Research Topics
| Stephen B SoumeraiSummaryAffiliation: Harvard University Country: USA Publications
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Publications
Use of atypical antipsychotic drugs for schizophrenia in Maine Medicaid following a policy changeStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, in Boston, Massachusetts, USA
Health Aff (Millwood) 27:w185-95. 2008..AA spending was slightly lower in both states. Observed increases in treatment discontinuities without cost savings suggest that AAs should be exempt from PA for patients with severe mental illnesses...
Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series studyBrian Serumaga
Department of Population Medicine, Harvard Medical School, Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA
BMJ 342:d108. 2011..To assess the impact of a pay for performance incentive on quality of care and outcomes among UK patients with hypertension in primary care...
Depression and cost-related medication nonadherence in Medicare beneficiariesKara Zivin Bambauer
Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Arch Gen Psychiatry 64:602-8. 2007....- Unintended impacts of a Medicaid prior authorization policy on access to medications for bipolar illnessChristine Y Lu
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA, USA
Med Care 48:4-9. 2010..The objective of this study was to examine the impact of a Maine Medicaid PA policy on initiation and switching of anticonvulsant and atypical antipsychotic treatments among patients with bipolar disorder... - Impact of two Medicaid prior-authorization policies on antihypertensive use and costs among Michigan and Indiana residents dually enrolled in Medicaid and Medicare: results of a longitudinal, population-based studyMichael R Law
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
Clin Ther 32:729-41; discussion 716. 2010..However, little is known about the impact of these policies on the use of antihypertensive medicines in the United States... - Effect of New York State regulatory action on benzodiazepine prescribing and hip fracture ratesAnita K Wagner
Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Ann Intern Med 146:96-103. 2007..Medicare Part D excludes benzodiazepines from coverage, and numerous state government policies limit use of benzodiazepines. No data indicate that such policies have decreased the incidence of hip fracture... - Racial differences in long-term self-monitoring practice among newly drug-treated diabetes patients in an HMOConnie Mah Trinacty
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
J Gen Intern Med 22:1506-13. 2007..However, minority patients may encounter barriers to better self-care even within settings where variations in quality of care and insurance are minimized... - A controlled study of the effects of state surveillance on indicators of problematic and non-problematic benzodiazepine use in a Medicaid populationDennis Ross-Degnan
Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Int J Psychiatry Med 34:103-23. 2004..CONCLUSIONS: State-mandated physician surveillance dramatically reduces BZ use with limited substitution of alternative drugs, lowers rates of possible abuse, but may severely limit non-problematic BZ use... - Impact of prior authorization on the use and costs of lipid-lowering medications among Michigan and Indiana dual enrollees in Medicaid and Medicare: results of a longitudinal, population-based studyChristine Y Lu
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
Clin Ther 33:135-44. 2011..Some Medicaid programs have adopted prior-authorization (PA) policies that require prescribers to request approval from Medicaid before prescribing drugs not included on a preferred drug list... - Impact of a 16-community trial to promote judicious antibiotic use in MassachusettsJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor Boston, MA 02215, USA
Pediatrics 121:e15-23. 2008..In addition, we sought to compare the intervention's impact on commercially and Medicaid-insured children... - Two-year trends in colorectal cancer screening after switch to a high-deductible health planJames Frank Wharam
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, Boston, MA 02215
Med Care 49:865-71. 2011..Recent health reform laws might accelerate high-deductible health plan (HDHP) growth. The impact of HDHPs on long-term colorectal cancer screening rates and low socioeconomic status (SES) members is unknown... - Economic analysis of a randomized trial of academic detailing interventions to improve use of antihypertensive medicationsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Clin Hypertens (Greenwich) 9:15-20. 2007..Information on costs of academic detailing could assist with health plan decision making in developing interventions to improve prescribing... - Cost-related medication nonadherence and spending on basic needs following implementation of Medicare Part DJeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, Massachusetts 02215, USA
