insurance claim review

Summary

Summary: Review of claims by insurance companies to determine liability and amount of payment for various services. The review may also include determination of eligibility of the claimant or beneficiary or of the provider of the benefit; determination that the benefit is covered or not payable under another policy; or determination that the service was necessary and of reasonable cost and quality.

Top Publications

  1. ncbi Validation of diagnostic codes within medical services claims
    Machelle Wilchesky
    Department of Epidemiology and Biostatistics, McGill University, Morrice House, 1140 Pine Avenue West, Montreal, QCH3A 1A3, Canada
    J Clin Epidemiol 57:131-41. 2004
  2. ncbi Adherence and dosing frequency of common medications for cardiovascular patients
    Jay P Bae
    College of Pharmacy, University of Nebraska Medical Center, Nebraska Medical Center, Omaha, NE 68198 6045, USA
    Am J Manag Care 18:139-46. 2012
  3. pmc Comparison of methodologies for calculating quality measures based on administrative data versus clinical data from an electronic health record system: implications for performance measures
    Paul C Tang
    Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301, USA
    J Am Med Inform Assoc 14:10-5. 2007
  4. ncbi Medical chart validation of an algorithm for identifying multiple sclerosis relapse in healthcare claims
    Benjamin J Chastek
    i3 Innovus, Eden Prairie, MN, USA
    J Med Econ 13:618-25. 2010
  5. ncbi [Structural differences between health insurance funds and their impact on health services research: results from the Bertelsmann Health-Care Monitor]
    F Hoffmann
    Universitat Bremen, ZeS, Abteilung Gesundheitsökonomie, Gesundheitspolitik und Versorgungsforschung, 28334 Bremen
    Gesundheitswesen 74:291-7. 2012
  6. ncbi A refined comorbidity measurement algorithm for claims-based studies of breast, prostate, colorectal, and lung cancer patients
    Carrie N Klabunde
    Health Services and Economics Branch, Applied Research Program, National Cancer Institute, Bethesda, MD 20892 7344, USA
    Ann Epidemiol 17:584-90. 2007
  7. ncbi Incidence of and survival after mammary tumors in a population of over 80,000 insured female dogs in Sweden from 1995 to 2002
    Agneta Egenvall
    Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Science, Swedish University of Agricultural Sciences, SE 750 07 Uppsala, Sweden
    Prev Vet Med 69:109-27. 2005
  8. pmc Specificity and sensitivity of claims-based algorithms for identifying members of Medicare+Choice health plans that have chronic medical conditions
    Thomas S Rector
    Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN 55417, USA
    Health Serv Res 39:1839-57. 2004
  9. ncbi A statistical analysis of 'rule-out' diagnoses in outpatient health insurance claims in Japan
    Shinichi Tanihara
    Department of Hygiene and Preventive Medicine, School of Medicine, Fukuoka University, Fukuoka, Japan
    J Eval Clin Pract 17:1070-4. 2011
  10. ncbi A comparison of disease-specific medical expenditures in Japan using the principal diagnosis method and the proportional distribution method
    Shinichi Tanihara
    Department of Hygiene and Preventive Medicine, School of Medicine, Fukuoka University, Jonan ku, Fukuoka, Japan
    J Eval Clin Pract 18:616-22. 2012

Detail Information

Publications224 found, 100 shown here

  1. ncbi Validation of diagnostic codes within medical services claims
    Machelle Wilchesky
    Department of Epidemiology and Biostatistics, McGill University, Morrice House, 1140 Pine Avenue West, Montreal, QCH3A 1A3, Canada
    J Clin Epidemiol 57:131-41. 2004
    ....
  2. ncbi Adherence and dosing frequency of common medications for cardiovascular patients
    Jay P Bae
    College of Pharmacy, University of Nebraska Medical Center, Nebraska Medical Center, Omaha, NE 68198 6045, USA
    Am J Manag Care 18:139-46. 2012
    ..To compare adherence between once-daily (QD) and twice-daily (BID) dosing with chronic-use prescription medications used by patients with cardiovascular disease...
  3. pmc Comparison of methodologies for calculating quality measures based on administrative data versus clinical data from an electronic health record system: implications for performance measures
    Paul C Tang
    Palo Alto Medical Foundation, 795 El Camino Real, Palo Alto, CA 94301, USA
    J Am Med Inform Assoc 14:10-5. 2007
    ..Using data from EHRs will also leverage their clinical content without adding burden to the care process...
  4. ncbi Medical chart validation of an algorithm for identifying multiple sclerosis relapse in healthcare claims
    Benjamin J Chastek
    i3 Innovus, Eden Prairie, MN, USA
    J Med Econ 13:618-25. 2010
    ..Relapse is a common measure of disease activity in relapsing-remitting multiple sclerosis (MS). The objective of this study was to test the content validity of an operational algorithm for detecting relapse in claims data...
  5. ncbi [Structural differences between health insurance funds and their impact on health services research: results from the Bertelsmann Health-Care Monitor]
    F Hoffmann
    Universitat Bremen, ZeS, Abteilung Gesundheitsökonomie, Gesundheitspolitik und Versorgungsforschung, 28334 Bremen
    Gesundheitswesen 74:291-7. 2012
    ....
  6. ncbi A refined comorbidity measurement algorithm for claims-based studies of breast, prostate, colorectal, and lung cancer patients
    Carrie N Klabunde
    Health Services and Economics Branch, Applied Research Program, National Cancer Institute, Bethesda, MD 20892 7344, USA
    Ann Epidemiol 17:584-90. 2007
    ....
  7. ncbi Incidence of and survival after mammary tumors in a population of over 80,000 insured female dogs in Sweden from 1995 to 2002
    Agneta Egenvall
    Department of Clinical Sciences, Faculty of Veterinary Medicine and Animal Science, Swedish University of Agricultural Sciences, SE 750 07 Uppsala, Sweden
    Prev Vet Med 69:109-27. 2005
    ..At the ages 6, 8 and 10 years, 1%, 6% and 13% respectively, of all females had at least one MT claim. The MT mortality was 6 deaths per 10,000 DYAR and increased with age. The overall-case fatality was 6%...
  8. pmc Specificity and sensitivity of claims-based algorithms for identifying members of Medicare+Choice health plans that have chronic medical conditions
    Thomas S Rector
    Center for Chronic Disease Outcomes Research, VA Medical Center, Minneapolis, MN 55417, USA
    Health Serv Res 39:1839-57. 2004
    ..To examine the effects of varying diagnostic and pharmaceutical criteria on the performance of claims-based algorithms for identifying beneficiaries with hypertension, heart failure, chronic lung disease, arthritis, glaucoma, and diabetes...
  9. ncbi A statistical analysis of 'rule-out' diagnoses in outpatient health insurance claims in Japan
    Shinichi Tanihara
    Department of Hygiene and Preventive Medicine, School of Medicine, Fukuoka University, Fukuoka, Japan
    J Eval Clin Pract 17:1070-4. 2011
    ..However, little is known about the statistical profiles of such rule-out diagnoses...
