Michael E Chernew

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint 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
  2. doi request reprint Additional reductions in Medicare spending growth will likely require shifting costs to beneficiaries
    Michael E Chernew
    Department of Health Care Policy at Harvard Medical School, Boston, MA, USA
    Health Aff (Millwood) 32:859-63. 2013
  3. pmc Value-based insurance design: a "clinically sensitive, fiscally responsible" approach to mitigate the adverse clinical effects of high-deductible consumer-directed health plans
    A Mark Fendrick
    J Gen Intern Med 22:890-1. 2007
  4. pmc A controlled trial of value-based insurance design - The MHealthy: Focus on Diabetes (FOD) trial
    Alicen Spaulding
    Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, MI, USA
    Implement Sci 4:19. 2009
  5. doi request reprint Managed care and medical expenditures of Medicare beneficiaries
    Michael Chernew
    Harvard University, Boston, MA 02115, United States
    J Health Econ 27:1451-61. 2008
  6. doi request reprint Impact of decreasing copayments on medication adherence within a disease management environment
    Michael E Chernew
    Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 27:103-12. 2008
  7. pmc Geographic correlation between large-firm commercial spending and Medicare spending
    Michael 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
  8. doi request reprint Evidence that value-based insurance can be effective
    Michael E Chernew
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 29:530-6. 2010
  9. pmc Effects of increased patient cost sharing on socioeconomic disparities in health care
    Michael Chernew
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    J Gen Intern Med 23:1131-6. 2008
  10. ncbi request reprint 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

