B Stuart

Summary

Affiliation: University of Maryland
Country: USA

Publications

  1. ncbi request reprint Should eligibility for medication therapy management be based on drug adherence?
    Bruce Stuart
    University of Maryland School of Pharmacy, 220 Arch St, Rm 12 212, Baltimore, MD 21201, USA
    J Manag Care Pharm 19:66-76. 2014
  2. ncbi request reprint Increasing Medicare part D enrollment in medication therapy management could improve health and lower costs
    Bruce Stuart
    Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, MD, USA
    Health Aff (Millwood) 32:1212-20. 2013
  3. ncbi request reprint Trends in the prescription of inappropriate drugs for the elderly between 1995 and 1999
    Bruce Stuart
    School of Pharmacy, University of Maryland, Baltimore, Maryland 21201, USA
    Am J Geriatr Pharmacother 1:61-74. 2003
  4. ncbi request reprint Medicare cost differences between nursing home patients admitted with and without dementia
    Bruce Stuart
    The Peter Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland Baltimore, 515 W Lombard Street, Suite 157, Baltimore, MD 21201, USA
    Gerontologist 45:505-15. 2005
  5. ncbi request reprint Riding the rollercoaster: the ups and downs in out-of-pocket spending under the standard Medicare drug benefit
    Bruce Stuart
    University of Maryland, Baltimore, USA
    Health Aff (Millwood) 24:1022-31. 2005
  6. ncbi request reprint Assessing the impact of coverage gaps in the Medicare Part D drug benefit
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, USA
    Health Aff (Millwood) . 2005
  7. ncbi request reprint Impact of prescription coverage on hospital and physician costs: a case study of medicare beneficiaries with chronic obstructive pulmonary disease
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, 515 W Lombard Street, Room 157, Baltimore, MD 21201, USA
    Clin Ther 26:1688-99. 2004
  8. ncbi request reprint Navigating the new Medicare drug benefit
    Bruce Stuart
    The Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
    Am J Geriatr Pharmacother 2:75-80. 2004
  9. ncbi request reprint Coverage and use of prescription drugs in nursing homes: implications for the medicare modernization act
    Bruce Stuart
    The Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore, MD 21201, USA
    Med Care 44:243-9. 2006
  10. ncbi request reprint Employer-sponsored health insurance and prescription drug coverage for new retirees: dramatic declines in five years
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, USA
    Health Aff (Millwood) . 2003

