Arnold Epstein

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. doi request reprint The relationship between hospital admission rates and rehospitalizations
    Arnold M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 365:2287-95. 2011
  2. ncbi request reprint Rolling down the runway: the challenges ahead for quality report cards
    A M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, Brigham and Women s Hospital, Boston, MA 02115, USA
    JAMA 279:1691-6. 1998
  3. ncbi request reprint Race and gender disparities in rates of cardiac revascularization: do they reflect appropriate use of procedures or problems in quality of care?
    Arnold M Epstein
    Division of General Medicine Section on Health Services and Policy Research, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Med Care 41:1240-55. 2003
  4. ncbi request reprint Racial disparities in access to renal transplantation--clinically appropriate or due to underuse or overuse?
    A M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 343:1537-44, 2 p preceding 1537. 2000
  5. ncbi request reprint Concentration and quality of hospitals that care for elderly black patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    Arch Intern Med 167:1177-82. 2007
  6. ncbi request reprint The evolution of quality management in state Medicaid agencies: a national survey of states with comprehensive managed care programs
    Bruce E Landon
    Harvard Medical School, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, USA
    Jt Comm J Qual Improv 28:72-82. 2002
  7. doi request reprint Disclosure of hospital adverse events and its association with patients' ratings of the quality of care
    Lenny Lopez
    MDiv, Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St, Ninth Floor, Boston, MA 02114, USA
    Arch Intern Med 169:1888-94. 2009
  8. ncbi request reprint Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal disease
    LeRoi S Hicks
    Department of Medicine, Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    Qual Life Res 13:1129-37. 2004
  9. doi request reprint Engagement of health plans and employers in addressing racial and ethnic disparities in health care
    Meredith B Rosenthal
    Harvard School of Public Health, Boston, MA, USA
    Med Care Res Rev 66:219-31. 2009
  10. ncbi request reprint National Committee on Quality Assurance health-plan accreditation: predictors, correlates of performance, and market impact
    Nancy Dean Beaulieu
    Harvard Business School, Baker West 284, Soldiers Field Road, Boston, MA 02163, USA
    Med Care 40:325-37. 2002

Research Grants

  1. The Patterns and Impact of Value Based Purchasing
    Arnold Epstein; Fiscal Year: 2005

Detail Information

Publications64

  1. doi request reprint The relationship between hospital admission rates and rehospitalizations
    Arnold M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 365:2287-95. 2011
    ..Yet variation in readmission rates may more closely reflect variation in the underlying hospitalization rates than differences in the quality of care during and after discharge...
  2. ncbi request reprint Rolling down the runway: the challenges ahead for quality report cards
    A M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, Brigham and Women s Hospital, Boston, MA 02115, USA
    JAMA 279:1691-6. 1998
    ..Most of all, we need to find better ways to use quality reporting to empower purchasers and consumers and improve quality of care...
  3. ncbi request reprint Race and gender disparities in rates of cardiac revascularization: do they reflect appropriate use of procedures or problems in quality of care?
    Arnold M Epstein
    Division of General Medicine Section on Health Services and Policy Research, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Med Care 41:1240-55. 2003
    ..However, few studies have examined whether these differences reflect problems in quality of care...
  4. ncbi request reprint Racial disparities in access to renal transplantation--clinically appropriate or due to underuse or overuse?
    A M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 343:1537-44, 2 p preceding 1537. 2000
    ..Despite abundant evidence of racial disparities in the use of surgical procedures, it is uncertain whether these disparities reflect racial differences in clinical appropriateness or overuse or underuse of inappropriate care...
  5. ncbi request reprint Concentration and quality of hospitals that care for elderly black patients
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    Arch Intern Med 167:1177-82. 2007
    ....
  6. ncbi request reprint The evolution of quality management in state Medicaid agencies: a national survey of states with comprehensive managed care programs
    Bruce E Landon
    Harvard Medical School, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, USA
    Jt Comm J Qual Improv 28:72-82. 2002
    ....
  7. doi request reprint Disclosure of hospital adverse events and its association with patients' ratings of the quality of care
    Lenny Lopez
    MDiv, Institute for Health Policy, Massachusetts General Hospital, 50 Staniford St, Ninth Floor, Boston, MA 02114, USA
    Arch Intern Med 169:1888-94. 2009
    ..Little is known about how the characteristics of adverse events (AEs) affect the likelihood of disclosure or how the disclosure of an AE relates to patients' perception of quality of care...
