medicare

Summary

Summary: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)

Top Publications

  1. doi Rehospitalizations among patients in the Medicare fee-for-service program
    Stephen F Jencks
    Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    N Engl J Med 360:1418-28. 2009
  2. pmc Incidence and prevalence of atrial fibrillation and associated mortality among Medicare beneficiaries, 1993-2007
    Jonathan P Piccini
    Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC 27715, USA
    Circ Cardiovasc Qual Outcomes 5:85-93. 2012
  3. pmc Change in end-of-life care for Medicare beneficiaries: site of death, place of care, and health care transitions in 2000, 2005, and 2009
    Joan M Teno
    Warren Alpert Medical School of Brown University, 121 S Main St, Providence, RI 02912, USA
    JAMA 309:470-7. 2013
  4. pmc Prevalence of multiple chronic conditions in the United States' Medicare population
    Kathleen M Schneider
    Buccaneer Computer Systems and Service Inc, 1401 50thStreet, Suite 200, West Des Moines, Iowa 50266, USA
    Health Qual Life Outcomes 7:82. 2009
  5. pmc Geographic variation in diagnosis frequency and risk of death among Medicare beneficiaries
    H Gilbert Welch
    Department of Veterans Affairs Medical Center, White River Junction, Vermont, USA
    JAMA 305:1113-8. 2011
  6. ncbi The impact of comparative effectiveness research on interventional pain management: evolution from Medicare Modernization Act to Patient Protection and Affordable Care Act and the Patient-Centered Outcomes Research Institute
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 14:E249-82. 2011
  7. ncbi Analysis of the growth of epidural injections and costs in the Medicare population: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:199-212. 2010
  8. pmc Falls in the Medicare population: incidence, associated factors, and impact on health care
    Anne Shumway-Cook
    Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195 6490, USA
    Phys Ther 89:324-32. 2009
  9. ncbi Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial
    M D Naylor
    School of Nursing, University of Pennsylvania, Philadelphia 19104, USA
    JAMA 281:613-20. 1999
  10. ncbi Accuracy of Medicare claims-based diagnosis of acute myocardial infarction: estimating positive predictive value on the basis of review of hospital records
    Yuka Kiyota
    Division of Pharmacoepidemiology and Pharmacoeconomics, Boston, Mass USA
    Am Heart J 148:99-104. 2004

Detail Information

Publications374 found, 100 shown here

  1. doi Rehospitalizations among patients in the Medicare fee-for-service program
    Stephen F Jencks
    Division of Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA
    N Engl J Med 360:1418-28. 2009
    ..However, we have limited information on the frequency and patterns of rehospitalization in the United States to aid in planning the necessary changes...
  2. pmc Incidence and prevalence of atrial fibrillation and associated mortality among Medicare beneficiaries, 1993-2007
    Jonathan P Piccini
    Duke Clinical Research Institute, Duke University School of Medicine, Durham, NC 27715, USA
    Circ Cardiovasc Qual Outcomes 5:85-93. 2012
    ..The frequency of AF increases with age, but representative national data about incidence and prevalence are limited. We examined the annual incidence, prevalence, and mortality associated with AF among older persons...
  3. pmc Change in end-of-life care for Medicare beneficiaries: site of death, place of care, and health care transitions in 2000, 2005, and 2009
    Joan M Teno
    Warren Alpert Medical School of Brown University, 121 S Main St, Providence, RI 02912, USA
    JAMA 309:470-7. 2013
    ..A recent Centers for Disease Control and Prevention report found that more persons die at home. This has been cited as evidence that persons dying in the United States are using more supportive care...
  4. pmc Prevalence of multiple chronic conditions in the United States' Medicare population
    Kathleen M Schneider
    Buccaneer Computer Systems and Service Inc, 1401 50thStreet, Suite 200, West Des Moines, Iowa 50266, USA
    Health Qual Life Outcomes 7:82. 2009
    In 2006, the Centers for Medicare & Medicaid Services, which administers the Medicare program in the United States, launched the Chronic Condition Data Warehouse (CCW)...
  5. pmc Geographic variation in diagnosis frequency and risk of death among Medicare beneficiaries
    H Gilbert Welch
    Department of Veterans Affairs Medical Center, White River Junction, Vermont, USA
    JAMA 305:1113-8. 2011
    ..Because diagnosis is typically thought of as purely a patient attribute, it is considered a critical factor in risk-adjustment policies designed to reward efficient and high-quality care...
  6. ncbi The impact of comparative effectiveness research on interventional pain management: evolution from Medicare Modernization Act to Patient Protection and Affordable Care Act and the Patient-Centered Outcomes Research Institute
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 14:E249-82. 2011
    ..The development of PCORI is vested in the Medicare Modernization Act (MMA) and the American Recovery and Reinvestment Act (ARRA)...
  7. ncbi Analysis of the growth of epidural injections and costs in the Medicare population: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 13:199-212. 2010
    ..of lumbosacral injections with significant geographic variations in the administration of epidural injections in Medicare patients...
  8. pmc Falls in the Medicare population: incidence, associated factors, and impact on health care
    Anne Shumway-Cook
    Department of Rehabilitation Medicine, University of Washington, Seattle, WA 98195 6490, USA
    Phys Ther 89:324-32. 2009
    ..The purpose of this study was to examine the incidence of falls, associated factors, health care costs, and provider response to falls among Medicare beneficiaries.
  9. ncbi Comprehensive discharge planning and home follow-up of hospitalized elders: a randomized clinical trial
    M D Naylor
    School of Nursing, University of Pennsylvania, Philadelphia 19104, USA
    JAMA 281:613-20. 1999
    ....
  10. ncbi Accuracy of Medicare claims-based diagnosis of acute myocardial infarction: estimating positive predictive value on the basis of review of hospital records
    Yuka Kiyota
    Division of Pharmacoepidemiology and Pharmacoeconomics, Boston, Mass USA
    Am Heart J 148:99-104. 2004
    ..of acute myocardial infarction (AMI), the validity of hospital discharge diagnosis codes for AMI in the US Medicare system has not been recently examined...
  11. doi An administrative claims measure suitable for profiling hospital performance on the basis of 30-day all-cause readmission rates among patients with heart failure
    Patricia S Keenan
    Section of Health Policy and Administration, School of Public Health, Yale University School of Medicine, New Haven, CT 06520 8088, USA
    Circ Cardiovasc Qual Outcomes 1:29-37. 2008
    ..We present a model approved by the National Quality Forum for the purpose of public reporting of hospital-level readmission rates by the Centers for Medicare & Medicaid Services.
  12. pmc Undertreatment of COPD: a retrospective analysis of US managed care and Medicare patients
    Barry Make
    National Jewish Health, Denver, CO, USA
    Int J Chron Obstruct Pulmon Dis 7:1-9. 2012
    ..We investigated a large population of patients with chronic obstructive pulmonary disease (COPD) to determine their frequency of medication use and patterns of pharmacotherapy...
  13. pmc Impact of exacerbations on health care cost and resource utilization in chronic obstructive pulmonary disease patients with chronic bronchitis from a predominantly Medicare population
    Margaret K Pasquale
    Competitive Health Analytics, Louisville, KY 40202, USA
    Int J Chron Obstruct Pulmon Dis 7:757-64. 2012
    ..COPD patients with chronic bronchitis and a history of exacerbations pose an additional burden to the system. This study examined health care utilization and cost among these patients...
  14. ncbi Medicare's search for effective obesity treatments: diets are not the answer
    Traci Mann
    Department of Psychology, University of California, Los Angeles, CA 90095 1563, USA
    Am Psychol 62:220-33. 2007
    ..New revisions to Medicare policy will allow funding for obesity treatments of proven efficacy...
  15. doi Prosthetic joint infection risk after total hip arthroplasty in the Medicare population
    Kevin L Ong
    Exponent, Inc, Philadelphia, Pennsylvania 19104, USA
    J Arthroplasty 24:105-9. 2009
    ..The Medicare 5% national sample data set (1997-2006) was used to longitudinally follow primary THA patients...
  16. pmc Explosive growth of facet joint interventions in the Medicare population in the United States: a comparative evaluation of 1997, 2002, and 2006 data
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, 2831 Lone Oak Road, Paducah, KY, 42003, USA
    BMC Health Serv Res 10:84. 2010
    ..The purpose of the study was to determine trends of frequency and cost of facet joint interventions in managing spinal pain...
