Steven D Pizer
Datos Biográficos
| ID | 5534815 |
|---|---|
| NOMBRE | Steven D Pizer |
| NOMBRES | Steven D |
| APELLIDO | Pizer |
| FIRMA | PIZER S D |
| AFILIACIONES | Boston University |
| ORCID | 0000-0003-4908-5976 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 12 |
| TOTAL DE CITAS | 0 |
| TOTAL COMO AUTOR | 12 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2002 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 0 |
Favorable Selection of Veterans in Medicare Advantage
BACKGROUND: Prior literature has shown that favorable selection of enrollees in Medicare Advantage (MA) that is not accounted for under the Hierarchical Condition Category (HCC) risk adjustment model can result in significant overpayments to MA plans. Detailed data from the Veterans Health Administration's (VHA) Nosos risk score can measure previously undetected favorable selection in a unique cohort of patients. OBJECTIVE: To analyze characteris…
Payment Source Shift for Surgical Care Among Veterans Enrolled in Medicare Advantage Plans
The findings of this cross-sectional study suggest substantial cost shifting in veterans' surgical care from MA to VHA among high-veteran MA plans, underscoring the urgent need for policy reforms to improve the efficiency of veterans' care
Characteristics and Benefit Design of Veteran Medicare Advantage Affinity Plans
This study found that MA insurers-specifically VMAPs-engaged in targeted marketing to veterans, offering $0 premiums, cash back benefits, and supplemental benefits. However, nearly all VMAPs excluded Medicare Part D, likely designed to attract veteran enrollees who use VHA care, making them low-cost enrollees to the plan. Since the VHA cannot bill plans for Medicare-covered services, VMAPs may be increasing wasteful federal spending
Combining Machine Learning and Comparative Effectiveness Methodology to Study Primary Care Pharmacotherapy Pathways for Veterans With Depression
OBJECTIVES: To demonstrate an innovative method combining machine learning with comparative effectiveness research techniques and to investigate a hitherto unstudied question about the effectiveness of common prescribing patterns. DATA SOURCES: United States Veterans Health Administration Corporate Data Warehouse. STUDY DESIGN: For Operation Enduring Freedom/Operation Iraqi Freedom veterans with major depressive disorder, we generate pharmacother…
Cost Shifting for Emergency Care of Veterans With Medicare After Mission Act Implementation
This cross-sectional study examines changes in payers for emergency department visits in Veterans Affairs and community facilities from 2016 to 2021
Impact of Medical Training Programs on Time-to-Fill Physician Vacancies at the Veterans Health Administration
BACKGROUND: The Department of Veterans Affairs (VA) provides the largest Graduate Medical Education (GME) training platform for health professionals in the United States. Studies on the impact of VA GME programs on physician recruitment were lacking. OBJECTIVES: To examine the impact of the size of residency training programs at a VA facility on the facility's time-to-fill physician vacancies, and whether the impact differs by the socioeconomic d…
Impact of Nurse Residency Program on Time-to-Fill Nurse Vacancies at the Veterans Health Administration
BACKGROUND: The Department of Veterans Affairs (VA) offers a 1-year Post-Baccalaureate-Registered Nurse Residency (PB-RNR) Program. The impact of the PB-RNR program on local RN recruitment was unknown. OBJECTIVES: We aimed to evaluate the effect of the size of the PB-RNR program at a VA facility on its time-to-fill RN vacancies. PROJECT DESIGN: We used an instrumental variable approach with a 2-stage residual inclusion specification. SUBJECTS: We…
Regional Economic Conditions and Preventable Hospitalization Among Older Patients With Diabetes
OBJECTIVE: The aim was to explore the relationship between changes in regional economic conditions and quality of care-preventable hospitalization or death among older patients with diabetes at Veterans Health Administration (VHA), safety-net system for veterans. SUBJECTS: VHA patients aged 65 years and older with a diabetes diagnosis between July 2012 and June 2014, who had at least 1 primary care visit in the past year. MEASURES: County-level a…
Clinical Operations Variables are Associated With Blood Pressure Outcomes
BACKGROUND: Uncontrolled blood pressure (BP), among patients diagnosed and treated for the condition, remains an important clinical challenge; aspects of clinical operations could potentially be adjusted if they were associated with better outcomes. OBJECTIVES: To assess clinical operations factors' effects on normalization of uncontrolled BP. RESEARCH DESIGN: Observational cohort study. SUBJECTS: Patients diagnosed with hypertension from a large…
Should Hospital Readmissions be Reduced Through Payment Penalties
VA Boston Health Care System, Boston, MA The author declares no conflict of interest. Reprints: Steven D. Pizer, PhD, Boston University School of Medicine, Director, Health Care Financing & Economics, U.S. Department of Veterans Affairs,150 South Huntington Ave. Mail Stop 152H, Boston, MA 02130. E-mail: [email protected]
Is Fragmented Financing Bad for Your Health
Americans finance health care through a variety of private insurance plans and public programs. This organizational fragmentation could threaten continuity of care and adversely affect outcomes. Using a large sample of veterans who were eligible for mixtures of Veterans Health Administration- and Medicare-financed care, we estimate a system of equations to account for simultaneity in the determination of financing configuration and the probabilit…
Why Are Hospital-Based Nursing Homes So Costly
OBJECTIVES: To determine the extent to which higher costs in hospital-based skilled nursing facilities (HBSNF) can be explained by observable resident characteristics and unobservable selection effects, implying a design shortcoming of the skilled nursing facility prospective payment system (SNF PPS) implemented for Medicare-covered stays by the Balanced Budget Act of 1997 (BBA 1997). RESEARCH DESIGN: Data on resident characteristics from the Min…
