Judith R Lave

• Is Survival Better at Hospitals With Higher “End-of-Life” Treatment Intensity

  Amber E Barnato, Chung-Chou H Chang et al.•ARTICLE•Medical Care•2010•Referencias: 18

  Añadir item

  BACKGROUND: Concern regarding wide variations in spending and intensive care unit use for patients at the end of life hinges on the assumption that such treatment offers little or no survival benefit. OBJECTIVE: To explore the relationship between hospital "end-of-life" (EOL) treatment intensity and postadmission survival. RESEARCH DESIGN: Retrospective cohort analysis of Pennsylvania Health Care Cost Containment Council discharge data April 2001…

• The Impact of Medicare Part D on Medication Adherence Among Older Adults Enrolled in Medicare-Advantage Products

  Yuting Zhang, Judith R Lave et al.•ARTICLE•Medical Care•2010•Referencias: 37

  Añadir item

  BACKGROUND: Little is known about how Medicare Part D affects the medication refill adherence for cardiovascular and diabetes medications, particularly among beneficiaries without prior drug coverage. OBJECTIVES: To evaluate Medicare Part D's effect on medication adherence among beneficiaries with hyperlipidemia, hypertension, and/or diabetes enrolled in Medicare Advantage products. RESEARCH DESIGN: We used a quasi-experimental pre-post design, w…

• How the Medicare Part D Drug Benefit Changed the Distribution of Out-of-Pocket Pharmacy Spending Among Older Beneficiaries

  Yuting Zhang, Judith R Lave et al.•ARTICLE•The Journals of Gerontology…•2009

  Añadir item

  Although Part D reduced out-of-pocket expenditures for older adults, those with the highest drug spending still pay a substantial share of their drug costs out-of-pocket. Thus, the Part D benefit does not achieve a primary purpose of insurance-to offer the greatest financial protection to those at the highest risk

• Development and Validation of Hospital “End-of-Life” Treatment Intensity Measures

  Amber E Barnato, Max H Farrell et al.•ARTICLE•Medical Care•2009•Referencias: 12

  Añadir item

  BACKGROUND: Health care utilization among decedents is increasingly used as a measure of health care efficiency, but decedent-based measures may be biased estimates of care received by "dying" patients. OBJECTIVE: To develop and validate new measures of hospital "end-of-life" treatment intensity. RESEARCH DESIGN: Retrospective cohort study using Pennsylvania Health Care Cost Containment Council (PHC4) discharge data (April 2001-March 2005) and Ce…

• Organizational Determinants of Hospital End-of-Life Treatment Intensity

  Caroline Y Lin, Max H Farrell et al.•ARTICLE•Medical Care•2009•Referencias: 21

  Añadir item

  BACKGROUND: There is substantial hospital-level variation in end-of-life (EOL) treatment intensity. OBJECTIVE: To explore the association between organizational factors and EOL treatment intensity in Pennsylvania (PA) hospitals. RESEARCH DESIGN: Cross-sectional mixed-mode survey of Chief Nursing Officers of PA hospitals linked to hospital-level measures of EOL treatment intensity calculated from PA Health Care Cost Containment Council (PHC4) hosp…

• Is Lower 30-Day Mortality Posthospital Admission Among Blacks Unique to the Veterans Affairs Health Care System

  Daniel Polsky, Judith R Lave et al.•ARTICLE•Medical Care•2007•Referencias: 29

  Añadir item

  BACKGROUND: Several studies have reported lower risk-adjusted mortality for blacks than whites within the Veterans Affairs (VA) health care system, particularly for those age 65 and older. This finding may be a result of the VA's integrated health care system, which reduces barriers to care through subsidized comprehensive health care services. However, no studies have directly compared racial differences in mortality within 30 days of hospitaliz…

• Does Hospitalization Impact Survival After Lower Respiratory Infection in Nursing Home Residents

