Assessment of Economic Vulnerability to Infectious Disease Crises

Peter A Sands; Anas  El Turabi; Philip  Saynisch; Victor J Dzau

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Editorial | Lancet

Assessment of Economic Vulnerability to Infectious Disease Crises

by Peter A Sands, Anas El Turabi, Philip Saynisch and Victor J Dzau

Format: Print

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Citation:

Sands, Peter A., Anas El Turabi, Philip Saynisch, and Victor J Dzau. "Assessment of Economic Vulnerability to Infectious Disease Crises." Lancet 388, no. 10058 (November 12, 2016): 2443–2448.

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The Economics of Patient-Centered Care

Guy David, Philip Saynisch and Aaron Smith-McLallen

The Patient-Centered Medical Home (PCMH) is a widely-implemented model for improving primary care, emphasizing care coordination, information technology, and process improvements. However, its treatment as an undifferentiated intervention in policy evaluation obscures meaningful variation in implementation. This heterogeneity leads to contracting inefficiencies between insurers and practices and may account for mixed evidence on its success. Using a novel dataset we group practices into meaningful implementation clusters and then link these clusters with detailed patient claims data. We find implementation choice affects performance, suggesting that generally-unobserved features of primary care reorganization influence patient outcomes. Reporting these features may be valuable to insurers and their members.

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Citation:
David, Guy, Philip Saynisch, and Aaron Smith-McLallen. "The Economics of Patient-Centered Care." Journal of Health Economics 59 (May 2018): 60–77. View Details

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Do Patient-centered Medical Homes Reduce Emergency Department Visits?

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Affording to Wait: Medicare Initiation and the Use of Health Care

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Delays in receipt of necessary diagnostic and therapeutic medical procedures related to the timing of Medicare initiation at age 65 years have potentially broad welfare implications. We use 2005–2007 data from Florida and North Carolina to estimate the effect of initiation of Medicare benefits on healthcare utilization across procedures that differ in urgency and coverage. In particular, we study trends in the use of elective procedures covered by Medicare to treat conditions that vary in symptoms; these are compared with elective surgical procedures not eligible for Medicare reimbursement, and to a set of urgent and emergent procedures. We find large discontinuities in health services utilization at age 65 years concentrated among low-urgency, Medicare-reimbursable procedures, most pronounced among screening interventions and treatments for minimally symptomatic disease.

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David, Guy, Philip Saynisch, Victoria Acevado-Perez, and Mark D. Neuman. "Affording to Wait: Medicare Initiation and the Use of Health Care." Health Economics 21, no. 8 (August 2012): 1030–1036. View Details

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Assessment of Economic Vulnerability to Infectious Disease Crises

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