
Health Care Sciences & Services
James A. Diao, Leia Wedlund, Joseph Kvedar
Summary: Advances in medical machine learning are expected to improve care, outcomes, and reduce wasteful spending, but constraints from clinical workflows must be considered. Practice variation has a known impact on predictive models, but its effects on cost-effectiveness and utilization are less well-described. Simulation-based approaches can help evaluate how process variables influence the impact and financial feasibility of clinical prediction algorithms.
NPJ DIGITAL MEDICINE
(2021)
Article
Geriatrics & Gerontology
Frederike M. M. Oud, Nena K. Wolzak, Petra E. Spies, H. J. Van Der Zaag-Loonen, Barbara C. van Munster
Summary: The Dutch Safety Management System (VMS) screening for frail older patients is used to predict adverse outcomes. This retrospective cohort study in geriatric inpatients found that almost all patients scored positive on at least one VMS domain. The number of positive VMS domains had some predictive value for institutionalization, while individual domains were able to predict adverse outcomes.
ARCHIVES OF GERONTOLOGY AND GERIATRICS
(2021)
Article
Clinical Neurology
Adrian E. Jimenez, Sachiv Chakravarti, Sophie Liu, Esther Wu, Oren Wei, Pavan P. Shah, Sumil Nair, Julian L. Gendreau, Jose L. Porras, Tej D. Azad, Christopher M. Jackson, Gary Gallia, Chetan Bettegowda, Jon Weingart, Henry Brem, Debraj Mukherjee
Summary: This study aimed to develop predictive models to identify the risk factors for extended hospital length of stay, nonroutine discharge disposition, and 90-day hospital readmission after non-skull base meningioma resection. The results revealed that nonelective surgery and increased tumor volume were significantly associated with extended hospital length of stay. Male sex, nonmarried status, and tumor location within specific regions were predictors of nonroutine discharge disposition and hospital readmission.
WORLD NEUROSURGERY
(2022)
Article
Multidisciplinary Sciences
Robert J. Johnston, Klaus Moeltner, Seth Peery, Tom Ndebele, Zhenyu Yao, Stefano Crema, Wilfred M. Wollheim, Elena Besedin
Summary: Households' willingness to pay for water quality improvements depends on the location of the improvements, with higher values found for improvements near their homes or iconic areas. This study found that there are specific areas in New England where improvements hold high value for individual households, which can be identified through map interactions. The results highlight the importance of considering spatial heterogeneity in willingness to pay for water quality improvements.
PROCEEDINGS OF THE NATIONAL ACADEMY OF SCIENCES OF THE UNITED STATES OF AMERICA
(2023)
Article
Geriatrics & Gerontology
M. M. Schreuder, E. Boersma, M. Kavousi, L. E. Visser, J. W. Roos-Hesselink, J. Versmissen, J. E. Roeters van Lennep
Summary: Despite the emphasis placed by leading international cardiology societies on the importance of sex-specific reporting in cardiovascular research, a study found that sex-specific efficacy and safety outcomes of the most influential cardiovascular intervention trials are still not systematically presented.
Review
Health Care Sciences & Services
Abhinav Pandey, Diana Eastman, Heather Hsu, Michaela J. Kerrissey, Meredith B. Rosenthal, Alyna T. Chien
Summary: In the past two decades, value-based purchasing (VBP) contracts have been introduced by major payer types in the United States to incentivize providers to improve healthcare quality and reduce spending. This systematic review explores the characteristics of VBP programs and their impact on quality and spending outcomes. Higher-intensity VBP programs are more likely to achieve desired quality processes, utilization measures, and spending reductions compared to lower-intensity programs. Payers and providers should consider the consequences of their choices on spending and quality outcomes.
