medicare part b

Summary

Summary: The voluntary portion of Medicare, known as the Supplementary Medical Insurance (SMI) Program, that includes physician's services, home health care, medical services, outpatient hospital services, and laboratory, pathology, and radiology services. All persons entitled to Medicare Part A may enroll in Medicare Part B on a monthly premium basis.

Top Publications

  1. ncbi Trends in laboratory test volumes for Medicare Part B reimbursements, 2000-2010
    Shahram Shahangian
    From the Division of Laboratory Programs, Standards, and Services, Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia Drs Shahangian and Astles and Messrs Yesupriya and Alspach
    Arch Pathol Lab Med 138:189-203. 2014
  2. pmc Retiree health insurance: recent trends and tomorrow's prospects
    Lauren A McCormack
    University of Wisconsin at Madison, USA
    Health Care Financ Rev 23:17-34. 2002
  3. pmc An interpersonal continuity of care measure for Medicare Part B claims analyses
    Fredric D Wolinsky
    Iowa City Veterans Affairs Medical Center, Iowa, USA
    J Gerontol B Psychol Sci Soc Sci 62:S160-8. 2007
  4. ncbi Private health insurance and medical care utilization: evidence from the Medicare population
    N McCall
    School of Public Health, University of California, Los Angeles
    Inquiry 28:276-87. 1991
  5. ncbi 'Real change' in system won't come overnight. Interview by Patrick Mullen
    Thomas Scully
    Manag Care 11:36, 39-42. 2002
  6. ncbi Billing and coding 101 for CNSs
    Patricia S Moore
    Patricia S Moore Clinical Solutions, LLC, 968 Junco Drive, Columbus, IN 47203, USA
    Clin Nurse Spec 17:241-2. 2003
  7. ncbi Medicare challenges and solutions--reimbursement issues in treating the patient with colorectal cancer
    Kathleen Kaa
    Lash Group, San Bruno, California 94066, USA
    J Manag Care Pharm 13:S19-26. 2007
  8. ncbi Palliative care: the legal & regulatory requirements
    Connie A Raffa
    Life Sciences Department, Arent Fox Kintner Plotkin and Kahn, PLLC s, New York, USA
    Caring 22:6-9. 2003
  9. ncbi Unhealthy trends: the future of physician services
    Hoangmai H Pham
    Center for Studying Health System Change, USA
    Health Aff (Millwood) 26:1586-98. 2007
  10. ncbi Medicare fees for physician services are resource-based
    Paul L Grimaldi
    State Healthcare Division of Affiliated Computer Services, Inc, Rockville, MD, USA
    J Health Care Finance 28:88-104. 2002

Detail Information

Publications216 found, 100 shown here

  1. ncbi Trends in laboratory test volumes for Medicare Part B reimbursements, 2000-2010
    Shahram Shahangian
    From the Division of Laboratory Programs, Standards, and Services, Center for Surveillance, Epidemiology, and Laboratory Services, Centers for Disease Control and Prevention, Atlanta, Georgia Drs Shahangian and Astles and Messrs Yesupriya and Alspach
    Arch Pathol Lab Med 138:189-203. 2014
    ..To date, however, there has been no report, to our knowledge, of longitudinal trends in national laboratory test use...
  2. pmc Retiree health insurance: recent trends and tomorrow's prospects
    Lauren A McCormack
    University of Wisconsin at Madison, USA
    Health Care Financ Rev 23:17-34. 2002
    ..The forces discouraging its growth--rising premium costs, a slower economy, judicial challenges, and an uncertain Medicare+Choice (M+C) program and policy agenda--far outweigh the forces likely to encourage expansion...
  3. pmc An interpersonal continuity of care measure for Medicare Part B claims analyses
    Fredric D Wolinsky
    Iowa City Veterans Affairs Medical Center, Iowa, USA
    J Gerontol B Psychol Sci Soc Sci 62:S160-8. 2007
    ..This article presents an interpersonal continuity of care measure...
  4. ncbi Private health insurance and medical care utilization: evidence from the Medicare population
    N McCall
    School of Public Health, University of California, Los Angeles
    Inquiry 28:276-87. 1991
    ..The results show that policy ownership has a substantial, positive impact on service usage and costs, particularly for beneficiaries in fair or poor health. The greatest impact was found for policies that provide first-dollar coverage...
  5. ncbi 'Real change' in system won't come overnight. Interview by Patrick Mullen
    Thomas Scully
    Manag Care 11:36, 39-42. 2002
  6. ncbi Billing and coding 101 for CNSs
    Patricia S Moore
    Patricia S Moore Clinical Solutions, LLC, 968 Junco Drive, Columbus, IN 47203, USA
    Clin Nurse Spec 17:241-2. 2003
  7. ncbi Medicare challenges and solutions--reimbursement issues in treating the patient with colorectal cancer
    Kathleen Kaa
    Lash Group, San Bruno, California 94066, USA
    J Manag Care Pharm 13:S19-26. 2007
    ..Medicare and private payers are legally required by federal statute to cover anticancer chemotherapeutic products based on U.S. Food and drug administration-approved labeling and indicate how off-label uses are covered...
  8. ncbi Palliative care: the legal & regulatory requirements
    Connie A Raffa
    Life Sciences Department, Arent Fox Kintner Plotkin and Kahn, PLLC s, New York, USA
    Caring 22:6-9. 2003
    ..In the first article of a two-part series, the author reviews licensing issues, reimbursement requirements, fraud and abuse pitfalls, and cost report requirements for home health agency palliative care programs...
  9. ncbi Unhealthy trends: the future of physician services
    Hoangmai H Pham
    Center for Studying Health System Change, USA
    Health Aff (Millwood) 26:1586-98. 2007
    ..Medicare can lead longer-term efforts to incorporate more per episode and capitated elements into the payment system, revamping incentives for physicians...