  17. pmc Geographic and ethnic variation in Parkinson disease: a population-based study of US Medicare beneficiaries
    Allison Wright Willis
    Department of Neurology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8111, St Louis, MO 63110, USA
    Neuroepidemiology 34:143-51. 2010
    ..Parkinson disease is a common neurodegenerative disease. The racial, sex, age, and geographic distributions of Parkinson disease in the US are unknown...
  18. ncbi Incidence and mortality of acute renal failure in Medicare beneficiaries, 1992 to 2001
    Jay L Xue
    United States Renal Data System, 914 South 8th Street, Suite D 206, Minneapolis, MN 55404, USA
    J Am Soc Nephrol 17:1135-42. 2006
    This study's objective was to determine the incidence and mortality of acute renal failure (ARF) in Medicare beneficiaries...
  19. pmc Thirty-day readmission rates for Medicare beneficiaries by race and site of care
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Division of Cardiovascular Medicine, Brigham and Women s Hospital, Boston, Massachusetts 02115, USA
    JAMA 305:675-81. 2011
    ..Understanding whether and why there are racial disparities in readmissions has implications for efforts to reduce readmissions...
  20. pmc Metabolic syndrome increases the risk of primary liver cancer in the United States: a study in the SEER-Medicare database
    Tania M Welzel
    Division of Cancer Epidemiology and Genetics, National Cancer Institute, National Institutes of Health, Department of Health and Human Services, Bethesda, MD 20892, USA
    Hepatology 54:463-71. 2011
    ..with HCC and ICC between 1993 and 2005 were identified in the Surveillance, Epidemiology, and End Results (SEER)-Medicare database...
  21. ncbi Health care utilization and costs in a Medicare population by fall status
    J A Rizzo
    Program on Aging, Yale University School of Medicine, New Haven, CT 06520 8034, USA
    Med Care 36:1174-88. 1998
    ..Available evidence does suggest, however, that falls are the costliest category of injury among older persons...
  22. ncbi Chronic kidney disease and the risk for cardiovascular disease, renal replacement, and death in the United States Medicare population, 1998 to 1999
    Robert N Foley
    United States Renal Data System Coordinating Center, 914 South 8th Street, Suite D 253, Minneapolis, MN 55404, USA
    J Am Soc Nephrol 16:489-95. 2005
    ..congestive heart failure, renal replacement therapy, and death were compared in a 5% sample of the United States Medicare population in 1998 and 1999 (n = 1,091,201)...
  23. pmc Functional health literacy and the risk of hospital admission among Medicare managed care enrollees
    David W Baker
    Center for Health Care Research and Policy, Case Western Reserve University at MetroHealth Medical Center, USA
    Am J Public Health 92:1278-83. 2002
    ..This study analyzed whether inadequate functional health literacy is an independent risk factor for hospital admission...
  24. pmc Long-term trends in Medicare payments in the last year of life
    Gerald F Riley
    Office of Research Development and Information, Centers for Medicare and Medicaid Services, 7500 Security Blvd, Mail Stop C3 21 28, Baltimore, MD 21244, USA
    Health Serv Res 45:565-76. 2010
    To update research on Medicare payments in the last year of life.
  25. doi The relationship between hospital admission rates and rehospitalizations
    Arnold M Epstein
    Department of Health Policy and Management, Harvard School of Public Health, 677 Huntington Ave, Boston, MA 02115, USA
    N Engl J Med 365:2287-95. 2011
    ..Yet variation in readmission rates may more closely reflect variation in the underlying hospitalization rates than differences in the quality of care during and after discharge...
  26. pmc How to save Medicare: the anti-aging remedy
    Mikhail V Blagosklonny
    Department of Cell Stress Biology, Roswell Park Cancer Institute, Buffalo, NY 14263, USA
    Aging (Albany NY) 4:547-52. 2012
    ..At the same time this advance could save Medicare as we know it...
  27. pmc Prevalence of nontuberculous mycobacterial lung disease in U.S. Medicare beneficiaries
    Jennifer Adjemian
    Laboratory of Clinical Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA
    Am J Respir Crit Care Med 185:881-6. 2012
    ..Pulmonary nontuberculous mycobacteria (PNTM) are an important cause of morbidity among older adults in the United States, but national prevalence estimates are lacking...
  28. doi Association between hypoglycaemic events and fall-related fractures in Medicare-covered patients with type 2 diabetes
    S S Johnston
    Thomson Reuters, 4301 Connecticut Ave NW, Washington, DC 20008, USA
    Diabetes Obes Metab 14:634-43. 2012
    ..the association between International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)-coded outpatient hypoglycaemic events and fall-related fractures in Medicare-covered patients with type 2 diabetes.
  29. doi Cost of care for elderly cancer patients in the United States
    K Robin Yabroff
    Health Services and Economics Branch Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Executive Plaza North, Rm 4005, 6130 Executive Blvd, MSC 7344, Bethesda, MD 20892 7344, USA
    J Natl Cancer Inst 100:630-41. 2008
    ..We estimated net costs of care for elderly cancer patients in the United States for the 18 most prevalent cancers and for all other tumor sites combined...
  30. doi Relationship between early physician follow-up and 30-day readmission among Medicare beneficiaries hospitalized for heart failure
    Adrian F Hernandez
    Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715, USA
    JAMA 303:1716-22. 2010
    ..However, there are limited data describing patterns of follow-up after heart failure hospitalization and its association with readmission rates...
  31. ncbi Barriers to colorectal cancer screening among Medicare consumers
    Carrie N Klabunde
    Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Bethesda, Maryland, USA
    Am J Prev Med 30:313-9. 2006
    Few studies have examined lack of physician recommendation and other reasons for under-utilization of colorectal cancer (CRC) screening in the Medicare population.
  32. doi Cost efficiency of anticoagulation with warfarin to prevent stroke in medicare beneficiaries with nonvalvular atrial fibrillation
    Catherine J Mercaldi
    United BioSource Corp, 7101 Wisconsin Ave, Suite 600, Bethesda, MD 20814, USA
    Stroke 42:112-8. 2011
    ..This report describes the extent of warfarin use, its effectiveness, and its impact on medical costs among Medicare patients with nonvalvular atrial fibrillation.
  33. doi Results of the Medicare Health Support disease-management pilot program
    Nancy McCall
    RTI International, Washington, DC 20005, USA
    N Engl J Med 365:1704-12. 2011
    In the Medicare Modernization Act of 2003, Congress required the Centers for Medicare and Medicaid Services to test the commercial disease-management model in the Medicare fee-for-service program.
  34. ncbi Hypertension treatment in a medicare population: adherence and systolic blood pressure control
    Vicki 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...
  35. doi Mortality following bone metastasis and skeletal-related events among men with prostate cancer: a population-based analysis of US Medicare beneficiaries, 1999-2006
    N Sathiakumar
    Epidemiology Department, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35294, USA
    Prostate Cancer Prostatic Dis 14:177-83. 2011
    ..Using the linked Surveillance, Epidemiology and End Results (SEER)-Medicare database, we identified men aged 65 years or older diagnosed with prostate cancer between July 1 1999 and ..
  36. doi Mortality following bone metastasis and skeletal-related events among women with breast cancer: a population-based analysis of U.S. Medicare beneficiaries, 1999-2006
    Nalini Sathiakumar
    School of Public Health, University of Alabama at Birmingham, 1665 University Blvd, Birmingham, AL 35294 0022, USA
    Breast Cancer Res Treat 131:231-8. 2012
    ..Using the linked Surveillance, Epidemiology and End Results-Medicare database, we identified women aged 65 years or older diagnosed with breast cancer between July 1, 1999 and ..
  37. doi Trends in colorectal cancer test use in the medicare population, 1998-2005
    Anna P Schenck
    The Carolinas Center for Medical Excellence, Cary, North Carolina 27518 8598, USA
    Am J Prev Med 37:1-7. 2009
    Colorectal cancer (CRC) screening has been covered under the Medicare program since 1998. No prior study has addressed the question of the completeness of CRC screening in the entire Medicare cohort.
  38. pmc Regional variations in diagnostic practices
    Yunjie Song
    Dartmouth Institute for Health Policy and Clinical Practice, Hanover, NH, USA
    N Engl J Med 363:45-53. 2010
    ..Current methods of risk adjustment rely on diagnoses recorded in clinical and administrative records. Differences among providers in diagnostic practices could lead to bias...
  39. pmc National and regional trends in heart failure hospitalization and mortality rates for Medicare beneficiaries, 1998-2008
    Jersey Chen
    Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, 333 Cedar St, New Haven, CT 06520, USA
    JAMA 306:1669-78. 2011
    ..It is not known whether recent declines in ischemic heart disease and its risk factors have been accompanied by declines in heart failure (HF) hospitalization and mortality...