Article
Urology & Nephrology
Daniel Benamran, Elisabeth Grobet-Jeandin, Jeremy Msika, Christophe Vaessen, Jerome Parra, Thomas Seisen, Morgan Roupret
Summary: This study assessed the feasibility and safety of same-day discharge (SDD) surgery after robot-assisted partial nephrectomy (RAPN) in patients with small renal tumors. The results showed that RAPN as a SDD procedure is safe for selected tumors and patients, with no major complications within 30 and 90 days post-surgery.
Article
Surgery
Olamide Alabi, Nader N. Massarweh, Xinyan Zheng, Luke Brewster, Jialin Mao, Yazan Duwayri
Summary: Lower extremity revascularization (LER) for peripheral artery disease often requires readmission, but it is unclear if the location of readmission affects patient outcomes. This study found that readmission to a different facility after LER was not associated with 90-day mortality or amputation, but readmission for procedure-related complications increased the risk of major amputation. Efforts should focus on understanding post-LER complications and their impact on limb salvage.
JOURNAL OF VASCULAR SURGERY
(2023)
Article
Business
Yi Li, Mario Pandelaere
Summary: This research finds that consumers perceive a greater value difference between a pure product containing 100% of a single material and a non-pure product containing lower quality material, compared to two non-pure products with the same composition difference. The asymmetrical purity premium effect occurs because consumers use pure products to categorize products into different quality groups. The perceived quality difference between pure and non-pure products drives the asymmetrical change of value around pure products.
PSYCHOLOGY & MARKETING
(2023)
Article
Health Care Sciences & Services
Nancy Kim, Susannah M. Bernheim, Lesli S. Ott, Lein Han, Steven B. Spivack, Xiao Xu, Mark Volpe, Alex Liu, Harlan M. Krumholz
Article
Health Care Sciences & Services
Jonathan Oberlander, David K. Jones, Steven Spivack, Phillip M. Singer
Review
Health Care Sciences & Services
Brystana G. Kaufman, B. Steven Spivack, Sally C. Stearns, Paula H. Song, Emily C. O'Brien
MEDICAL CARE RESEARCH AND REVIEW
(2019)
Article
Health Care Sciences & Services
Jonathan Oberlander, Steven B. Spivack
JOURNAL OF HEALTH POLITICS POLICY AND LAW
(2018)
Article
Cardiac & Cardiovascular Systems
Gal Ben-Josef, Lesli S. Ott, Steven B. Spivack, Changqin Wang, Joseph S. Ross, Sachin J. Shah, Jeptha P. Curtis, Nancy Kim, Harlan M. Krumholz, Susannah M. Bernheim
CIRCULATION-CARDIOVASCULAR QUALITY AND OUTCOMES
(2014)
Article
Health Care Sciences & Services
Lisa G. Suter, Shu-Xia Li, Jacqueline N. Grady, Zhenqiu Lin, Yongfei Wang, Kanchana R. Bhat, Dima Turkmani, Steven B. Spivack, Peter K. Lindenauer, Angela R. Merrill, Elizabeth E. Drye, Harlan M. Krumholz, Susannah M. Bernheim
JOURNAL OF GENERAL INTERNAL MEDICINE
(2014)
Article
Health Care Sciences & Services
Steven B. Spivack, Miriam J. Laugesen, Jonathan Oberlander
JOURNAL OF HEALTH POLITICS POLICY AND LAW
(2018)
Article
Health Care Sciences & Services
Steven B. Spivack, Darren DeWalt, Jonathan Oberlander, Justin Trogdon, Nilay Shah, Ellen Meara, Morris Weinberger, Kristin Reiter, Devang Agravat, Carrie Colla, Valerie Lewis
Summary: The research found that primary care practices that engaged in more readmission reduction activities had lower readmission rates. On average, practices experienced a 0.05 percentage point decrease in readmission rates for each additional activity. Practices performing 10 or more of the 12 activities in the composite measure had significantly lower readmission rates.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
Letter
Health Care Sciences & Services
Steven B. Spivack, Xin Xin, Nihar R. Desai
JOURNAL OF GENERAL INTERNAL MEDICINE
(2022)