  8. ncbi request reprint Differences in health-related quality of life and treatment preferences among black and white patients with end-stage renal disease
    LeRoi S Hicks
    Department of Medicine, Division of General Internal Medicine, Brigham and Women s Hospital and Harvard Medical School, Boston, MA, USA
    Qual Life Res 13:1129-37. 2004
    ..Relatively little is known about racial differences in health-related quality of life (HRQL) among patients receiving dialysis for end-stage renal disease (ESRD) or how such differences may relate to preferences for renal transplantation...
  9. doi request reprint Engagement of health plans and employers in addressing racial and ethnic disparities in health care
    Meredith B Rosenthal
    Harvard School of Public Health, Boston, MA, USA
    Med Care Res Rev 66:219-31. 2009
    ....
  10. ncbi request reprint National Committee on Quality Assurance health-plan accreditation: predictors, correlates of performance, and market impact
    Nancy Dean Beaulieu
    Harvard Business School, Baker West 284, Soldiers Field Road, Boston, MA 02163, USA
    Med Care 40:325-37. 2002
    ..However, the differences between accredited and nonaccredited health plans and the impact of accreditation on plan enrollment are not well understood...
  11. ncbi request reprint Pay for performance in commercial HMOs
    Meredith B Rosenthal
    Department of Health Policy and Management, Harvard School of Public Health, Boston, USA
    N Engl J Med 355:1895-902. 2006
    ..Although many claims have been made for the effectiveness of this approach, the extent of its national penetration remains unknown...
  12. ncbi request reprint Racial trends in the use of major procedures among the elderly
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, USA
    N Engl J Med 353:683-91. 2005
    ..Differences in the use of major procedures according to patients' race are well known. Whether national and local initiatives to reduce these differences have been successful is unknown...
  13. ncbi request reprint Transmission of financial incentives to physicians by intermediary organizations in California
    Meredith B Rosenthal
    Harvard School of Public Health, USA
    Health Aff (Millwood) 21:197-205. 2002
    ..Thirteen percent of medical groups and 19 percent of IPAs provided bonuses or withholds based on utilization or cost performance, which averaged 10 percent of base compensation...
  14. ncbi request reprint Effects of pharmaceutical promotion on adherence to the treatment guidelines for depression
    Julie M Donohue
    Department of Health Policy and Management, University of Pittsburgh, Pennsylvania 15261, USA
    Med Care 42:1176-85. 2004
    ....
  15. doi request reprint Patients' perception of hospital care in the United States
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 359:1921-31. 2008
    ..Data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey provide a portrait of patients' experiences in U.S. hospitals...
  16. ncbi request reprint The inverse relationship between mortality rates and performance in the Hospital Quality Alliance measures
    Ashish K Jha
    Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 26:1104-10. 2007
    ..The relationship between high HQA performance and lower risk-adjusted mortality is an important validation for this national hospital quality rating program...
  17. doi request reprint Public reporting of discharge planning and rates of readmissions
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 361:2637-45. 2009
    ..We know little about how U.S. hospitals perform on the current discharge metrics, the factors that underlie better performance, and whether better performance is related to lower readmission rates...
  18. doi request reprint The effect of financial incentives on hospitals that serve poor patients
    Ashish K Jha
    Harvard School of Public Health, Brigham and Women s Hospital, U S Department of Veterans Affairs Boston Healthcare System, Boston, Massachusetts, USA
    Ann Intern Med 153:299-306. 2010
    ..Providing financial incentives to hospitals to improve quality is increasingly common, yet its effect on hospitals that care for poor patients is largely unknown...
  19. ncbi request reprint The predictive accuracy of the New York State coronary artery bypass surgery report-card system
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 25:844-55. 2006
    ..Nevertheless, performance was not associated with a subsequent change in market share. Surgeons with the highest mortality rates were much more likely than other surgeons to retire or leave practice after the release of each report card...
  20. ncbi request reprint Physicians' beliefs about racial differences in referral for renal transplantation
    John Z Ayanian
    Department of Medicine, Division of General Medicine and Primary Care, Brigham and Women s Hospital, Boston, MA, USA
    Am J Kidney Dis 43:350-7. 2004
    ..A better understanding of physicians' views about racial differences in access to transplantation may help reduce disparities in care...