  40. doi National health care costs of peripheral arterial disease in the Medicare population
    Alan T Hirsch
    Division of Epidemiology and Community Health, University of Minnesota School of Public Health, Minneapolis, MN 55454 1015, USA
    Vasc Med 13:209-15. 2008
    Lower extremity peripheral arterial disease (PAD) is prevalent in the Medicare population and is associated with high rates of myocardial infarction, stroke, amputation, and death...
  41. pmc Trends in length of stay and short-term outcomes among Medicare patients hospitalized for heart failure, 1993-2006
    Hector Bueno
    Department of Cardiology, Hospital General Universitario Gregorio Maranon, Madrid, Spain
    JAMA 303:2141-7. 2010
    ..Whether decreases in the length of stay during the past decade for patients with heart failure (HF) may be associated with changes in outcomes is unknown...
  42. ncbi Noncardiac comorbidity increases preventable hospitalizations and mortality among Medicare beneficiaries with chronic heart failure
    Joel B Braunstein
    Robert Wood Johnson Clinical Scholars Program, Baltimore, Maryland, USA
    J Am Coll Cardiol 42:1226-33. 2003
    ..We studied the impact of noncardiac comorbidity on potentially preventable hospitalizations and mortality in elderly patients with chronic heart failure (CHF)...
  43. ncbi Identifying persons with diabetes using Medicare claims data
    P L Hebert
    Division of Health Services Research and Policy, School of Public Health, University of Minnesota, Minneapolis 55455, USA
    Am J Med Qual 14:270-7. 1999
    The objective of this study was to develop and validate a method for identifying Medicare beneficiaries with diabetes by using Medicare claims data...
  44. pmc Trends in bronchiectasis among medicare beneficiaries in the United States, 2000 to 2007
    Amy E Seitz
    Epidemiology Unit, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD 20892, USA
    Chest 142:432-9. 2012
    ..We sought to describe the trends, associated conditions, and risk factors for bronchiectasis among adults aged ≥ 65 years...
  45. ncbi Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery
    Jose A Suaya
    Schneider Institutes for Health Policy, Heller School MS 035, Brandeis University, Waltham, MA 02454 9110, USA
    Circulation 116:1653-62. 2007
    ..Cardiac rehabilitation (CR) is effective in prolonging survival and reducing disability in patients with coronary heart disease. However, national use patterns and predictors of CR use have not been evaluated thoroughly...
  46. ncbi Delivery of preventive services to older adults by primary care physicians
    Hoangmai H Pham
    Center for Studying Health System Change, Washington, DC 20024, USA
    JAMA 294:473-81. 2005
    ..Rates of preventive services remain below national goals...
  47. doi Effects of care coordination on hospitalization, quality of care, and health care expenditures among Medicare beneficiaries: 15 randomized trials
    Deborah Peikes
    Mathematica Policy Research Inc, 600 Alexander Pk, Princeton, NJ 08550, USA
    JAMA 301:603-18. 2009
    b>Medicare expenditures of patients with chronic illnesses might be reduced through improvements in care, patient adherence, and communication.
  48. ncbi Too much ado about two-part models and transformation? Comparing methods of modeling Medicare expenditures
    Melinda Beeuwkes Buntin
    RAND Health, Washington Office, 1200 South Hayes Street, Arlington, VA 22202 5050, USA
    J Health Econ 23:525-42. 2004
    ..of eight alternative estimators, including OLS and GLM estimators and one- and two-part models, in predicting Medicare costs. It finds that four of the alternatives produce very similar results in practice...
  49. ncbi Complications, failure to rescue, and mortality with major inpatient surgery in medicare patients
    Amir A Ghaferi
    Department of Surgery, Michigan Surgical Collaborative for Outcomes Research and Evaluation M SCORE, University of Michigan, Ann Arbor, MI 48104, USA
    Ann Surg 250:1029-34. 2009
    ..We sought to determine whether hospital variations in surgical mortality were due to differences in complication rates or failure to rescue rates (ie, case-fatality rates in patients with a complication)...
  50. pmc Heat-related emergency hospitalizations for respiratory diseases in the Medicare population
    G Brooke Anderson
    Department of Biostatistics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
    Am J Respir Crit Care Med 187:1098-103. 2013
    ..With climate change predictions of more frequent and more intense heat waves, it is of paramount importance to quantify the health risks related to heat, especially for the most vulnerable...
  51. ncbi Incidence and cost of pneumonia in medicare beneficiaries
    Cindy Parks Thomas
    Brandeis University Schneider Institute on Healthcare Systems, Waltham, MA 02454 9110, USA
    Chest 142:973-81. 2012
    ..This study describes the incidence and mortality of pneumonia in elderly Medicare beneficiaries based on treatment setting (outpatient, inpatient) and location of origin (health-care associated, ..
  52. doi Medicare beneficiaries with depression: comparing diagnoses in claims data with the results of screening
    Katia Noyes
    Department of Community and PreventiveMedicine, University ofRochester School of Medicine, Rochester, NY, USA
    Psychiatr Serv 62:1159-66. 2011
    The study evaluated the accuracy of Medicare claims in identifying elderly patients with depression compared with diagnoses of depression made with validated self-report depression scales.
  53. pmc Completion of therapy by Medicare patients with stage III colon cancer
    Sharon A Dobie
    Department of Family Medicine, University of Washington, Seattle, WA 98195 6390, USA
    J Natl Cancer Inst 98:610-9. 2006
    ..also predict completion, we analyzed Surveillance, Epidemiology, and End Results (SEER) program data linked to Medicare claims. We investigated mortality as a means to testing the validity of the completion measure that we created.
  54. doi All-cause readmission and repeat revascularization after percutaneous coronary intervention in a cohort of medicare patients
    Jeptha P Curtis
    Section of Cardiovascular Medicine, Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    J Am Coll Cardiol 54:903-7. 2009
    ..The purpose of this study was to report on the all-cause readmission and repeat revascularization rates after percutaneous coronary intervention (PCI)...
  55. pmc Metal emissions and urban incident Parkinson disease: a community health study of Medicare beneficiaries by using geographic information systems
    Allison W Willis
    Department of Neurology, School of Medicine, Washington University, 660 South Euclid Avenue, Campus Box 8111, St Louis, MO 63110, USA
    Am J Epidemiol 172:1357-63. 2010
    ..lead, or manganese emissions and Parkinson disease incidence in the urban United States, studying 29 million Medicare beneficiaries in the year 2003...
  56. doi Chronic conditions account for rise in Medicare spending from 1987 to 2006
    Kenneth E Thorpe
    Department of Health Policy and Management, Rollins School of Public Health, Emory University, in Atlanta, Georgia, USA
    Health Aff (Millwood) 29:718-24. 2010
    b>Medicare beneficiaries' medical needs, and where beneficiaries undergo treatment, have changed dramatically over the past two decades...
  57. pmc Does medication adherence lower Medicare spending among beneficiaries with diabetes?
    Bruce Stuart
    Epidemiology and Public Health, School of Medicine, University of Maryland Baltimore and Baltimore County, 660 W Redwood St, Baltimore, MD 21201, USA
    Health Serv Res 46:1180-99. 2011
    ..medication possession ratios (MPRs) for renin-angiotensin-aldosterone system (RAAS) inhibitors and statins for Medicare beneficiaries with diabetes, and to assess whether better adherence is associated with lower spending on ..
  58. pmc Prices don't drive regional Medicare spending variations
    Daniel J Gottlieb
    Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, New Hampshire, USA
    Health Aff (Millwood) 29:537-43. 2010
    Per capita Medicare spending is more than twice as high in New York City and Miami than in places like Salem, Oregon...
  59. ncbi Long-term cost of stroke subtypes among Medicare beneficiaries
    Won Chan Lee
    HERQuLES, Abt Associates Inc, Bethesda, MD 20814 5341, USA
    Cerebrovasc Dis 23:57-65. 2007
    ..The economic impact of hemorrhagic stroke, including subarachnoid hemorrhage (SAH) and intracerebral hemorrhage (ICH), has not been well characterized compared to the more prevalent ischemic stroke (IS)...
