Tom McGuire

Summary

Affiliation: Harvard University
Country: USA

Publications

  1. pmc An economic history of Medicare part C
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Milbank Q 89:289-332. 2011
  2. ncbi request reprint Setting prices for new vaccines (in advance)
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Int J Health Care Finance Econ 3:207-24. 2003
  3. doi request reprint Payment reform to finance a medical home: comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform"
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02116, USA
    J Ambul Care Manage 33:35-7; discussion 69-70. 2010
  4. ncbi request reprint Burden of illness
    Tom McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, Massachusetts 02115 5899, USA
    Ment Health Serv Res 4:179-85. 2002
  5. doi request reprint Regulating a health insurance exchange: implications for individuals with mental illness
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Psychiatr Serv 61:1074-80. 2010
  6. ncbi request reprint Managed care, networks and trends in hospital care for mental health and substance abuse treatment in Massachusetts: 1994-1999
    Elaine Fleming
    Department of Economics, Boston College, Boston, MA, USA
    J Ment Health Policy Econ 6:3-12. 2003
  7. pmc Comparing methods of racial and ethnic disparities measurement across different settings of mental health care
    Benjamin Lê Cook
    Center for Multicultural Mental Health Research, Instructor, Department of Psychiatry, Harvard Medical School, 120 Beacon St, 4th Floor, Somerville, MA 02143, USA
    Health Serv Res 45:825-47. 2010
  8. doi request reprint New evidence regarding racial and ethnic disparities in mental health: policy implications
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 27:393-403. 2008
  9. pmc Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary care
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Health Serv Res 43:531-51. 2008
  10. ncbi request reprint Using elicitation techniques to estimate the value of ambulatory treatments for major depression
    Sharon Lise T Normand
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
    Med Decis Making 22:245-61. 2002

Research Grants

  1. NETWORK EFFECTS IN MENTAL HEALTH MANAGED CARE
    Thomas McGuire; Fiscal Year: 2002
  2. MH AND ADVERSE SELECTION IN MANAGED CARE
    Thomas McGuire; Fiscal Year: 2001
  3. Economics of Racial & Ethnic Disparities in MH Services
    Thomas McGuire; Fiscal Year: 2005
  4. Mental Health Spending and Quality of Care
    Thomas G McGuire; Fiscal Year: 2010