Detail Information

Publications43

  1. ncbi request reprint Should eligibility for medication therapy management be based on drug adherence?
    Bruce Stuart
    University of Maryland School of Pharmacy, 220 Arch St, Rm 12 212, Baltimore, MD 21201, USA
    J Manag Care Pharm 19:66-76. 2014
    ..Eligibility criteria used by plan sponsors are restrictive, and fewer than 10% of Part D enrollees receive MTM services. The extent to which plan criteria identify beneficiaries most at risk for suboptimal medication use is unknown...
  2. ncbi request reprint Increasing Medicare part D enrollment in medication therapy management could improve health and lower costs
    Bruce Stuart
    Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, MD, USA
    Health Aff (Millwood) 32:1212-20. 2013
    ..Aligning medication therapy management eligibility with a metric such as potentially preventable future costs holds promise for both improving the quality of care and reducing spending. ..
  3. ncbi request reprint Trends in the prescription of inappropriate drugs for the elderly between 1995 and 1999
    Bruce Stuart
    School of Pharmacy, University of Maryland, Baltimore, Maryland 21201, USA
    Am J Geriatr Pharmacother 1:61-74. 2003
    ..However, it is not known whether the Beers criteria have had a beneficial effect on prescribing practices...
  4. ncbi request reprint Medicare cost differences between nursing home patients admitted with and without dementia
    Bruce Stuart
    The Peter Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland Baltimore, 515 W Lombard Street, Suite 157, Baltimore, MD 21201, USA
    Gerontologist 45:505-15. 2005
    ..Our objective in this study was to compare Medicare costs of treating older adults with and without dementia in nursing home settings...
  5. ncbi request reprint Riding the rollercoaster: the ups and downs in out-of-pocket spending under the standard Medicare drug benefit
    Bruce Stuart
    University of Maryland, Baltimore, USA
    Health Aff (Millwood) 24:1022-31. 2005
    ..Because drug spending is highly persistent over time, beneficiaries who experience the biggest gaps in coverage are likely to do so year after year, with potentially serious financial consequences...
  6. ncbi request reprint Assessing the impact of coverage gaps in the Medicare Part D drug benefit
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, USA
    Health Aff (Millwood) . 2005
    ..Our findings suggest that discontinuities in drug benefits result in sizable reductions in medication use and spending, which is magnified in people with common chronic illnesses...
  7. ncbi request reprint Impact of prescription coverage on hospital and physician costs: a case study of medicare beneficiaries with chronic obstructive pulmonary disease
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, 515 W Lombard Street, Room 157, Baltimore, MD 21201, USA
    Clin Ther 26:1688-99. 2004
    ..Any possible impact would be most apparent in patients with medication-sensitive disease conditions, such as chronic obstructive pulmonary disease (COPD)...
  8. ncbi request reprint Navigating the new Medicare drug benefit
    Bruce Stuart
    The Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
    Am J Geriatr Pharmacother 2:75-80. 2004
    ..On December 8, 2003, President Bush signed into law the Medicare Prescription Drug, Improvement and Modernization Act of 2003 that will provide at least limited drug coverage to all beneficiaries who sign up for it...
  9. ncbi request reprint Coverage and use of prescription drugs in nursing homes: implications for the medicare modernization act
    Bruce Stuart
    The Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore, MD 21201, USA
    Med Care 44:243-9. 2006
    ..Understanding the impact of the MMA requires knowledge of the process by which drugs are prescribed to residents and the effect of coverage on medication use...
  10. ncbi request reprint Employer-sponsored health insurance and prescription drug coverage for new retirees: dramatic declines in five years
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, USA
    Health Aff (Millwood) . 2003
    ..Losses among males, the group most affected, would have been even greater had it not been for a slight increase in benefits from spouses' policies...
  11. ncbi request reprint Variation in antidiabetic medication intensity among Medicare beneficiaries with diabetes mellitus
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore, Maryland 21201, USA
    Am J Geriatr Pharmacother 5:195-208. 2007
    ..However, there are few empirical benchmarks against which clinicians can compare their prescribing practices for patients who have DM and varying levels of comorbidity...
  12. ncbi request reprint How disease burden influences medication patterns for Medicare beneficiaries: implications for policy
    Bruce C Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore, USA
    Issue Brief (Commonw Fund) 30:1-12. 2008
    ..A holistic approach to medication management is needed to ensure that Part D plans meet beneficiaries and policymakers' expectations for high-quality care...
  13. ncbi request reprint Medication patterns for Medicare beneficiaries with SNF/LTC facility stays
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland, Baltimore 21201, USA
    Health Care Financ Rev 29:13-25. 2008
    ..01). We found no evidence that prescription coverage influenced medication utilization patterns during non-Medicare qualified LTC facility stays...
  14. pmc Assessing the impact of drug use on hospital costs
    Bruce C Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore, 220 Arch Street, Room 01 212, Baltimore, MD 21201, USA
    Health Serv Res 44:128-44. 2009
    ..To assess whether outpatient prescription drug utilization produces offsets in the cost of hospitalization for Medicare beneficiaries...