  10. ncbi A comparison of disease-specific medical expenditures in Japan using the principal diagnosis method and the proportional distribution method
    Shinichi Tanihara
    Department of Hygiene and Preventive Medicine, School of Medicine, Fukuoka University, Jonan ku, Fukuoka, Japan
    J Eval Clin Pract 18:616-22. 2012
    ..Therefore, conventional methods for estimating disease-specific medical expenditures assume that all medical care expenditures in a given HIC are spent on only one principal diagnosis even when the HIC contains multiple diagnoses...
  11. ncbi Analgesic usage for low back pain: impact on health care costs and service use
    Molly T Vogt
    University of Pittsburgh School of Medicine, Pittsburgh, PA, USA
    Spine (Phila Pa 1976) 30:1075-81. 2005
    ..Cross-sectional analysis of analgesic use by patients with low back pain (LBP)...
  12. pmc Identification of dementia: agreement among national survey data, medicare claims, and death certificates
    Truls Ostbye
    Department of Community and Family Medicine, Duke University Center for Health Policy, School of Nursing, Duke University Medical Center, Box 2914 Med Ctr, Durham, NC 27710, USA
    Health Serv Res 43:313-26. 2008
    ..To estimate the proportion of seniors with dementia from three independent data sources and their agreement...
  13. ncbi One-year costs of ischemic heart disease among patients with acute coronary syndromes: findings from a multi-employer claims database
    Joseph Menzin
    Boston Health Economics, Inc, 20 Fox Road, Waltham, MA 02451, USA
    Curr Med Res Opin 24:461-8. 2008
    ..Acute coronary syndromes (ACS) are life-threatening disorders requiring intensive medical management or invasive cardiovascular procedures. Limited data exist on the costs and resource utilization associated with ACS...
  14. ncbi Performance of comorbidity scores to control for confounding in epidemiologic studies using claims data
    S Schneeweiss
    Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women s Hospital and Harvard Medical School, Boston, MA 02115, USA
    Am J Epidemiol 154:854-64. 2001
    ..7% and 6.2%, respectively) for predicting mortality. Generalizability of results may be limited to an elderly, predominantly White population with equal access to state-funded health care...
  15. ncbi Incremental third-party costs associated with COPD exacerbations: a retrospective claims analysis
    Andrew P Yu
    Analysis Group Inc, Boston, MA, USA
    J Med Econ 14:315-23. 2011
    ..Exacerbations are a major contributor to the large burden of treating chronic obstructive pulmonary disease (COPD). Estimates of exacerbation costs in the United States are limited...
  16. ncbi Developing alternative methods for determining the incidence, prevalence, and cost burden of coronary heart disease in a corporate population
    Meghan Short Beckowski
    Thomson Reuters, Washington, DC 20008, USA
    J Occup Environ Med 54:1026-38. 2012
    ..To determine the most appropriate methods for estimating the prevalence and incidence of coronary heart disease (CHD), the associated risk factors, and health care costs in a corporate setting...
  17. ncbi Claims data linked to hospital registry data enhance evaluation of the quality of care of breast cancer
    Ari Nareg Meguerditchian
    Clinical and Health Informatics Research Group, McGill University, Montreal, QC, Canada
    J Surg Oncol 101:593-9. 2010
    ..This study assesses the ability to link private payer claims to the National Cancer Data Base (NCDB) and the extent of additional treatment data identified in claims...
  18. ncbi Frequency and cost of chemotherapy-related serious adverse effects in a population sample of women with breast cancer
    Michael J Hassett
    Center for Outcomes and Policy Research, Dana Farber Cancer Institute, 44 Binney Street, 454 STE 21, Boston, MA 02115 6084, USA
    J Natl Cancer Inst 98:1108-17. 2006
    ..The number, nature, and costs of serious adverse effects experienced by younger women receiving chemotherapy for breast cancer outside of clinical trials are unknown...
  19. ncbi [Experience with the linkage of primary and secondary claims data in an intervention trial]
    E Swart
    Institut für Sozialmedizin und Gesundheitsökonomie, Medizinische Fakultät der Otto von Guericke Universität Magdeburg, Magdeburg
    Gesundheitswesen 73:e126-32. 2011
    ..Nevertheless a couple of data protection rules have to be followed; the data linkage offers a high knowledge insight to many health and epidemiological research questions and might be the new gold standard for health services research...
  20. ncbi Cost of illness associated with metastatic breast cancer
    S Rao
    Global Health Outcomes Assessment, Wyeth Research, Collegeville, PA 19426 3930, USA
    Breast Cancer Res Treat 83:25-32. 2004
    ..Multivariate regression analysis showed that as the age increased, the Medicare costs decreased within the MBC cohorts. Less combination treatments were provided for older MBC patients. Cost of illness was inversely proportional to age...
  21. pmc Assessing treatment effects of inhaled corticosteroids on medical expenses and exacerbations among COPD patients: longitudinal analysis of managed care claims
    Manabu Akazawa
    Department of Health Policy and Administration, University of North Carolina at Chapel Hill, CB 7411, Chapel Hill, NC 27599 7411, USA
    Health Serv Res 43:2164-82. 2008
    ..To assess costs, effectiveness, and cost-effectiveness of inhaled corticosteroids (ICS) augmenting bronchodilator treatment for chronic obstructive pulmonary disease (COPD)...
  22. pmc Bouncing-back: rehospitalization in patients with complicated transitions in the first thirty days after hospital discharge for acute stroke
    Amy J H Kind
    Department of Population Health Sciences, Geriatrics Division, University of Wisconsin School of Medicine and Public Health, Wadison, WI, USA
    Home Health Care Serv Q 26:37-55. 2007
    ..Bounce-backs" (movements from a less intensive to a more intensive care setting) soon after hospital discharge are common, but reasons for bouncing-back remain unknown...
  23. ncbi [Garbage in - garbage out? Validity of coded diagnoses from GP claims records]
    A Erler
    Zentrum für Human und Gesundheitswissenschaften, Institut für Gesundheitssystemforschung, Charite Universitatsmedizin Berlin
    Gesundheitswesen 71:823-31. 2009
    ..In GP practices in particular, it is questionable whether claims-based diagnoses realistically reflect the health problems of patients treated over a one year period...
  24. ncbi Effect of a retrospective drug utilization review on potentially inappropriate prescribing in the elderly
    Catherine I Starner
    Prime Therapeutics, Eagan, Minnesota, USA
    Am J Geriatr Pharmacother 7:11-9. 2009
    ..Although the literature suggests DAE are associated with negative health outcomes, educational interventions have had a positive impact on inappropriate prescribing...
  25. ncbi All-cause and potentially disease-related health care costs associated with venous thromboembolism in commercial, Medicare, and Medicaid beneficiaries
    Patrick Lefebvre
    Groupe d Analyse, Ltee, 1000 De La Gauchetière Ouest, Bureau 1200, Montreal, QC, Canada
    J Manag Care Pharm 18:363-74. 2012
    ..Therefore, formulary/policy decision makers should understand the clinical and economic consequences associated with VTE...
