John Hsu

Summary

Publications

  1. pmc Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system
    Martin Strandberg-Larsen
    Section for Health Services Research, Department of Public Health, Faculty of Health Sciences, University of Copenhagen, Øster Farimagsgade 5, Building 10, Stairway B 1014 Copenhagen K, Denmark
    BMC Health Serv Res 10:91. 2010
  2. pmc Distributing $800 billion: an early assessment of Medicare Part D risk adjustment
    John Hsu
    Center for Health Policy Studies and Division of Research, Kaiser Permanente Medical Care Program, Oakland, California, USA
    Health Aff (Millwood) 28:215-25. 2009
  3. pmc Fixing flaws in Medicare drug coverage that prompt insurers to avoid low-income patients
    John Hsu
    Clinical Economics and Policy Analysis program, Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA
    Health Aff (Millwood) 29:2335-43. 2010
  4. ncbi request reprint Early experiences with e-health services (1999-2002): promise, reality, and implications
    Vicki Fung
    Kaiser Permanente Medical Care Program, Division of Research, Oakland, California 94612, USA
    Med Care 44:491-6. 2006
  5. ncbi request reprint Unintended consequences of caps on Medicare drug benefits
    John Hsu
    Division of Research, Kaiser Permanente, Oakland, Calif 94612, USA
    N Engl J Med 354:2349-59. 2006
  6. doi request reprint Medicare beneficiaries' knowledge of Part D prescription drug program benefits and responses to drug costs
    John Hsu
    Center for Health Policy Studies and the Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, Third Floor, Oakland, California 94612, USA
    JAMA 299:1929-36. 2008
  7. ncbi request reprint Care-seeking behavior in response to emergency department copayments
    Mary Reed
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94612, USA
    Med Care 43:810-6. 2005
  8. pmc Outpatient electronic health records and the clinical care and outcomes of patients with diabetes mellitus
    Mary Reed
    Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA
    Ann Intern Med 157:482-9. 2012
  9. pmc Patient-provider communication regarding drug costs in Medicare Part D beneficiaries with diabetes: a TRIAD Study
    Julie A Schmittdiel
    Division of Research, Kaiser Permanente, Oakland, CA, USA
    BMC Health Serv Res 10:164. 2010
  10. doi request reprint Office visit copayments: patient knowledge, response, and communication with providers
    Nancy J Benedetti
    Center for Health Policy Studies and the Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94612, USA
    Med Care 46:403-9. 2008