  60. pmc Comprehensive smoking bans and acute myocardial infarction among Medicare enrollees in 387 US counties: 1999-2008
    Christopher D Barr
    Biostatistics Department, Harvard School of Public Health, Boston, MA, USA
    Am J Epidemiol 176:642-8. 2012
    ..that enacted comprehensive smoking bans across 9 US states, using a study population of approximately 6 million Medicare enrollees aged 65 years or older...
  61. ncbi An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with an acute myocardial infarction
    Harlan M Krumholz
    Department of Medicine, Yale University School of Medicine, New Haven, CT 06520 8088, USA
    Circulation 113:1683-92. 2006
    ..We sought to develop a hierarchical regression model using Medicare claims data that produces hospital risk-standardized 30-day mortality rates and to validate the hospital ..
  62. doi The economic burden of chronic obstructive pulmonary disease (COPD) in a U.S. Medicare population
    Joseph Menzin
    Boston Health Economics, Inc, 20 Fox Road, Waltham, MA 02451, USA
    Respir Med 102:1248-56. 2008
    Although the economic burden of COPD has gained attention in recent years, data on the costs of COPD among U.S. Medicare beneficiaries are lacking.
  63. pmc Association of hospitalist care with medical utilization after discharge: evidence of cost shift from a cohort study
    Yong Fang Kuo
    Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas 77555 0177, USA
    Ann Intern Med 155:152-9. 2011
    ..No national studies examining the effect of hospitalist care on hospital costs or on medical utilization and costs after discharge have been done...
  64. pmc Evaluation of trends in the cost of initial cancer treatment
    Joan L Warren
    Health Services and Economics Branch Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Executive Plaza North, Rm 4005, 6130 Executive Blvd, MSC 7344, Bethesda, MD 20892 7344, USA
    J Natl Cancer Inst 100:888-97. 2008
    ..Despite reports of increases in the cost of cancer treatment, little is known about how costs of cancer treatment have changed over time and what services have contributed to the increases...
  65. pmc Postcataract surgery endophthalmitis in the United States: analysis of the complete 2003 to 2004 Medicare database of cataract surgeries
    Lisa Keay
    The Johns Hopkins University School of Medicine, Baltimore, MD, USA
    Ophthalmology 119:914-22. 2012
    ..To estimate endophthalmitis incidence after cataract surgery nationally and at the state level in 2003 and 2004 and to explore risk factors...
  66. pmc Association of public reporting for percutaneous coronary intervention with utilization and outcomes among Medicare beneficiaries with acute myocardial infarction
    Karen E Joynt
    Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA
    JAMA 308:1460-8. 2012
    ..Public reporting of patient outcomes is an important tool to improve quality of care, but some observers worry that such efforts will lead clinicians to avoid high-risk patients...
  67. pmc Identifying chronic conditions in Medicare claims data: evaluating the Chronic Condition Data Warehouse algorithm
    Yelena Gorina
    Centers for Disease Control and Prevention, National Center for Health Statistics, Office of Analysis and Epidemiology, 3311 Toledo Road, Room 6332, Hyattsville, MD 20782, USA
    Health Serv Res 46:1610-27. 2011
    To examine the strengths and limitations of the Center for Medicare and Medicaid Services' Chronic Condition Data Warehouse (CCW) algorithm for identifying chronic conditions in older persons from Medicare beneficiary data.
  68. pmc Aggressive treatment style and surgical outcomes
    Jeffrey H Silber
    Center for Outcomes Research, The Children s Hospital of Philadelphia, 3535 Market Street, Suite 1029, Philadelphia, PA 19104, USA
    Health Serv Res 45:1872-92. 2010
    ..We aimed to determine the association between aggressive treatment style and surgical outcomes...
  69. pmc Admission, discharge, or change in B-type natriuretic peptide and long-term outcomes: data from Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF) linked to Medicare claims
    Robb D Kociol
    Duke Clinical Research Institute, Department of Medicine, Duke University School of Medicine, Durham, NC, USA
    Circ Heart Fail 4:628-36. 2011
    ..It is unknown if admission, discharge, or change from admission to discharge BNP measure is the most important predictor of long-term outcomes...
  70. pmc Use of guideline-recommended therapies for heart failure in the Medicare population
    Lisa D DiMartino
    Duke Clinical Research Institute, Duke University School of Medicine, Durham, North Carolina 27715, USA
    Clin Cardiol 33:400-5. 2010
    ..Most information about the use of guideline-recommended therapies for heart failure reflects what occurred at discharge after an inpatient stay...
  71. doi 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.
  72. pmc Overuse of screening colonoscopy in the Medicare population
    James S Goodwin
    Department of Medicine, University of Texas Medical Branch, Galveston, 77555 0177, USA
    Arch Intern Med 171:1335-43. 2011
    ..We assessed the timing of repeated colonoscopies after a negative screening colonoscopy finding in a population-based sample of Medicare patients.
  73. doi Economic burden of melanoma in the elderly population: population-based analysis of the Surveillance, Epidemiology, and End Results (SEER)--Medicare data
    Anne M Seidler
    Department of Dermatology, Emory University, 1639 Pierce Drive, Atlanta, GA 30322, USA
    Arch Dermatol 146:249-56. 2010
    ..To assess health care resources consumed by melanoma in the population 65 years or older, a group with comparatively poor outcomes...
  74. doi Adjuvant chemotherapy after resection in elderly Medicare and Medicaid patients with colon cancer
    Cathy J Bradley
    Department of Health Administration and Massey Cancer Center, Virginia Commonwealth University, Richmond, VA 23298 0203, USA
    Arch Intern Med 168:521-9. 2008
    ..This study investigated the influence of Medicaid enrollment on the receipt and completion of adjuvant chemotherapy and the likelihood of evaluation by an oncologist for those patients who do not initiate chemotherapy...
  75. ncbi Domain and facet personality predictors of all-cause mortality among Medicare patients aged 65 to 100
    Alexander Weiss
    Laboratory of Personality and Cognition, National Institute on Aging, National Institutes of Health, Department of Health and Human Services, 5600 Nathan Shock Drive, Baltimore, MD 21224 6825, USA
    Psychosom Med 67:724-33. 2005
    ..Our objectives were to test whether Conscientiousness, the other 4 domains of the Five-Factor Model, and their facets predicted mortality in older, frail individuals...
  76. pmc More accurate racial and ethnic codes for Medicare administrative data
    Celia Eicheldinger
    RTI International, Research Triangle Park, NC 27709, USA
    Health Care Financ Rev 29:27-42. 2008
    Analyses of health care disparities in Medicare using administrative race and ethnicity data have typically been limited to Black and White beneficiaries...
  77. doi Representativeness of the Get With The Guidelines-Stroke Registry: comparison of patient and hospital characteristics among Medicare beneficiaries hospitalized with ischemic stroke
    Mathew J Reeves
    Department of Epidemiology, Michigan State University, B601 West Fee Hall, East Lansing, Michigan 48824, USA
    Stroke 43:44-9. 2012
    ..We used fee-for-service Medicare claims to ascertain the representativeness of ischemic stroke admissions in GWTG-Stroke.
  78. doi Total knee arthroplasty survivorship in the United States Medicare population: effect of hospital and surgeon procedure volume
    Michael Manley
    Homer Stryker Center for Orthopaedic Education and Research, Mahwah, New Jersey 07430, USA
    J Arthroplasty 24:1061-7. 2009
    ..association between hospital and surgeon volume and TKA survivorship in the elderly population using 1997 to 2004 Medicare data...
  79. pmc Regional variation in the association between advance directives and end-of-life Medicare expenditures
    Lauren Hersch Nicholas
    Institute for Social Research, University of Michigan, Ann Arbor, MI 48104, USA
    JAMA 306:1447-53. 2011
    ..It is unclear if advance directives (living wills) are associated with end-of-life expenditures and treatments...
  80. pmc Association of a cancer diagnosis with vulnerability and frailty in older Medicare beneficiaries
    Supriya Gupta Mohile
    James P Wilmot Cancer Center, University of Rochester, 601 Elmwood Ave, Box 704, Rochester, NY 14642, USA
    J Natl Cancer Inst 101:1206-15. 2009
    ..Few studies have evaluated the independent effect of a cancer diagnosis on vulnerability and frailty, which have been associated with adverse health outcomes in older adults...
  81. ncbi Medicare physician payment systems: impact of 2011 schedule on interventional pain management
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, KY, USA
    Pain Physician 14:E5-33. 2011
    ..in the private insurance market; however, governmental systems have a formula-based payment, mostly based on the Medicare payment system. Physician services are billed under Part B...