  15. doi request reprint Medication use and adherence among elderly Medicare beneficiaries with diabetes enrolled in Part D and retiree health plans
    Bruce Stuart
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore, 220 Arch St Baltimore, MD 21230, USA
    Med Care 49:511-5. 2011
    ..The question for policy makers is whether beneficiaries enrolled in Part D plans exhibit drug utilization patterns comparable with those seen in retiree plans...
  16. ncbi request reprint Drug use and prescribing problems in four state Medicaid programs
    B Stuart
    University of Maryland School of Pharmacy, Baltimore 21201, USA
    Health Care Financ Rev 20:63-78. 1999
    ..Only Iowa showed any population-level reduction in DUR failure rates during the study period, however, rates for community-dwelling elderly fell in most States...
  17. ncbi request reprint Ability to pay and the decision to medicate
    B Stuart
    Department of Pharmacy Practice and Science, University of Maryland School of Pharmacy, Baltimore 21201 1563, USA
    Med Care 36:202-11. 1998
    ..The magnitude of the impact was sufficiently high that it could have major negative consequences on the health of elderly persons who are poor and lack drug coverage...
  18. ncbi request reprint Community pharmacist knowledge and behavior in collecting drug copayments from Medicaid recipients
    C Fahlman
    School of Pharmacy, University of Maryland, Baltimore, USA
    Am J Health Syst Pharm 58:389-95. 2001
    ..Pharmacists in Maryland, Pennsylvania and West Virginia had highly variable behavior patterns and knowledge with respect to the collection of drug copayments from Medicaid recipients...
  19. doi request reprint Lessons learned: who didn't enroll in Medicare drug coverage in 2006, and why?
    Amy J Davidoff
    Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, USA
    Health Aff (Millwood) 29:1255-63. 2010
    ..Our findings emphasize the need to expand eligibility and improve policies to foster enrollment...
  20. ncbi request reprint Potentially inappropriate prescribing before and after nursing home admission among patients with and without dementia
    Ilene H Zuckerman
    Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
    Am J Geriatr Pharmacother 3:246-54. 2005
    ..This paper extends the research on inappropriate medication prescribing among residents entering a nursing home, with the added feature of comparison by dementia status...
  21. pmc Benzodiazepine use and expenditures for Medicare beneficiaries and the implications of Medicare Part D exclusions
    Hui wen Keri Yang
    Pharmaceutical Health Services Research, University of Maryland Baltimore, Baltimore, MD 21201, USA
    Psychiatr Serv 59:384-91. 2008
    ....
  22. doi request reprint Use of antiparkinson medications among elderly Medicare beneficiaries with Parkinson's disease
    Yu Jung Jenny Wei
    Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland
    Am J Geriatr Pharmacother 8:384-94. 2010
    ..Antiparkinson drugs (APDs) are the mainstay in the management of Parkinson's disease (PD). However, the use of APDs has not been investigated in a nationally representative sample...
  23. doi request reprint Changing patterns in medication use with increasing probability of death for older Medicare beneficiaries
    Thomas Shaffer
    Peter Lamy Center on Drug Therapy and Aging, School of Pharmacy, University of Maryland, Baltimore, Maryland 21201, USA
    J Am Geriatr Soc 58:1549-55. 2010
    ....
  24. pmc Racial and ethnic disparities in the treatment of dementia among Medicare beneficiaries
    Ilene H Zuckerman
    Lamy Center on Drug Therapy and Aging, Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, 220 Arch Street, Baltimore, MD 21201, USA
    J Gerontol B Psychol Sci Soc Sci 63:S328-33. 2008
    ..We investigated differences in anti-dementia medication use between non-Hispanic White and minority community-dwelling Medicare beneficiaries with dementia...
  25. pmc The role of nursing home admission and dementia status on care for diabetes mellitus
    Charlene C Quinn
    Division of Gerontology, Department of Epidemiology and Preventive Medicine, School of Medicine, University of Maryland, Baltimore, Maryland 21201, USA
    J Am Geriatr Soc 57:1628-33. 2009
    ..To study the role of nursing home (NH) admission and dementia status on the provision of five procedures related to diabetes mellitus...
  26. ncbi request reprint Treatment of dementia in community-dwelling and institutionalized medicare beneficiaries
    Ann L Gruber-Baldini
    Division of Gerontology, Department of Epidemiology and Preventive Medicine, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
    J Am Geriatr Soc 55:1508-16. 2007
    ....
  27. pmc Obesity and medicare expenditure: accounting for age-related height loss
    Nneka C Onwudiwe
    Department of Pharmaceutical Health Services Research, University of Maryland School of Pharmacy, Baltimore, Maryland, USA
    Obesity (Silver Spring) 19:204-11. 2011
    ..In older adults, minimal cost is not found at "normal" BMI, but rather in overweight subjects with higher spending in the obese and underweight categories. Adjusting for loss-of-height with aging had little affect on cost estimates...
  28. ncbi request reprint Dynamics in drug coverage of Medicare beneficiaries: finders, losers, switchers
    B Stuart
    Peter Lamy Center on Drug Therapy and Aging, and Parke-Davis, University of Maryland School of Pharmacy, USA
    Health Aff (Millwood) 20:86-99. 2001
    ..The results show that fewer than half of all beneficiaries had continuous drug coverage over this period, while nearly a third gained, lost, or had spells without coverage...
  29. pmc Does influenza vaccination of older adult Medicare beneficiaries lower treatment costs for acute and chronic respiratory disease?