  26. ncbi Agreement between administrative claims and the medical record in identifying patients with a diagnosis of hypertension
    Michael F Bullano
    HealthCore Inc, Wilmington, Delaware 19801, USA
    Med Care 44:486-90. 2006
    ..This study evaluated the accuracy of 2 administrative claims-based selection rules to identify patients with hypertension (HTN) using medical records as the gold standard...
  27. ncbi Evaluation of the Washington state screening, brief intervention, and referral to treatment project: cost outcomes for Medicaid patients screened in hospital emergency departments
    Sharon Estee
    Research and Data Analysis Division, Washington State Department of Social and Health Services, Olympia, WA 98504 5204, USA
    Med Care 48:18-24. 2010
    ..We evaluated a screening, brief intervention, and referral to treatment (SBIRT) program, implemented in 9 hospital emergency departments (ED) in Washington State...
  28. ncbi Do women simply complain more? National patient injury claims data show gender and age differences
    Karin Pukk
    Sodersjukhuset, Stockholm, Sweden
    Qual Manag Health Care 12:225-31. 2003
    ..Differences in claims rates have major financial and quality of care implications. Further studies are needed...
  29. pmc Using claims data to examine mortality trends following hospitalization for heart attack in Medicare
    Arlene S Ash
    Health Care Research Unit, Boston University School of Medicine, MA 02118, USA
    Health Serv Res 38:1253-62. 2003
    ....
  30. ncbi Job satisfaction and trust in Health Insurance Review Agency among Korean physicians
    Hoo Yeon Lee
    National Cancer Control Research Institute, National Cancer Center, Republic of Korea
    Health Policy 87:249-57. 2008
    ..To measure Korean physicians' job satisfaction and to examine the relationship between trust in Health Insurance Review Agency (HIRA) and job satisfaction...
  31. 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
    ..The physician claims index can be used in conjunction with a comorbidity index derived from inpatient hospital claims, or employed as a stand-alone measure...
  32. ncbi Agreement of Medicare claims and tumor registry data for assessment of cancer-related treatment
    G S Cooper
    Department of Medicine, Case Western Reserve University, Cleveland, Ohio, USA
    Med Care 38:411-21. 2000
    ..Although health claims data are increasingly used in evaluating variations in patterns of cancer care and outcomes, little is known about the comparability of these data with tumor registry information...
  33. ncbi Increased expenditures for other health conditions after an incident of low back pain
    Ashok Nimgade
    Environmental and Occupational Medicine, Harvard School of Public Health, Boston, MA 02446, USA
    Spine (Phila Pa 1976) 35:769-77. 2010
    ..We reviewed healthcare expenditures in a random sample of 655 patients from a managed health plan with new onset low back pain (LBP) in 1999...
  34. pmc Identification and validation of vertebral compression fractures using administrative claims data
    Jeffrey R Curtis
    Center for Education and Research on Therapeutics of Musculoskeletal Disorders, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA
    Med Care 47:69-72. 2009
    ..Vertebral compression fractures (VCFs) are the most common type of osteoporotic fracture. Administrative claims data might be useful to identify VCFs, but this approach to case finding has received limited evaluation...
  35. ncbi Dementia in community-dwelling elderly patients: A comparison of survey data, medicare claims, cognitive screening, reported symptoms, and activity limitations
    Joyce C Pressley
    Gertrude H Sergievsky Center, College of Physicians and Surgeons, Columbia University, 722 West 168th Street, New York, NY 10032, USA
    J Clin Epidemiol 56:896-905. 2003
    ....
  36. ncbi Workplace health and safety regulations: Impact of enforcement and consultation on workers' compensation claims rates in Washington State
    James Baggs
    Safety and Health Assessment and Research for Prevention Program, Washington State Department of Labor and Industries, Olympia, Washington 98504, USA
    Am J Ind Med 43:483-94. 2003
    ..To address this, we examined changes in lost time workers compensation claims rates for Washington State employers who had (1) no OSHA State Plan (WISHA) activity, (2) enforcement, (3) consultation, and (4) both types of visits...
  37. pmc Validation of ICD-9-CM codes to identify gastrointestinal perforation events in administrative claims data among hospitalized rheumatoid arthritis patients
    Jeffrey R Curtis
    Division of Clinical Immunology and Rheumatology, University of Alabama at Birmingham, FOT 805D, 510 20th Street South, Birmingham, AL 35294, USA
    Pharmacoepidemiol Drug Saf 20:1150-8. 2011
    ..To validate, using physician review of abstracted medical chart data as a gold standard, a claims-based algorithm developed to identify gastrointestinal (GI) perforation cases among rheumatoid arthritis (RA) patients...
  38. ncbi Accuracy of prediction models in the context of disease management
    Guizhou Hu
    BioSignia Inc, 1822 E NC Highway 54, Suite 350, Durham, NC 27713, USA
    Dis Manag 8:42-7. 2005
    ..It also introduces a new accuracy parameter termed "cost concentration," which indicates the model accuracy more explicitly in the context of disease management...
  39. ncbi Depression and fibromyalgia: treatment and cost when diagnosed separately or concurrently
    Rebecca L Robinson
    Eli Lilly and Company, Indianapolis, Indiana 46285, USA
    J Rheumatol 31:1621-9. 2004
    ..Both syndromes share common symptoms and impose significant economic burdens. This study compared claims for treatment and costs of FM plus depression with those for FM or depression alone...
  40. pmc Quantifying morbidities by Adjusted Clinical Group system for a Taiwan population: a nationwide analysis
    Wui Chiang Lee
    Department of Medical Affairs and Planning, Taipei Veterans General Hospital, Taipei City, Taiwan
    BMC Health Serv Res 8:153. 2008
    ..Therefore, the objective of this study was using the ACG system to quantify morbidities for Taiwanese population and to examine their relationship to ambulatory utilizations and costs...
  41. ncbi Validity of gout diagnoses in administrative data
    Leslie R Harrold
    Meyers Primary Care Institute, University of Massachusetts Medical School, Fallon Foundation, and Fallon Community Health Plan, Worcester, Massachusetts 01655, USA
    Arthritis Rheum 57:103-8. 2007
    ..To determine the utility of using administrative data for epidemiologic studies of gout by examining the validity of gout diagnoses in claims data...
  42. ncbi Data sources for measuring comorbidity: a comparison of hospital records and medicare claims for cancer patients
    Carrie N Klabunde
    Health Services and Economics Branch, Applied Research Program, National Cancer Institute, Bethesda, MD 20892 7344, USA
    Med Care 44:921-8. 2006
    ..Identifying appropriate comorbidity data sources is a key consideration in health services and outcomes research...
  43. pmc Fee code creep among general practitioners and family physicians in Ontario: why does the ratio of intermediate to minor assessments keep climbing?
    B Chan
    Institute for Clinical Evaluative Sciences, Ontario, Toronto
    CMAJ 158:749-54. 1998
    ..The authors examine the extent and nature of fee code creep and describe physician characteristics associated with the changes...