  10. ncbi Medicare fees for physician services are resource-based
    Paul L Grimaldi
    State Healthcare Division of Affiliated Computer Services, Inc, Rockville, MD, USA
    J Health Care Finance 28:88-104. 2002
    ..RBRVS implementation required significant changes in the coding system used to document and bill physician services, particularly medical visits and consultations...
  11. ncbi The state of hospice in America. Looking back, looking forward
    Carina T Deans
    Caring 23:44-57. 2004
  12. ncbi Medicare payment system for ambulatory surgical centers
    Judith J Baker
    Resource Group, Ltd, Dallas, TX, USA
    J Health Care Finance 28:76-87. 2002
    ..The fee schedule is geographically wage adjusted and is updated annually. Anticipated future adjustments to the Ambulatory Surgical Centers prospective payment system (PPS) includes conversion to resource based rates...
  13. ncbi Medicare's risk-adjusted capitation method
    Paul L Grimaldi
    State Healthcare Division of Affiliated Computer Services, Inc, Rockville, MD, USA
    J Health Care Finance 28:105-19. 2002
    ..These changes were expected to increase the number of participating health plans, accelerate Medicare enrollment growth, and slice Medicare spending...
  14. ncbi Lessons learned from advanced practice nursing payment
    Eileen M Sullivan-Marx
    University of Pennsylvania, School of Nursing, PA, USA
    Policy Polit Nurs Pract 9:121-6. 2008
    ....
  15. doi Medicare part B: physician participation options
    Sanaz Hariri
    Massachusetts General Hospital, Boston, MA 02114 2696, USA
    J Bone Joint Surg Am 90:2282-91. 2008
  16. ncbi First things first. Medicare must be fixed before adding a hugely expensive drug benefit
    Marvin Wool
    Mod Healthc 32:27. 2002
  17. ncbi Medicare cost controls and program compliance: the rationale of physician claims edits
    Darren Carter
    J Med Pract Manage 18:115-9. 2002
    ..Many resources are available to aid physicians, including computerized tools, new CMS initiatives, and Internet materials...
  18. ncbi Medicare cuts. Will patients pay the price?
    Wayne J Guglielmo
    Med Econ 80:81-4, 86, 96. 2003
  19. ncbi Frank words from the top. Interview by Wayne J. Guglielmo
    Thomas A Scully
    Med Econ 80:96-7. 2003
  20. pmc Combining health plan performance indicators into simpler composite measures
    Alan M Zaslavsky
    Health Care Financ Rev 23:101-15. 2002
    ..These summaries are substantively interpretable, internally consistent, and describe the majority of variation among units in the performance scores analyzed...
  21. pmc Supplemental Insurance for Community Aged and Disabled Beneficiaries: 1999
    Lauren A Murray
    Health Care Financ Rev 23:161-3. 2002
  22. ncbi Shared services billing
    Quinten A Buechner
    ProActive Consultants, Cumberland, Wis, USA
    Adv Nurse Pract 11:21. 2003
  23. ncbi Testing the effect of quality reports on the health plan choices of Medicare beneficiaries
    Jennifer D Uhrig
    Division of Health Economics Research, RTI International, Research Triangle Park, NC 27709 2194, USA
    Inquiry 39:355-71. 2002
    ..Furthermore, beneficiaries choosing among HMOs were not inclined to select a low-cost HMO, even when it was rated higher in quality. Implications for policy are discussed...
  24. ncbi Incident-to billing not worth the professional price
    Janis Bonat
    Department of Family Medicine s Outpatient Academic Practice, Thomas Jefferson University, Philadelphia, USA
    Adv Nurse Pract 11:19. 2003
  25. ncbi Practical billing and coding concepts. Understanding the complexities
    Quinten A Buechner
    ProActive Consultants Cumberland, Wis, USA
    Adv Nurse Pract 10:37-40. 2002
  26. ncbi Medicare's ambulance fee schedule dispatched
    Paul L Grimaldi
    Affiliated Computer Services, Inc, Rockville, Maryland, USA
    Healthc Financ Manage 56:60-8. 2002
    ..Higher fees have been implemented for rural transports and air ambulance services. Lower fees have been implemented for urban transports. Providers and suppliers must revise chargemasters, policies, and procedures...
  27. ncbi The telehealth divide: disparities in searching public health information online
    Mary Schmeida
    Cleveland Clinic, 9500 Euclid Avenue, Cleveland, OH 44195, USA
    J Health Care Poor Underserved 18:637-47. 2007
    ..However, people without Internet access and experience (perhaps the oldest and poorest) remain disadvantaged with respect to accessing critical information that can link them to needed health care services...
  28. ncbi Relative value units: from A to Z (Part I of IV)
    Kathryn P Glass
    MGMA Center for Research, 104 Inverness Terrace East, Englewood, CO 80112, USA
    J Med Pract Manage 17:225-8. 2002
    ....
  29. ncbi New edits address Parts A and B overlap
    B J Ulrich
    Provider 28:49. 2002
  30. ncbi Medicare cuts: Jeopardizing a generation
    Brenda Williams
    Tenn Med 98:119-21. 2005
  31. ncbi Medicare coverage and reimbursement of outpatient prescription drugs in the US: history, recent changes and outlook for the future
    Sharon Forrest
    BioMedCom Consultants Inc, Montreal, Quebec, Canada
    Appl Health Econ Health Policy 4:9-14. 2005
    ..Outpatient coverage, including a limited pharmacy benefit, is provided by Medicare Part B. Even with very restrictive criteria, Part B incurs 8...
  32. ncbi CMS overhauls Medicare appeals
    Susan LaPadula
    Inter County Medical Reimbursement Specialists, California, USA
    Provider 31:43-5. 2005
  33. ncbi A geologic survey of the medicare RBRVS system
    Tim R Williams
    The Lynn Regional Cancer Center, Boca Raton Community Hospital, Boca Raton, Florida 33486, USA
    J Am Coll Radiol 1:192-8. 2004
    ..This article uses an unusual approach to describe the components of the RBRVS equation, how those relative values are developed and managed, and how they relate to each other, even though each one is calculated differently...