JAMA 299:1922-8. 2008..Cost-related medication nonadherence (CRN) has been a persistent problem for individuals who are elderly and disabled in the United States. The impact of Medicare prescription drug coverage (Part D) on CRN is unknown... - Prior authorization for antidepressants in Medicaid: effects among disabled dual enrolleesAlyce S Adams
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Arch Intern Med 169:750-6. 2009.... - Racial differences in long-term adherence to oral antidiabetic drug therapy: a longitudinal cohort studyConnie M Trinacty
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 9:24. 2009..Adherence differences may contribute to health disparities for black diabetes patients, including higher microvascular event rates, greater complication-related disability, and earlier mortality... - Effect of switching to a high-deductible health plan on use of chronic medicationsSheila K Reiss
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Health Serv Res 46:1382-401. 2011..To examine whether high-deductible health plans (HDHPs) that exempt prescription drugs from full cost sharing preserve medication use for major chronic illness, compared with traditional HMOs with similar drug cost sharing... - Group versus individual academic detailing to improve the use of antihypertensive medications in primary care: a cluster-randomized controlled trialSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue 6th Floor, Boston, MA 02215, USA
Am J Med 118:521-8. 2005..To compare group versus individual academic detailing to increase diuretic or beta-blocker use in hypertension... - Association between prior authorization for medications and health service use by Medicaid patients with bipolar disorderChristine Y Lu
Department of Population Medicine, Harvard Medical School, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
Psychiatr Serv 62:186-93. 2011..This study examined the association between a Medicaid prior-authorization policy for second-generation antipsychotic and anticonvulsant agents and medication discontinuation and health service use by patients with bipolar disorder... - Improving diabetes care among patients overdue for recommended testing: a randomized controlled trial of automated telephone outreachSteven R Simon
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, Massachusetts, USA
Diabetes Care 33:1452-3. 2010..The study's objective was to assess the effects of automated telephone outreach with speech recognition (ATO-SR) on diabetes-related testing... - Medication adherence and racial differences in A1C controlAlyce S Adams
Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts, USA
Diabetes Care 31:916-21. 2008..The purpose of this study was to examine medication adherence and other self-management practices as potential determinants of higher glycemic risk among black relative to white patients... - A retrospective data analysis of the impact of the New York triplicate prescription program on benzodiazepine use in medicaid patients with chronic psychiatric and neurologic disordersLinda Simoni-Wastila
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Clin Ther 26:322-36. 2004..In January 1989, New York implemented regulations requiring physicians to order benzodiazepines using state-monitored triplicate prescription forms... - High-deductible health plans: are vulnerable families enrolled?Alison A Galbraith
Department of Ambulatory Care and Prevention, Harvard Pilgrim Health Care, Harvard Medical School, 133 Brookline Ave, 6th floor Boston, MA 02215, USA
Pediatrics 123:e589-94. 2009..The objective of this study was to compare the characteristics of families who have children and switch to high-deductible health plans with those who stay in traditional plans... - Relationship between patient medication adherence and subsequent clinical inertia in type 2 diabetes glycemic managementRichard Grant
General Medicine Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, USA
Diabetes Care 30:807-12. 2007..We assessed the relationship between patients' initial medication adherence and subsequent regimen intensification among patients with persistently elevated A1C levels... - A longitudinal study of medication nonadherence and hospitalization risk in schizophreniaMichael R Law
Department of Ambulatory Care and Prevention, Harvard Medical School, and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
J Clin Psychiatry 69:47-53. 2008..However, such analyses typically measure adherence averaged over long time periods. We investigated the temporal relationship between nonadherence and hospitalization risk using a daily measure of medication availability... - Nearly half of families in high-deductible health plans whose members have chronic conditions face substantial financial burdenAlison A Galbraith