  44. ncbi Physician manipulation of reimbursement rules for patients: between a rock and a hard place
    M K Wynia
    Institute for Ethics, American Medical Association, Chicago, Ill 60610, USA
    JAMA 283:1858-65. 2000
    ..Health plan utilization review rules are intended to enforce insurance contracts and can alter and constrain the services that physicians provide to their patients. Physicians can manipulate these rules, but how often they do so is unknown...
  45. pmc Identification of patients with nonmelanoma skin cancer using health maintenance organization claims data
    Melody J Eide
    Department of Dermatology, Henry Ford Hospital, 3031 West Grand Boulevard, Suite 800, Detroit, MI 48202, USA
    Am J Epidemiol 171:123-8. 2010
    ..7% identified with both codes. HMO administrative data can be used to ascertain NMSC with high positive predictive values with either ICD-9-CM or CPT code, but both codes may be necessary among non-HMO patient populations...
  46. pmc Consistency of performance ranking of comorbidity adjustment scores in Canadian and U.S. utilization data
    Sebastian Schneeweiss
    Division of Pharmacoepidemiology and Pharmacoeconomics, Gigham and Women s Hospital and Harvard Medical School, Boston, MA 02120, USA
    J Gen Intern Med 19:444-50. 2004
    ..We sought to evaluate and rank the performance of comorbidity scores across selected U.S. and Canadian elderly populations using health care utilization databases...
  47. ncbi The impact of value-based benefit design on adherence to diabetes medications: a propensity score-weighted difference in difference evaluation
    Feng Zeng
    MedImpact Healthcare Systems, Inc, San Diego, CA 92131, USA
    Value Health 13:846-52. 2010
    ..To evaluate the impact of value-based benefit design (VBBD) on adherence to diabetes medications...
  48. ncbi Patient and hospital characteristics associated with claims and compensations for patient injuries in coronary artery bypass grafting in Finland
    Jutta Järvelin
    Centre for Health Economics CHESS, National Institute for Health and Welfare, Helsinki, Findland
    J Health Serv Res Policy 14:150-5. 2009
    ..And to explore whether either hospital productivity or volume of procedures is related to claims and compensation rates...
  49. pmc The value of specialty oncology drugs
    Dana P Goldman
    Schaeffer Center for Health Policy and Economics, Schools of Pharmacy and Policy, Planning, and Development, University of Southern California, Ralph and Goldy Lewis Hall 214, Los Angeles, CA 90089 0626, USA
    Health Serv Res 45:115-32. 2010
    ..To estimate patients' elasticity of demand, willingness to pay, and consumer surplus for five high-cost specialty medications treating metastatic disease or hematologic malignancies...
  50. ncbi Claiming behaviour in a no-fault system of medical injury: a descriptive analysis of claimants and non-claimants
    Marie M Bismark
    Department of Health Policy and Management, Harvard School of Public Health, Boston, MA, USA
    Med J Aust 185:203-7. 2006
    ....
  51. pmc Injuries as a result of treatment of tibial fractures in children: Claims for compensation submitted to the Patient Insurance Center in Finland
    Sauli Palmu
    Children s Hospital, Helsinki University Central Hospital, Helsinki, Finland
    Acta Orthop 80:78-82. 2009
    ..We analyzed compensation claims concerning treatment of these fractures in Finland. We used this information to determine preventable causes of treatment injuries...
  52. pmc Validation of physician billing and hospitalization data to identify patients with ischemic heart disease using data from the Electronic Medical Record Administrative data Linked Database (EMRALD)
    Karen Tu
    Department of Family and Community Medicine, University of Toronto, Ontario
    Can J Cardiol 26:e225-8. 2010
    ..Reporting of ischemic heart disease (IHD) prevalence in Canada has been based on self-report or patients presenting to hospital. However, IHD often presents and can be managed in the outpatient setting...
  53. ncbi Quality of hysterectomy care in rural Gujarat: the role of community-based health insurance
    M Kent Ranson
    Self Employed Women s Association, Ahmedabad, India
    Reprod Health Matters 10:70-81. 2002
    ..In the case of SEWA, it is most feasible to identify a limited number of hospitals providing better quality care and contract directly with them...
  54. ncbi Challenges and benefits of adding laboratory data to a mortality risk adjustment method
    Elizabeth McCullough
    3M Health Information Systems, Inc, Wallingford, Connecticut 06492, USA
    Qual Manag Health Care 20:253-62. 2011
    ....
  55. ncbi [Prognostic impact of Charlson comorbidity index obtained from medical records and claims data on 1-year mortality and length of stay in gastric cancer patients]
    Min Ho Kyung
    Department of Preventive Medicine, College of Medicine, Korea University, Korea
    J Prev Med Public Health 42:117-22. 2009
    ..We also attempted to assess the prognostic value of these data for predicting 1-year mortality and length of the hospital stay (length of stay)...
  56. ncbi Impact of change in high-density lipoprotein cholesterol from baseline on risk for major cardiovascular events
    David L Laitinen
    Global Health Economics and Outcomes Research, Abbott Laboratories, 200 Abbott Park Road, Abbott Park, IL 60064 6145, USA
    Adv Ther 27:233-44. 2010
    ....
  57. doi Adherence with multiple-combination antihypertensive pharmacotherapies in a US managed care database
    Kenneth C Jackson
    Clin Ther 30:1558-63. 2008
    ..The aim of this analysis was to assess the impact of multiple combination therapies on medication possession ratios (MPRs) in an antihypertensive naive population...
  58. ncbi An administrative claims model suitable for profiling hospital performance based on 30-day mortality rates among patients with heart failure
    Harlan M Krumholz
    Department of Medicine, Yale University School of Medicine, New Haven, CT 06520 8088, USA
    Circulation 113:1693-701. 2006
    ..A model using administrative claims data that is suitable for profiling hospital performance for heart failure would be useful in quality assessment and improvement efforts...
  59. ncbi Measuring underuse of necessary care among elderly Medicare beneficiaries using inpatient and outpatient claims
    S M Asch
    RAND, Santa Monica, CA, USA
    JAMA 284:2325-33. 2000
    ..Traditional approaches to measuring underuse have relied on patient surveys and chart reviews, which are expensive, or simple single-condition claims-based indicators, which are not clinically convincing...
  60. ncbi Mortality of Department of Veterans Affairs patients admitted to private sector hospitals for 5 common medical conditions
    Mary S Vaughan-Sarrazin
    Center for Research in the Implementation of Innovative Strategies in Practice CRIISP, Iowa City VA Medical Center, Iowa City, IA 52246, USA
    Am J Med Qual 22:186-97. 2007
    ..Results using propensity-matched samples were similar. The use of Veterans Affairs services is not a strong marker of unmeasured severity among patients in private sector hospitals...