  34. ncbi MedPAC tackles growth rate. Repeal current formula or find new system: report
    Jennifer Lubell
    Mod Healthc 37:10. 2007
  35. ncbi Economics of critical care: Medicare part A versus part B payments
    David R Gerber
    Section of Critical Care Medicine, Division of Cardiovascular Disease and Critical Care Medicine, Cooper University Hospital, Camden, NJ, USA
    Crit Care Med 34:S82-7. 2006
    ..To review the effect of Medicare part A payments (to hospitals) and part B payments (to providers) on critical care in the United States...
  36. ncbi How to bill for services performed by nonphysician practitioners
    Betsy Nicoletti
    Fam Pract Manag 13:45-6, 48. 2006
  37. ncbi Medicare: the basics
    Earl Goldberg
    La Salle University, USA
    Pa Nurse 61:11. 2006
  38. ncbi Medicare in interventional pain management: A critical analysis
    Laxmaiah Manchikanti
    Pain Management Center of Paducah, Paducah, Kentucky 42003, USA
    Pain Physician 9:171-97. 2006
    ..In 2006 and beyond, interventionalists will face a number of evolving economic and policy-related issues, including reimbursement discrepancies, issues related to CPT coding, issues related to utilization, fraud, and abuse...
  39. ncbi Why we will never get an increase in our Medicare fee schedules
    Jim Denning
    Discover Vision Centers, Kansas City, USA
    Mo Med 103:206-8. 2006
  40. pmc The use of intraservice work per unit of time (IWPUT) and the building block method (BBM) for the calculation of surgical work
    Charles D Mabry
    American College of Surgeons, General Surgery Coding and Reimbursement Committee, Chicago, IL, USA
    Ann Surg 241:929-38; discussion 938-40. 2005
    ....
  41. pmc Are regional variations in end-of-life care intensity explained by patient preferences?: A Study of the US Medicare Population
    Amber E Barnato
    Center for Research on Health Care, University of Pittsburgh, Pittsburgh, Pennsylvania 15312, USA
    Med Care 45:386-93. 2007
    ..We sought to test whether variations across regions in end-of-life (EOL) treatment intensity are associated with regional differences in patient preferences for EOL care...
  42. ncbi Medicare savings programs: helping those on Medicare pay for health care
    Susan C Reinhard
    Center for State Health Policy in the Institute for Health, Health Care Policy, and Aging Research at Rutgers University, New Brunswick, NJ, USA
    Am J Nurs 104:62-4. 2004
  43. ncbi Resource-based relative value units: a primer for academic family physicians
    Sarah E Johnson
    Department of Family Medicine, University of North Carolina, Chapel Hill 27599, USA
    Fam Med 34:172-6. 2002
    ..Rapid changes in health care make comparisons to work done 2 decades ago difficult. Understanding the strengths and limitations of RVUs as they apply to family physicians is fundamental to safeguarding the role of primary care...
  44. ncbi Pay for reporting: the 2007 1.5% Medicare bonus
    Betsy Nicoletti
    J Med Pract Manage 22:348-9. 2007
  45. ncbi Billing Medicare. Are you ready?
    Mindy Benedict
    Baptist Medical Center Beaches, Jacksonville Beach, Fla, USA
    Health Care Food Nutr Focus 18:8-9. 2002
  46. ncbi How do your fees mesh?
    Dorothy L Pennachio
    Med Econ 81:26-30. 2004
  47. ncbi Medicare reform and social insurance: the clashes of 2003 and their potential fallout
    Theodore R Marmor
    Yale University, USA
    Yale J Health Policy Law Ethics 5:475-89. 2005
  48. ncbi Economic factors affecting head and neck reconstructive microsurgery: the surgeons' and hospital's perspective
    Frederic W B Deleyiannis
    Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Pittsburgh, Pittsburgh, PA, USA
    Plast Reconstr Surg 120:157-65. 2007
    ..The purpose of this study was to determine the relative financial value of providing the service of free-tissue transfer for head and neck reconstruction from the surgeons' and hospital's perspective...
  49. ncbi Physician services in an academic neurology department: using the resource-based relative-value scale to examine physician activities
    E R Becker
    Department of Health Policy and Management, Rollins School of Public Health at Emory University, Atlanta, Georgia, USA
    J Health Care Finance 27:79-91. 2001
    ..Using the physician work relative values in the MFS provides a unique perspective for analyzing and understanding neurologists' work activities...
  50. ncbi Validation of physician survey estimates of surgical time using operating room logs
    Nancy McCall
    RTI International
    Med Care Res Rev 63:764-77. 2006
    ..Given that half of the studied surgical procedures is a subset of services that anchors the MFS, surgical times for other related services are likely to be overstated as well...
  51. ncbi Caps cause worries. Doc payments could be limited for imaging
    Jennifer Lubell
    Mod Healthc 36:32. 2006
  52. ncbi Government and private insurance medical programs as well as MDVIP, an update
    Richard F Edlich
    Research Program, Department of Plastic Surgery, University of Virginia Health System, Charlottsville, Virginia, USA
    J Long Term Eff Med Implants 14:243-50. 2004
    ..b>Medicare Part B, however, must be paid by the individual through premiums to the Federal government...
  53. ncbi Urine drug testing in the treatment of chronic noncancer pain in a Kentucky private neuroscience practice: the potential effect of Medicare benefit changes in Kentucky
    John W Gilbert
    Spine and Brain Neurosurgical Center, Lexington, KY, USA
    Pain Physician 13:187-94. 2010
    ..However, changes in Medicare local carrier determinations for Medicare Part B providers in Connecticut, Indiana, Kentucky, and New York went into effect on July 1, 2009, whereby ..
  54. pmc Out-of-pocket health spending by poor and near-poor elderly Medicare beneficiaries
    D J Gross
    Public Policy Institute, American Association of Retired Persons, Washington, DC 20049, USA
    Health Serv Res 34:241-54. 1999
    ..care spending is defined to include Medicare deductibles and coinsurance; premiums for private insurance, Medicare Part B, and Medicare HMOs; payments for non-covered goods and services; and balance billing by physicians...