Detail Information

Publications36

  1. pmc An economic history of Medicare part C
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Milbank Q 89:289-332. 2011
    ....
  2. ncbi request reprint Setting prices for new vaccines (in advance)
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Int J Health Care Finance Econ 3:207-24. 2003
    ..A supply price leading to efficient levels of investment can be figured in advance based on cost-effectiveness analyses. Calculations indicate that efficient vaccine prices are considerably above prices currently paid for new vaccines...
  3. doi request reprint Payment reform to finance a medical home: comment on "Achieving cost control, care coordination, and quality improvement through incremental payment system reform"
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02116, USA
    J Ambul Care Manage 33:35-7; discussion 69-70. 2010
    ....
  4. ncbi request reprint Burden of illness
    Tom McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, Massachusetts 02115 5899, USA
    Ment Health Serv Res 4:179-85. 2002
    ..Reserch should focus on improving measures of burden in general and on quantifying burden from the standpoint of diverse population groups...
  5. doi request reprint Regulating a health insurance exchange: implications for individuals with mental illness
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Psychiatr Serv 61:1074-80. 2010
    ..Regulation will be necessary to establish a foundation for success of the exchanges...
  6. ncbi request reprint Managed care, networks and trends in hospital care for mental health and substance abuse treatment in Massachusetts: 1994-1999
    Elaine Fleming
    Department of Economics, Boston College, Boston, MA, USA
    J Ment Health Policy Econ 6:3-12. 2003
    ..Therefore it is useful to examine long-term population-based trends in use associated with the growth of managed care...
  7. pmc Comparing methods of racial and ethnic disparities measurement across different settings of mental health care
    Benjamin Lê Cook
    Center for Multicultural Mental Health Research, Instructor, Department of Psychiatry, Harvard Medical School, 120 Beacon St, 4th Floor, Somerville, MA 02143, USA
    Health Serv Res 45:825-47. 2010
    ..The ability to track improvement against racial/ethnic disparities in mental health care is hindered by the varying methods and disparity definitions used in previous research...
  8. doi request reprint New evidence regarding racial and ethnic disparities in mental health: policy implications
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 27:393-403. 2008
    ..In addition, a diverse mental health workforce, as well as provider and patient education, are important to eliminating mental health care disparities...
  9. pmc Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary care
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
    Health Serv Res 43:531-51. 2008
    ..To test for discrimination by race/ethnicity arising from clinical uncertainty in treatment for depression, also known as "statistical discrimination."..
  10. ncbi request reprint Using elicitation techniques to estimate the value of ambulatory treatments for major depression
    Sharon Lise T Normand
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts 02115, USA
    Med Decis Making 22:245-61. 2002
    ..The average spending for all observed treatments was $473 (SE = 478), with a depression-free adjusted price per case of $5,995 (95% confidence interval = $5,959-$6,031)...
  11. ncbi request reprint Demand response of mental health services to cost sharing under managed care
    Chunling Lu
    Harvard Global Health Initiative, 104 Mt Auburn Street, Cambridge, MA 02138, USA
    J Ment Health Policy Econ 11:113-25. 2008
    ..The economics of parity under managed care needs to be under re-examination...
  12. doi request reprint Clinician- and organization-level factors in the adoption of evidence-based care for depression in primary care
    Rachel M Henke
    Department of Health Care Policy, Harvard Medical School, Boston, Massachusetts, USA
    Health Care Manage Rev 33:289-99. 2008
    ..We explore organizational and clinician factors affecting patient receipt of guideline-concordant services...
  13. doi request reprint Trends in mental health cost growth: an expanded role for management?
    Richard G Frank
    Department of Health Care Policy at Harvard Medical School in Boston, Massachusetts, USA
    Health Aff (Millwood) 28:649-59. 2009
    ..We show that in spite of this convergence, important differences remain between general health and mental health care in patterns of spending growth...
  14. pmc Trends in mental health admissions to nursing homes, 1999-2005
    Catherine 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...
  15. pmc Longitudinal racial/ethnic disparities in antimanic medication use in bipolar-I disorder
    Alisa B Busch
    Division of Alcohol and Drug Abuse, McLean Hospital, Belmont, Massachusetts 02478, USA
    Med Care 47:1217-28. 2009
    ..To examine racial/ethnic longitudinal disparities in antimanic medication use among adults with bipolar-I disorder...
  16. pmc Implementing the Institute of Medicine definition of disparities: an application to mental health care
    Thomas G McGuire
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Health Serv Res 41:1979-2005. 2006
    ..This paper proposes an implementation of this definition, and applies it to disparities in outpatient mental health care...
  17. ncbi request reprint Gender and racial/ethnic differences in use of outpatient mental health and substance use services by depressed adults
    Victoria D Ojeda
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA, 02115, USA
    Psychiatr Q 77:211-22. 2006
    ..Other vulnerable populations include older adults especially, men, and men in poor health...
  18. pmc Health insurance coverage for vulnerable populations: contrasting Asian Americans and Latinos in the United States
    Margarita Alegria
    Department of Psychiatry, Harvard Medical School, USA
    Inquiry 43:231-54. 2006
    ..Potential explanations include the type of occupations available to Latinos and Asians, reforms in immigration laws, length of time in the United States, and regional differences in safety-net coverage. Policy implications are discussed...
  19. pmc Testing for statistical discrimination in health care
    Ana I Balsa
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
    Health Serv Res 40:227-52. 2005
    ..To examine the extent to which doctors' rational reactions to clinical uncertainty ("statistical discrimination") can explain racial differences in the diagnosis of depression, hypertension, and diabetes...
  20. ncbi request reprint Clinical uncertainty and healthcare disparities
    Ana I Balsa
    Center for Multicultural Mental Health Research, Cambridge Hospital Alliance, Harvard Medical School, USA
    Am J Law Med 29:203-19. 2003
  21. ncbi request reprint Predictability and predictiveness in health care spending