Center for Child Health Care Studies, Department of Population Medicine, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 30:322-31. 2011..As health reform efforts advance, policy makers must consider how to modify high-deductible plans to reduce the financial burden for families with chronic conditions... - FDA drug prescribing warnings: is the black box half empty or half full?Anita K Wagner
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Pharmacoepidemiol Drug Saf 15:369-86. 2006..The purpose of the present study was to assess the frequency of use of BBW medications in ambulatory care and prescribing compliance with BBW recommendations... - Use of well-child visits in high-deductible health plansAlison A Galbraith
Center for Child Health Care Studies, Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Ave, 6th Fl, Boston, MA 02215, USA
Am J Manag Care 16:833-40. 2010..To examine how enrollment in high-deductible health plans (HDHPs) affects use of well-child visits relative to traditional plans, when preventive care is exempt from the deductible... - Effects of prior authorization on medication discontinuation among Medicaid beneficiaries with bipolar disorderYuting Zhang
Drug Policy Research Group at Harvard Medical School, Boston, MA 02215, USA
Psychiatr Serv 60:520-7. 2009.... - Effects on breastfeeding of changes in maternity length-of-stay policy in a large health maintenance organizationJeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Pediatrics 111:519-24. 2003..CONCLUSIONS: Early postpartum discharge with outpatient breastfeeding support and a home visitor program has no adverse effects on initiation or continuation of breastfeeding... - Effects of state surveillance on new post-hospitalization benzodiazepine useAnita K Wagner
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Int J Qual Health Care 15:423-31. 2003..Benzodiazepines (BZD) effectively treat anxiety and insomnia accompanying major health events, including hospitalizations. Prescribing regulations to decrease BZD misuse may negatively impact therapeutic uses... - Intended and unintended consequences of the gabapentin off-label marketing lawsuit among patients with bipolar disorderMeredith J Chace
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, 6th Floor, Boston, MA 02215, USA
J Clin Psychiatry 73:1388-94. 2012.... - Reliability of new measures of cost-related medication nonadherenceMarsha Pierre-Jacques
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Med Care 46:444-8. 2008..Although several national studies have attempted to measure medication nonadherence due to cost in cross-sectional studies of the elderly and disabled, little information exists on the psychometric properties of these measures over time... - Racial differences in impact of coverage on diabetes self-monitoring in a health maintenance organizationConnie A Mah
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Med Care 44:392-7. 2006..Insurance coverage of patient self-management devices like self-monitoring blood glucose (SMBG) equipment may help to reduce race-related barriers to effective care... - Medicare part D and changes in prescription drug use and cost burden: national estimates for the Medicare population, 2000 to 2007Becky A Briesacher
Division of Geriatric Medicine and Meyers Primary Care Institute, University of Massachusetts Medical School and Meyers Primary Care, Worcester, Boston, MA, USA
Med Care 49:834-41. 2011..The full effect of Medicare Part D, after the initial policy transition period and across the United States Medicare population, remains unclear... - High-deductible health plans and costs and utilization of maternity careKaty Backes Kozhimannil
Department of Population Medicine, Harvard Medical School, Boston, MA, USA
Am J Manag Care 17:e17-25. 2011..To evaluate the impact of switching from an HMO to a high-deductible health plan on the costs and utilization of maternity care... - Cost-related medication nonadherence and cost-saving strategies used by elderly Medicare cancer survivorsLarissa Nekhlyudov
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, Boston, MA 02215, USA
J Cancer Surviv 5:395-404. 2011..This study was conducted to compare cost-related medication nonadherence among elderly Medicare enrollees with and without cancer and to describe the strategies cancer survivors used to offset the costs of medications... - Length-of-stay policies and ascertainment of postdischarge problems in newbornsJeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Pediatrics 113:42-9. 2004..quot;Ascertainment bias" may have confounded findings in previous reports that raised concerns about the safety of early discharge... - Provider and patient characteristics associated with antidepressant nonadherence: the impact of provider specialtyKara Zivin Bambauer
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
J Clin Psychiatry 68:867-73. 2007.... - Methods for estimating confidence intervals in interrupted time series analyses of health interventionsFang Zhang