  61. ncbi Outcomes of sword swallowing and pharmaceutical step-therapy interventions
    Frederic R Curtiss
    J Manag Care Pharm 13:284-6. 2007
  62. ncbi Improving the bottom line through a better understanding of rules and statutes
    David M Glaser
    Fredrikson and Byron, P A, Suite 4000, 200 South Sixth Street, Minneapolis, MN 55402 1425, USA
    J Med Pract Manage 21:80-4. 2005
    ..The authors explain why clinicians may have more recourse than they estimate in appealing Medicare reimbursement rulings...
  63. ncbi Community and ambulatory pharmacy: evaluation of patient care services and billing patterns before implementation of Medicare part D
    Stuart J Beatty
    Division of Pharmacy Practice and Administration, College of Pharmacy, The Ohio State University, Columbus, USA
    J Am Pharm Assoc (2003) 46:707-14. 2006
    ..To provide a summary of community and ambulatory pharmacy practice and billing patterns for medication therapy management services before implementation of Medicare Prescription Drug Improvement and Modernization Act of 2003 (MMA)...
  64. ncbi Medication therapy management programs: when will the outcomes come out?
    Joshua J Spooner
    Clinical and Outcomes Services, Advanced Concepts Institute, University of the Sciences in Philadelphia, PA 19104, USA
    J Manag Care Pharm 13:276-7. 2007
  65. ncbi The Medicare Part D doughnut hole: effect on pharmacy utilization
    Shawn X Sun
    Walgreens Health Services, Deerfield, Illinois 60015, USA
    Manag Care Interface 20:51-5, 59. 2007
    ..33% (P < .0001). Regular Medicare part D beneficiaries reduced medication utilization after they reached the coverage gap, which raises concerns those beneficiaries may face an increased risk of adverse health events...
  66. ncbi Failure to comply with CMS' new enrollment procedures could impact physicians' cash flow
    Erin M Duffy
    Duane Morris LLP, 30 South 17th Street, Philadelphia, PA 19103 4196, USA
    J Med Pract Manage 23:37-40. 2007
    ..Therefore, not having an NPI or a Medicare Provider Number can have serious consequences on providers' ability to provide care as well as their bottom line (think cash flow!)...
  67. ncbi Exploring the potential link between Medicaid access restrictions, physician location, and health disparities
    Alvin Headen
    Department of Economics, North Carolina State University, Raleigh, NC, USA
    Am J Manag Care 11:SP21-6. 2005
    ....
  68. ncbi Actuarial analysis of private payer administrative claims data for women with endometriosis
    David Mirkin
    Milliman, Inc, New York, NY 10119, USA
    J Manag Care Pharm 13:262-72. 2007
    ..Endometriosis is the most common gynecological cause of chronic pelvic pain, but published information on its associated medical care costs is scarce...
  69. ncbi Medicaid, Medicare, and the Michigan Tumor Registry: a linkage strategy
    Cathy J Bradley
    Virginia Commonwealth University, Department of Health Administration and Massey Cancer Center, Grant House, Richmond, VA, USA
    Med Decis Making 27:352-63. 2007
    ..This data set serves as a cornerstone of a health outcomes data infrastructure. The methodology described may serve as a model for other researchers seeking to create a similar data set in their state...
  70. ncbi Effects of a step-therapy program for angiotensin receptor blockers on antihypertensive medication utilization patterns and cost of drug therapy
    Krista Yokoyama
    WellPoint NextRx, West Hills, CA 91304, USA
    J Manag Care Pharm 13:235-44. 2007
    ..Step therapy for angiotensin receptor blockers (ARBs) requiring prior use of angiotensin-converting enzyme inhibitors (ACEIs) is a common cost-containment intervention in managed care...
  71. ncbi Who will be denied Medicare prescription drug subsidies because of the asset test?
    Thomas Rice
    Department of Health Services, UCLA School of Public Health, 90095 1772, USA
    Am J Manag Care 12:46-54. 2006
    ..To determine the number and characteristics of Medicare beneficiaries who will be excluded from low-income prescription drug subsidies because they do not qualify under an asset test...
  72. ncbi Economic burden of atopic manifestations in patients with atopic dermatitis--analysis of administrative claims
    Dong Churl Suh
    Ernest Mario School of Pharmacy, Rutgers University, 160 Frelinghuysen Road, Piscataway, NJ 08854, USA
    J Manag Care Pharm 13:778-89. 2007
    ..Atopic dermatitis (AD) has been associated with atopic manifestations (AMs), such as food allergies, asthma, allergic rhinitis, and allergic conjunctivitis...
  73. ncbi Medicare part D data: major changes on the horizon
    Leslie M Greenwald
    RTI International, Baltimore, Maryland, USA
    Med Care 45:S9-12. 2007
    ..This paper describes the structure of the Medicare Part D program and the related databases, and discusses their utilization for research purposes...
  74. ncbi Gender differences in healthcare-seeking behavior for urinary incontinence and the impact of socioeconomic status: a study of the Medicare managed care population
    Yue Li
    Department of Medicine, School of Medicine and Biomedical Sciences, State University of New York at Buffalo, 462 Grider Street, New York, NY 14215, USA
    Med Care 45:1116-22. 2007
    ..Despite the gender difference in etiology, prevalence and management of urinary incontinence (UI) among community-living older adults, little is known about the effect of gender on their healthcare-seeking behaviors...
  75. ncbi Descriptive analysis of the direct medical costs of multiple sclerosis in 2004 using administrative claims in a large nationwide database
    Jeff D Prescott
    Science and Technology, The MCM Group, 108 I Centre Blvd, Marlton, NJ 08053, USA
    J Manag Care Pharm 13:44-52. 2007
    ..Multiple sclerosis (MS) is chronic and debilitating, afflicts patients in the prime of their lives, and requires costly, decades-long disease management. MS prevalence is increasing, and treatment with new drug therapies is expensive...
  76. ncbi More on Medicare Part D
    Cathy A Klein
    Nurse Pract 32:16. 2007
  77. ncbi Discrepancies in administrative databases: implications for practice and research
    Renée J Roberts
    Crit Care Med 35:949-50. 2007
  78. ncbi New 2006 physical therapy cap and exception process
    Kathleen D Schaum
    Kathleen D Schaum and Associates, Inc, Lake Worth, FL, USA
    Adv Skin Wound Care 19:251-4. 2006
  79. ncbi The instrumental variable method to study self-selection mechanism: a case of influenza vaccination
    Byung Kwang Yoo
    Center for Health Policy, Stanford University, Stanford, CA, USA
    Value Health 9:114-22. 2006
    ....
  80. ncbi Access to cancer drugs in Medicare Part D: formulary placement and beneficiary cost sharing in 2006
    Jennifer Bowman
    Avalere Health LLC in Washington, DC, USA
    Health Aff (Millwood) 25:1240-8. 2006
    ..In addition, many plans charge a relatively low copayment for most cancer drugs. These findings suggest that Part D could greatly expand beneficiaries' access to cancer treatments...
  81. pmc Health care utilization among Medicare-Medicaid dual eligibles: a count data analysis
    Sangho Moon
    Department of Public Administration, Sungkyunkwan University, Seoul, Korea
    BMC Public Health 6:88. 2006
    ..The objective of this study is to explore the relationship between dual eligibility and health care utilization among Medicare beneficiaries...
