Research Topics
| David C GrabowskiSummaryAffiliation: Harvard University Country: USA Publications
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Publications
The large social value resulting from use of statins warrants steps to improve adherence and broaden treatmentDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 31:2276-85. 2012..Policy makers should consider interventions at the patient and provider levels to encourage both therapy for untreated patients with high cholesterol and greater adherence after therapy is initiated...
Medicare postacute care payment reforms have potential to improve efficiency of care, but may need changes to cut costsDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 31:1941-50. 2012....- Mental illness in nursing homes: variations across StatesDavid C Grabowski
Health Care Policy, at Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 28:689-700. 2009..Taken together, these results suggest that state-level mental health and nursing home factors may influence the likelihood of long-term nursing home use for people with mental illnesses... - Ownership status and home health care performanceDavid C Grabowski
Associate Professors of Health Economics, Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
J Aging Soc Policy 21:130-43. 2009..These results highlight the importance of organizational and payment factors in the delivery of home health care services... 
Medicaid payment and risk-adjusted nursing home quality measuresDavid C Grabowski
Department of Health Care Policy, Harvard University, USA
Health Aff (Millwood) 23:243-52. 2004..Higher payment was associated with lower incidence of pressure ulcers and physical restraints but not daily pain. Quality of nursing home care may suffer if budget shortfalls force state legislatures to freeze or reduce Medicaid rates...- The influence of Medicare home health payment incentives: does payer source matter?David C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
Inquiry 43:135-49. 2006..However, these changes did not translate into worse discharge outcomes... - Special Needs Plans and the coordination of benefits and services for dual eligiblesDavid C Grabowski
Department of Health Care Policy at Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 28:136-46. 2009..Although SNP enrollment is higher in states with such a relationship than in other states, several steps are identified to further expand this market and improve coordination between SNPs and state Medicaid programs... - The costs and potential savings associated with nursing home hospitalizationsDavid C Grabowski
Health Care Policy, Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 26:1753-61. 2007..These data highlight the potential for cost savings associated with programs designed to reduce these potentially avoidable hospitalizations from the nursing home setting... - Ownership conversions and nursing home performanceDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
Health Serv Res 43:1184-203. 2008..To examine the effects of ownership conversions on nursing home performance... - Long and short hospice stays among nursing home residents at the end of lifeHaiden A Huskamp
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
J Palliat Med 13:957-64. 2010..To identify characteristics of nursing homes and residents associated with particularly long or short hospice stays... - The quality of advanced dementia care in the nursing home: the role of special care unitsRebecca Orfaly Cadigan
Harvard Medical School, Health Policy Interfaculty Initiative, Cambridge, MA 02138, USA
Med Care 50:856-62. 2012..One relatively understudied factor is the impact of special care units (SCUs) for dementia for residents at the end stage of this disease... - Predictors of nursing home residents' time to hospitalizationA James O'Malley
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
Health Serv Res 46:82-104. 2011..To model the predictors of the time to first acute hospitalization for nursing home residents, and accounting for previous hospitalizations, model the predictors of time between subsequent hospitalizations... - Supporting home- and community-based care: views of long-term care specialistsDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Med Care Res Rev 67:82S-101S. 2010..Building on the long-term care specialists' enthusiasm for system-based reforms, we encourage state policy makers to pursue HCBS models that are linked to Medicare, engage primary care physicians, and are based on rigorous evaluations... - Medicare and Medicaid: conflicting incentives for long-term careDavid C Grabowski
Harvard Medical School, Boston, MA, USA
Milbank Q 85:579-610. 2007..With the aging baby boom generation and projected federal and state budget shortfalls, this issue will be a continuing focus of policymakers in the coming decades... - Trends in mental health admissions to nursing homes, 1999-2005Catherine Anne Fullerton
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Psychiatr Serv 60:965-71. 2009..The study examined 1999-2005 data on first-time nursing home admissions of individuals with mental illness, dementia, or both to identify trends and characteristics... - Differences in hospice care between home and institutional settingsDavid G Stevenson
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
J Palliat Med 10:1040-7. 2007..To compare hospice care delivered at home with hospice care delivered in institutional settings, such as the nursing home... - Assisted living expansion and the market for nursing home careDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
Health Serv Res 47:2296-315. 2012..To analyze the effect of market-level changes in assisted living supply on nursing home utilization and resident acuity... - Medicaid bed-hold policy and Medicare skilled nursing facility rehospitalizationsDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
Health Serv Res 45:1963-80. 2010..To analyze the effect of states' Medicaid bed-hold policies on the 30-day rehospitalization of Medicare postacute skilled nursing facility (SNF) residents... - Antipsychotic and benzodiazepine use among nursing home residents: findings from the 2004 National Nursing Home SurveyDavid G Stevenson