Detail Information

Publications34

  1. pmc Is the Kaiser Permanente model superior in terms of clinical integration?: a comparative study of Kaiser Permanente, Northern California and the Danish healthcare system
    Martin Strandberg-Larsen
    Section for Health Services Research, Department of Public Health, Faculty of Health Sciences, University of Copenhagen, Øster Farimagsgade 5, Building 10, Stairway B 1014 Copenhagen K, Denmark
    BMC Health Serv Res 10:91. 2010
    ..Further, we examined the associations between specific organizational factors and clinical integration within each system...
  2. pmc Distributing $800 billion: an early assessment of Medicare Part D risk adjustment
    John Hsu
    Center for Health Policy Studies and Division of Research, Kaiser Permanente Medical Care Program, Oakland, California, USA
    Health Aff (Millwood) 28:215-25. 2009
    ..Combining RxHCCs with individual-level information on prior-year drug use greatly improves performance and decreases incentives for plans to select against bad risks...
  3. pmc Fixing flaws in Medicare drug coverage that prompt insurers to avoid low-income patients
    John Hsu
    Clinical Economics and Policy Analysis program, Mongan Institute for Health Policy, Massachusetts General Hospital, Boston, MA, USA
    Health Aff (Millwood) 29:2335-43. 2010
    ..We demonstrate that improving the accuracy of Medicare's risk and subsidy adjustments could mitigate these perverse incentives...
  4. ncbi request reprint Early experiences with e-health services (1999-2002): promise, reality, and implications
    Vicki Fung
    Kaiser Permanente Medical Care Program, Division of Research, Oakland, California 94612, USA
    Med Care 44:491-6. 2006
    ..E-health services may improve the quality and efficiency of care; however, there is little quantitative data on e-health use...
  5. ncbi request reprint Unintended consequences of caps on Medicare drug benefits
    John Hsu
    Division of Research, Kaiser Permanente, Oakland, Calif 94612, USA
    N Engl J Med 354:2349-59. 2006
    ..Little information exists about the consequences of limits on prescription-drug benefits for Medicare beneficiaries...
  6. doi request reprint Medicare beneficiaries' knowledge of Part D prescription drug program benefits and responses to drug costs
    John Hsu
    Center for Health Policy Studies and the Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, Third Floor, Oakland, California 94612, USA
    JAMA 299:1929-36. 2008
    ..Medicare Part D drug benefits include substantial cost sharing...
  7. ncbi request reprint Care-seeking behavior in response to emergency department copayments
    Mary Reed
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94612, USA
    Med Care 43:810-6. 2005
    ..Patients are increasingly paying for more of their medical care through cost-sharing, yet little is known about how patients change the ways that they seek care in response...
  8. pmc Outpatient electronic health records and the clinical care and outcomes of patients with diabetes mellitus
    Mary Reed
    Division of Research, Kaiser Permanente Northern California, Oakland, CA 94612, USA
    Ann Intern Med 157:482-9. 2012
    ..Physicians can receive federal payments for meaningful use of complete certified electronic health records (EHRs). Evidence is limited on how EHR use affects clinical care and outcomes...
  9. pmc Patient-provider communication regarding drug costs in Medicare Part D beneficiaries with diabetes: a TRIAD Study
    Julie A Schmittdiel
    Division of Research, Kaiser Permanente, Oakland, CA, USA
    BMC Health Serv Res 10:164. 2010
    ....
  10. doi request reprint Office visit copayments: patient knowledge, response, and communication with providers
    Nancy J Benedetti
    Center for Health Policy Studies and the Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94612, USA
    Med Care 46:403-9. 2008
    ..There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior...
  11. doi request reprint Meaningful variation in performance: what does variation in quality tell us about improving quality?
    Joseph V Selby
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94612, USA
    Med Care 48:133-9. 2010
    ..However, the absolute amount of variation, expressed in clinically meaningful units, is less frequently reported. Moreover, changes in variance components have not been studied as quality improves...
  12. doi request reprint Meaningful variation in performance: a systematic literature review
    Vicki Fung
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA, USA
    Med Care 48:140-8. 2010
    ..Recommendations for directing quality improvement initiatives at particular levels (eg, patients, physicians, provider groups) have been made on the basis of empirical components of variance analyses of performance...
  13. ncbi request reprint Hypertension treatment in a medicare population: adherence and systolic blood pressure control
    Vicki Fung