  55. ncbi Optimizing coding and reimbursement to improve management of Alzheimer's disease and related dementias
    Howard Fillit
    Institute for the Study of Aging, New York, New York 10153, USA
    J Am Geriatr Soc 50:1871-8. 2002
    ..related groups (DRGs), and common procedural terminology (CPT) coding and reimbursement issues (including Medicare Part B reimbursement for physicians) encountered in caring for patients with Alzheimer's disease and related ..
  56. pmc Distal radial fracture treatment: what you get may depend on your age and address
    Jason Fanuele
    Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire, USA
    J Bone Joint Surg Am 91:1313-9. 2009
    ..S. Medicare population stratified by hospital referral region and (2) whether the type of fracture treatment is affected by patient age, race, sex, comorbidity, or hospital referral region...
  57. ncbi Practice patterns in benign prostatic hyperplasia surgical therapy: the dramatic increase in minimally invasive technologies
    Xinhua Yu
    Division of Health Policy and Management, School of Public Health, University of Minnesota, Minneapolis, Minnesota 55455, USA
    J Urol 180:241-5; discussion 245. 2008
    ..We describe the trends in transurethral prostatectomy and minimally invasive surgical treatments for benign prostate hyperplasia from 1999 through 2005 among elderly male Medicare beneficiaries...
  58. ncbi Intraoperative cholangiography and risk of common bile duct injury during cholecystectomy
    David R Flum
    The Robert Wood Johnson Clinical Scholars Program, The Department of Surgery, University of Washington, Seattle 98195 6410, USA
    JAMA 289:1639-44. 2003
    ..Intraoperative cholangiography (IOC) may decrease the risk of common bile duct (CBD) injury during cholecystectomy by helping to avoid misidentification of the CBD...
  59. ncbi Do emergency medicine physicians perform ultrasound and conventional radiography in the emergency department? Recent trends from 1993 to 2001
    Andrea J Maitino
    Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
    J Am Coll Radiol 2:274-8. 2005
    ..To examine trends in emergency medicine physicians' participation in diagnostic ultrasound and conventional radiography from 1993 to 2001...
  60. ncbi Recent shifts in place of service for noninvasive diagnostic imaging: have hospitals missed an opportunity?
    David C Levin
    Department of Radiology, Center for Research on Utilization of Imaging Services, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
    J Am Coll Radiol 6:96-9. 2009
    ..The aim of this study was to examine recent shifts in place of service for noninvasive diagnostic imaging (NDI) and determine whether hospitals have lost business to private outpatient imaging facilities...
  61. ncbi Ownership or leasing of CT scanners by nonradiologist physicians: a rapidly growing trend that raises concern about self-referral
    David C Levin
    Department of Radiology, Center for Research on Utilization of Imaging Services, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
    J Am Coll Radiol 5:1206-9. 2008
    ..The aim of this study was to examine recent nationwide trends in the ownership or leasing of computed tomographic (CT) scanners in private offices by nonradiologist physicians...
  62. ncbi Trends in PET scanner ownership and leasing by nonradiologist physicians
    Rajan Agarwal
    Department of Radiology, University of Pennsylvania Health System, Philadelphia, Pennsylvania, USA
    J Am Coll Radiol 7:187-91. 2010
    ..The aim of this study was to examine growth trends in ownership or leasing of private-office PET scanners by nonradiologist physicians...
  63. ncbi Detection of prostate cancer via biopsy in the Medicare-SEER population during the PSA era
    H Gilbert Welch
    VA Outcomes Group 111B, Department of Veterans Affairs Medical Center, White River Junction, VT 05009, USA
    J Natl Cancer Inst 99:1395-400. 2007
    ..We sought national estimates on the proportion of men found to have prostate cancer after a needle biopsy of the prostate and the risk of subsequent biopsies among those not found to have prostate cancer...
  64. ncbi The impact of medicare funding on the use of mammography among older women: implications for improving access to screening
    M Kelaher
    Mailman School of Public Health, Columbia University, New York, NY 10032, USA
    Prev Med 31:658-64. 2000
    In 1991, a policy change extended finan cial coverage for biennial mammography to holders of Medicare part B. The impact of this decision on mammography use was examined by comparing mammography use among Medicare-eligible and ineligible ..
  65. ncbi Specialty of principal care physician and Medicare expenditures in patients with coronary artery disease: impact of comorbidity and severity
    R L McNamara
    Department of Epidemiology, Johns Hopkins Medical Institutions, Baltimore, MD, USA
    Am J Manag Care 7:261-6. 2001
    ..To explore differences in expenditures for elderly patients with acute and chronic coronary artery disease according to the specialty of the principal care physician...
  66. ncbi Chronic kidney disease and medicare
    Wendy L St Peter
    College of Pharmacy at the University of Minnesota, Minneapolis, MN 55404, USA
    J Manag Care Pharm 13:S13-8. 2007
    ..The ESRD population faces significant hurdles when using the new Part D benefit. To understand those challenges, a basic understanding of Part D is needed...
  67. ncbi Who gets paid for diagnostic imaging, and how much?
    David C Levin
    Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA
    J Am Coll Radiol 1:931-5. 2004
    To determine the apportionment of Medicare Part B payments for noninvasive diagnostic imaging among radiologists and other specialists and to ascertain the trends in these payments over a recent 5-year period.
  68. ncbi A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care
    Lawrence A Lavery
    Texas A and M Health Science Center College of Medicine, Department of Surgery, Scott and White Hospital, Temple, TX 78628, USA
    Int Wound J 4:103-13. 2007
    ..We analysed claims data for Medicare part B diabetic foot ulcer patients treated with Negative Pressure Wound Therapy at home (N = 1135) and diabetic ..
  69. ncbi Use of generic cardiovascular medications by elderly Medicare beneficiaries receiving generalist or cardiologist care
    Alex D Federman
    Division of General Internal Medicine, Mount Sinai School of Medicine, New York 10029, USA
    Med Care 45:109-15. 2007
    ..Physicians play a key role in determining use of generics and specialty may be a particularly influential factor...