Detail Information

Publications51

  1. doi request reprint 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...
  2. doi request reprint Additional reductions in Medicare spending growth will likely require shifting costs to beneficiaries
    Michael E Chernew
    Department of Health Care Policy at Harvard Medical School, Boston, MA, USA
    Health Aff (Millwood) 32:859-63. 2013
    ....
  3. pmc Value-based insurance design: a "clinically sensitive, fiscally responsible" approach to mitigate the adverse clinical effects of high-deductible consumer-directed health plans
    A Mark Fendrick
    J Gen Intern Med 22:890-1. 2007
  4. pmc A controlled trial of value-based insurance design - The MHealthy: Focus on Diabetes (FOD) trial
    Alicen 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...
  5. doi request reprint Managed care and medical expenditures of Medicare beneficiaries
    Michael 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...
  6. doi request reprint Impact of decreasing copayments on medication adherence within a disease management environment
    Michael 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...
  7. pmc Geographic correlation between large-firm commercial spending and Medicare spending
    Michael 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...
  8. doi request reprint Evidence that value-based insurance can be effective
    Michael 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...
  9. pmc Effects of increased patient cost sharing on socioeconomic disparities in health care
    Michael 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...
  10. ncbi request reprint 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
  11. pmc 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...
  12. ncbi request reprint Value-based insurance design
    Michael 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...
  13. doi request reprint Increased spending on health care: long-term implications for the nation
    Michael E Chernew
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 28:1253-5. 2009
    ....
  14. pmc The 'Alternative Quality Contract,' based on a global budget, lowered medical spending and improved quality
    Zirui 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...
  15. doi request reprint Policy makers will need a way to update bundled payments that reflects highly skewed spending growth of various care episodes
    Allison B Rosen
    University of Massachusetts Medical School, Worcester, MA, USA
    Health Aff (Millwood) 32:944-51. 2013
    ..Rather, they should explore ways to address variations in spending growth, such as updating episode payments one by one, at least at the outset...
  16. pmc Delivery system integration and health care spending and quality for Medicare beneficiaries
    J Michael McWilliams
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts2Department of Medicine, Division of General Internal Medicine and Primary Care, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts
    JAMA Intern Med 173:1447-56. 2013
    ..The Medicare accountable care organization (ACO) programs rely on delivery system integration and health care provider risk sharing to lower spending while improving quality of care...
  17. pmc Health care spending and quality in year 1 of the alternative quality contract
    Zirui 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...
  18. pmc Unintended consequences of eliminating medicare payments for consultations
    Zirui 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...
  19. pmc 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...
  20. pmc Medicare Part D plan generosity and medication use among dual-eligible nursing home residents
    Haiden A Huskamp
    Department of Health Care Policy, Harvard Medical School, Boston, MA The Dartmouth Institute and Geisel Medical School at Dartmouth, Lebanon, NH Division of General Medicine and Clinical Epidemiology, School of Medicine Department of Health Policy and Management, Gillings School of Global Public Health Cecil G Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, Chapel Hill, NC Institute for Aging Research, Hebrew SeniorLife, Deaconess Medical Center Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA Omnicare Inc, Livonia, MI Department of Health Policy and Management, Harvard School of Public Health, Boston Harvard Kennedy School, Cambridge, MA
    Med Care 51:894-900. 2013
    ..Therefore, residents' assigned plans may be relatively more or less generous for their particular drugs. The impact of generosity on residents' medication use and health outcomes is unknown...
  21. pmc Post-acute care and ACOs - who will be accountable?
    J Michael McWilliams
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    Health Serv Res 48:1526-38. 2013
    ..To determine how the inclusion of post-acute evaluation and management (E&M) services as primary care affects assignment of Medicare beneficiaries to accountable care organizations (ACOs)...
  22. pmc Changes in health care spending and quality for Medicare beneficiaries associated with a commercial ACO contract
    J Michael McWilliams
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
    JAMA 310:829-36. 2013
    ..Such spillover effects reflect the extent of organizational efforts to reform care delivery and can contribute to the net impact of ACOs...
  23. pmc Effect of Medicare home health care payment on informal care
    Ezra 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...
  24. doi request reprint The slowdown in health care spending in 2009-11 reflected factors other than the weak economy and thus may persist
    Alexander J Ryu
    Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 32:835-40. 2013
    ..Our findings suggest cautious optimism that the slowdown in the growth of health spending may persist--a change that, if borne out, could have a major impact on US health spending projections and fiscal challenges facing the country...
  25. pmc The impact of the Affordable Care Act on Medicare Advantage plan availability and enrollment
    Christopher 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...
  26. doi request reprint The effect of a large regional health plan's value-based insurance design program on statin use
    Matthew 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...
  27. ncbi request reprint State-level impacts of Medicare Part D
    Christopher 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...
  28. doi request reprint A new medicare end-of-life benefit for nursing home residents
    Haiden 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...
  29. doi request reprint Medical group responses to global payment: early lessons from the 'Alternative Quality Contract' in Massachusetts
    Robert E Mechanic
    Heller School for Social Policy and Management, Brandeis University, Waltham, Massachusetts, USA
    Health Aff (Millwood) 30:1734-42. 2011
    ....
  30. ncbi request reprint Measuring low-value care in medicare
    Aaron L Schwartz
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts
    JAMA Intern Med 174:1067-76. 2014
    ..Direct measures are appealing because they identify specific services to limit and can characterize low-value care even among the most efficient providers...
  31. ncbi request reprint Outpatient care patterns and organizational accountability in medicare
    J Michael McWilliams
    From the Department of Health Care Policy, Harvard Medical, Boston, Massachusetts2Division of General Internal Medicine and Primary Care, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts
    JAMA Intern Med 174:938-45. 2014
    ..Continued monitoring of these patterns may be important to determine the regulatory need for enhancing ACOs' incentives and their ability to improve care efficiency. ..
  32. doi request reprint Medicaid incentive programs to encourage healthy behavior show mixed results to date and should be studied and improved
    Karen J Blumenthal
    Internal Medicine Primary Care Program, Massachusetts General Hospital, Boston, USA
    Health Aff (Millwood) 32:497-507. 2013
    ..Medicaid incentive programs also should be subject to rigorous evaluation to more clearly establish their effectiveness...
  33. pmc Competitive bidding in Medicare Advantage: effect of benchmark changes on plan bids
    Zirui Song
    Harvard Medical School, Boston, MA, USA Electronic address
    J Health Econ 32:1301-12. 2013
    ..We find that a $1 increase in the benchmark leads to about a $0.53 increase in bids, suggesting that plans in the Medicare Advantage market have meaningful market power. ..
  34. doi request reprint Quality and consumer decision making in the market for health insurance and health care services
    Jonathan T Kolstad
    Harvard University, USA
    Med Care Res Rev 66:28S-52S. 2009
    ....
  35. pmc The impact of Medicare Part D on hospitalization rates
    Christopher 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...
  36. ncbi request reprint "Fiscally responsible, clinically sensitive" cost sharing: contain costs while preserving quality
    A 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
  37. ncbi request reprint Confronting hysteria: a reply to Fairman and Curtiss
    Michael E Chernew
    J Manag Care Pharm 14:324-6; author reply 326-8. 2008
  38. ncbi request reprint Value-based insurance design: a "clinically sensitive" approach to preserve quality of care and contain costs
    A Mark Fendrick
    Am J Manag Care 12:18-20. 2006
  39. ncbi request reprint Rising out-of-pocket costs in disease management programs
    Michael 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...
  40. ncbi request reprint Worker preferences, sorting and aggregate patterns of health insurance coverage
    Richard 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...
  41. pmc Impact of fixed-dose combination drugs on adherence to prescription medications
    Feng 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...
  42. ncbi request reprint Diagnostic testing or empirical neuraminidase inhibitor therapy for patients with influenza-like illness: what a difference a day makes
    Susan G Blitz
    Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, USA
    Am J Manag Care 8:221-7. 2002
    ..To determine the clinical and economic trade-offs of available diagnostic and treatment options for patients with suspected influenza infection...
  43. ncbi request reprint Role of initial NSAID choice and patient risk factors in the prevention of NSAID gastropathy: a decision analysis
    A 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
    ..To investigate the role of initial nonsteroidal antiinflammatory drug (NSAID) choice in the prevention of NSAID gastropathy, based on relative clinical and economic effects...
  44. ncbi request reprint 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
  45. pmc The cost-effectiveness of early noninvasive ventilation for ALS patients
    Kirsten 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...
  46. ncbi request reprint 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...
  47. ncbi request reprint Value-based insurance design: aligning incentives to bridge the divide between quality improvement and cost containment
    A 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
    ....
  48. pmc Crowd-out in the State Children's Health Insurance Program (SCHIP): incidence, enrollee characteristics and experiences, and potential impact on New York's SCHIP
    Laura 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...
  49. ncbi request reprint Achieving value in healthcare
    Michael E Chernew
    School of Public Health, University of Michigan, Ann Arbor, Mich 48109 2029, USA
    Am J Manag Care 11:138-9. 2005
  50. ncbi request reprint Disability and health care spending among medicare beneficiaries
    Michael 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...
  51. ncbi request reprint Out-of-pocket health-care expenditures among older Americans with cancer
    Kenneth M Langa
    Division of General Medicine Department of Medicine, University of Michigan Medical School, Ann Arbor, MI, USA
    Value Health 7:186-94. 2004
    ....

Research Grants2

  1. Income Effects and Current Law Forecasts of Health Care Spending Growth
    Michael Chernew; Fiscal Year: 2009
    ..Unlike existing models, our model will be grounded in economic theory and model spending relative to income at the beneficiary level. ..
  2. Income Effects and Current Law Forecasts of Health Care Spending Growth
    Michael 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. ..