    Bruce Stuart
    Pharmaceutical Health Services Research Department, The Peter Lamy Center for Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland, USA
    Am J Geriatr Pharmacother 8:201-14. 2010
    ..Influenza vaccinations are effective in reducing respiratory infections in younger populations, but it is less certain whether they reduce costs associated with respiratory infections among older adults...
  30. pmc Drug use patterns in severely mentally ill Medicare beneficiaries: impact of discontinuities in drug coverage
    Linda Simoni-Wastila
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland Baltimore School of Pharmacy, 220 Arch Street, 12th Floor, Baltimore, MD 21201, USA
    Health Serv Res 43:496-514. 2008
    ....
  31. doi request reprint Obesity, disease burden, and prescription spending by community-dwelling Medicare beneficiaries
    Bruce Stuart
    University of Maryland School of Pharmacy, Baltimore, MD 21201, USA
    Curr Med Res Opin 24:2377-87. 2008
    ..To assess drug utilization and cost patterns by body mass index (BMI) for Medicare beneficiaries including cohorts diagnosed with diseases resulting from, or aggravated by, obesity...
  32. ncbi request reprint Medication decisions--right and wrong
    Bruce Stuart
    University of Maryland School of Pharmacy, USA
    Med Care Res Rev 59:123-45. 2002
    ....
  33. pmc How robust are health plan quality indicators to data loss? A Monte Carlo simulation study of pediatric asthma treatment
    Bruce Stuart
    The Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore 21201, USA
    Health Serv Res 38:1547-61. 2003
    ..DATA SOURCES/STUDY SETTINGS: Maryland Medicaid fee-for-service (FFS) claims. Children with asthma (n = 5,804) were selected from Medicaid enrollment records and medical and pharmacy FFS claims filed between June 1996 and December 1997...
  34. ncbi request reprint Financial consequences of rural hospital long-term care strategies
    Bruce Stuart
    University of Maryland School of Pharmacy, Baltimore, USA
    Health Care Manage Rev 31:145-55. 2006
    ..Adoption of external and internal LTC strategies (other than swing-beds) was generally, but not unambiguously, associated with higher profits, increased occupancy, and/or lower costs...
  35. ncbi request reprint Quality of drug treatment of childhood persistent asthma in Maryland medicaid recipients in transition from managed fee for service to managed capitation
    Puneet K Singhal
    University of Maryland at Baltimore, School of Pharmacy, USA
    J Manag Care Pharm 13:310-8. 2007
    ..Although research has been conducted on the quality of asthma care among MCOs and in MCOs for Medicaid versus non-Medicaid members, the quality of asthma care has been less well studied for MCO patients than for FFS patients...
  36. pmc Application of regression-discontinuity analysis in pharmaceutical health services research
    Ilene H Zuckerman
    Department of Pharmaceutical Health Services Research, School of Pharmacy, University of Maryland, Baltimore, MD, USA
    Health Serv Res 41:550-63. 2006
    ..To demonstrate how a relatively underused design, regression-discontinuity (RD), can provide robust estimates of intervention effects when stronger designs are impossible to implement...
  37. ncbi request reprint Participation and crowd-out in a Medicare drug benefit: simulation estimates
    Dennis G Shea
    Pennsylvania State University, USA
    Health Care Financ Rev 25:47-61. 2003
    ....
  38. ncbi request reprint Propoxyphene use and risk for hip fractures in older adults
    Sachin J Kamal-Bahl
    Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, Maryland, USA
    Am J Geriatr Pharmacother 4:219-26. 2006
    ..Nonetheless, US studies have reported widespread use of propoxyphene in the elderly US population...
  39. ncbi request reprint Over-the-counter drug use by medicare beneficiaries in nursing homes: implications for practice and policy
    Linda Simoni-Wastila
    Peter Lamy Center on Drug Therapy and Aging, University of Maryland School of Pharmacy, Baltimore, Maryland 21201, USA
    J Am Geriatr Soc 54:1543-9. 2006
    ..To examine over-the-counter (OTC) medication use by Medicare beneficiaries in nursing homes and to assess evidence of substitution of OTC medications for prescription (Rx) medications by residents with no Rx coverage and Medicaid...
  40. pmc Estimating the effects of prescription drug coverage for Medicare beneficiaries
    Dennis G Shea
    Department of Health Policy and Administration, The Pennsylvania State University, University Park, PA, USA
    Health Serv Res 42:933-49. 2007
    ..To identify the effect of insurance coverage on prescription utilization by Medicare beneficiaries...
  41. ncbi request reprint National trends in and predictors of propoxyphene use in community-dwelling older adults
    Sachin Kamal-Bahl
    Department of Pharmaceutical Health Services Research, University of Maryland, Baltimore, Maryland, USA
    Am J Geriatr Pharmacother 3:186-95. 2005
    ..Several pain management guidelines and explicit medication-use criteria identify propoxyphene as an inappropriate medication for use in older adults...
  42. ncbi request reprint Predictability of prescription drug expenditures for Medicare beneficiaries
    Marian V Wrobel
    University of Pennsylvania School of Medicine, USA
    Health Care Financ Rev 25:37-46. 2003
    ..Adding lagged drug expenditures more than doubled predictive power to 55 percent. These results are discussed in the context of forecasting, and risk adjustment for the proposed new Medicare drug benefit...
  43. ncbi request reprint Propoxyphene use by community-dwelling and institutionalized elderly Medicare beneficiaries
    Sachin J Kamal-Bahl
    University of Maryland Baltimore, School of Pharmacy, Maryland 21201, USA
    J Am Geriatr Soc 51:1099-104. 2003
    ....