  21. ncbi request reprint Quality of care in for-profit and not-for-profit health plans enrolling Medicare beneficiaries
    Eric C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, USA
    Am J Med 118:1392-400. 2005
    ..For-profit health plans now enroll the majority of Medicare beneficiaries who select managed care. Prior research has produced conflicting results about whether for-profit health plans provide lower quality of care...
  22. ncbi request reprint Surviving colorectal cancer : patient-reported symptoms 4 years after diagnosis
    Eric C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, Section on Health Policy, Division of General Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    Cancer 110:2075-82. 2007
    ..The number of long-term survivors after a cancer diagnosis is increasing, yet relatively few studies have addressed survivors' reported symptoms beyond the initial year after diagnosis...
  23. ncbi request reprint Quality of care in Medicaid managed care and commercial health plans
    Bruce E Landon
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    JAMA 298:1674-81. 2007
    ..In contrast to the commercially insured population, the proportion of Medicaid beneficiaries enrolling in health maintenance organizations continues to increase...
  24. ncbi request reprint Climbing up the pay-for-performance learning curve: where are the early adopters now?
    Meredith B Rosenthal
    Department of Health Policy and Management, Harvard School of Public Health, in Boston, Massachusetts, USA
    Health Aff (Millwood) 26:1674-82. 2007
    ....
  25. ncbi request reprint Employers' use of value-based purchasing strategies
    Meredith B Rosenthal
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA
    JAMA 298:2281-8. 2007
    ....
  26. doi request reprint The characteristics and performance of hospitals that care for elderly Hispanic Americans
    Ashish K Jha
    Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 27:528-37. 2008
    ..Our finding that care for Hispanics is concentrated among a small number of hospitals provides an opportunity for targeted efforts to improve care for this group of Americans...
  27. doi request reprint Measuring efficiency: the association of hospital costs and quality of care
    Ashish K Jha
    Harvard School of Public Health, in Boston, Massachusetts, USA
    Health Aff (Millwood) 28:897-906. 2009
    ..They provided modestly worse care for acute myocardial infarction and congestive heart failure but had comparable rates of risk-adjusted mortality. We found no evidence that low-cost providers provide better care...
  28. ncbi request reprint Does the Leapfrog program help identify high-quality hospitals?
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, USA
    Jt Comm J Qual Patient Saf 34:318-25. 2008
    ..Whether this program helps identify high-quality hospitals is unknown. A study was conducted to determine whether hospitals that report patient safety practice activities have better quality of care or clinical outcomes...
  29. doi request reprint Is the type of Medicare insurance associated with colorectal cancer screening prevalence and selection of screening strategy?
    Eric C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA
    Med Care 46:S84-90. 2008
    ..We assessed whether beneficiaries in MMC plans were more likely than those in traditional FFS insurance to receive colorectal cancer (CRC) screening and whether type of insurance was associated with use of specific screening strategies...
  30. ncbi request reprint Quality monitoring and management in commercial health plans
    Bruce E Landon
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02459, USA
    Am J Manag Care 14:377-86. 2008
    ..To examine the current state of quality monitoring and management activities of US health plans...
  31. ncbi request reprint Early experience with pay-for-performance: from concept to practice
    Meredith B Rosenthal
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    JAMA 294:1788-93. 2005
    ..Although there is intense interest in and optimism about pay-for-performance programs, there is little published research on pay-for-performance in health care...
  32. ncbi request reprint Care in U.S. hospitals--the Hospital Quality Alliance program
    Ashish K Jha
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 353:265-74. 2005
    ..The Hospital Quality Alliance (HQA) is the first initiative that routinely reports data on hospitals' performance nationally. Heretofore, such data have been unavailable...
  33. ncbi request reprint Quality oversight in medicaid primary care case management programs
    Eric C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, Cambridge, MA, USA
    Health Aff (Millwood) 23:235-42. 2004
    ..Reporting states tended to emphasize utilization results over quality-measure results. Despite growing enrollment, PCCM programs appear less likely to use the quality-oversight strategies employed by Medicaid health plans...
  34. ncbi request reprint The evolution of quality management in Medicaid managed care
    Bruce E Landon
    Department of Health Care Policy, Harvard Medical School, Beth Israel Deaconess Medical Center, Boston, USA
    Health Aff (Millwood) 23:245-54. 2004
    ....