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
J Clin Epidemiol 62:143-8. 2009..We describe and illustrate two methods for estimating confidence intervals (CIs) around absolute and relative changes in outcomes calculated from segmented regression parameter estimates... - Effect of switching antipsychotics on antiparkinsonian medication use in schizophrenia: population-based studySylvia Park
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
Br J Psychiatry 187:137-42. 2005..The extent to which atypical antipsychotics have a lower incidence of extrapyramidal symptoms than typical antipsychotics has not been well-evaluated in community practice... - Interventions designed to improve the quality and efficiency of medication use in managed care: a critical review of the literature - 2001-2007Christine Y Lu
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 8:75. 2008..The objective of this research was to update a previous systematic review of interventions, published between 1966 and 2001, to improve the quality and efficiency of medication use in the US managed care setting... - Does antidepressant adherence have an effect on glycemic control among diabetic antidepressant users?Kara Z Bambauer
Dept of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Int J Psychiatry Med 34:291-304. 2004..To examine the relationship between adherence to antidepressant medications and HbA1c levels among patients with diabetes in a managed care setting... - Net health plan savings from reference pricing for angiotensin-converting enzyme inhibitors in elderly British Columbia residentsSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, Massachusetts 02120, USA
Med Care 42:653-60. 2004..Critics argued that drug plan savings are offset by administrative costs and increased spending on other health services... - Cost-related medication nonadherence among elderly and disabled medicare beneficiaries: a national survey 1 year before the medicare drug benefitStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass, USA
Arch Intern Med 166:1829-35. 2006..Prior to implementation of the Medicare drug benefit, we estimated the prevalence of cost-related medication nonadherence (CRN) among Medicare enrollees, including elderly and nonelderly disabled beneficiaries... - Potentially inappropriate medication use by elderly persons in U.S. Health Maintenance Organizations, 2000-2001Steven R Simon
HMO Research Network, Center for Education and Research on Therapeutics, Harvard Pilgrim Health Care and Harvard Medical School, Boston, Massachusetts 02215, USA
J Am Geriatr Soc 53:227-32. 2005..To determine rates of potentially inappropriate medication use in elderly persons in managed care plans in the United States in 2000-2001... - Computerized prescribing alerts and group academic detailing to reduce the use of potentially inappropriate medications in older peopleSteven R Simon
HMO Research Network Center for Education and Research in Therapeutics, Harvard Medical School and Harvard Pilgrim Healthcare, Boston, MA 02215, USA
J Am Geriatr Soc 54:963-8. 2006.... - Effects of health maintenance organization coverage of self-monitoring devices on diabetes self-care and glycemic controlStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 164:645-52. 2004..We evaluated whether a policy providing free blood glucose monitors increased SMBG and whether initiating SMBG was associated with increased regularity of medication use and improved glucose control (hemoglobin A(1c) [HbA(1c)] level)... - Physician alerts to increase antidepressant adherence: fax or fiction?Kara Zivin Bambauer
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Arch Intern Med 166:498-504. 2006..However, the efficacy of such interventions for improving adherence among patients treated for depression is unknown... - High-deductible insurance: two-year emergency department and hospital useJ Frank Wharam
Department of Population Medicine, Harvard Medical School and Harvard Pilgrim Health Care Institute, 133 Brookline Ave, 6th Floor, Boston, MA 02114, USA
Am J Manag Care 17:e410-8. 2011..To determine the 2-year impact of high-deductible health plans (HDHPs) on high-acuity, expensive medical care... - Chronic acid-related disorders are common and underinvestigatedSumit R Majumdar
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts 02215, USA
Am J Gastroenterol 98:2409-14. 2003..Nevertheless, according to current practice guidelines, our patients were underinvestigated. Future guidelines should specifically address the management of patients who use acid suppressing medications on a chronic basis... - Failure of automated telephone outreach with speech recognition to improve colorectal cancer screening: a randomized controlled trialSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 170:264-70. 2010..Automated telephone outreach with speech recognition (ATO-SR) is used extensively by health plans. Whether ATO-SR can increase rates of colorectal cancer (CRC) screening is unknown... - Clinical and economic consequences of reference pricing for dihydropyridine calcium channel blockersSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, Mass 02120, USA
