Research Topics
| Michael E ChernewSummaryAffiliation: Harvard University Country: USA Publications
Research Grants
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Detail Information
Publications
Private-payer innovation in Massachusetts: the 'alternative quality contract'Michael E Chernew
Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 30:51-61. 2011..This arrangement exemplifies the type of experimentation encouraged by the Affordable Care Act. We describe this unique contract and show how it surmounts hurdles previously encountered with other global-payment models...
Value-based insurance design: a "clinically sensitive, fiscally responsible" approach to mitigate the adverse clinical effects of high-deductible consumer-directed health plansA Mark Fendrick
J Gen Intern Med 22:890-1. 2007- A controlled trial of value-based insurance design - The MHealthy: Focus on Diabetes (FOD) trialAlicen Spaulding
Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, MI, USA
Implement Sci 4:19. 2009..This program has the potential for broad dissemination to other employers and insurers wishing to improve the value of their health care spending... 
What does the RAND Health Insurance Experiment tell us about the impact of patient cost sharing on health outcomes?Michael E Chernew
Department of Health Policy, Harvard University Medical School, 180 Longwood Ave, Ste 207, Boston, MA 02115, USA
Am J Manag Care 14:412-4. 2008- Effects of increased patient cost sharing on socioeconomic disparities in health careMichael Chernew
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
J Gen Intern Med 23:1131-6. 2008..Increasing patient cost sharing is a commonly employed mechanism to contain health care expenditures... - Value-based insurance designMichael E Chernew
Harvard University, Boston, Massachusetts, USA
Health Aff (Millwood) 26:w195-203. 2007..This paper makes the case for VBID and outlines current VBID initiatives in the private sector as well as barriers to further adoption... - Managed care and medical expenditures of Medicare beneficiariesMichael Chernew
Harvard University, Boston, MA 02115, United States
J Health Econ 27:1451-61. 2008..Finally, we present evidence that suggests our estimated spending reductions are driven by beneficiaries who have at least one chronic condition... - Increased spending on health care: long-term implications for the nationMichael E Chernew
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 28:1253-5. 2009.... - Would having more primary care doctors cut health spending growth?Michael E Chernew
Department ofHealth Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 28:1327-35. 2009..Additional research is needed before the potential causal impact of PCPs can be fully assessed. However, these findings suggest that changes in the composition of the physician workforce will not be sufficient to address spending growth... - Evidence that value-based insurance can be effectiveMichael E Chernew
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 29:530-6. 2010..The findings suggest that value-based insurance design programs do not increase total systemwide medical spending... - Geographic correlation between large-firm commercial spending and Medicare spendingMichael E Chernew
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Am J Manag Care 16:131-8. 2010..To investigate the correlation between geographic variation in inpatient days, total spending, and spending growth in traditional Medicare versus the large-firm commercial sector... - Impact of decreasing copayments on medication adherence within a disease management environmentMichael E Chernew
Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 27:103-12. 2008..The results demonstrate the potential for copayment reductions for highly valued services to increase medication adherence above the effects of existing DM programs... - The 'Alternative Quality Contract,' based on a global budget, lowered medical spending and improved qualityZirui Song
Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 31:1885-94. 2012..These results suggest that global budgets with pay-for-performance can begin to slow underlying growth in medical spending while improving quality of care... - Health care spending and quality in year 1 of the alternative quality contractZirui Song
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 365:909-18. 2011..Provider groups in the AQC system assume accountability for spending, similar to accountable care organizations that bear financial risk. Moreover, groups are eligible to receive bonuses for quality... - Unintended consequences of eliminating medicare payments for consultationsZirui Song
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
JAMA Intern Med 173:15-21. 2013..We assessed the impact of this policy on spending, volume, and complexity for outpatient office encounters in 2010... - Competitive bidding in Medicare: who benefits from competition?Zirui Song
Department of Health Care Policy, Harvard Medical School, National Bureau of Economic Research, Boston, MA 02115, USA
Am J Manag Care 18:546-52. 2012..To conduct the first empirical study of competitive bidding in Medicare... - Effect of Medicare home health care payment on informal careEzra Golberstein
University of Michigan, Department of Health Management and Policy, USA
Inquiry 46:58-71. 2009..Home care payment policies should recognize these effects, balancing costs of the program with the desire to protect families from the burdens associated with providing informal home care... - The impact of the Affordable Care Act on Medicare Advantage plan availability and enrollmentChristopher C Afendulis
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Health Serv Res 47:2339-52. 2012..To assess the impact of the Patient Protection and Affordable Care Act's (ACA) changes in Medicare Advantage (MA) payment rates on the availability of and enrollment in MA plans... - The effect of a large regional health plan's value-based insurance design program on statin useMatthew B Frank
Interfaculty Initiative in Health Policy, Graduate School of Arts and Sciences, Harvard University, 14 Story St, Cambridge, MA 02138, USA
Med Care 50:934-9. 2012..VBID evaluations to date have focused on programs implemented by self-insured employers. This study is among the first to assess the VBID program of a health plan... - State-level impacts of Medicare Part DChristopher C Afendulis