  70. ncbi Medicare part D: selected issues for plan sponsors, pharmacists, and beneficiaries in 2008
    Ronnie Depue
    Coventry Health Care, 4300 Cox Rd, Glen Allen, VA 23060, USA
    J Manag Care Pharm 14:50-60. 2008
    ..There was continued emphasis on enrollment in the second year in 2007, with some refinement of the benefit such as removal of coverage for erectile dysfunction drugs...
  71. ncbi Vertebroplasty in the United States: guidance method and provider distribution, 2001-2003
    William B Morrison
    Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, PA 19107, SA
    Radiology 243:166-70. 2007
    ..To use the nationwide Medicare database to retrospectively evaluate the provider distribution for vertebroplasty, as well as the guidance method used in the United States...
  72. ncbi Reimbursement trends for outpatient interventional radiology procedures: comparison of hospital and freestanding physician office sites of service
    Adam D Talenfeld
    Section of Vascular and Interventional Radiology, Mount Sinai Medical Center, New York, NY, USA
    J Am Coll Radiol 6:417-27. 2009
    ..The aim of this study was to compare trends in reimbursement rates between hospital outpatient departments and freestanding physician offices for commonly performed interventional radiology procedures from 2006 through 2010...
  73. ncbi Recent trends in utilization of vascular ultrasound among radiologists, surgeons, cardiologists, and other physicians
    David C Levin
    Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, PA 19107, USA
    J Am Coll Radiol 4:125-7. 2007
    ..To determine how much vascular ultrasound is performed by the various medical specialties and to assess the utilization trends among them in recent years...
  74. ncbi Failure to vaccinate Medicare inpatients: a missed opportunity
    Dale W Bratzler
    Health Care Quality Improvement Program, Oklahoma Foundation for Medical Quality, Inc, 14000 Quail Springs Pkwy, Suite 400, Oklahoma City, OK 73134, USA
    Arch Intern Med 162:2349-56. 2002
    ..Hospitalized elderly patients are at risk for subsequent influenza and pneumococcal disease. Despite this risk, they are often not vaccinated in this setting...
  75. ncbi The changing roles of radiologists, cardiologists, and vascular surgeons in percutaneous peripheral arterial interventions during a recent five-year interval
    David C Levin
    Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
    J Am Coll Radiol 2:39-42. 2005
    ....
  76. ncbi Estimating anesthesia and surgical procedure times from medicare anesthesia claims
    Jeffrey H Silber
    The Center for Outcomes Research, The Children s Hospital of Philadelphia, PA 19104, USA
    Anesthesiology 106:346-55. 2007
    ..However, due to the need for costly chart review, most studies are limited to single-institution analyses. In this article, the authors describe how well the anesthesia claim from Medicare can estimate chart times...
  77. ncbi The sensitivity of Medicare data for identifying incident cases of invasive melanoma (United States)
    David A Barzilai
    Skin Diseases Research Center, University Hospitals of Cleveland, Case Western Reserve University, Cleveland OH 44106, USA
    Cancer Causes Control 15:179-84. 2004
    ..The completeness of Medicare claims for identifying patients with melanoma for purposes of conducting population-based studies of melanoma is unknown...
  78. ncbi Recent payment and utilization trends in radionuclide myocardial perfusion imaging: comparison between self-referral and referral to radiologists
    David C Levin
    Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, PA 19107, USA
    J Am Coll Radiol 6:437-41. 2009
    ..The aim of this study was to examine the effects of self-referral by comparing recent trends in payments and utilization rates for radionuclide myocardial perfusion imaging (MPI) among radiologists and cardiologists between 1998 and 2006...
  79. ncbi Geographic variation of lower-extremity major amputation in individuals with and without diabetes in the Medicare population
    J S Wrobel
    Veterans Affairs Medical and Regional Office Center, White River Junction, Vermont 05009, USA
    Diabetes Care 24:860-4. 2001
    ..To describe geographic variation in rates of lower-limb major amputation in Medicare patients with and without diabetes...
  80. pmc Racial similarities in response to standardized offer of influenza vaccination. A MetroNet study
    Kendra L Schwartz
    Department of Family Medicine, Wayne State University, Detroit, MI, USA
    J Gen Intern Med 21:346-51. 2006
    Despite known benefits of influenza vaccination and coverage by Medicare Part B, elderly minority patients are less likely to receive influenza vaccination than whites.
  81. ncbi CPT fee differentials and visit upcoding under Medicare Part B
    Christopher S Brunt
    School of Business, Lake Superior State University, MI, USA
    Health Econ 20:831-41. 2011
    b>Medicare Part B pays outpatient physicians according to the billed Current Procedural Terminology (CPT) codes, which differ in procedure and intensity...
  82. ncbi Recent trends in utilization of cardiovascular imaging: how important are they for radiology?
    David C Levin
    Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, PA 19107, USA
    J Am Coll Radiol 2:736-9. 2005
    ..To determine (a) the role cardiovascular imaging (CVI) plays within the spectrum of noninvasive diagnostic imaging (NDI), (b) the role radiologists play in CVI, and (c) recent trends in CVI workload among radiologists and cardiologists...
  83. pmc Relationship of primary care physicians' patient caseload with measurement of quality and cost performance
    David J Nyweide
    Office of Research, Development, and Information, Centers for Medicare and Medicaid Services, 7500 Security Blvd, C3 21 28, Baltimore, MD 21244, USA
    JAMA 302:2444-50. 2009
    ..Sufficient numbers of patients are necessary to generate statistically reliable measurements of physicians' quality and cost performance...
  84. ncbi Nationwide trends in rates of utilization of noninvasive diagnostic imaging among the Medicare population between 1993 and 1999
    Andrea J Maitino
    Department of Radiology, Thomas Jefferson University Hospital, Suite 3390, Gibbon Bldg, 111 S 11th St, Philadelphia, PA 19107, USA
    Radiology 227:113-7. 2003
    ..To determine current utilization rates and recent nationwide trends for noninvasive diagnostic imaging (NDI) among the Medicare population...