  82. ncbi The use of disease-modifying agents among multiple sclerosis patients enrolled in medicare from 1995 to 2002 and the impact of medicare part D: analysis of claims data from the medicare current beneficiary survey
    Jason Lundy
    University of Arizona, College of Pharmacy, Tucson, Arizona 85721, USA
    Clin Ther 28:140-5. 2006
    ....
  83. ncbi Prevalence and cost of nonadherence with antiepileptic drugs in an adult managed care population
    Keith L Davis
    Health Economics, RTI Health Solutions, Research Triangle Park, North Carolina 27709, USA
    Epilepsia 49:446-54. 2008
    ..This study assessed the extent of refill nonadherence with antiepileptic drugs (AEDs) and the potential association between AED nonadherence and health care costs in an adult-managed care population...
  84. pmc Medicare beneficiaries and the impact of gaining prescription drug coverage on inpatient and physician spending
    Becky A Briesacher
    Division of Geriatric Medicine, University of Massachusetts Medical School, Worchester, MA 01605, USA
    Health Serv Res 40:1279-96. 2005
    ..To assess whether gaining prescription drug coverage produces cost offsets in Medicare spending on inpatient and physician services...
  85. ncbi High-cost users among dual eligibles in three care settings
    Judy Yip
    CARF International in Tucson, Arizona, USA
    J Health Care Poor Underserved 18:950-65. 2007
    ..These findings suggest that policymakers and providers should consider care setting as an important component when designing disease management strategies...
  86. pmc The use of breast conserving surgery: linking insurance claims with tumor registry data
    Gertraud Maskarinec
    Cancer Research Center of Hawaii, University of Hawaii at Manoa, 1236 Lauhala Street, Honolulu, Hawaii 96813, USA
    BMC Cancer 2:3. 2002
    ..The purpose of this study was to use insurance claims and tumor registry data to examine determinants of breast conserving surgery (BCS) in women with early stage breast cancer...
  87. ncbi Clinical Risk Groups (CRGs): a classification system for risk-adjusted capitation-based payment and health care management
    John S Hughes
    Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA
    Med Care 42:81-90. 2004
    ....
  88. ncbi The top 10 myths about Medicare
    Marisa A Scala-Foley
    Center for Medicare Education in Washington, DC, USA
    Am J Nurs 104:34-5, 37. 2004
  89. ncbi The effect of a three-tier formulary on antidepressant utilization and expenditures
    Dominic Hodgkin
    Heller School, Brandeis University, Waltham MA 02454 9110, USA
    J Ment Health Policy Econ 11:67-77. 2008
    ..The antidepressant class has certain characteristics that may pose problems for implementation of three-tier formularies, such as differences in which medication works for which patient, and high rates of medication discontinuation...
  90. ncbi Long-term resource use and cost of percutaneous transluminal coronary angioplasty versus stenting in the elderly: a retrospective claims data analysis
    Sujha Subramanian
    Research Triangle Institute, Waltham, MA 02452, USA
    Value Health 6:534-41; discussion 532-3. 2003
    ..The objective of this study was to evaluate the resource use and cost (Medicare payment) of PTCA versus bare stent in actual practice over a 2-year period...
  91. ncbi Are urologists fairly reimbursed for complex procedures: failure of 22 modifier?
    Yair Lotan
    Department of Urology, University of Texas Southwestern Medical Center, Dallas, Texas 75390 9110, USA
    Urology 72:494-7. 2008
    ..The 22 modifier was designed to provide surgeons with additional reimbursement for performing complex procedures. We evaluated whether urologists at a tertiary referral center are reimbursed when using the 22 modifier...
  92. ncbi How to fight bundling
    Dorothy L Pennachio
    Med Econ 80:65-8, 73. 2003
  93. ncbi Group practice contracting with managed care: Part 2
    Lewis W Mustard
    Healthcare Negligence Control, Inc, P O Box 2442, Chapel Hill, NC 27515, USA
    J Med Pract Manage 19:45-9. 2003
    ..This article (the second in the series) provides a framework for administrators and practices to consider when approaching negotiations for such contracts...
  94. ncbi Effect of postoperative epidural analgesia on morbidity and mortality after total hip replacement surgery in medicare patients
    Christopher L Wu
    Department of Anesthesiology and Critical Care Medicine, The Johns Hopkins University, Carnegie 280, 600 N Wolfe Street, Baltimore, MD 21287, USA
    Reg Anesth Pain Med 28:271-8. 2003
    ..systemic analgesia) on patient outcomes is unclear. Available randomized controlled trials (RCTs) have focused on the intraoperative period and not properly examined the effect of postoperative epidural analgesia (EA) on outcomes...
  95. ncbi Medicare mental health coverage
    Amy Coviello
    Medicare Rights Center, New York, USA
    Issue Brief Cent Medicare Educ 4:1-6. 2003
    ..In this brief, we present an overview of mental health coverage and payment policies, including consumers' costs and their rights to appeal denials of payment...
  96. ncbi Managed Medicaid's last stand
    John Carroll
    Manag Care 12:46A-46B, 46F, 46H. 2003
  97. ncbi Preventing hospital payment errors
    Stephan D Schroeder
    South Dakota Foundation for Medical Care, USA
    S D Med 59:481. 2006
  98. ncbi CMS issues updated rules for the Medicare claims appeal process
    Nancy J Davidson
    Lash Group Healthcare Consultants, Charlotte, N C, USA
    Nephrol News Issues 17:10. 2003
    ..CMS released the draft SOW on Oct. 7, 2002. It is anticipated that the addition of the QICs will provide a more uniform and consistent handling of Medicare appeals on a national level...
  99. ncbi Disease burden profiles: an emerging tool for managing managed care
    Yang Zhao
    DxCG, Inc, Boston, MA 02111, USA
    Health Care Manag Sci 5:211-9. 2002
    ..We also examine and compare the predictive power of claims-based models within a diabetic cohort...
  100. ncbi The polyp detection rate of colonoscopy: a national study of Medicare beneficiaries
    Gregory S Cooper
    Division of Gastroenterology, Department of Medicine, University Hospitals of Cleveland, Case Western Reserve University School of Medicine, Cleveland, Ohio 44106 5066, USA
    Am J Med 118:1413. 2005
    ..These data may be informative in predicting resource allocation for therapeutic procedures associated with colonoscopy. Future studies should determine the use and yield of serial colonoscopies for polyp surveillance...
  101. ncbi A study on the economic impact of bariatric surgery
    Pierre Yves Cremieux
    Analysis Group, Inc, 111 Huntington Ave, 10th Fl, Boston, MA 02199, USA
    Am J Manag Care 14:589-96. 2008
    ..To evaluate the private third-party payer return on investment for bariatric surgery the United States...

Research Grants74

  1. Metabolic Screening: Prioritizing Implementation Strategies for Mental Health
    Elaine H Morrato; Fiscal Year: 2013
    ....