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Why Are Hospital-Based Nursing Homes So Costly
OBJECTIVES: To determine the extent to which higher costs in hospital-based skilled nursing facilities (HBSNF) can be explained by observable resident characteristics and unobservable selection effects, implying a design shortcoming of the skilled nursing facility prospective payment system (SNF PPS) implemented for Medicare-covered stays by the Balanced Budget Act of 1997 (BBA 1997). RESEARCH DESIGN: Data on resident characteristics from the Min…
Is Fragmented Financing Bad for Your Health
Americans finance health care through a variety of private insurance plans and public programs. This organizational fragmentation could threaten continuity of care and adversely affect outcomes. Using a large sample of veterans who were eligible for mixtures of Veterans Health Administration- and Medicare-financed care, we estimate a system of equations to account for simultaneity in the determination of financing configuration and the probabilit…
Should Hospital Readmissions be Reduced Through Payment Penalties
VA Boston Health Care System, Boston, MA The author declares no conflict of interest. Reprints: Steven D. Pizer, PhD, Boston University School of Medicine, Director, Health Care Financing & Economics, U.S. Department of Veterans Affairs,150 South Huntington Ave. Mail Stop 152H, Boston, MA 02130. E-mail: [email protected]
Clinical Operations Variables are Associated With Blood Pressure Outcomes
BACKGROUND: Uncontrolled blood pressure (BP), among patients diagnosed and treated for the condition, remains an important clinical challenge; aspects of clinical operations could potentially be adjusted if they were associated with better outcomes. OBJECTIVES: To assess clinical operations factors' effects on normalization of uncontrolled BP. RESEARCH DESIGN: Observational cohort study. SUBJECTS: Patients diagnosed with hypertension from a large…
Regional Economic Conditions and Preventable Hospitalization Among Older Patients With Diabetes
OBJECTIVE: The aim was to explore the relationship between changes in regional economic conditions and quality of care-preventable hospitalization or death among older patients with diabetes at Veterans Health Administration (VHA), safety-net system for veterans. SUBJECTS: VHA patients aged 65 years and older with a diabetes diagnosis between July 2012 and June 2014, who had at least 1 primary care visit in the past year. MEASURES: County-level a…
Cost Shifting for Emergency Care of Veterans With Medicare After Mission Act Implementation
This cross-sectional study examines changes in payers for emergency department visits in Veterans Affairs and community facilities from 2016 to 2021
Impact of Medical Training Programs on Time-to-Fill Physician Vacancies at the Veterans Health Administration
BACKGROUND: The Department of Veterans Affairs (VA) provides the largest Graduate Medical Education (GME) training platform for health professionals in the United States. Studies on the impact of VA GME programs on physician recruitment were lacking. OBJECTIVES: To examine the impact of the size of residency training programs at a VA facility on the facility's time-to-fill physician vacancies, and whether the impact differs by the socioeconomic d…
Impact of Nurse Residency Program on Time-to-Fill Nurse Vacancies at the Veterans Health Administration
BACKGROUND: The Department of Veterans Affairs (VA) offers a 1-year Post-Baccalaureate-Registered Nurse Residency (PB-RNR) Program. The impact of the PB-RNR program on local RN recruitment was unknown. OBJECTIVES: We aimed to evaluate the effect of the size of the PB-RNR program at a VA facility on its time-to-fill RN vacancies. PROJECT DESIGN: We used an instrumental variable approach with a 2-stage residual inclusion specification. SUBJECTS: We…
Payment Source Shift for Surgical Care Among Veterans Enrolled in Medicare Advantage Plans
The findings of this cross-sectional study suggest substantial cost shifting in veterans' surgical care from MA to VHA among high-veteran MA plans, underscoring the urgent need for policy reforms to improve the efficiency of veterans' care
Characteristics and Benefit Design of Veteran Medicare Advantage Affinity Plans
This study found that MA insurers-specifically VMAPs-engaged in targeted marketing to veterans, offering $0 premiums, cash back benefits, and supplemental benefits. However, nearly all VMAPs excluded Medicare Part D, likely designed to attract veteran enrollees who use VHA care, making them low-cost enrollees to the plan. Since the VHA cannot bill plans for Medicare-covered services, VMAPs may be increasing wasteful federal spending
Combining Machine Learning and Comparative Effectiveness Methodology to Study Primary Care Pharmacotherapy Pathways for Veterans With Depression
OBJECTIVES: To demonstrate an innovative method combining machine learning with comparative effectiveness research techniques and to investigate a hitherto unstudied question about the effectiveness of common prescribing patterns. DATA SOURCES: United States Veterans Health Administration Corporate Data Warehouse. STUDY DESIGN: For Operation Enduring Freedom/Operation Iraqi Freedom veterans with major depressive disorder, we generate pharmacother…
Favorable Selection of Veterans in Medicare Advantage
BACKGROUND: Prior literature has shown that favorable selection of enrollees in Medicare Advantage (MA) that is not accounted for under the Hierarchical Condition Category (HCC) risk adjustment model can result in significant overpayments to MA plans. Detailed data from the Veterans Health Administration's (VHA) Nosos risk score can measure previously undetected favorable selection in a unique cohort of patients. OBJECTIVE: To analyze characteris…
Medicine (9 obras) · Family medicine (8 obras) · Primary Care and Health Outcomes (8 obras) · Health care (7 obras) · Healthcare Policy and Management (6 obras) · Nursing (5 obras) · Political science (4 obras) · Veterans Affairs (4 obras) · Emergency Medicine (3 obras) · Finance (3 obras)