Clin Pharmacol Ther 74:388-400. 2003.... - Cancer screening before and after switching to a high-deductible health planJ Frank Wharam
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, and Beth Israel Deaconess Medical Center, Boston, Massachusetts 02215, USA
Ann Intern Med 148:647-55. 2008..Health plans with high deductibles could lead patients to avoid preventive care, such as cancer screening... - Effect of increased cost-sharing on oral hypoglycemic use in five managed care organizations: how much is too much?Douglas W Roblin
Research Department, Kaiser Permanente, Atlanta, Georgia 30305, and the Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Med Care 43:951-9. 2005..For patients with a chronic disease, increased cost-sharing for medications may lead to unintended consequences, including reduced use of medications essential for control of their disease... - Effect of prior authorization of second-generation antipsychotic agents on pharmacy utilization and reimbursementsMichael R Law
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Psychiatr Serv 59:540-6. 2008..Twenty-two states restrict particular dosing forms (injections). This study examined the impact of such restrictions... - Emergency department use and subsequent hospitalizations among members of a high-deductible health planJ Frank Wharam
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Mass 02215, USA
JAMA 297:1093-102. 2007..High-deductible health plans have been promoted as a means of reducing overutilization but could also be related to worse outcomes if patients defer necessary care... - Benzodiazepine use and hip fractures in the elderly: who is at greatest risk?Anita K Wagner
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Arch Intern Med 164:1567-72. 2004..It remains unclear whether benzodiazepine use increases hip fracture incidence. We studied this relationship in a large cohort, controlling for multiple potential confounders... - Effect of nonpayment for preventable infections in U.S. hospitalsGrace M Lee
Center for Child Health Care Studies, Harvard Pilgrim Health Care Institute and Harvard Medical School, Boston, MA, USA
N Engl J Med 367:1428-37. 2012..The effect of this policy on rates of health care-associated infections is unknown... - Failure of Internet-based audit and feedback to improve quality of care delivered by primary care residentsSteven R Simon
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
Int J Qual Health Care 17:427-31. 2005..To determine the effectiveness of Internet-based audit and feedback to physicians to improve care for diabetes and hypertension... - Barriers to self-monitoring of blood glucose among adults with diabetes in an HMO: a cross sectional studyAlyce S Adams
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA, USA
BMC Health Serv Res 3:6. 2003..The purpose of the current study was to examine the relationship between patient characteristics and self-monitoring in a large health maintenance organization (HMO) using test strips as objective measures of self-monitoring practice... - Effects of a law against early postpartum discharge on newborn follow-up, adverse events, and HMO expendituresJeanne M Madden
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
N Engl J Med 347:2031-8. 2002..After the mandate, newborns were less likely to be examined as recommended on day 3 or 4. Because of changes in hospital prices, the two policies had minimal effects on HMO expenditures for hospital and home-based services... - Delayed and forgone care for families with chronic conditions in high-deductible health plansAlison A Galbraith
Department of Population Medicine, Harvard Medical School, Boston, MA, USA
J Gen Intern Med 27:1105-11. 2012..Individuals with chronic conditions are at particular risk for increased out-of-pocket costs in HDHPs and resulting cost-related underuse of essential health care... - Warfarin prescribing in atrial fibrillation: the impact of physician, patient, and hospital characteristicsNiteesh K Choudhry
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, USA
Am J Med 119:607-15. 2006..The study investigated the determinants of warfarin use in patients with atrial fibrillation (AF)... - Practice-level effects of interventions to improve asthma care in primary care settings: the Pediatric Asthma Care Patient Outcomes Research TeamJonathan A Finkelstein
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Health Serv Res 40:1737-57. 2005..Benefits of practice-level interventions may accrue disproportionately to the subgroup of trial enrollees. The effect of such interventions may be less apparent at the level of practices or health plans... - Do newer prescription drugs pay for themselves? A reassessment of the evidenceYuting Zhang