  2. 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. ..
  3. Clinical Database to Support Comparative Effectiveness Studies of Complex Patient
    Caroline S Blaum; Fiscal Year: 2010
    ....
  4. Risk and Recovery in Complex Environments: L&D as a Mod*
    Marlene Goldman; Fiscal Year: 2003
    ..abstract_text> ..
  5. Prostate Cancer Education in African American Men
    STEPHEN LEPORE; Fiscal Year: 2007
    ....
  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. Determinants and Consequences of Alcohol Consumption
    Frank Sloan; Fiscal Year: 2008
    ..abstract_text> ..
  8. Visual Impairment, Treatment and Effects on the Elderly
    Frank Sloan; Fiscal Year: 2008
    ..Ten papers are anticipated for this four-year study. [unreadable] [unreadable]..
  9. Cancer-Related Disparities in the Elderly Population
    Siran Koroukian; Fiscal Year: 2007
    ..abstract_text> ..
  10. Telemonitoring to improve heart failure outcomes
    Harlan Krumholz; Fiscal Year: 2008
    ..abstract_text> ..
  11. Strategies to reduce time to reperfusion therapy for MI
    Harlan Krumholz; Fiscal Year: 2005
    ..Data generated from these studies will guide efforts by clinicians, administrators, researchers, and policy makers to decrease time to reperfusion therapy for patients with STEMI. ..
  12. HOSPITAL PERFORMANCE & BETA-BLOCKER USE AFTER AMI
    Harlan Krumholz; Fiscal Year: 2001
    ..abstract_text> ..
  13. EVALUATING MAMMOGRAPHY CLAIMS DATA
    Jean Freeman; Fiscal Year: 2006
    ..S. radiologists. [unreadable] [unreadable]..
  14. Adverse Outcomes of Dual Use of Health Systems Among Older Male Veterans
    FREDRIC WOLINSKY; Fiscal Year: 2006
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  15. 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. ..
  16. Poisoning Incidence and ED Use/Misuse in Young Children
    Barbara Polivka; Fiscal Year: 2006
    ..unreadable] [unreadable] [unreadable] [unreadable]..
  17. National Impact of IT Investments on Hospital Quality
    Stephen Parente; Fiscal Year: 2009
    ..This research represents a collaborative effort of investigators at the University of Minnesota, Carnegie Mellon University, and the Medical University of South Carolina. ..
  18. Pilot Trial of Peer Support for Bipolar Disorder
    Gregory Simon; Fiscal Year: 2006
    ..abstract_text> ..
  19. Improving Safety Culture and Outcomes in Healthcare
    Laurence Baker; Fiscal Year: 2006
    ..abstract_text> ..
  20. Continuity of Care and Health Outcomes: Does It Really Matter?
    FREDRIC WOLINSKY; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable] [unreadable] [unreadable]..
  21. 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. ..
  22. Financial Incentives and Variations in the Care of Medicare Beneficiaries
    Bruce E Landon; Fiscal Year: 2010
    ..Because patients will be clustered within physicians and physicians clustered within markets, we will use hierarchical analytic methods. ..
  23. 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]..
  24. Can Longitudinal Population-Based Data Help to Personalize Depression Treatment?
    Gregory E Simon; Fiscal Year: 2010
    ..We propose a set of targeted methodologic studies to prepare for a multi-site research consortium focused on predicting response to specific depression treatments. ..
  25. The Role of Customization in Psychotropic Prescribing
    Dominic Hodgkin; Fiscal Year: 2009
    ....
  26. Using Social Risk to Guide Coronary Heart Disease (CHD) Preventive Treatment
    Kevin Fiscella; Fiscal Year: 2009
    ..Implementation of such a global risk tool could ultimately help justify implementation of more intensive behavioral interventions focusing on diet, exercise, smoking cessation and medication adherence for those at highest social risk. ..
  27. Modeling Adherence to Psychotherapy for Depression
    Gregory Simon; Fiscal Year: 2009
    ..The proposed research is one component of an ongoing comprehensive program to understand and increase consumer demand for effective depression treatment. ..
  28. SCHOOL ENVIRONMENT: EFFECT ON SUICIDE PREVENTION PROGRAM
    Bradley Stein; Fiscal Year: 2004
    ....
  29. POPULATION-BASED MANAGEMENT OF DEPRESSION
    Gregory Simon; Fiscal Year: 2003
    ..e. 12-18 mos) Incremental cost and cost-effectiveness of each intervention program compared to care as usual. ..
  30. MD Group Characteristics and Quality of Care for CHD
    Bruce Landon; Fiscal Year: 2003
    ..abstract_text> ..
  31. Randomized Control Trial of Mifepristone for Fibroids
    Kevin Fiscella; Fiscal Year: 2004
    ..The study may also offer valuable insight into a mechanism by which mifepristone reduces fibroid size. ..
  32. Evaluation of Enteral Stent Placement Using Claims Data
    Sujha Subramanian; Fiscal Year: 2004
    ..abstract_text> ..
  33. Impact of 3 Tier Drug Copays on Use and Spending
    Dominic Hodgkin; Fiscal Year: 2003
    ..abstract_text> ..
  34. Do Reporting Biases Mitigate Disparity Estimates?
    Kevin Fiscella; Fiscal Year: 2004
    ..abstract_text> ..
  35. The Impact of HMO's on Disparties
    Kevin Fiscella; Fiscal Year: 2004
    ..If the study hypotheses are confirmed, the findings will underscore the need for HMOs to track and address disparities among their members if the Healthy People 2010 for the elimination of disparities is to be achieved. ..
  36. Epidemiology and Care of Comorbid Obesity and Depression
    Gregory Simon; Fiscal Year: 2006
    ..weight loss, nutrient intake, physical activity, depressive symptoms, functional impairment and disability in the two groups of women with comorbid obesity and depression randomly assigned to the two different intervention programs ..
  37. In-Depth Examination of Disparities in Cancer Outcomes
    Cathy Bradley; Fiscal Year: 2007
    ..abstract_text> ..
  38. Medication Management Decisions in Schizophrenia
    Mark Olfson; Fiscal Year: 2003
    ..The results will inform quality improvement programs by identifying key modifiable determinants of the quality of medication management in the community treatment of schizophrenia. ..
  39. Race, Ethnicity and Quality of Health Care for Newborns
    Laurence Baker; Fiscal Year: 2005
    ..Our work will focus on Black-White differences, disparities for Hispanics (including subgroups like Mexican and Puerto Rican), and disparities for Asian and Pacific Islanders. ..
  40. Health Services Research in Under-Served Populations
    Jean Freeman; Fiscal Year: 2006
    ..unreadable] b. Develop and implement a Health Services Research selective to introduce School of [unreadable] Medicine students to this area of research. [unreadable] [unreadable] [unreadable]..
  41. MANAGED CARE AND HEALTH CARE MARKETS
    Laurence Baker; Fiscal Year: 2003
    ..abstract_text> ..