Department of Health Care Policy, Harvard Medical School, Boston, MA, USA
Am J Geriatr Psychiatry 18:1078-92. 2010..To document the extent and appropriateness of use of antipsychotics and benzodiazepines among nursing home residents using a nationally representative survey... - Medicare prospective payment and the volume and intensity of skilled nursing facility servicesDavid C Grabowski
Harvard Medical School, Boston, MA 02115 5899, USA
J Health Econ 30:675-84. 2011..Not surprisingly, when subsequent Medicare policy changes increased payment rates, Medicare volume far surpassed the levels seen in the pre-PPS period... - Moral hazard in nursing home useDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
J Health Econ 26:560-77. 2007..From a policy perspective, this finding indicates that changes in overall Medicaid generosity will not have large effects on utilization... - Private equity investment and nursing home care: is it a big deal?David G Stevenson
Department of Health Care Policy at Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 27:1399-408. 2008..Nonetheless, recent nursing home ownership trends raise important questions about oversight and accountability, whose answers extend beyond private equity ownership... - Sizing up the market for assisted livingDavid G Stevenson
Harvard Medical School in Boston, Massachusetts, USA
Health Aff (Millwood) 29:35-43. 2010..As this sector evolves, policymakers will have to contend with issues related to access to services, public financing, quality of care, and regulatory oversight... - Does information matter? Competition, quality, and the impact of nursing home report cardsDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115 5899, USA
Health Serv Res 46:1698-719. 2011.... - The market for long-term care servicesDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
Inquiry 45:58-74. 2008.... - Predictors of nursing home hospitalization: a review of the literatureDavid C Grabowski
Harvard Medical School, USA
Med Care Res Rev 65:3-39. 2008..Nevertheless, the existing literature asserts that nursing home hospitalizations are frequent, often preventable, and related to facility practices and state Medicaid policies... - Systemwide implications of the repeal of the national maximum speed limitDavid C Grabowski
Department of Health Care Policy, Harvard University, 180 Longwood Avenue, Boston, MA 02115, USA
Accid Anal Prev 39:180-9. 2007..However, we found very little support for any decrease in rural noninterstate driving or fatalities following the adoption of higher speed limits on rural interstates... - 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... - Care coordination for dually eligible medicare-medicaid beneficiaries under the affordable care actDavid C Grabowski
Department of Health Policy, Harvard Medical School, Boston, MA, USA
J Aging Soc Policy 24:221-32. 2012.... - Family oversight and the quality of nursing home care for residents with advanced dementiaDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Med Care 47:568-74. 2009..One relatively understudied factor in the provision of NH care is the role of private oversight and monitoring by family members and friends... - Quality of mental health care for nursing home residents: a literature reviewDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
Med Care Res Rev 67:627-56. 2010.... - Effect of nursing home ownership on the quality of post-acute care: an instrumental variables approachDavid C Grabowski
Harvard University, Department of Health Care Policy, Boston, MA 02115 5899, USA
J Health Econ 32:12-21. 2013..After instrumenting for ownership status, we found that post-acute patients in nonprofit facilities had fewer 30-day hospitalizations and greater improvement in mobility, pain, and functioning... - The cost-effectiveness of noninstitutional long-term care services: review and synthesis of the most recent evidenceDavid C Grabowski
Harvard Medical School, USA
Med Care Res Rev 63:3-28. 2006.... - Nursing home ownership trends and their impacts on quality of care: a study using detailed ownership data from TexasDavid G Stevenson
Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
J Aging Soc Policy 25:30-47. 2013.... - Obesity and mortality in elderly nursing home residentsDavid C Grabowski
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, Massachusetts 02115, USA
J Gerontol A Biol Sci Med Sci 60:1184-9. 2005..A number of studies have analyzed the relationship of obesity and mortality in community-dwelling elderly persons, but little work has analyzed this issue within the institutionalized elderly population... - The relationship of Medicaid payment rates, bed constraint policies, and risk-adjusted pressure ulcersDavid C Grabowski
Department of Health Care Organization and Policy, University of Alabama at Birmingham, 35294, USA
Health Serv Res 39:793-812. 2004..To examine the effect of Medicaid reimbursement rates on nursing home quality in the presence of certificate-of-need (CON) and construction moratorium laws... - The strength of graduated drivers license programs and fatalities among teen drivers and passengersMichael A Morrisey
Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, Injury Control Research Center, University of Alabama at Birmingham, Birmingham, AL, USA
Accid Anal Prev 38:135-41. 2006.... - Nursing homes with persistent high and low qualityDavid C Grabowski
University of Alabama at Birmingham, Alabama, USA
Med Care Res Rev 61:89-115. 2004..Their results further show that public reimbursement and asymmetric information are both important factors in explaining why low quality persists over time in certain facilities... - Nursing home staffing and quality under the nursing home reform actXinzhi Zhang
Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA
Gerontologist 44:13-23. 2004..IMPLICATIONS: Following the NHRA, quality improvements were found in nursing homes nationwide, and these results suggest that part of this improvement was due to the quality and staffing regulations within the NHRA... - The effects of CON repeal on Medicaid nursing home and long-term care expendituresDavid C Grabowski
Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, University of Alabama at Birmingham, 35294 0022, USA
Inquiry 40:146-57. 2003..In the context of declining occupancy rates within the nursing home market, this study provides strong evidence that states have little to fear in terms of increased expenditures with the repeal of CON and moratorium laws... - Competitive spillovers across non-profit and for-profit nursing homesDavid C Grabowski
Department of Health Care Organization and Policy, University of Alabama at Birmingham, 330 RPHB 1655 University Boulevard, Birmingham, AL 35294, USA
J Health Econ 22:1-22. 2003..These findings are consistent with the hypothesis that non-profits serve as a quality signal for uninformed nursing home consumers... - The economic implications of case-mix Medicaid reimbursement for nursing home careDavid C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, 35294 0022, USA
Inquiry 39:258-78. 2002.... - Recent trends in state nursing home payment policiesDavid C Grabowski
Department of Health Care Organization and Policy, University of Alabama at Birmingham, USA
Health Aff (Millwood) . 2004..Although these findings can be interpreted with some optimism from a nursing home financing perspective, areas of concern remain for state nursing home policy during the next several years... - Medicaid payment rates, case-mix reimbursement, and nursing home staffing--1996-2004Zhanlian Feng
Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA
Med Care 46:33-40. 2008..We examined the impact of state Medicaid payment rates and case-mix reimbursement on direct care staffing levels in US nursing homes... - Medicaid nursing home payment and the role of provider taxesDavid C Grabowski
Harvard Medical School
Med Care Res Rev 65:514-27. 2008..A recent proposal to cap provider taxes, if enacted, may lead to a decrease in Medicaid payment rates for nursing home care... - Prospects for transferring nursing home residents to the communityVincent Mor
Brown University Medical School in Providence, Rhode Island, USA
Health Aff (Millwood) 26:1762-71. 2007..States with lower investment in community alternatives had higher proportions of low-care nursing home residents... - Hospitalization of nursing home residents: the effects of states' Medicaid payment and bed-hold policiesOrna Intrator
Brown University, Box G ST2, Providence, RI 02912, USA
Health Serv Res 42:1651-71. 2007..Economic constraints imposed by payers of care, predominantly Medicaid policies, are hypothesized to impact hospitalizations... - Graduated drivers license programs and rural teenage motor vehicle fatalitiesMichael A Morrisey
Department of Health Care Organization and Policy, Lister Hill Center for Health Policy, University of Alabama at Birmingham, Birmingham, AL 35294 0022, USA
J Rural Health 22:300-7. 2006..Graduated drivers license (GDL) programs have been shown to reduce motor vehicle fatalities among 15- to 17-year-olds. However, the 20 most rural states have been the least likely to enact more stringent GDL policies... - The effect of state medicaid case-mix payment on nursing home resident acuityZhanlian Feng
Center for Gerontology and Health Care Research, Brown University, 2 Stimson Avenue, Providence, RI 02912, USA
Health Serv Res 41:1317-36. 2006..3 to 1.4 percent increase in the acuity of long-stay residents, following the introduction of case-mix payment. CONCLUSIONS: The adoption of case-mix payment increased access to care for higher acuity Medicaid residents... - State motor vehicle laws and older driversMichael A Morrisey
Department of Health Care Organization and Policy, University of Alabama at Birmingham, 35294 0022, USA
Health Econ 14:407-19. 2005.... - Effect of educational level and minority status on nursing home choice after hospital dischargeJoseph Angelelli
The Pennsylvania State University, University Park, PA 1680 2500, USA
Am J Public Health 96:1249-53. 2006..We examine the validity of this assumption by testing whether minority/less educated Medicare patients are at greater risk of being discharged from a hospital to the lowest-quality nursing homes in a geographic area... - Factor substitution in nursing homesJohn Cawley
Department of Policy Analysis and Management, College of Human Ecology, Cornell University, Ithaca, NY 14853 4401, USA
J Health Econ 25:234-47. 2006..The results from the IV models yield evidence of factor substitution: higher nursing home wages are associated with greater use of psychoactive drugs and lower quality... - The admission of blacks to high-deficiency nursing homesDavid C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA
Med Care 42:456-64. 2004..Deficiencies are evaluations of poor quality made by state surveyors under the federal nursing home certification regulations... - A longitudinal study of Medicaid payment, private-pay price and nursing home qualityDavid C Grabowski
Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, USA
Int J Health Care Finance Econ 4:5-26. 2004..When compared to the earlier literature, these new findings are attributed to changes over time in the market for nursing home care related to the growth in nursing home substitutes... - Elderly licensure laws and motor vehicle fatalitiesDavid C Grabowski
Lister Hill Center for Health Policy, School of Public Health, University of Alabama, Birmingham, USA
JAMA 291:2840-6. 2004..Little is known about how state-level driver licensure laws, such as in-person renewal, vision tests, road tests, and the frequency of license renewal relate to the older driver traffic fatality rate... - Graduated driver licensing and teen traffic fatalitiesThomas S Dee
Department of Economics, Swarthmore College, PA 19081, USA
J Health Econ 24:571-89. 2005..And we find no evidence that these benefits were attenuated by an increase in fatality risks during the full-licensure period available to older teens... - Consumer complaints and nursing home qualityDavid C Grabowski
Med Care 43:99-101. 2005