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, Massachusetts, USA
Health Aff (Millwood) 26:880-6. 2007..More rigorous research on specific drugs and conditions is necessary before one can claim that newer drugs lower total health care costs... - Physician gender and changes in drug prescribing after the implementation of reference pricing in British ColumbiaMargreet S Duetz
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02115, USA
Clin Ther 25:273-84. 2003..However, these differences are unlikely to have meaningful clinical or economic consequences... - Effect of illicit direct to consumer advertising on use of etanercept, mometasone, and tegaserod in Canada: controlled longitudinal studyMichael R Law
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Avenue, 6th Floor, Boston, MA 02215, USA
BMJ 337:a1055. 2008..To assess the impact of direct to consumer advertising of prescription drugs in the United States on Canadian prescribing rates for three heavily marketed drugs-etanercept, mometasone, and tegaserod... - The exclusion of benzodiazepine coverage in medicare: simple steps for avoiding a public health crisisKara Zivin Bambauer
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, MA 02215, USA
Psychiatr Serv 56:1143-6. 2005 - Outcomes of reference pricing for angiotensin-converting-enzyme inhibitorsSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
N Engl J Med 346:822-9. 2002..Although reference pricing may reduce the costs of prescription drugs, there is concern that patients may switch to less effective medications or stop treatment... - Prescription duration after drug copay changes in older people: methodological aspectsSebastian Schneeweiss
Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, 221 Longwood Ave, Boston, MA 02115, USA
J Am Geriatr Soc 50:521-5. 2002..Reference pricing, a copayment for expensive medications above a fixed limit, for angiotensin-converting enzyme(ACE) inhibitors in older British Columbia residents, is used as a case example... - Impact of reference-based pricing for angiotensin-converting enzyme inhibitors on drug utilizationSebastian Schneeweiss
Department of Epidemiology, Harvard School of Public Health, Boston, Mass, USA
CMAJ 166:737-45. 2002..The objective of this study was to analyze the effect of reference-based pricing of angiotensin-converting enzyme (ACE) inhibitors on drug utilization, cost savings and potential substitution with other medication classes... - Quasi-experimental longitudinal designs to evaluate drug benefit policy changes with low policy complianceSebastian Schneeweiss
Divison of Pharmacoepidemiology and Pharmacoeconomics, Department of Medicine, Brigham and Women s Hospital and Harvard Medical School, 221 Longwood Ave BLI 341, Boston, MA 02115, USA
J Clin Epidemiol 55:833-41. 2002..Results from nonrandomized comparisons of subgroups defined by their compliance to a policy change should generally be interpreted cautiously, and several biases should be explored... - Systematic review: the relationship between clinical experience and quality of health careNiteesh K Choudhry
Harvard Medical School and Harvard Pilgrim Health Care, Brigham and Women s Hospital, Boston, Massachusetts, USA
Ann Intern Med 142:260-73. 2005..However, evidence suggests that there is an inverse relationship between the number of years that a physician has been in practice and the quality of care that the physician provides... - Lack of relationship between long-term use of benzodiazepines and escalation to high dosagesStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School, Boston, MA, USA
Psychiatr Serv 54:1006-11. 2003..The objective of this study was to determine whether long-term benzodiazepine use is associated with dose escalation... - Effectiveness of thrombolytic therapy for acute myocardial infarction in the elderly: cause for concern in the old-oldStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, 133 Brookline Ave, Sixth Floor, Boston, MA 02215, USA
Arch Intern Med 162:561-8. 2002.... - Benefits and risks of increasing restrictions on access to costly drugs in MedicaidStephen B Soumerai
Department of Ambulatory Care and Prevention, Harvard Medical School, Harvard Pilgrim Health Care, Boston, USA
Health Aff (Millwood) 23:135-46. 2004..The current exponential growth in such policies and the limited evidence base justifies investment in research to identify which policies can achieve savings without unintended consequences... - Impact of a health maintenance organization hospitalist system in academic pediatricsChristopher P Landrigan
Department of Medicine, Children s Hospital, Harvard Medical School, Boston, Massachusetts 02115, USA
Pediatrics 110:720-8. 2002..We wanted to determine whether a health maintenance organization's (HMO's) implementation of a pediatric hospitalist system affected LOS, costs, mortality, readmission rate, follow-up rate, and parents' ratings of care...