Research Topics
| Tom McGuireSummaryAffiliation: Harvard University Country: USA Publications
Research Grants
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Detail Information
Publications
An economic history of Medicare part CThomas G McGuire
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA
Milbank Q 89:289-332. 2011....
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...
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....- Burden of illnessTom 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... - Regulating a health insurance exchange: implications for individuals with mental illnessThomas 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... - Managed care, networks and trends in hospital care for mental health and substance abuse treatment in Massachusetts: 1994-1999Elaine Fleming
Department of Economics, Boston College, Boston, MA, USA
J Ment Health Policy Econ 6:3-12. 2003..Further research should focus on the long-term trends in health outcomes between managed care and fee for service patients... - Comparing methods of racial and ethnic disparities measurement across different settings of mental health careBenjamin 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... - New evidence regarding racial and ethnic disparities in mental health: policy implicationsThomas 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... - Testing for statistical discrimination by race/ethnicity in panel data for depression treatment in primary careThomas 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.".. - Using elicitation techniques to estimate the value of ambulatory treatments for major depressionSharon 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)... - Demand response of mental health services to cost sharing under managed careChunling 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... - Clinician- and organization-level factors in the adoption of evidence-based care for depression in primary careRachel 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... - 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... - 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... - Longitudinal racial/ethnic disparities in antimanic medication use in bipolar-I disorderAlisa 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... - Implementing the Institute of Medicine definition of disparities: an application to mental health careThomas G McGuire
Department of Health Care Policy, Harvard Medical School, 180 Longwood Ave, Boston, MA 02115, USA
Health Serv Res 41:1979-2005. 2006..With such a definition, disparities can be estimated by adjusting for group differences in models for expenditures and access to mental health services... - Gender and racial/ethnic differences in use of outpatient mental health and substance use services by depressed adultsVictoria 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... - Health insurance coverage for vulnerable populations: contrasting Asian Americans and Latinos in the United StatesMargarita 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... - Testing for statistical discrimination in health careAna I Balsa
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA
Health Serv Res 40:227-52. 2005..If miscommunication is the culprit, then efforts should be aimed at reducing disparities in the ways in which doctors communicate with patients... - Clinical uncertainty and healthcare disparitiesAna I Balsa
Center for Multicultural Mental Health Research, Cambridge Hospital Alliance, Harvard Medical School, USA
Am J Law Med 29:203-19. 2003 - Predictability and predictiveness in health care spendingRandall 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... - Changes in racial differences in use of medical procedures and diagnostic tests among elderly persons: 1986-1997Jose 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... - Overcoming economic barriers to the optimal use of vaccinesTracy 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... - Randomized controlled trials in evidence-based mental health care: getting the right answer to the right questionSusan 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... - Multiple payers, commonality and free-riding in health care: Medicare and private payersJacob 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... - Service-level selection by HMOs in MedicareZhun 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... - Provider-client interactions and quantity of health care useHsien 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... - Methods for using Medicare data to compare procedure rates among Asians, blacks, Hispanics, Native Americans, and whitesJose 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... - Mental health in the context of health disparitiesJeanne Miranda
Department of Psychiatry and Biobehavioral Sciences, 10920 Wilshire Blvd, Ste. 300, Los Angeles, CA 90095, USA
Am J Psychiatry 165:1102-8. 2008 - Cost-effectiveness of depression treatment for adolescentsGrayson Norquist
Am J Psychiatry 165:549-52. 2008 - 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... - Using performance measures to motivate 'report-averse' and 'report-loving' agentsJacob Glazer
Faculty of Management, Tel Aviv University, Israel
J Health Econ 26:1170-89. 2007.... - Time allocation in primary care office visitsMing 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... - Survey conditioning in self-reported mental health service use: randomized comparison of alternative instrument formatsNaihua 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... - Patient inducement, provider priorities, and resource allocation in public mental health systemsAnna 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... - 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 Grants
- NETWORK EFFECTS IN MENTAL HEALTH MANAGED CAREThomas McGuire; Fiscal Year: 2002..4) Test the behavior of the managed care plans against the predictions of the optimal network theory. ..
- MH AND ADVERSE SELECTION IN MANAGED CAREThomas 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. ..
- Economics of Racial & Ethnic Disparities in MH ServicesThomas McGuire; Fiscal Year: 2005..Test for evidence that patient reaction to provider discrimination leads to lower compliance rates and worse outcomes for these minorities. ..
- Mental Health Spending and Quality of CareThomas 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. ..