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94610, USA
    Clin Ther 29:972-84. 2007
    ..Despite substantial trial evidence that demonstrates the effectiveness of pharmacologic treatment for reducing blood pressure (BP) and cardiovascular events, many patients are nonadherent to their hypertension treatment...
  14. doi request reprint High-deductible health insurance plans: efforts to sharpen a blunt instrument
    Mary Reed
    Division of Research, Kaiser Permanente, Oakland, California, USA
    Health Aff (Millwood) 28:1145-54. 2009
    ..Consumers need more information and decision support to understand their benefits and to differentiate when care is necessary, discretionary, or unnecessary...
  15. pmc Cost-sharing for emergency care and unfavorable clinical events: findings from the safety and financial ramifications of ED copayments study
    John Hsu
    Kaiser Permanente Division of Research, 2000 Broadway, 3rd Floor, Oakland, CA 94612, USA
    Health Serv Res 41:1801-20. 2006
    ..To evaluate the effect of emergency department (ED) copayment levels on ED use and unfavorable clinical events. Data Source/Study Setting. Kaiser Permanente-Northern California (KPNC), a prepaid integrated delivery system...
  16. pmc Perspectives from deductible plan enrollees: plan knowledge and anticipated care-seeking changes
    Mary Reed
    Division of Research, Center for Health Policy Studies, Oakland, California 94612, USA
    BMC Health Serv Res 9:244. 2009
    ..We examined knowledge of deductible plan details among new enrollees, as well as anticipated care-seeking changes in response to the deductible...
  17. pmc Coping with prescription drug cost sharing: knowledge, adherence, and financial burden
    Mary Reed
    Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, Oakland, CA 94612, USA
    Health Serv Res 43:785-97. 2008
    ..Assess patient knowledge of and response to drug cost sharing...
  18. pmc Timely detection of localized excess influenza activity in Northern California across patient care, prescription, and laboratory data
    Sharon K Greene
    Department of Population Medicine, Harvard Pilgrim Health Care Institute, Boston, MA, USA
    Stat Med 30:549-59. 2011
    ..Although limited to one health plan, location, and year, these results can inform the choice of data streams for public health surveillance of influenza...
  19. doi request reprint Implementation of an outpatient electronic health record and emergency department visits, hospitalizations, and office visits among patients with diabetes
    Mary Reed
    Division of Research, Kaiser Permanente Northern California, Oakland, California 94610, USA
    JAMA 310:1060-5. 2013
    ..Although the use of EHRs has potential to improve patient health outcomes, the existing evidence has been limited and inconsistent...
  20. doi request reprint Consumer-directed health plans with health savings accounts: whose skin is in the game and how do costs affect care seeking?
    Mary Reed
    Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94610, USA
    Med Care 50:585-90. 2012
    ..Employers are increasingly offering high-deductible health insurance plans with associated health savings accounts (HSAs), but there is limited information on account contributions or effects on patient care seeking...
  21. pmc Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visits
    John Hsu
    Kaiser Permanente Medical Care Program, Division of Research, Oakland, CA, USA
    J Am Med Inform Assoc 12:474-80. 2005
    ..The aim of this study was to evaluate the impact of introducing health information technology (HIT) on physician-patient interactions during outpatient visits...
  22. doi request reprint Comparative effectiveness of different beta-adrenergic antagonists on mortality among adults with heart failure in clinical practice
    Alan S Go
    Division of Research, Kaiser Permanente of Northern California, Oakland, CA 94612 2304, USA
    Arch Intern Med 168:2415-21. 2008
    ..Randomized trials have demonstrated the efficacy of selected beta-blockers in systolic heart failure, but the comparative effectiveness of different beta-blockers in practice is poorly understood...
  23. pmc Falling into the coverage gap: Part D drug costs and adherence for Medicare Advantage prescription drug plan beneficiaries with diabetes
    Vicki Fung
    Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, 3rd Floor, Oakland, CA 94612, USA
    Health Serv Res 45:355-75. 2010
    ..To compare drug costs and adherence among Medicare beneficiaries with the standard Part D coverage gap versus supplemental gap coverage in 2006...
  24. pmc Care coordination and electronic health records: connecting clinicians
    Ilana Graetz
    Center for Health Policy Studies, Division of Research, Kaiser Permanente Medical Care Program, Oakland, California, USA
    AMIA Annu Symp Proc 2009:208-12. 2009
    ..To examine the association between use of electronic health records (EHR) and care coordination...
