Affiliation: Kaiser Permanente
- Patients' perspectives on nonadherence to statin therapy: a focus-group studyVicki Fung
Division of Research, Oakland, CA, USA
Perm J 14:4-10. 2010..Nonadherence to statin therapy is associated with poor cardiovascular outcomes...
- Meaningful variation in performance: a systematic literature reviewVicki Fung
Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA, USA
Med Care 48:140-8. 2010..Recommendations for directing quality improvement initiatives at particular levels (eg, patients, physicians, provider groups) have been made on the basis of empirical components of variance analyses of performance...
- Falling into the coverage gap: Part D drug costs and adherence for Medicare Advantage prescription drug plan beneficiaries with diabetesVicki Fung
Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, 3rd Floor, Oakland, CA 94612, USA
Health Serv Res 45:355-75. 2010..To compare drug costs and adherence among Medicare beneficiaries with the standard Part D coverage gap versus supplemental gap coverage in 2006...
- The impact of generic-only drug benefits on patients' use of inhaled corticosteroids in a Medicare population with asthmaVicki Fung
Center for Health Policy Studies, Kaiser Permanente Division of Research, Oakland, California, USA
BMC Health Serv Res 8:151. 2008..We examined changes in ICS use following the introduction of generic-only coverage in a Medicare Advantage population from 2003-2004...
- Using medicare data for comparative effectiveness research: opportunities and challengesVicki Fung
Vicki Fung, Kaiser Permanente, Rockville, MD 20852, USA
Am J Manag Care 17:488-96. 2011..These data are a promising resource for comparative effectiveness research (CER) on treatments, benefit designs, and delivery systems...
- Meaningful variation in performance: what does variation in quality tell us about improving quality?Joseph V Selby
Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94612, USA
Med Care 48:133-9. 2010..However, the absolute amount of variation, expressed in clinically meaningful units, is less frequently reported. Moreover, changes in variance components have not been studied as quality improves...
- Medicare beneficiaries' knowledge of Part D prescription drug program benefits and responses to drug costsJohn Hsu
Center for Health Policy Studies and the Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, Third Floor, Oakland, California 94612, USA
JAMA 299:1929-36. 2008..Medicare Part D drug benefits include substantial cost sharing...
- Patient-provider communication regarding drug costs in Medicare Part D beneficiaries with diabetes: a TRIAD StudyJulie A Schmittdiel
Division of Research, Kaiser Permanente, Oakland, CA, USA
BMC Health Serv Res 10:164. 2010....
- Medicare Part D coverage gap and diabetes beneficiariesJulie A Schmittdiel
Division of Research, Kaiser Permanente Medical Care Program, 2000 Broadway, Northern California, Oakland, CA 94612, USA
Am J Manag Care 15:189-93. 2009..To examine drug costs and entry and exit rates into the Part D coverage gap for beneficiaries with diabetes in Medicare Advantage managed care plans...
- In consumer-directed health plans, a majority of patients were unaware of free or low-cost preventive careMary E Reed
Kaiser Permanente Northern California Division of Research, Oakland, California, USA
Health Aff (Millwood) 31:2641-8. 2012..Special efforts to educate consumers about preventive care cost-sharing exemptions may be necessary as more health plans, including Medicare, adopt this model...
- Unintended consequences of caps on Medicare drug benefitsJohn Hsu
Division of Research, Kaiser Permanente, Oakland, Calif 94612, USA
N Engl J Med 354:2349-59. 2006..Little information exists about the consequences of limits on prescription-drug benefits for Medicare beneficiaries...
- Adverse clinical events among medicare beneficiaries using antipsychotic drugs: linking health insurance benefits and clinical needsVicki Fung
Mid Atlantic Permanente Research Institute, Mid Atlantic Permanente Medical Group, Rockville, MD, USA
Med Care 51:614-21. 2013..We investigated the impact of Part D coverage on antipsychotic drug spending, adherence, and clinical outcomes among beneficiaries with varying indications for use...
- Distributing $800 billion: an early assessment of Medicare Part D risk adjustmentJohn Hsu
Center for Health Policy Studies and Division of Research, Kaiser Permanente Medical Care Program, Oakland, California, USA
Health Aff (Millwood) 28:215-25. 2009..Combining RxHCCs with individual-level information on prior-year drug use greatly improves performance and decreases incentives for plans to select against bad risks...
- Office visit copayments: patient knowledge, response, and communication with providersNancy J Benedetti
Center for Health Policy Studies and the Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94612, USA
Med Care 46:403-9. 2008..There is limited information on patients' knowledge about their cost-sharing requirements and how that influenced their care-seeking behavior...
- COBRA ARRA subsidies: was the carrot enticing enough?Ilana Graetz
School of Public Health, University of California, Berkeley, CA, USA
Health Serv Res 47:1980-98. 2012..We examined COBRA enrollment levels with the subsidy and the health, access, and financial consequences of enrollment decisions...
- High-deductible health insurance plans: efforts to sharpen a blunt instrumentMary Reed
Division of Research, Kaiser Permanente, Oakland, California, USA
Health Aff (Millwood) 28:1145-54. 2009..Consumers need more information and decision support to understand their benefits and to differentiate when care is necessary, discretionary, or unnecessary...
- Hypertension treatment in a medicare population: adherence and systolic blood pressure controlVicki Fung
Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94610, USA
Clin Ther 29:972-84. 2007..Despite substantial trial evidence that demonstrates the effectiveness of pharmacologic treatment for reducing blood pressure (BP) and cardiovascular events, many patients are nonadherent to their hypertension treatment...
- Early experiences with e-health services (1999-2002): promise, reality, and implicationsVicki Fung
Kaiser Permanente Medical Care Program, Division of Research, Oakland, California 94612, USA
Med Care 44:491-6. 2006..E-health services may improve the quality and efficiency of care; however, there is little quantitative data on e-health use...
- Consumer-directed health plans with health savings accounts: whose skin is in the game and how do costs affect care seeking?Mary Reed
Division of Research, Kaiser Permanente Medical Care Program, Oakland, CA 94610, USA
Med Care 50:585-90. 2012..Employers are increasingly offering high-deductible health insurance plans with associated health savings accounts (HSAs), but there is limited information on account contributions or effects on patient care seeking...
- Care-seeking behavior in response to emergency department copaymentsMary Reed
Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94612, USA
Med Care 43:810-6. 2005..Patients are increasingly paying for more of their medical care through cost-sharing, yet little is known about how patients change the ways that they seek care in response...
- Validation of an algorithm for categorizing the severity of hospital emergency department visitsDustin W Ballard
Emergency Department, Kaiser Permanente San Rafael, San Rafael, CA 94903, USA
Med Care 48:58-63. 2010..The New York University Emergency Department (NYU ED) visit severity algorithm attempts to classify visits to the ED based on diagnosis, but it has not been formally validated...
- Patient-initiated e-mails to providers: associations with out-of-pocket visit costs, and impact on care-seeking and healthMary Reed
Kaiser Permanente Division of Research, 2000 Broadway, Oakland, CA 94612 E mail
Am J Manag Care 21:e632-9. 2015....
- Health information technology and physician-patient interactions: impact of computers on communication during outpatient primary care visitsJohn Hsu
Kaiser Permanente Medical Care Program, Division of Research, Oakland, CA, USA
J Am Med Inform Assoc 12:474-80. 2005..The aim of this study was to evaluate the impact of introducing health information technology (HIT) on physician-patient interactions during outpatient visits...