  Robin L Kruse, David R Mehr et al.•ARTICLE•Medical Care•2004•Referencias: 32

  Añadir item

  BACKGROUND: Lower respiratory infection (LRI) is the leading cause of hospitalization for nursing home residents, but hospitalization is costly and may cause complications. OBJECTIVE: We sought to compare mortality and cost between episodes of LRI initially treated in the hospital versus the nursing home after controlling for illness severity and the probability of hospitalization. DESIGN: This was a prospective cohort study of nursing home resid…

• Relationship of Provider Characteristics To Outcomes, Process, And Costs of Care for Community-Acquired Pneumonia

  Jeff Whittle, Chyongchiou J Lin et al.•ARTICLE•Medical Care•1998•Referencias: 28

  Añadir item

  OBJECTIVES: The authors describe the relation of provider characteristics to processes, costs, and outcomes of medical care for elderly patients hospitalized for community-acquired pneumonia. METHODS: Using Medicare claims data, Medicare beneficiaries discharged from Pennsylvania hospitals during 1990 with community-acquired pneumonia were identified. Claims data were used to ascertain mortality, readmissions, use of procedures and physician cons…

• Variation in the Use of Red Blood Cell Transfusions; A Study of Four Common Medical and Surgical Conditions

  Peggy B Hasley, Judith R Lave et al.•ARTICLE•Medical Care•1995

  Añadir item

  This study assessed variation in red cell transfusion practice among adult patients hospitalized with ulcer disease (ULCER), and those undergoing coronary artery bypass grafting (CABG), hip surgery (HIP), or total knee replacement (KNEE). The study design was a retrospective analysis of the 1989 MedisGroups Hospital Comparative Database, and the participants were adult patients presenting for their first admission with ULCER (N = 4,664), CABG (N …

• Costing Medical Care

  Judith R Lave, CHRIS L PASHOS et al.•ARTICLE•Medical Care•1994

  Añadir item

  This paper describes how the PORTS are using data from the Medicare administrative records systems to study the medical care costs of specific conditions. The general strengths and weaknesses of the Medicare databases for studying cost related issues are discussed, and the relevant data elements are examined in detail. Changes in the nature of the data collected over time are noted. Information is provided on how the PORTS are using these data to…

• Medicare's Prospective Payment System

  Susan Feigenbaum, Susan K Feigenbaum et al.•ARTICLE•The Review of Economics and…•1992

  Añadir item

  Susan Feigenbaum, Gerard Anderson, Judith R. Lave, Medicare's Prospective Payment System: The Victim of Aggregation Bias?, The Review of Economics and Statistics, Vol. 74, No. 1 (Feb., 1992), pp. 185-191

• Band-aid solutions

  Open Access•Judith R Lave•ARTICLE•Society•1989

  Añadir item

• The Psychiatric DRGs

  Robert G Frank, Richard G Frank et al.•ARTICLE•Medical Care•1985

  Añadir item

  The relative homogeneity of medical, surgical, and psychiatric diagnosis-related groups (DRGs) are examined. Using data from the State of Maryland and the Health Care Financing Administration we studied the amount of variation in resource utilization within the DRGs. The estimated coefficients of variation of resource utilization for the surgical DRGs were found to be significantly smaller than those estimated for both medical and psychiatric DRG…

• State Rate-Setting Programs

  Gerald F Anderson, Gerard Anderson et al.•ARTICLE•Medical Care•1984

  Añadir item

  From the Center for Hospital Finance and Management, Johns Hopkins University, Baltimore, Maryland †From the Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania

• Financing the Health Care of the Aged

  Open Access•Judith R Lave, Herbert A Silverman•ARTICLE•The Annals of the American…•1983•Citada por: 1•Referencias: 2

  Añadir item

  The Medicare and Medicaid programs, which were enacted through the 1965 amendments to the Social Security Act, placed the federal government in the central role of assuring access of the aged and the poor to needed medical care. In this article the trends in the sources of financing medical care services for the aged are examined. The distinction in terms of insurance coverage between acute care services and long-term care services is highlighted…

• Characteristics of individuals who identify a regular source of medical care

  Judith R Lave, Lester B Lave et al.•ARTICLE•American Journal of Public Health•1979•Citada por: 1•Referencias: 3