  82. ncbi Development of a comorbidity index using physician claims data
    C N Klabunde
    Health Services and Economics Branch, Applied Research Program, Division of Cancer Control and Population Sciences, National Cancer Institute, Executive Plaza North Room 4005, 6130 Executive Boulevard MSC 7344, Bethesda, MD, USA
    J Clin Epidemiol 53:1258-67. 2000
    ..and colleagues, we developed a comorbidity index that incorporates the diagnostic and procedure data contained in Medicare physician (Part B) claims...
  83. ncbi Air pollution and hospital admissions for ischemic and hemorrhagic stroke among medicare beneficiaries
    Gregory A Wellenius
    Cardiovascular Division, Department of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215, USA
    Stroke 36:2549-53. 2005
    ..The association between short-term elevations in ambient air particles and increased cardiovascular morbidity and mortality is well documented. Ambient particles may similarly increase the risk of stroke...
  84. pmc Observational intensity bias associated with illness adjustment: cross sectional analysis of insurance claims
    John E Wennberg
    The Dartmouth Institute for Health Policy and Clinical Practice, The Audrey and Theodor Geisel School of Medicine at Dartmouth, Hanover, NH 03755, USA
    BMJ 346:f549. 2013
    ..To determine the bias associated with frequency of visits by physicians in adjusting for illness, using diagnoses recorded in administrative databases...
  85. pmc Total knee arthroplasty volume, utilization, and outcomes among Medicare beneficiaries, 1991-2010
    Peter Cram
    Division of General Internal Medicine, Department of Internal Medicine, University of Iowa Carver College of Medicine, 200 Hawkins Dr, 6GH SE, Iowa City, IA 52242, USA
    JAMA 308:1227-36. 2012
    ..Total knee arthroplasty (TKA) is one of the most common and costly surgical procedures performed in the United States...
  86. pmc Effectiveness of bevacizumab with first-line combination chemotherapy for Medicare patients with stage IV colorectal cancer
    Jeffrey A Meyerhardt
    Dana Farber Cancer Institute, 450 Brookline Ave, Boston, MA 02215, USA
    J Clin Oncol 30:608-15. 2012
    Clinical trials have shown that adding bevacizumab to cytotoxic chemotherapy improves survival for patients with colorectal cancer, although its effectiveness in the Medicare population is uncertain.
  87. ncbi Validating recommendations for coronary angiography following acute myocardial infarction in the elderly: a matched analysis using propensity scores
    S T Normand
    Department of Health Care Policy, Harvard Medical School, Boston, MA 02115 5899, USA
    J Clin Epidemiol 54:387-98. 2001
    ..Using propensity scores, we created a matched retrospective sample of 19,568 Medicare patients hospitalized with AMI during 1994-1995 in the United States...
  88. doi Quality of care among obese patients
    Virginia W Chang
    Philadelphia VA Medical Center, Department of Medicine, University of Pennsylvania School of Medicine, and Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, PA 19104 6021, USA
    JAMA 303:1274-81. 2010
    ..Moreover, obese patients often feel that clinicians are biased or disrespectful because of their weight. These observations raise the concern that obese patients may receive lower quality of care...
  89. pmc Posthospital care transitions: patterns, complications, and risk identification
    Eric A Coleman
    Division of Health Care Policy, University of Colorado Health Sciences Center, 13611 East Colfax Avenue, Suite 100, Aurora, CO 80011, USA
    Health Serv Res 39:1449-65. 2004
    ..To (1) describe patterns of posthospital care transitions; (2) characterize these patterns as uncomplicated or complicated; (3) identify those at greatest risk for complicated transitions...
  90. ncbi Impact of hospital volume on operative mortality for major cancer surgery
    C B Begg
    Department of Epidemiology, Memorial Sloan Kettering Cancer Center, New York, NY, USA
    JAMA 280:1747-51. 1998
    ....
  91. ncbi Atrial fibrillation and stroke in the general medicare population: a 10-year perspective (1992 to 2002)
    Kamakshi Lakshminarayan
    Department of Neurology, Hennepin County Medical Center, University of Minnesota, Minneapolis, Minnesota, USA
    Stroke 37:1969-74. 2006
    ..The current study investigated temporal trends in AF prevalence, warfarin use, and its relation to stroke risk in Medicare patients with AF from 1992 to 2002.
  92. pmc Relationship between cardiac rehabilitation and long-term risks of death and myocardial infarction among elderly Medicare beneficiaries
    Bradley G Hammill
    Center for Clinical and Genetic Economics, Duke Clinical Research Institute, PO Box 17969, Durham, NC 27715, USA
    Circulation 121:63-70. 2010
    ..The relationship between the number of sessions attended and long-term outcomes is unknown...
  93. pmc Risk of complication and revision total hip arthroplasty among Medicare patients with different bearing surfaces
    Kevin J Bozic
    Department of Orthopaedic Surgery, University of California, San Francisco, CA 94143 0728, USA
    Clin Orthop Relat Res 468:2357-62. 2010
    ..These bearing surfaces are associated with unique risks and benefits and higher costs. However the relative risks of these three bearings in an older population is unknown...
  94. ncbi Timing of antibiotic administration and outcomes for Medicare patients hospitalized with community-acquired pneumonia
    Peter M Houck
    Centers for Medicare and Medicaid Services, Seattle, WA 98121, USA
    Arch Intern Med 164:637-44. 2004
    Pneumonia accounts for more than 600 000 Medicare hospitalizations yearly. Guidelines have recommended antibiotic treatment within 8 hours of arrival at the hospital.
  95. ncbi Adverse outcomes and predictors of underuse of antithrombotic therapy in medicare beneficiaries with chronic atrial fibrillation
    B F Gage
    Division of General Medical Sciences, Washington University School of Medicine, St Louis, MO 63110, USA
    Stroke 31:822-7. 2000
    ..Our objectives were 3-fold: to document the use of warfarin and aspirin therapy in Missouri Medicare beneficiaries with chronic NVAF; to identify factors associated with warfarin and aspirin underuse; and to ..
  96. doi Predictors of nursing home hospitalization: a review of the literature
    David C Grabowski
    Harvard Medical School, USA
    Med Care Res Rev 65:3-39. 2008
    ..Nevertheless, the existing literature asserts that nursing home hospitalizations are frequent, often preventable, and related to facility practices and state Medicaid policies...
  97. ncbi Risk of pelvic fractures in older women following pelvic irradiation
    Nancy N Baxter
    Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis 55455, USA
    JAMA 294:2587-93. 2005
    ..Pelvic fractures, including hip fractures, are a major source of morbidity and mortality in older women. Although therapeutic pelvic irradiation could increase the risk of such fractures, this effect has not been studied...
  98. pmc Can primary care visits reduce hospital utilization among Medicare beneficiaries at the end of life?
    Andrea C Kronman
    Section of General Internal Medicine, Evans Department of Medicine, Boston University Medical Center, Boston, MA 02118, USA
    J Gen Intern Med 23:1330-5. 2008
    ..Medical care at the end of life is often expensive and ineffective...
  99. pmc Hospital spending and inpatient mortality: evidence from California: an observational study
    John A Romley
    Leonard D Schaeffer Center for Health Policy and Economics, University of Southern California, 650 Childs Way, Los Angeles, CA 90089, USA
    Ann Intern Med 154:160-7. 2011
    Evidence shows that high Medicare spending is not associated with better health outcomes at a regional level and that high spending in hospitals is not associated with better process quality...
  100. pmc Hospital nursing and 30-day readmissions among Medicare patients with heart failure, acute myocardial infarction, and pneumonia
    Matthew D McHugh
    Center for Health Outcomes and Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA 19104 4217, USA
    Med Care 51:52-9. 2013
    ..Provisions of the Affordable Care Act that increase hospitals' financial accountability for preventable readmissions have heightened interest in identifying system-level interventions to reduce readmissions...
  101. doi Resource use in the last 6 months of life among medicare beneficiaries with heart failure, 2000-2007
    Kathleen T Unroe
    Duke Clinical Research Institute, Durham, NC 27715, USA
    Arch Intern Med 171:196-203. 2011
    Heart failure is a common cause of death among Medicare beneficiaries, but little is known about health care resource use at the end of life.

Research Grants91

  1. STATISITICAL DESIGN, MONITORING &COORD. OF VISION CLINICAL TRIALS &EPIDEMIOLOGY
    Keri Hammel; Fiscal Year: 2012
    ..This will include, but not be limited to, the following areas: analysis of Medicare and other health care databases;evaluation of existing NEI databases such as, centralized NEI Intramural Research ..