  25. pmc Use of e-Health services between 1999 and 2002: a growing digital divide
    John Hsu
    Kaiser Permanente Medical Care Program, Oakland, CA 94612, USA
    J Am Med Inform Assoc 12:164-71. 2005
    ..To evaluate the patterns of e-Health use over a four-year period and the characteristics of users...
  26. doi request reprint In consumer-directed health plans, a majority of patients were unaware of free or low-cost preventive care
    Mary E Reed
    Kaiser Permanente Northern California Division of Research, Oakland, California, USA
    Health Aff (Millwood) 31:2641-8. 2012
    ..Special efforts to educate consumers about preventive care cost-sharing exemptions may be necessary as more health plans, including Medicare, adopt this model...
  27. pmc Improving treatment intensification to reduce cardiovascular disease risk: a cluster randomized trial
    Joe V Selby
    Patient Centered Outcomes Research Institute, Washington, DC, USA
    BMC Health Serv Res 12:183. 2012
    ..The purpose of this study is to evaluate provision of new information to non-physician outreach teams on need for treatment intensification in patients with increased CVD risk...
  28. pmc The impact of generic-only drug benefits on patients' use of inhaled corticosteroids in a Medicare population with asthma
    Vicki Fung
    Center for Health Policy Studies, Kaiser Permanente Division of Research, Oakland, California, USA
    BMC Health Serv Res 8:151. 2008
    ..We examined changes in ICS use following the introduction of generic-only coverage in a Medicare Advantage population from 2003-2004...
  29. ncbi request reprint Matching patients and practitioners based on beliefs about care: results of a randomized controlled trial
    Edward Krupat
    Office of Educational Development, Harvard Medical School, Boston, MA 02115, USA
    Am J Manag Care 10:814-22. 2004
    ..To determine whether an intervention designed to inform and guide patients in choosing a primary care provider (PCP) could increase satisfaction and trust...
  30. pmc Evaluating real-time syndromic surveillance signals from ambulatory care data in four states
    W Katherine Yih
    Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
    Public Health Rep 125:111-20. 2010
    ..We evaluated a real-time ambulatory care-based syndromic surveillance system in four metropolitan areas of the United States...
  31. ncbi request reprint Comparative effectiveness of beta-adrenergic antagonists (atenolol, metoprolol tartrate, carvedilol) on the risk of rehospitalization in adults with heart failure
    Alan S Go
    Division of Research, Kaiser Permanente of Northern California, Oakland, California, USA
    Am J Cardiol 100:690-6. 2007
    ....
  32. ncbi request reprint Cost-sharing: patient knowledge and effects on seeking emergency department care
    John Hsu
    Division of Research, Kaiser Foundation Research Institute, Oakland, CA 94612, USA
    Med Care 42:290-6. 2004
    ..The use of cost-sharing to control healthcare expenditures is increasing, but there is scant information about patients' knowledge of cost-sharing or its influence on behavior...
  33. pmc New risk-adjustment system was associated with reduced favorable selection in medicare advantage
    J Michael McWilliams
    Department of Health Care Policy at Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 31:2630-40. 2012
    ..Similar risk-adjustment methods may help reduce incentives for plans competing in health insurance exchanges and accountable care organizations to select patients with favorable clinical risks...
  34. ncbi request reprint Effect of increased cost-sharing on oral hypoglycemic use in five managed care organizations: how much is too much?
    Douglas W Roblin
    Research Department, Kaiser Permanente, Atlanta, Georgia 30305, and the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
    Med Care 43:951-9. 2005
    ..For patients with a chronic disease, increased cost-sharing for medications may lead to unintended consequences, including reduced use of medications essential for control of their disease...

Research Grants11

  1. Safety And Financial Ramifications of ED Copayments
    John Hsu; Fiscal Year: 2002
    ..abstract_text> ..
  2. Impact of Health Information Technology on Clinical Care
    John Hsu; Fiscal Year: 2006
    ..In short, this natural experiment provides an ideal setting to understand the value of HIT in community-based, ambulatory care. ..
  3. Prescription Drug Cost-sharing: Affordability/Safety
    John Hsu; Fiscal Year: 2005
    ..This study will be the first to address these issues within a broad sample of Medicare beneficiaries. ..
  4. Medicare Study of Cost-sharing Ramifications and Prescription Drug Benefits
    John Hsu; Fiscal Year: 2009
    ..This study will be the first to examine the clinical and economic effects of new Medicare Part D plans, using comprehensive automated data from before and after the introduction of Part D, for a well- defined population. ..