  85. ncbi Comparative increases in utilization rates of ultrasound examinations among radiologists, cardiologists, and other physicians from 1993 to 2001
    David C Levin
    Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania 19107, USA
    J Am Coll Radiol 1:549-52. 2004
    ..To ascertain changes in the utilization rates of diagnostic ultrasound among radiologists, cardiologists, and other physicians in recent years...
  86. ncbi Spinal injection procedures: volume, provider distribution, and reimbursement in the U.S. medicare population from 1993 to 1999
    John A Carrino
    Department of Radiology, Thomas Jefferson University Hospital, 111 S 11th St, 3390 Gibbon, Philadelphia, PA 19107, USA
    Radiology 225:723-9. 2002
    ..To evaluate spinal injection procedures for trends in volume, reimbursement, and physician specialty participation...
  87. ncbi Endovascular repair vs open surgical repair of abdominal aortic aneurysms: comparative utilization trends from 2001 to 2006
    David C Levin
    Center for Research on Utilization of Imaging Services, Department of Radiology, Thomas Jefferson University Hospital and Jefferson Medical College, Philadelphia, Pennsylvania, USA
    J Am Coll Radiol 6:506-9. 2009
    ..The aim of this study was to determine to what extent EVAR is replacing OSR, whether the frequency of treatment is increasing with the advent of the less invasive approach, and which specialties are performing the procedures...
  88. ncbi Challenges in recruiting minority-serving private practice primary care physicians to a quality improvement project
    Thomas P Meehan
    Qualidigm, Rocky Hill, CT, USA
    Am J Med Qual 26:357-63. 2011
    ..The authors identified eligible physicians by analyzing Medicare Part B claims data, a publicly available physician database, and office staff responses to telephone inquiries...
  89. ncbi Changes in procedure volume and service provider distribution among radiologists and nonradiologists in dual-energy x-ray absorptiometry between 1996 and 2002
    Charles M Intenzo
    Department of Radiology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA
    J Am Coll Radiol 2:662-4. 2005
    ..To determine changes in the number of dual-energy x-ray absorptiometry (DEXA) procedures performed in the United States, as well as changes in the relative number of procedures performed by radiologists and nonradiologists...
  90. ncbi Medicare Part D coverage and its influence on transplant patients' out-of-pocket prescription expenses
    M A Chisholm
    University of Georgia College of Pharmacy, Augusta, GA, USA
    Am J Transplant 6:1737-42. 2006
    ..premium costs and benefit stages, but formularies, and, particularly for transplant patients, deciphering how Medicare Part B immunosuppressant coverage influences Part D coverage...
  91. pmc Medicare part B claims for chiropractic spinal manipulation, 1998 to 2004
    James M Whedon
    Health Services Research, The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon, NH, USA
    J Manipulative Physiol Ther 33:558-61. 2010
    The objective of this study was to examine the volume and rate of Medicare Part B claims for chiropractic spinal manipulation longitudinally from 1998 to 2004.
  92. ncbi Cost-effectiveness of 21-gene assay in node-positive, early-stage breast cancer
    Burton F Vanderlaan
    Partnership for Health Analytic Research, Beverly Hills, CA 90212, USA
    Am J Manag Care 17:455-64. 2011
    ..To assess impact on health outcomes and healthcare expenditures of adopting a 21-gene assay for women with early-stage, minimally node-positive, estrogen receptor-positive (N (1-3)/ER) HER2-negative breast cancer...
  93. ncbi The burden of prevention: downstream consequences of Pap smear testing in the elderly
    B E Sirovich
    White River Junction VA Hospital, Vermont, and Dartmouth Medical School, Hanover, New Hampshire, USA
    J Med Screen 10:189-95. 2003
    ..Although cervical cancer is an unusual cause of death among women 65 and older, most elderly women in the US report continuing to undergo periodic Pap smear screening...
  94. ncbi Beyond pharmaceutical manufacturer assistance: broadening the scope of an indigent drug program
    S Weiner
    Department of Medicine, College of Medicine, University of Illinois at Chicago UIC, 840 South Wood Street, M C 787, Chicago, IL 60612 7323, USA
    Am J Health Syst Pharm 58:146-50. 2001
    ..Patients are referred by UICMC providers or may self-refer. Sources of assistance include Medicaid, Medicare Part B, several state programs, manufacturers' programs, drug samples, private insurance plans and HMOs, and the ..
  95. pmc Mammography and pap smear use by older rural women
    D G Ives
    Department of Epidemiology, University of Pittsburgh, PA 15261, USA
    Public Health Rep 111:244-50. 1996
    To compare the characteristics of older women who did and did not have screening mammograms and Pap smears during the first two years both services were a Medicare Part B benefit.
  96. ncbi Medicare reimbursement policy and teaching physicians' behavior in hospital clinics: the changes of 1996
    Robert S Stern
    Department of Dermatology, Beth Israel Deaconess Medical Center, and Department of Dermatology, Harvard Medical School, Boston, Massachusetts 02115, USA
    Acad Med 77:65-71. 2002
    ..To determine the frequency of attending physicians' contacts with residents' patients in hospital-based outpatient clinics and changes in these practices after June 1996...
  97. ncbi Evaluating program effects on institutional delivery in Peru
    Michael J McQuestion
    Johns Hopkins Bloomberg School of Public Health, Population and Family Health Sciences, 615 N Wolfe Street, E 4142, Baltimore, MD 21205, USA
    Health Policy 77:221-32. 2006
    ..Residence in a Proyecto 2000 treatment area did not significantly affect the choice. A cross-level interaction term was insignificant, indicating the two program effects were independent...
  98. ncbi Methodological issues in the use of administrative claims data to study surveillance after cancer treatment
    Ann Butler Nattinger
    Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA
    Med Care 40:IV-69-74. 2002
    ..Administrative claims databases linked to tumor registry data provide an excellent opportunity for studying the follow-up care of cancer patients...