  2. STATISITICAL DESIGN, MONITORING &COORD. OF VISION CLINICAL TRIALS &EPIDEMIOLOGY
    Keri Hammel; Fiscal Year: 2013
    ..This will include, but not be limited to, the following areas: analysis of Medicare and other health care databases;evaluation of existing NEI databases such as, centralized NEI Intramural Research ..
  3. Early Life Conditions, Survival, and Health: A Pedigree-Based Population Study
    Ken R Smith; Fiscal Year: 2013
    ..World War I Draft Registration &Registry Data, and 1921-1936 Birth Certificates;and (B) Diagnosis data from Medicare claims for 2003-2008 that will be added to existing CMS data from 1992-2002...
  4. Optimizing Chronic Disease Prevention and Management in Advanced Dementia
    Jennifer Tjia; Fiscal Year: 2010
    ..Massachusetts, Pennsylvania, California and Florida), including ~95,000 NH residents with dementia who used Medicare Part D drug benefits between 2006-2007...
  5. Geriatric Conditions and Disablement in the Older Adult Population
    Christine T Cigolle; Fiscal Year: 2013
    ..It will also make use of newly available Medicare administrative data linked to the HRS and ADAMS to further specify conditions and diseases (diagnosis codes). Dr...
  6. The Greatest Generation: The NAS-NRC WWII Twin Registry as a Scientific Resource
    Margaret Gatz; Fiscal Year: 2012
    ..We will also do pilot work preliminary to linking to Medicare and Social Security records...
  7. Molecular Regulation of Ischemic Renal Failure
    Zheng Dong; Fiscal Year: 2013
    ..Kimmel PL, Eggers PW, Molitoris BA, Himmelfarb J, Collins AJ: Incidence and mortality of acute renal failure in Medicare beneficiaries, 1992 to 2001. J Am Soc Nephrol 2006, 17:1135-1142 7...
  8. Conservative Versus Dialytic Management in Stage V Chronic Kidney Disease
    GLENN MATTHEW CHERTOW; Fiscal Year: 2010
    ..End-stage renal disease affects less than 0.5% of the Medicare population, yet accounts for nearly 7% of Medicare expenditures...
  9. CT EIP Capacities ACA Grant
    TRACEY L WEEKS; Fiscal Year: 2011
    ..an initiative for the prevention of blood stream infections among dialysis patients initiated by the Center for Medicare and Medicaid Services and CDC...
  10. Role of Focal Adhesion Kinase (FAK) in Nephrosis and Nephritis
    Shuta Ishibe; Fiscal Year: 2013
    ..that the number of new cases of ESKD in the United States is projected to be 650,000by 2010, with accompanying Medicare expenditures of $28 billion...
  11. Economic Consequences of Advanced Testing for Subclinical Cardiovascular Disease
    Leslee J Shaw; Fiscal Year: 2010
    ..Our application includes a systematic approach to cost analysis based on Medicare reimbursement rates for estimating 4-5 year CVD costs...
  12. Robust BCT for Clinical Use
    DAVID KOPPERDAHL; Fiscal Year: 2010
    ..With substantial reimbursement cuts being introduced by Medicare for bone densitometry by dual energy X-ray absorptiometry (DXA, the current clinical standard), with a ..
  13. Pharmacological Management of Delirium
    Malaz Boustani; Fiscal Year: 2013
    ..7 million Americans aged 65 and older spent at least one day in the intensive care unit (ICU) costing MEDICARE a total of $27.5 billion...
  14. Vascular Structure and Function in Arteriovenous Fistula Maturation
    Jonathan Himmelfarb; Fiscal Year: 2012
    ..is reflected in clinical practice guidelines as well as clinical performance measures utilized by the Centers for Medicare and Medicaid Services (CMS)...
  15. Chronic kidney disease in survivors of hematopoietic cell transplant
    Sangeeta Hingorani; Fiscal Year: 2012
    ..Therefore, the care of these patients with CKD will strain our medicare system and add to the growing number of patients on dialysis and on the wait list for a kidney transplant...
  16. Individualized Treatment Strategies and Optimal Hematocrit Target for Complex Dia
    DENNIS JOSEPH COTTER; Fiscal Year: 2010
    ..In this grant, we propose to apply these innovative techniques using Medicare administrative data to provide a basis for improved patient outcomes using 'individualized'guidelines ..
  17. RCT of Stress Reduction in the Secondary Prevention of CHD in African Americans
    Robert Schneider; Fiscal Year: 2010
    ..Participant eligibility criteria and programmatic elements of the intervention programs are consistent with Medicare guidelines for phase II cardiac rehabilitation/secondary prevention...
  18. Reforming Medicare: Beneficiary Choice, Plan Payment, and Accountable Care
    JOHN MICHAEL MCWILLIAMS; Fiscal Year: 2012
    ..His previous research assessing the effects of Medicare coverage on health care and health outcomes for aging uninsured adults has been nationally recognized, and his ..
  19. Cancer Care among Medicare HIV patients
    Sumedha Chhatre; Fiscal Year: 2011
    ..who receive Social Security Disability Insurance (SSDI) benefits or those who live long enough to qualify, Medicare is an important source of health coverage...
  20. Diet and Activity Promotion Among Older Working Adults
    Gladys Block; Fiscal Year: 2010
    ..are needed to improve these behaviors in this age group, a group with increasing chronic disease and impending Medicare use...
  21. Epidemiologic Study of Sick Sinus Syndrome
    Alvaro Alonso; Fiscal Year: 2012
    ..SSS incident events will be identified from hospitalization discharge codes and Medicare (from the Center for Medicare and Medicaid Services (CMS)) data...
  22. Effectiveness of Second Line Hypoglycemic Medications Among Veterans
    Christianne Roumie; Fiscal Year: 2013
    ..will utilize national VHA data (Corporate Data Warehouse- Vital Signs File;pharmacy, SAS Medical datasets, VIReC Medicare data and VHA Vital status files) and National Death Index data to construct a national cohort of veterans with DM ..
  23. Barcoded Magnetic Beads for Rapid Tests of MRSA and Respiratory Viral Panels
    WINSTON Z HO; Fiscal Year: 2010
    ..pathogens is important because, beginning in October 2008, hospitals across the country may no longer receive Medicare reimbursement for many hospital acquired infections...
  24. Heat Waves, Medication Use, and Adverse Health Outcomes Among Older Adults
    SOKO SETOGUCHI-IWATA; Fiscal Year: 2013
    ..including temperature, humidity, heat index, and air pollution data, data on health care resource use in the Medicare program, and longitudinal data on pharmacy dispensing...
  25. PET and MRI Neuronal Loss and Amyloid and Tau Deposition in Alzheimer Disease
    Laurel Martin-Harris; Fiscal Year: 2012
    ..lifespan and the healthcare cost of this illness becomes astronomical, with AD affecting less than 13% of the Medicare population but responsible for 34% of Medicare spending (estimated to be $91 billion in 2005)...
  26. Cell-synthesized Thread-based Tissue Engineering
    NICOLAS L'HEUREUX; Fiscal Year: 2012
    ..Creation and maintenance of hemodialysis access grafts takes up nearly 2% of Medicare's entire budget...
  27. Comparative Effectiveness of Post-Discharge Strategies for Hospitalized Smokers
    Nancy A Rigotti; Fiscal Year: 2013
    ..Policy implication: Standard Care meets current Medicare and Joint Commission National Hospital Quality Measures (NHQM) for tobacco...
  28. Personality and Health Services Use and Expenditures of Older Persons
    Bruce Friedman; Fiscal Year: 2010
    ..to develop interventions that take advantage of personality domains to address overuse and underuse among Medicare beneficiaries...
  29. The 24th Annual Symposium on Career Opportunities in Health Professions from Apri
    Thomas Adams; Fiscal Year: 2010
    ..Cheryl Gilbreath, Health Insurance Specialist with the Center of Medicare and Medicaid Services in MD), education (Dr. Douglas M...
  30. Micro-patterned surfaces for reducing the risk of catheter-associated UTI
    SHRAVANTHI REDDY; Fiscal Year: 2012
    ..S. alone. Recent reimbursement changes from the Centers of Medicare and Medicaid Services will place this cost burden directly onto hospitals, creating an immediate incentive to ..
  31. Predicting the burden of renal disease among liver transplant recipients
    Pratima Sharma; Fiscal Year: 2013
    ..I will use national data from the Scientific Registry of Transplant Recipients (SRTR) and the Centers for Medicare and Medicaid Services (CMS) ESRD Program to conduct these studies...