    Randall P Ellis
    Economics Department, Boston University, 270 Bay State Road, Boston, MA 02215, USA
    J Health Econ 26:25-48. 2007
    ..Our results are consistent with other research on service-level selection. The index of incentives can readily be applied to data from other payers...
  22. pmc Changes in racial differences in use of medical procedures and diagnostic tests among elderly persons: 1986-1997
    Jose J Escarce
    Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
    Am J Public Health 94:1795-9. 2004
    ..We used 1997 Medicare data to replicate an earlier study that used data from 1986 to examine racial differences in usage of specific medical procedures or tests among elderly persons...
  23. ncbi request reprint Overcoming economic barriers to the optimal use of vaccines
    Tracy A Lieu
    Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts, USA
    Health Aff (Millwood) 24:666-79. 2005
    ..Partnerships between philanthropy and public resources have made progress in addressing gaps in vaccine financing and development for developing countries, but much remains to be done...
  24. ncbi request reprint Randomized controlled trials in evidence-based mental health care: getting the right answer to the right question
    Susan M Essock
    Department of Psychiatry, Box 1230, Mount Sinai School of Medicine, One Gustave L Levy Pl, New York, NY 10029 6574, USA
    Schizophr Bull 29:115-23. 2003
    ..Design of clinical research needs to take account of the way treatments are allocated in actual practice and include flexible designs to answer important questions most effectively...
  25. ncbi request reprint Multiple payers, commonality and free-riding in health care: Medicare and private payers
    Jacob Glazer
    Tel Aviv University, Israel
    J Health Econ 21:1049-69. 2002
    ..Our paper has many testable implications, including a new hypothesis for why Medicare has failed to gain acceptance of health plans in the US...
  26. ncbi request reprint Service-level selection by HMOs in Medicare
    Zhun Cao
    Center for Multicultural Mental Health Research, Cambridge Health Alliance, 120 Beacon Street, 4th Floor, Somerville, MA 02143, USA
    J Health Econ 22:915-31. 2003
    ..We find evidence indicating that there exists significant service-level selection by HMOs...
  27. ncbi request reprint Provider-client interactions and quantity of health care use
    Hsien Ming Lien
    Department of Public Finance, National Cheng Chi University 64, Sec 2, Zhi nan Road, Wenshan, Taipei 116, Taiwan, ROC
    J Health Econ 23:1261-83. 2004
    ..We test for the presence of each mechanism using data of patients receiving outpatient treatment for alcohol abuse in the Maine Addiction Treatment System. We find evidence for rationing and persuasion, but not effort...
  28. pmc Methods for using Medicare data to compare procedure rates among Asians, blacks, Hispanics, Native Americans, and whites
    Jose J Escarce
    RAND Health, Santa Monica, CA, USA
    Health Serv Res 38:1303-17. 2003
    ..The objective of this paper is to compare procedure rates for these groups using Medicare data, to assess how small sample size and misreporting affect the validity of comparisons, and to compare rates after correcting for misreporting...
  29. doi request reprint Mental health in the context of health disparities
    Jeanne Miranda
    Department of Psychiatry and Biobehavioral Sciences, 10920 Wilshire Blvd, Ste 300, Los Angeles, CA 90095, USA
    Am J Psychiatry 165:1102-8. 2008
  30. doi request reprint Cost-effectiveness of depression treatment for adolescents
    Grayson Norquist
    Am J Psychiatry 165:549-52. 2008
  31. ncbi request reprint The costs of mental health parity: still an impediment?
    Colleen L Barry
    Division of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, New Haven, Connecticut, USA
    Health Aff (Millwood) 25:623-34. 2006
    ..We review both eras of research on mental health insurance and conclude that comprehensive parity implemented in the context of managed care would have little impact on total spending...
  32. pmc Using performance measures to motivate 'report-averse' and 'report-loving' agents
    Jacob Glazer
    Faculty of Management, Tel Aviv University, Israel
    J Health Econ 26:1170-89. 2007
    ....
  33. pmc Time allocation in primary care office visits
    Ming Tai-Seale
    Department of Health Policy and Management, School of Rural Public Health, 1266 TAMU, College Station, TX 77843 1266, USA
    Health Serv Res 42:1871-94. 2007
    ..To use an innovative videotape analysis method to examine how clinic time was spent during elderly patients' visits to primary care physicians. Secondary objectives were to identify the factors that influence time allocations...
  34. pmc Survey conditioning in self-reported mental health service use: randomized comparison of alternative instrument formats
    Naihua Duan
    UCLA Health Services Research Center, 10920 Wilshire Blvd, Suite 300, Los Angeles, CA 90024, USA
    Health Serv Res 42:890-907. 2007
    ..To test the effect of survey conditioning (whether observed survey responses are affected by previous experience in the same survey or similar surveys) in a survey instrument used to assess mental health service use...
  35. ncbi request reprint Patient inducement, provider priorities, and resource allocation in public mental health systems
    Anna D Sinaiko
    Harvard University, USA
    J Health Polit Policy Law 31:1075-106. 2006
    ..We consider some policy implications for avoiding unintended consequences of these policies...
  36. ncbi request reprint Did Project Liberty displace community-based medicaid services in New York?
    Carla Gomes
    Department of Psychiatry, Division of Health Services Research, Mount Sinai School of Medicine, New York City, USA
    Psychiatr Serv 57:1309-12. 2006
    ..This study analyzed how the introduction of Project Liberty services after the September 11, 2001, terrorist attacks affected agencies' provision of community-based Medicaid mental health services in the New York metropolitan area...

Research Grants9

  1. NETWORK EFFECTS IN MENTAL HEALTH MANAGED CARE
    Thomas McGuire; Fiscal Year: 2002
    ..4) Test the behavior of the managed care plans against the predictions of the optimal network theory. ..
  2. MH AND ADVERSE SELECTION IN MANAGED CARE
    Thomas McGuire; Fiscal Year: 2001
    ..Understanding how adverse selection works in managed care and what can be done about it should be a very high priority for research. ..
  3. Economics of Racial & Ethnic Disparities in MH Services
    Thomas McGuire; Fiscal Year: 2005
    ..Test for evidence that patient reaction to provider discrimination leads to lower compliance rates and worse outcomes for these minorities. ..
  4. Mental Health Spending and Quality of Care
    Thomas G McGuire; Fiscal Year: 2010
    ..We expand methods of the science of variations and apply them to mental health care using data from the Medicaid program. ..