  99. ncbi Cataract surgery and the primary care practitioner
    Howard B Goldman
    Eye Associates of Boca Raton, Boca Raton, FL, USA
    Geriatrics 64:19-22, 25-6. 2009
    Cataract surgery with intraocular lens implantation is the most frequently performed operation in the Medicare Part B population...
  100. ncbi United States Renal Data System assessment of the impact of the National Kidney Foundation-Dialysis Outcomes Quality Initiative guidelines
    Allan J Collins
    US Renal Data System and US Renal Data System Information System, Minneapolis, MN 55404, USA
    Am J Kidney Dis 39:784-95. 2002
    ..adequacy, and simple fistula and dialysis catheter utilization using Medicare dialysis provider claims and Medicare Part B physician services...
  101. pmc Geographic variation in the prevalence of macular disease among elderly medicare beneficiaries in Kansas
    Carol Ann Holcomb
    Department of Human Nutrition, Kansas State University, 210 Justin Hall, Manhattan, KS 66506 1407, USA
    Am J Public Health 95:75-7. 2005
    This study used Medicare Part B claims and enrollment data to estimate the prevalence of macular disease in Kansas at county and area levels...

Research Grants52

  1. Effect of chiropractic on costs of Medicare patients with multiple comorbidities
    William B Weeks; Fiscal Year: 2013
    ..Medicare patients with neuromuscular-skeletal diagnoses who obtain chiropractic care have substantially lower Medicare Part B costs than those who do not...
  2. Relative Price, Payer Mix and Regional Variations in Medical Care
    JONATHAN DAVID KETCHAM; Fiscal Year: 2013
    ..Specifically, we will use data from FAIR Health, Thomson Reuters MarketScan, and Medicare Part B to test whether geographic variations in Medicare spending for physicians can be explained by the ..
  3. Role of Physicians and Their Groups in Cancer Screening
    George Wright; Fiscal Year: 2005
    ..The Ohio sites represent common market structures and include a diversity of medical groups. Medicare Part B and Outpatient claims files for the year 2002 will be analyzed to calculate rates for five screening tests (..
  4. Visual Impairment, Treatment and Effects on the Elderly
    Frank Sloan; Fiscal Year: 2008
    ..Ten papers are anticipated for this four-year study. [unreadable] [unreadable]..
  5. Determinants and Consequences of Alcohol Consumption
    Frank Sloan; Fiscal Year: 2008
    ..abstract_text> ..
  6. PRIVATE AND SOCIAL COST OF SMOKING
    Frank Sloan; Fiscal Year: 2001
    ..We will examine implications of our empirical analysis for tort claims brought against tobacco companies and the evolution of legal theories underlying tobacco tort litigation in a law review article. ..
  7. Development of an Instrument to Measure Health Literacy
    Lauren McCormack; Fiscal Year: 2009
    ....
  8. New Cardiac Surgery Programs: Patients, Outcomes, Access
    FRANCES LUCAS; Fiscal Year: 2008
    ..procedures or result in an overall increase in the population-based rates of care, including CABG and total revascularization (either CABG or percutaneous coronary interventions) as additional capacity is brought online? ..
  9. Bariatric Surgery Outcome/Cost in Medicare Beneficiaries
    David Flum; Fiscal Year: 2006
    ..3. Perform a modeled cost effectiveness analysis of bariatric procedures compared to non-surgical approaches. ..
  10. Impact of Medicaid Prescription Copayments in Patients with Schizophrenia
    Jalpa Doshi; Fiscal Year: 2009
    ..The findings of our study will help inform policymakers about the intended and unintended consequences of prescription copayments in Medicaid patients with schizophrenia. ..
  11. VARIATIONS IN BREAST CANCER TREATMENT AND MORTALITY
    James Goodwin; Fiscal Year: 2002
    ..abstract_text> ..
  12. Heart Failure: Epidemiology & Outcomes in the Elderly
    Lesley Curtis; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
  13. GnRH Agonists For Prostate Cancer: Role of the Urologist
    Vahakn Shahinian; Fiscal Year: 2007
    ..unreadable] [unreadable] [unreadable]..
  14. Promoting Postpartum Weight Loss in Overweight Women
    Truls Ostbye; Fiscal Year: 2007
    ..In addition, extended follow-up will enable evaluation of long-term benefits of the intervention for weight loss and maintenance. ..
  15. Assessing Treatment-Related Harms in Prostate Cancer
    H Welch; Fiscal Year: 2007
    ..The entire process will be repeated on a cohort of men who receive a transurethral resection of the prostate. ..
  16. REDUCING ADVERSE DRUG EVENTS IN THE NURSING HOME
    Jerry Gurwitz; Fiscal Year: 2002
    ..abstract_text> ..
  17. Quality of Follow-up Care for Breast Cancer Survivors
    ANN NATTINGER; Fiscal Year: 2006
    ..g. age, gender, specialty) and of patient characteristics (e.g. race, socioeconomic status, initial therapy). The results will yield important public policy information regarding breast cancer surveillance care. ..
  18. Effects of Mental Parity on High-Cost and Severely-Ill Individuals
    Haiden A Huskamp; Fiscal Year: 2011
    ..We will estimate a combination of two-part random-effects models for longitudinal data, latent class random-effects models, logistic regression models, Poisson regression models, and hazard models to address these aims. ..
  19. MEDICAID MGD CARE FOR CHILDREN WITH SPEC HLTH CARE NEEDS
    JEAN MITCHELL; Fiscal Year: 2003
    ..abstract_text> ..
  20. Impact of Poor Health & AIDS on Small Businesses in SA
    Mark Pauly; Fiscal Year: 2003
    ..They will be useful for predicting the effect of changes in health on economic activity in this sector, and for allocating resources for disease prevention and treatment. ..
  21. Optimizing use of androgen deprivation therapy for prostate cancer
    Vahakn B Shahinian; Fiscal Year: 2010
    ..POP dominant) on care of men on ADT. ..