  35. ncbi request reprint Use of high-cost operative procedures by Medicare beneficiaries enrolled in for-profit and not-for-profit health plans
    Eric C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 350:143-50. 2004
    ..Until recently, data to address this question have been limited...
  36. ncbi request reprint The effect of incentive-based formularies on prescription-drug utilization and spending
    Haiden A Huskamp
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    N Engl J Med 349:2224-32. 2003
    ..Many employers and health plans have adopted incentive-based formularies in an attempt to control prescription-drug costs...
  37. ncbi request reprint How patients' sociodemographic characteristics affect comparisons of competing health plans in California on HEDIS quality measures
    Alan M Zaslavsky
    Department of Health Care Policy, Harvard Medical School, Boston 02115, USA
    Int J Qual Health Care 17:67-74. 2005
    ....
  38. ncbi request reprint Adherence to practice guidelines: the role of specialty society guidelines
    Lucian L Leape
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Mass 02115, USA
    Am Heart J 145:19-26. 2003
    ..We investigated whether physician adherence to guidelines for percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass grafting (CABG) varied by source, development methods, or the extent of their evidence-base...
  39. ncbi request reprint Racial disparities in the quality of care for enrollees in medicare managed care
    Eric C Schneider
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    JAMA 287:1288-94. 2002
    ..Substantial racial disparities in the use of some health services exist; however, much less is known about racial disparities in the quality of care...
  40. ncbi request reprint Promotion of prescription drugs to consumers
    Meredith B Rosenthal
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA 02115, USA
    N Engl J Med 346:498-505. 2002
    ..Guidelines issued in 1997 by the Food and Drug Administration (FDA) regarding advertising to consumers through electronic media are considered by some to be responsible for unleashing a flood of direct-to-consumer advertising...
  41. pmc Impact of 3-tier formularies on drug treatment of attention-deficit/hyperactivity disorder in children
    Haiden A Huskamp
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Arch Gen Psychiatry 62:435-41. 2005
    ..Many employers and health plans have adopted 3-tier formularies in an attempt to control costs for these and other drugs...
  42. ncbi request reprint Savings from drug discount cards: relief for Medicare beneficiaries?
    Juliette Cubanski
    Program in Health Policy, Harvard University, Boston, Massachusetts, USA
    Health Aff (Millwood) . 2004
    ..Aggregate savings estimates vary widely, based on uncertainty in discounts and program participation rates...
  43. ncbi request reprint Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not?
    Joel S Weissman
    Institute for Health Policy, Massachusetts General Hospital, Harvard School of Public Health, Dana Farber Cancer Institute, Boston, Massachusetts, USA
    Ann Intern Med 149:100-8. 2008
    ..Hospitals routinely survey patients about the quality of care they receive, but little is known about whether patient interviews can detect adverse events that medical record reviews do not...
  44. doi request reprint Do variations in provider discussions explain socioeconomic disparities in postmastectomy breast reconstruction?
    Caprice C Greenberg
    Center for Surgery and Public Health, Division of Surgical Oncology, Brigham and Women s Hospital, Boston, MA 02115, USA
    J Am Coll Surg 206:605-15. 2008
    ..We investigated whether these differences reflect variations in the rate or qualitative aspects of the provider's discussion of reconstruction as an option...
  45. doi request reprint Hospital governance and the quality of care
    Ashish Jha
    Harvard School of Public Health, Boston, Massachusetts, USA
    Health Aff (Millwood) 29:182-7. 2010
    ..The large differences in board activities between high-performing and low-performing hospitals we found suggest that governing boards may be an important target for intervention for policymakers hoping to improve care in U.S. hospitals...
  46. doi request reprint Policy makers should prepare for major uncertainties in Medicaid enrollment, costs, and needs for physicians under health reform
    Benjamin D Sommers
    Harvard School of Public Health, Boston, MA, USA
    Health Aff (Millwood) 30:2186-93. 2011
    ..Yet our results indicate that policy makers should prepare to handle a broad range of contingencies and uncertainty in Medicaid expansion under health reform...
  47. ncbi request reprint Adverse events during hospitalization: results of a patient survey
    Floyd J Fowler
    Center for Survey Research, University of Massachusetts, Boston, USA
    Jt Comm J Qual Patient Saf 34:583-90. 2008
    ....
