COVID-19 and the financial health of US hospitals

D Khullar, AM Bond, WL Schpero - Jama, 2020 - jamanetwork.com
The rapid growth in the number of patients with coronavirus disease 2019 (COVID-19)
threatened to overwhelm hospital and intensive care unit capacity. 1 The pandemic also …

[HTML][HTML] Choosing wisely: prevalence and correlates of low-value health care services in the United States

CH Colla, NE Morden, TD Sequist, WL Schpero… - Journal of general …, 2015 - Springer
Background Specialty societies in the United States identified low-value tests and
procedures that contribute to waste and poor health care quality via implementation of the …

Association between patient social risk and physician performance scores in the first year of the merit-based incentive payment system

D Khullar, WL Schpero, AM Bond, Y Qian, LP Casalino - Jama, 2020 - jamanetwork.com
Importance The US Merit-based Incentive Payment System (MIPS) is a major Medicare
value-based payment program aimed at improving quality and reducing costs. Little is …

In Medicaid Managed Care Networks, Care Is Highly Concentrated Among A Small Percentage Of Physicians: Study examines the availability of physicians in …

AB Ludomirsky, WL Schpero, J Wallace, A Lollo… - Health …, 2022 - healthaffairs.org
States have increasingly outsourced the provision of Medicaid services to private managed
care plans. To ensure that plans maintain access to care, many states set network adequacy …

For selected services, blacks and Hispanics more likely to receive low-value care than whites

WL Schpero, NE Morden, TD Sequist… - Health …, 2017 - healthaffairs.org
US minority populations receive fewer effective health services than whites. Using Medicare
administrative data for 2006–11, we found no consistent, corresponding protection against …

Association between individual primary care physician merit-based incentive payment system score and measures of process and patient outcomes

AM Bond, WL Schpero, LP Casalino, M Zhang… - JAMA, 2022 - jamanetwork.com
Importance The Medicare Merit-based Incentive Payment System (MIPS) influences
reimbursement for hundreds of thousands of US physicians, but little is known about …

Evidence suggests that the ACA's tobacco surcharges reduced insurance take-up and did not increase smoking cessation

AS Friedman, WL Schpero, SH Busch - Health Affairs, 2016 - healthaffairs.org
To account for tobacco users' excess health care costs and encourage cessation, the
Affordable Care Act (ACA) allowed insurers to impose a surcharge on tobacco users' …

Use of non-indicated cardiac testing in low-risk patients: Choosing Wisely

CH Colla, TD Sequist, MB Rosenthal… - BMJ quality & …, 2015 - qualitysafety.bmj.com
Methods Using the Medicare 40% denominator file, we identified all fee-for-service
Medicare beneficiaries enrolled in Medicare Parts A, B and D (inpatient, outpatient and …

Many Intensive Care Units Were Overloaded While Nearby Hospitals Had Excess Capacity During The COVID-19 Pandemic: Study compares the use of hospital …

AS Vohra, D Khullar, R Kaushal, WL Schpero - Health Affairs, 2023 - healthaffairs.org
Strained hospital capacity is associated with adverse patient outcomes. Anecdotal evidence
suggests that during the COVID-19 pandemic in the US, some hospitals experienced …

[HTML][HTML] A hidden opportunity—medicaid's role in supporting equitable access to clinical trials

SU Takvorian, CE Guerra… - New England Journal of …, 2021 - Mass Medical Soc
A Hidden Opportunity Coverage of the “routine costs” associated with clinical trial
participation will soon be guaranteed for Medicaid beneficiaries for the first time, which could …