  42. Volume-Outcomes in Incontinence Surgery
    Jennifer Anger; Fiscal Year: 2005
    ..The primary outcome will be re-operation rates, repeat sling procedures (for failures), and other postoperative complications, stratified by high and low volume surgeons and hospitals. ..
  43. IDENTIFICATION OF CLINICALLY RELEVANT CHANGES IN HRQOL
    FREDRIC WOLINSKY; Fiscal Year: 2002
    ..abstract_text> ..
  44. Specialty Mental Health Care--Expanding Access in an HMO
    Dominic Hodgkin; Fiscal Year: 2003
    ..The results will inform health plan decision-makers and others as they make utilization management choices that may have a major impact on patients and enrollee populations overall. ..
  45. LABOR MARKET OUTCOMES OF LONG TERM CANCER SURVIVORS
    Cathy Bradley; Fiscal Year: 2004
    ....
  46. Alcohol Use and Medical Care Quality among the Elderly
    ELIZABETH MERRICK; Fiscal Year: 2006
    ..abstract_text> ..
  47. A Test of the Validity of the "Nursing Home Compare" Measure of Physical Function
    Yue Li; Fiscal Year: 2008
    ..unreadable] [unreadable] [unreadable]..
  48. IS NON-ADHERENCE A REVEALED PREFERENCE
    Leslie Lenert; Fiscal Year: 2003
    ..We will also use an expert panel to assess the clinical match between patients' regimens and their preferences. ..
  49. PATHOGENESIS OF GLAUCOMATOUS OPTIC NERVE DAMAGE
    Harry Quigley; Fiscal Year: 2008
    ..Candidate molecules for genetic susceptibility to glaucoma are likely to be identified. ..
  50. Educational Disparities in Diabetes Complications
    Andrew Karter; Fiscal Year: 2006
    ..abstract_text> ..
  51. EPIDEMIC OCCUPATIONAL HEARING LOSS IN WASHINGTON STATE
    William Daniell; Fiscal Year: 2001
    ..OHL: (a) noise levels that exceed legal standards, (b) under-utilization of feasible noise controls, and (c) hearing conservation programs that are not compliant with legal standards and/or are not optimally effective? ..
  52. Improving Asthma Communication in Minority Families
    Arlene Butz; Fiscal Year: 2007
    ..abstract_text> ..
  53. DESIGN AND IMPLEMENTATION OF PHARMACOGENETIC DATABASE
    Prakash Nadkarni; Fiscal Year: 2002
    ..Informatics assistance will be provided to the individual nodes to assist the task of data exchange, and when necessary, to assist the design of local data collection systems. ..
  54. ROBUST QUERY OF HETEROGENEOUS CLINICAL DATABASES
    Prakash Nadkarni; Fiscal Year: 2002
    ..In particular, research will be performed on utilization of newer database technologies, such as new indexing methods, as well as parallel database implementations. ..
  55. Selection and the Quality Impact of Nursing Home Ownership
    David C Grabowski; Fiscal Year: 2010
    ..By examining this relationship using a novel empirical strategy, this study provides an opportunity to improve the quality of care for the millions of Americans receiving care in the nursing home setting. ..
  56. Health and School Performance Among Youth Ages 9-13
    Christopher Forrest; Fiscal Year: 2009
    ..Our long-term goal for this research is to follow youth into high school and beyond to more fully characterize the evolution of health from childhood to adulthood. ..
  57. Diabetes and Drug-Associated Hyperkalemia: Effect of Laboratory Monitoring
    Marsha Raebel; Fiscal Year: 2008
    ..The findings will also assist in developing a framework for future studies to evaluate the effects and costs of medication-laboratory monitoring among patients with diabetes. [unreadable] [unreadable] [unreadable] [unreadable]..
  58. NEBULIZER INTERVENTION IN MINORITY CHILDREN WITH ASTHMA
    Arlene Butz; Fiscal Year: 2004
    ..Study findings will improve clinical care to this vulnerable population of children and will be if significant use to health care providers, researchers, insurers and policy makers. ..
  59. Use of GIS in analyzing environmental cancer risks as a*
    Robin Harris; Fiscal Year: 2003
    ..abstract_text> ..
  60. Feeding Tube Use Among Persons with Advanced Dementia
    Joan Teno; Fiscal Year: 2008
    ..Knowledge gained will be used to inform public policy and formulate facility interventions to ensure that FT insertion in persons with severe cognitive impairment is ethically appropriate. [unreadable] [unreadable] [unreadable]..
  61. Role of Depression in Medicare New Chronic Care Improvement Program
    Jurgen Unutzer; Fiscal Year: 2008
    ..Our findings will help CMS strengthen the CCIP and will help public and private policymakers implement effective disease management programs for chronic medical illness and comorbid depression. ..
  62. Use of Complementary and Alternative Medical (CAM) Providers by Cancer Patients
    Paula Diehr; Fiscal Year: 2007
    ..This study will increase the understanding of the role CAM should play in providing supportive care for cancer patients. ..
  63. 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. ..
  64. HIV Testing and Women's Attitudes on HIV Vaccine Trials
    Gregory D Zimet; Fiscal Year: 2010
    ..abstract_text> ..
  65. Values of Families in Guiding End-of-Life Care
    Charles Gessert; Fiscal Year: 2002
    ..This research will lay the groundwork for two future studies: a survey of values in end-of-life decision-making, and an in depth examination of the role of selected values in decision-making. ..
  66. Race and Herbal Medications Among Medicare Recipients
    William Lafferty; Fiscal Year: 2004
    ..African- Americans already report lower satisfaction with their medical care and frequently leave the doctor's office with unanswered questions, therefore, special educational programs may be useful. ..
  67. Literacy and Utilization of Maternal Depression Care
    Ian Bennett; Fiscal Year: 2006
    ..This study represents a unique and cost effective opportunity to study patient factors which are obstacles to depression treatment in women with low literacy and inform future interventions. ..
  68. N O S AND NEUROPATHIC AND ENDOTHELIAL INDUCED ED
    Kevin McVary; Fiscal Year: 2002
    ..Results of this research will aid in the understanding of how diabetic neuropathy contributes to sexual dysfunction and elucidate possible mechanisms to prevent them. ..
  69. Economic Evaluations of Emerging Genomic Tests for Early Stage Breast Cancer
    YA CHEN SHIH; Fiscal Year: 2008
    ..To estimate the budgetary impact of the emerging pharmacogenomic prognostic and/or predictive tests [unreadable] [unreadable] [unreadable]..
  70. Valuation of Primary Care-Integrated Telehealth
    Kenneth McConnochie; Fiscal Year: 2006
    ..Direct and indirect costs will be assessed. Study B will assess integration in primary care, for example by measuring impact on continuity of care, adherence to well-child visit schedules and immunization rates. ..
  71. Molecular Genetics of Inattention in Australia
    THEODORE CICERO; Fiscal Year: 2009
    ..This will be at a marked cost savings due to the employment of existing well-characterized samples and the long history of collaborative studies between investigators from Australia and the United States. ..