  32. Does Violence Against Women result in disparities in cancer care for women with b
    Ann L Coker; Fiscal Year: 2013
    ..These data will be linked with state level Medicare claims data for women completing phone surveys who are 65 or older...
  33. Epidemiology and Outcomes of Digestive and Liver Diseases: A Mentoring Program
    Hashem B El-Serag; Fiscal Year: 2013
    ..With the use of large VA Medicare integrated electronic medical data repositories, we will conduct a cohort study to address the following aims...
  34. Continuous Oxygen Monitor for Patients on Long-Term Oxygen Therapy (COMPLY)
    B Eugene Parker; Fiscal Year: 2011
    ..3 billion) of total Medicare expenditures for durable medical equipment...
  35. Health Systems, Quality of Care, and Outcomes in SLE
    Edward H Yelin; Fiscal Year: 2012
    ..establish the relationship among such features of the health care system as type of insurance (Medicaid, Medicare, or private), form of insurance (managed care or fee-for-service), and extent of cost sharing and quality of care,..
  36. Toward personalized diabetes care: Understanding hypoglycemia in older adults
    KASIA JOANNA LIPSKA; Fiscal Year: 2013
    ..Specific Aim 1: To characterize recent trends in hospital admissions for hypoglycemia among older Medicare recipients with diabetes for a 12-year period from 1998-2010, and to examine race, gender, and geographic ..
  37. DEVELOPING VIRTUAL COLONOSCOPY FOR CANCER SCREENING
    JEROME Z LIANG; Fiscal Year: 2013
    ..These needs are documented by the recent refusal of CTC being accepted by Medicare coverage, such as reducing CT radiation, detecting smaller polyps, relieving bowel preparation (BP) stress, ..
  38. Comparative Effectiveness of Dialysis Modalities
    Rajnish Mehrotra; Fiscal Year: 2013
    ..The DaVita-USRDS data linkage will provide access to Medicare claims data which will be used to calculate incremental societal cost-effectiveness or cost-savings with NICHD ..
  39. Use of Umbilical Core Blood derived HSC to Treat Acute Kidney Injury
    Fangming Lin; Fiscal Year: 2010
    ..Once the kidney fails, treatment of chronic kidney disease costs 20% Medicare expenditure...
  40. VITAL-DEP: Depression Endpoint Prevention in the VITamin D and OmegA-3 TriaL
    OLIVIA IFEOMA OKEREKE; Fiscal Year: 2013
    ..using questionnaires and additional data on psychiatric visits, diagnoses, and medications from the Centers for Medicare and Medicaid Services database...
  41. Inhibition of Intestinal Na/Phosphate Cotransporter in Renal Failure and Hyperten
    BRIAN EDWARD PEERCE; Fiscal Year: 2012
    ..PUBLIC HEALTH RELEVANCE: Chronic kidney disease (CKD) is a major healthcare burden accounting for nearly 8% of Medicare spending...
  42. Leveraging Opportunities to Improve Oral Health in Older Adults
    MARY EVELYN NORTHRIDGE; Fiscal Year: 2011
    ..mouth to the societal scale that involves US federal policy, including lack of routine dental care coverage under Medicare;and (2) factors at the neighborhood scale (e.g., community access), interpersonal scale (e.g...
  43. Falls in the Community Dwelling Elderly with a History of Cancer
    SANDRA LEE SPOELSTRA; Fiscal Year: 2010
    ..the Michigan Home and Community Based Services program combined with information from the Cancer Registry, and Medicare and Medicaid claims...
  44. Risk of death among veterans with depression
    Kara Zivin; Fiscal Year: 2013
    ..b>Medicare utilization data will be linked for eligible patients...
  45. Coordinated Telehealth Care Program for Rural Elders with Congestive Heart Failur
    Hongtu Chen; Fiscal Year: 2010
    ..The focus on CHF is because it is one of the most prevalent and costly chronic diseases in the Medicare population...
  46. Health Care Partners in Cancer Prevention and Care Among Aged - Competing Renewal
    Eva Kahana; Fiscal Year: 2013
    ..In addition to patient reported outcomes, we will also consider objective indices based on Medicare claims data and AAA data on program utilization...
  47. The Impact of Public Reporting on Outcomes and Case Selection for PCI
    KAREN ELLEN JOYNT; Fiscal Year: 2013
    ..We propose to use Medicare data to assess the impact of public reporting on outcomes and case selection for patients undergoing PCI in NY ..
  48. A Translational Framework for Methodological Rigor to Improve Patient Centered Ou
    Francesca Dominici; Fiscal Year: 2013
    ..I have gained experience with the analysis of Medicare data and their linkage by geography and time to other data sources, such us air pollution, weather, and ..
  49. Investigational Safety and Toxicity Studies of Subcutaneous COG1410 for Alzheimer
    MICHAEL PETER VITEK; Fiscal Year: 2013
    ..b>Medicare and Medicaid spend $148 Billion or about 20% of their combined programs on the care of AD patients, as there is ..
  50. Uterine cancer survival disparities, Hispanic ethnicity, and comorbidities.
    Linda S Cook; Fiscal Year: 2010
    ..We propose to explore this question using the SEER-Medicare linked database in New Mexico and three areas in California (Los Angeles, San Francisco-Oakland, San Jose-..
  51. Innovative Clinical Pathways in Lung Cancer Care for Vulnerable Populations
    Yolonda L Colson; Fiscal Year: 2012
    ..Report Unequal Treatment, and individual studies show that disparities exist even in equal access systems like Medicare. 7-11 Given the importance of addressing disparities in lung cancer rates across vulnerable populations, the ..
  52. Aging Together: Brothers and Sisters of the Wisconsin Longitudinal Study
    John Robert Warren; Fiscal Year: 2013
    ..These include: obtaining large, stable samples of DNA from graduates and siblings;regularly linking to Medicare/Medicaid records and to the National Death Index;and interviewing survivors of deceased graduates and siblings (..
  53. Minimally Invasive Surgical Pulmonary Vein Insolation vs. Medical Management in P
    MICHAEL FARRIS WATERS; Fiscal Year: 2010
    ..5 million Americans at a cost of over 7 billion dollars per year to Medicare alone...
  54. A Luminal Vascular Coating to Prevent Intimal Hyperplasia Following Creation of a
    Kate Stuart; Fiscal Year: 2013
    ..Vascular access accounts for 7.5% of Medicare's spending on the ESRD programs, a total of over $1BB per year...
  55. Should high-risk statin utilization rates be increased for complex AMI patients?
    John M Brooks; Fiscal Year: 2010
    ..We will take advantage of the large number of Medicare patients with AMI that have Medicare "Part D" prescription drug coverage in the Centers for Medicare &..
  56. Ambulatory Case and Preventable Hospitalizations in Diabetic Kidney Disease
    Chin Lin Tseng; Fiscal Year: 2013
    ..g., demographics, co- morbid conditions, renal status, prior hospitalization, VHA-Medicare dual system utilization, rurality of residence) and selected VHA facility-level factors (availability of ..
  57. Biocompatibility of Implantable Renal Replacement Devices
    Shuvo Roy; Fiscal Year: 2013
    ..on thrice-weekly, in-center hemodialysis, and collectively, this population consumes over $20 billion annually in Medicare-paid healthcare...
  58. Variation in the Safety of Back Pain-Related Surgery
    Sohail K Mirza; Fiscal Year: 2010
    ..broad Challenge Area (09): Health Disparities and specific Challenge Topic, 09-AG-101: Geographic Disparities in Medicare Usage...
  59. Training to Improve Late-Stage Dementia Care
    JOHN V HOBDAY; Fiscal Year: 2011
    ..8). The economic cost of ADRD includes $148 billion in direct costs to Medicare and Medicaid (not including the costs paid for by the Department of Veterans'Affairs, private health care, ..
  60. Acute Coronary Syndrome Outcomes for Medicare Patients
    SALLY STEARNS; Fiscal Year: 2009
    ..The principal objectives of this project are to use national Medicare hospital and physician claims from the Centers for Medicare &Medicaid Services to address four specific aims;..
  61. National Trends in Brain Health: a Follow-Up Study of CIND and Dementia in the US
    David R Weir; Fiscal Year: 2010
    ..can be linked to all prior and future waves of the HRS, including HRS biomarker data, HRS physical measures, Medicare administrative data, the HRS decedent interview, and the National Death Index;and 3) Use ADAMS 2010 data to ..