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Am J Manag Care 17:S. 2011..In this brief, we explore the state-level implications of the findings from our paper, by estimating the number of avoided hospitalizations in each state... - Medical group responses to global payment: early lessons from the 'Alternative Quality Contract' in MassachusettsRobert E Mechanic
Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA
Health Aff (Millwood) 30:1734-42. 2011.... - A new medicare end-of-life benefit for nursing home residentsHaiden A Huskamp
Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 29:130-5. 2010..Nursing homes would be paid directly for end-of-life care services and held accountable for their quality... - Quality and consumer decision making in the market for health insurance and health care servicesJonathan T Kolstad
Harvard University, USA
Med Care Res Rev 66:28S-52S. 2009.... - The impact of Medicare Part D on hospitalization ratesChristopher C Afendulis
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Health Serv Res 46:1022-38. 2011..To determine whether the change in prescription drug insurance coverage associated with Medicare Part D reduced hospitalization rates for conditions sensitive to drug adherence... - Value-based insurance design: a "clinically sensitive" approach to preserve quality of care and contain costsA Mark Fendrick
Am J Manag Care 12:18-20. 2006 - "Fiscally responsible, clinically sensitive" cost sharing: contain costs while preserving qualityA Mark Fendrick
Departments of Internal Medicine and Health Management and Policy, University of Michigan, Ann Arbor, Mich, USA. E-mail
Am J Manag Care 13:325-7. 2007 - Confronting hysteria: a reply to Fairman and CurtissMichael E Chernew
J Manag Care Pharm 14:324-6; author reply 326-8. 2008 - What is the price of life and why doesn't it increase at the rate of inflation?Peter A Ubel
University of Michigan Health Systems 300 N Ingalls, Room 7C27 Ann Arbor, MI 48109 0429, USA
Arch Intern Med 163:1637-41. 2003 - Role of initial NSAID choice and patient risk factors in the prevention of NSAID gastropathy: a decision analysisA Mark Fendrick
Consortium for Health Outcomes, Innovation, and Cost-Effectiveness Studies (CHOICES, University of Michigan School of Medicine, Ann Arbor, Michigan, USA
Arthritis Rheum 47:36-43. 2002..The impressive impact of ulcer risk on the incremental cost per ulcer prevented warrants increased attention to risk factor identification when NSAIDs are prescribed... - Increased spending on health care: how much can the United States afford?Michael E Chernew
Department of Health Management and Policy, University of Michigan, Ann Arbor, USA
Health Aff (Millwood) 22:15-25. 2003..The value of care, which determines willingness to pay, and distributional issues are more important than our ability as a society to pay for care... - Crowd-out in the State Children's Health Insurance Program (SCHIP): incidence, enrollee characteristics and experiences, and potential impact on New York's SCHIPLaura P Shone
Department of Pediatrics, School of Nursing, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Box 777, Rochester, NY, USA
Health Serv Res 43:419-34. 2008..The extent to which the State Children's Health Insurance Program (SCHIP) crowds our private insurance is poorly understood... - Out-of-pocket health-care expenditures among older Americans with cancerKenneth M Langa
Division of General Medicine Department of Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
Value Health 7:186-94. 2004.... - Achieving value in healthcareMichael E Chernew
School of Public Health, University of Michigan, Ann Arbor, Mich 48109-2029, USA
Am J Manag Care 11:138-9. 2005 - The cost-effectiveness of early noninvasive ventilation for ALS patientsKirsten L Gruis
Department of Neurology, University of Michigan Health System, Ann Arbor, Michigan, USA
BMC Health Serv Res 5:58. 2005..We therefore used a cost-utility analysis to determine a priori what magnitude of health-related quality of life (HRQL) improvement early NIPPV initiation would need to achieve to be cost-effective in a future clinical trial... - Disability and health care spending among medicare beneficiariesMichael E Chernew
Department of Health Management and Policy, University of Michigan, Ann Arbor, USA
Health Aff (Millwood) 24:W5R42-52. 2005..Using estimates of spending trends by disability category, we project that the cost savings associated with improved disability rates will not dramatically slow Medicare spending in the long run... - Rising out-of-pocket costs in disease management programsMichael E Chernew
University of Michigan, Ann Arbor, MI 48109 2029, USA
Am J Manag Care 12:150-4. 2006..To document the rise in copayments for patients in disease management programs and to call attention to the inherent conflicts that exist between these 2 approaches to benefit design... - Value-based insurance design: aligning incentives to bridge the divide between quality improvement and cost containmentA Mark Fendrick
Departments of Internal Medicine and Health Management and Policy, Center for Value Based Insurance Design, University of Michigan, 300 N Ingalls Bldg, Rm 7E06, Ann Arbor, MI 48109 0429, USA
Am J Manag Care 12:SP5-SP10. 2006.... - Worker preferences, sorting and aggregate patterns of health insurance coverageRichard A Hirth
Department of Health Management and Policy, School of Public Health, University of Michigan, 109 S Observatory, Ann Arbor, MI, 48109 2029, USA
Int J Health Care Finance Econ 6:259-77. 2006..Extrapolating from the analysis sample, these involuntarily uninsured workers and their uninsured dependents may represent up to one in six uninsured individuals in the United States... - Impact of fixed-dose combination drugs on adherence to prescription medicationsFeng Pan
Department of Health Management and Policy, University of Michigan, Ann Arbor, MI, USA
J Gen Intern Med 23:611-4. 2008..The inverse correlation between the complexity of a drug regimen and medication adherence is well established. Fixed-dose combination (FDC) therapies are hypothesized to enhance compliance by decreasing the number of required pills... - Diagnostic testing or empirical neuraminidase inhibitor therapy for patients with influenza-like illness: what a difference a day makesSusan G Blitz
Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, USA
Am J Manag Care 8:221-7. 2002..Clinicians must consider these factors when determining cost-effective use of NIs...
Research Grants
- Income Effects and Current Law Forecasts of Health Care Spending GrowthMichael E Chernew; Fiscal Year: 2010..Unlike existing models, our model will be grounded in economic theory and model spending relative to income at the beneficiary level. ..