  Añadir item

  Having a source where medical services are regularly received is an antecedent to securing high quality medical care; it facilitates access and indicates that the individual is not alienated from the health care delivery system. In this paper we develop models to characterize individuals, both children and adults, who claim a regular source of care. The models are estimated using a logit analysis (since the dependent variable is 0-1) applied to s…

• Medicine under Capitalism

  Open Access•Judith R Lave•ARTICLE•Capital & Class•1978

  Añadir item

  the hospital in health care delivery is an old topic, but Community BOOKSHELF Hospitals and Primary Care is presented in terms of new problems and current challenges.The book will be of interest to all those concerned with the future direction of the health care delivery system

• An evaluation of a hospital stay regulatory mechanism

  Judith R Lave, Samuel Leinhardt•ARTICLE•American Journal of Public Health•1976•Citada por: 4•Referencias: 2

  Añadir item

  The results of an evaluation of a predischarge utilization review program [PDUR] for Medicaid Patients are presented. A group of hospitals in Allegheny County, Pennsylvania, participated in this program on a voluntary basis prior to the program's being mandated statewide. All other hospitals in the county experienced retrospective review of Medicaid cases. Our analysis incorporates both types of hospitals in a quasi-experimental design. We found …

• A Proposal for Incentive Reimbursement for Hospitals

  Judith R Lave, Lester B Lave et al.•ARTICLE•Medical Care•1973

  Añadir item

  In the early 1960's, a number of observers argued that the current method of reimbursing hospitals by third parties would be a factor contributing to increasing hospital costs. In this report, we analyze one method of reimbursing hospitals—we postulate and test a number of hypotheses about the nature of the incentives that are built into the program, and then propose an alternative way of reimbursing hospitals. It is argued that a prospective rei…

• Issues Surrounding Day Care

  Shirley S Angrist, Judith R Lave•ARTICLE•The Family Coordinator•1973

  Añadir item

  This paper deals with child care arrangements of working mothers highlighting the current controversies over the types of care which families use, the fees paid, and the costs of different modes of child care. The special problems of implementing national day care programs are reviewed, including the case for subsidized care, the costs of meeting federal licensing standards, and the hazard of developinig a two-class child care system. Since devel…

• An evaluation of a hospital stay regulatory mechanism

  Judith R Lave, Samuel Leinhardt•ARTICLE•American Journal of Public Health•1976•Citada por: 4•Referencias: 2

  Añadir item

  The results of an evaluation of a predischarge utilization review program [PDUR] for Medicaid Patients are presented. A group of hospitals in Allegheny County, Pennsylvania, participated in this program on a voluntary basis prior to the program's being mandated statewide. All other hospitals in the county experienced retrospective review of Medicaid cases. Our analysis incorporates both types of hospitals in a quasi-experimental design. We found …

• Financing the Health Care of the Aged

  Open Access•Judith R Lave, Herbert A Silverman•ARTICLE•The Annals of the American…•1983•Citada por: 1•Referencias: 2

  Añadir item

  The Medicare and Medicaid programs, which were enacted through the 1965 amendments to the Social Security Act, placed the federal government in the central role of assuring access of the aged and the poor to needed medical care. In this article the trends in the sources of financing medical care services for the aged are examined. The distinction in terms of insurance coverage between acute care services and long-term care services is highlighted…

• Characteristics of individuals who identify a regular source of medical care

  Judith R Lave, Lester B Lave et al.•ARTICLE•American Journal of Public Health•1979•Citada por: 1•Referencias: 3

  Añadir item

  Having a source where medical services are regularly received is an antecedent to securing high quality medical care; it facilitates access and indicates that the individual is not alienated from the health care delivery system. In this paper we develop models to characterize individuals, both children and adults, who claim a regular source of care. The models are estimated using a logit analysis (since the dependent variable is 0-1) applied to s…