  62. The Role of FGF23 in the Pathogenesis of Chronic Kidney Disease
    ANSEL PHILIP AMARAL; Fiscal Year: 2013
    ..of lower economic status, and accounts for nearly $60 billion in healthcare spending, nearly 30% of the annual Medicare budget...
  63. USING CLAIMS DATA FOR CANCER SURVEILLANCE
    Lynne Penberthy; Fiscal Year: 2000
    ..The three claims-based files to be linked to the VCR are: Medicare, Medicaid, and the statewide hospital discharge summary files...
  64. Access to Care of Medicare and Medicaid Enrollees
    Marlene Niefeld; Fiscal Year: 2003
    ..and long-term care services to determine their impact on resource utilization among the community-dwelling Medicare and Medicaid dual enrollee population age 65 and over...
  65. Medicare Part D Cost-Sharing and Treatment of Mental Disorders Among Disabled Dua
    Julie Marie Donohue; Fiscal Year: 2010
    DESCRIPTION (provided by applicant): Social Security Disability Income (SSDI) and Medicare are important social insurance programs for adults with severe and persistent mental illnesses...
  66. BACK PAIN OUTCOME ASSESSMENT TEAM
    Richard Deyo; Fiscal Year: 1991
    ..Back pain is proposed as a focus because it is extremely common in the populations served by Medicare. Back problems result in frequent hospitalization, surgery, and use of expensive diagnostic tests, and wide ..
  67. Role of Physicians and Their Groups in Cancer Screening
    George Wright; Fiscal Year: 2005
    ..individual physicians and their medical groups in the provision of preventative cancer test screening tests to Medicare beneficiaries...
  68. The Science of Medicare Reform
    DANA P contact GOLDMAN; Fiscal Year: 2010
    ..The future of the Medicare program poses one of the greatest policy challenges to the United States...
  69. Quality and Costs in Hospitals: What Can We Learn from Medicare Patients?
    John A Romley; Fiscal Year: 2010
    ..The purpose of this two-year research project is to investigate the quality of hospitals as perceived by Medicare patients, the cost of perceived quality, and their relation to existing measures...
  70. Guideline Adherence and Health Outcomes in Medicare FFS Patients with Diabetes
    Maureen Smith; Fiscal Year: 2009
    ..Our sample includes approximately 3,559 Medicare fee-for-service patients with diabetes who were cared for by a large midwestern multi-specialty physician group ..
  71. THE IMPACT OF THE MEDICARE HOSPICE BENEFIT ON HOSPICES
    Vivian Ho; Fiscal Year: 1990
    ..project will investigate the dynamics of the hospice industry and how its development has been affected by the Medicare Hospice Benefit...
  72. Comparative Effectiveness: Erythropoietic Stimulating Agents in Treatment of MDS
    Amy J Davidoff; Fiscal Year: 2010
    ..in the SEER database (2001) provides an opportunity to explore the current use of ESAs in MDS patients in the Medicare population...
  73. The Effect of Specialty Tier Placement on Enrollment and Utilization in Medicare
    Erin A Taylor; Fiscal Year: 2012
    ..The Medicare Prescription Drug Benefit Program (Part D) defines a specialty drug as having a negotiated price greater than a ..
  74. Data Infrastructure for Post-Marketing Comparative Effectiveness Studies
    SEAN P HENNESSY; Fiscal Year: 2010
    ..through 2007 (a total ever-enrolled population of 60 million beneficiaries), and obtaining and linking data from Medicare Parts A, B, and D on dual enrollees in those states...
  75. Myelodysplastic Syndromes: Patterns of Care and Outcomes
    Xiaomei Ma; Fiscal Year: 2010
    ..The availability of the SEER-Medicare linked database provides a unique opportunity to study the patterns of care and outcomes in MDS patients, both of ..
  76. The Anticipatory Effects of Medicare Part D on Drug Utilization
    ABBY ELIZABETH ALPERT; Fiscal Year: 2010
    DESCRIPTION (provided by applicant): In 2003, the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) was signed into law, which expanded the Medicare program to include voluntary insurance coverage for prescription ..
  77. DEVELOPMENT AND VALIDATION OF A HEAD AND NECK CANCER COM
    Jay Piccirillo; Fiscal Year: 2000
    ..This will be a secondary data analysis of a SEER-Medicare linked database created by the Health Care Financing Administration (HCFA) and the National Cancer Institute...
  78. Medicare Advantage?
    Lauren Nicholas; Fiscal Year: 2007
    unreadable] Description (provided by the applicant): Medicare, the public health insurance program for the elderly and disabled, faces major challenges; healthcare costs and the Medicare population are growing rapidly, yet Medicare ..
  79. Kaiser Permanente Functional Outcomes System
    M Elizabeth Sandel; Fiscal Year: 2010
    ..For example, Medicare spending for inpatient rehabilitation facilities (IRF) services is projected to be $5...
  80. LONGEVITY AND ELDERLY HEALTH CARE EXPENDITURES
    EDWARD NORTON; Fiscal Year: 2001
    ..A growing percentage of Medicare beneficiaries are enrolling in Medicare managed care, which may slow the growth of expenditures...
  81. Market and Provider Effects on Hospice in Nursing Homes
    Pedro Gozalo; Fiscal Year: 2004
    ..However, enrollment in Medicare hospice is only available to NH residents if a NH has a contract with a hospice provider, and in practice, not ..
  82. Effects of State Home Medicare Maximization Plans
    Wayne Anderson; Fiscal Year: 2000
    ..proposed study is to: 1) measure the increase in Medica home health expenditures resulting from state home health Medicare maximization activities, 2) identify individual and state- level attributes predictive of the transfers to the ..
  83. Drug Insurance, Medication Adherence, and Subsequent Outcomes Among Seniors
    GAIL JENSEN SUMMERS; Fiscal Year: 2010
    ..events increases with non-adherence to prescribed medications, we know little from representative samples of Medicare beneficiaries or about the cost consequences of adverse health outcomes due to medication non-adherence...
  84. Chiropractic Use Patterns, and Their Antecedents and Consequences in Older Adults
    FREDRIC DAVID WOLINSKY; Fiscal Year: 2010
    ..time, and the antecedents and consequences of that chiropractic use among a nationally representative sample of Medicare beneficiaries...
  85. Issues in Medicare Part D Selection
    JULIA SAMANTHA SHOEMAKER; Fiscal Year: 2011
    DESCRIPTION (provided by applicant): This study will address fundamental aspects of participation in Medicare Part D that will inform policy related to insurance access and impacts...
  86. Differences In Incentives Between Stand Alone Medicare Drug Coverage vs Medicare
    Kosali Ilayperuma Simon; Fiscal Year: 2010
    DESCRIPTION (provided by applicant): Under Medicare Part D, seniors can choose to receive drug coverage through either a stand-alone Prescription Drug Plan (PDP) or through Medicare Advantage (MAPDP), which bundles together Parts A, B ..
  87. Understanding Racial and Ethnic Disparities in Outcomes of Medicare Home Health C
    JOAN DAVITT; Fiscal Year: 2010
    DESCRIPTION (provided by applicant): Reports have highlighted the significant cuts in Medicare home health benefits recently. Racial/ethnic minorities have been especially affected...
  88. Drug Coverage and Cost Offsets: Two-Part Models with Endogenous Treatment Effects
    JOSEPH TERZA; Fiscal Year: 2009
    ..conduct an empirical investigation of the cost-offset effects of certain types of prescription coverage chosen by Medicare beneficiaries using data from the Medicare Current Beneficiary Survey (MCBS) for 1997 through 2004...
  89. Economic and Policy Analyses in Geriatric Disease
    EKATERINA NOYES; Fiscal Year: 2006
    ..in the treatment of early PD; 2) elderly chronically ill patients use more health services than do general Medicare beneficiaries; and 3) disability and long-term care are the main sources of expenses associated with chronic ..
  90. Implications of cardiovascular technology diffusion among Medicare beneficiaries
    PETER GROENEVELD; Fiscal Year: 2009
    ..of coverage indications for implantable cardioverter- defibrillators (2003 and 2005) by the Centers for Medicare and Medicaid Services (CMS), have made hundreds of thousands of elderly Medicare beneficiaries newly eligible ..
  91. Stroke Hospitalization in the Elderly with Medicare FFS
    Judith Lichtman; Fiscal Year: 2009
    ..We have assembled an unprecedented national resource by creating a longitudinal Medicare database for fee-for-service (FFS) patients hospitalized with vascular diagnoses over the years 1992-2003, with ..