  22. Surgical Care and Outcomes Assessment Program Comparative Effectiveness Research
    David R Flum; Fiscal Year: 2010
    ..Surgical and interventional services span the continuum of healthcare conditions and SCOAP CERTN will have immediate capacity for investigators interested in almost any of AHRQ's priority conditions. ..
  23. Children with Chronic Health Conditions: Family Impact
    KAREN KUHLTAHU; Fiscal Year: 2002
    ....
  24. ENHANCING FUNCTION OF FRAIL ELDERS BY MODIFYING THE HOME
    Laura Gitlin; Fiscal Year: 2003
    ..abstract_text> ..
  25. OUTCOMES OF OLDER WOMEN WITH EARLY STAGE BREAST CANCER
    ANN NATTINGER; Fiscal Year: 2008
    ..The results will be critical to informing policy initiatives, including determination of how to best reduce socioeconomic disparities in breast cancer outcomes. ..
  26. Health and Health Services Use in the HRS/AHEAD
    FREDRIC WOLINSKY; Fiscal Year: 2008
    ..Linear and non-linear regression and random effects models will also be used where appropriate. [unreadable] [unreadable]..
  27. Obesity and Surgical Outcomes
    Jeffrey H Silber; Fiscal Year: 2010
    ..The multi-institutional OBSOS study will examine differences in outcomes and treatments between obese and normal weight patients, and in so doing, should make important contributions to the care of these patients. ..
  28. UTMB Center for Population Health and Health Disparities
    James Goodwin; Fiscal Year: 2008
    ..unreadable] [unreadable]..
  29. Tailored Activity to Improve Affect in Dementia at Home
    Laura Gitlin; Fiscal Year: 2006
    ..This pilot study will provide critical data by which to refine and standardize the intervention manual and protocols, and structure the design of a large-scale randomized clinical trial. ..
  30. RESEARCH PROGRAM TO PROMOTE OPTIMAL AGING IN PLACE
    Laura Gitlin; Fiscal Year: 2004
    ..It is anticipated that at the conclusion of the grant program the SHI will have an active research program that is multidisciplinary, nationally recognized, and addresses critical issues in independent living. ..
  31. Use of Claims Data to Study Quality of Cancer Care
    James Goodwin; Fiscal Year: 2007
    ..We will then explore the reliability of the provider-level data in order to assess its potential utility in assessing quality of care for individual providers. ..
  32. CONDITIONAL LENGTH OF STAY: A PEDIATRICS OUTCOME MEASURE
    JEFFREY SILBER; Fiscal Year: 2001
    ..Finally, (5) policy recommendations and guidelines for the use of CLOS to measure pediatric quality of care will be developed. ..
  33. Using behavioral economics to understand end-of-life decisions
    Amber E Barnato; Fiscal Year: 2010
    ....
  34. UTILIZATION AND COST OF HEALTH SERVICES BY CDUs
    W Bradford; Fiscal Year: 2003
    ....
  35. KAN-DO: A Family-Based Intervention to Prevent Childhood Obesity
    Truls Ostbye; Fiscal Year: 2010
    ..Participants will be surveyed at baseline (3 months postpartum), 12 and 24 months post-baseline. Extended follow-up will enable evaluation of long-term benefits, and if effective, the KAN-DO intervention can be disseminated broadly. ..
  36. HMO Selection Incentives and Underprovision of MH Care
    Zhun Cao; Fiscal Year: 2006
    ..abstract_text> ..
  37. Provider and Organizational Norms and Care at End of Life (PONCEL): A Study of Tw
    Amber Barnato; Fiscal Year: 2009
    ....
  38. Enhancing the Safety of Warfarin in the Nursing Home
    Jerry Gurwitz; Fiscal Year: 2008
    ..abstract_text> ..
  39. IDENTIFICATION OF CLINICALLY RELEVANT CHANGES IN HRQOL
    FREDRIC WOLINSKY; Fiscal Year: 2002
    ..abstract_text> ..
  40. CYTOKINE MODULATION IN PROLIFERATIVE VITREORETINOPATHY
    GLENN JAFFE; Fiscal Year: 2005
    ..Density-dependent effects of IL-1, TNFalpha, and specific NF-kappaB inhibitors on NF-kappaB-mediated RPE apoptosis will be quantified. IV) To determine whether specific in vivo NF-kappaB blockade inhibits PVR. ..
  41. Cancer Decision Tool Symposium at SMDM Annual Meeting
    Amber Barnato; Fiscal Year: 2005
    ..The 2005 SMDM Annual Meeting is open, and anyone can register to attend. ..
  42. Adverse Outcomes of Dual Use of Health Systems Among Older Male Veterans
    FREDRIC WOLINSKY; Fiscal Year: 2006
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  43. Life Cycle Effects of Health Insurance on Elderly Health
    Jalpa Doshi; Fiscal Year: 2006
    ..We will use these estimates to simulate the effect of changes in the age of Medicare eligibility on health, medical service use and Medicare expenditure. ..
  44. HMO Research Network Conference
    Jerry Gurwitz; Fiscal Year: 2006
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  45. Continuity of Care and Health Outcomes: Does It Really Matter?
    FREDRIC WOLINSKY; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
  46. Hospital-level Variation in Treatment Intensity
    Amber Barnato; Fiscal Year: 2007
    ..This award will facilitate the candidate's transition to an independent health services researcher will lead to future funded studies and quality-improvement activities in Pennsylvania hospitals. ..
  47. Economics of Formulary Design and Mental Health Policy
    Haiden Huskamp; Fiscal Year: 2006
    ..Huskamp the training, mentoring, time and resources to develop the skills that will put her in a position to lead independent research on the economics of pharmaceutical treatment for mental illnesses. ..
  48. Cancer-Related Disparities in the Elderly Population
    Siran Koroukian; Fiscal Year: 2007
    ..abstract_text> ..
  49. Health Information Technology in the Nursing Home
    Jerry Gurwitz; Fiscal Year: 2006
    ..abstract_text> ..