  48. ncbi request reprint Developing a system to assess the quality of cancer care: ASCO's national initiative on cancer care quality
    Eric C Schneider
    Department of Health Policy Management, Harvard School of Public Health, Harvard University Brigham and Women s Hospital, Boston, MA, USA
    J Clin Oncol 22:2985-91. 2004
  49. ncbi request reprint Paying for performance in the United States and abroad
    Arnold M Epstein
    N Engl J Med 355:406-8. 2006
  50. ncbi request reprint Volume and outcome--it is time to move ahead
    Arnold M Epstein
    N Engl J Med 346:1161-4. 2002
  51. ncbi request reprint The OECD Health Care Quality Indicators Project: history and background
    Soeren Mattke
    OECD, Health Policy Unit, Paris, France
    Int J Qual Health Care 18:1-4. 2006
    ..To describe the background, history, and approach of the OECD Health Care Quality Indicators (HCQI) Project, an initiative to implement quality measures for international benchmarking of medical care at the health system level...
  52. ncbi request reprint The impact of a national prescription drug formulary on prices, market share, and spending: lessons for Medicare?
    Haiden A Huskamp
    Department of Health Care Policy, Harvard Medical School, USA
    Health Aff (Millwood) 22:149-58. 2003
    ..We find that the VHA National Formulary was effective at shifting prescribing behavior toward the selected drugs, achieving sizable price reductions from manufacturers, and greatly decreasing drug spending...
  53. ncbi request reprint Prior-authorization programs for controlling drug spending
    Mary Beth Hamel
    N Engl J Med 351:2156-8. 2004
  54. ncbi request reprint Do integrated medical groups provide higher-quality medical care than individual practice associations?
    Ateev Mehrotra
    University of Pittsburgh and RAND Health, Pittsburgh, Pennsylvania 15213 2665, USA
    Ann Intern Med 145:826-33. 2006
    ..The association between the organizational structure of physician groups and health care quality has never been evaluated empirically...
  55. ncbi request reprint Health care in America--still too separate, not yet equal
    Arnold M Epstein
    N Engl J Med 351:603-5. 2004
  56. ncbi request reprint Pay for performance at the tipping point
    Arnold M Epstein
    N Engl J Med 356:515-7. 2007
  57. ncbi request reprint Patient centered experiences in breast cancer: predicting long-term adherence to tamoxifen use
    Katherine L Kahn
    RAND, Santa Monica, California 90407 2138, USA
    Med Care 45:431-9. 2007
    ..Among breast cancer patients, tamoxifen use is associated with reduced risk of disease relapse and death, but it is often difficult for women to sustain therapy during the 5 years required to obtain maximum benefit...
  58. ncbi request reprint Paying physicians for high-quality care
    Arnold M Epstein
    N Engl J Med 350:406-10. 2004
  59. ncbi request reprint Results of the National Initiative for Cancer Care Quality: how can we improve the quality of cancer care in the United States?
    Jennifer L Malin
    RAND Corporation, Santa Monica, CA, USA
    J Clin Oncol 24:626-34. 2006
    ....
  60. doi request reprint Health of the nation--coverage for all Americans
    Charles D Baker
    Harvard Pilgrim Health Care, Wellesley, MA, USA
    N Engl J Med 359:777-80. 2008
  61. ncbi request reprint Error reporting and disclosure systems: views from hospital leaders
    Joel S Weissman
    Institute for Health Policy, Massachusetts General Hospital, Boston 02114, USA
    JAMA 293:1359-66. 2005
    ..The Institute of Medicine has recommended establishing mandatory error reporting systems for hospitals and other health settings...
  62. doi request reprint Beyond health care--socioeconomic status and health
    Lisa Berkman
    N Engl J Med 358:2509-10. 2008
  63. ncbi request reprint Guidance concerning surgery for emphysema
    Jeffrey M Drazen
    N Engl J Med 348:2134-6. 2003
  64. ncbi request reprint Rethinking medical training--the critical work ahead
    Jeffrey M Drazen
    N Engl J Med 347:1271-2. 2002

Research Grants3

  1. The Patterns and Impact of Value Based Purchasing
    Arnold Epstein; Fiscal Year: 2005
    ..4) To examine the association between the intensity of VBP activities and changes in quality performance as measured by HEDIS and CAHPS. ..