• A Proposal for Incentive Reimbursement for Hospitals

  Judith R Lave, Lester B Lave et al.•ARTICLE•Medical Care•1973

  Añadir item

  In the early 1960's, a number of observers argued that the current method of reimbursing hospitals by third parties would be a factor contributing to increasing hospital costs. In this report, we analyze one method of reimbursing hospitals—we postulate and test a number of hypotheses about the nature of the incentives that are built into the program, and then propose an alternative way of reimbursing hospitals. It is argued that a prospective rei…

• Issues Surrounding Day Care

  Shirley S Angrist, Judith R Lave•ARTICLE•The Family Coordinator•1973

  Añadir item

  This paper deals with child care arrangements of working mothers highlighting the current controversies over the types of care which families use, the fees paid, and the costs of different modes of child care. The special problems of implementing national day care programs are reviewed, including the case for subsidized care, the costs of meeting federal licensing standards, and the hazard of developinig a two-class child care system. Since devel…

• An evaluation of a hospital stay regulatory mechanism

  Judith R Lave, Samuel Leinhardt•ARTICLE•American Journal of Public Health•1976•Citada por: 4•Referencias: 2

  Añadir item

  The results of an evaluation of a predischarge utilization review program [PDUR] for Medicaid Patients are presented. A group of hospitals in Allegheny County, Pennsylvania, participated in this program on a voluntary basis prior to the program's being mandated statewide. All other hospitals in the county experienced retrospective review of Medicaid cases. Our analysis incorporates both types of hospitals in a quasi-experimental design. We found …

• Medicine under Capitalism

  Open Access•Judith R Lave•ARTICLE•Capital & Class•1978

  Añadir item

  the hospital in health care delivery is an old topic, but Community BOOKSHELF Hospitals and Primary Care is presented in terms of new problems and current challenges.The book will be of interest to all those concerned with the future direction of the health care delivery system

• Characteristics of individuals who identify a regular source of medical care

  Judith R Lave, Lester B Lave et al.•ARTICLE•American Journal of Public Health•1979•Citada por: 1•Referencias: 3

  Añadir item

  Having a source where medical services are regularly received is an antecedent to securing high quality medical care; it facilitates access and indicates that the individual is not alienated from the health care delivery system. In this paper we develop models to characterize individuals, both children and adults, who claim a regular source of care. The models are estimated using a logit analysis (since the dependent variable is 0-1) applied to s…

• Financing the Health Care of the Aged

  Open Access•Judith R Lave, Herbert A Silverman•ARTICLE•The Annals of the American…•1983•Citada por: 1•Referencias: 2

  Añadir item

  The Medicare and Medicaid programs, which were enacted through the 1965 amendments to the Social Security Act, placed the federal government in the central role of assuring access of the aged and the poor to needed medical care. In this article the trends in the sources of financing medical care services for the aged are examined. The distinction in terms of insurance coverage between acute care services and long-term care services is highlighted…

• State Rate-Setting Programs

  Gerald F Anderson, Gerard Anderson et al.•ARTICLE•Medical Care•1984

  Añadir item

  From the Center for Hospital Finance and Management, Johns Hopkins University, Baltimore, Maryland †From the Graduate School of Public Health, University of Pittsburgh, Pittsburgh, Pennsylvania

• The Psychiatric DRGs

  Robert G Frank, Richard G Frank et al.•ARTICLE•Medical Care•1985

  Añadir item

  The relative homogeneity of medical, surgical, and psychiatric diagnosis-related groups (DRGs) are examined. Using data from the State of Maryland and the Health Care Financing Administration we studied the amount of variation in resource utilization within the DRGs. The estimated coefficients of variation of resource utilization for the surgical DRGs were found to be significantly smaller than those estimated for both medical and psychiatric DRG…

• Band-aid solutions

  Open Access•Judith R Lave•ARTICLE•Society•1989

  Añadir item

• Medicare's Prospective Payment System

  Susan Feigenbaum, Susan K Feigenbaum et al.•ARTICLE•The Review of Economics and…•1992

  Añadir item

  Susan Feigenbaum, Gerard Anderson, Judith R. Lave, Medicare's Prospective Payment System: The Victim of Aggregation Bias?, The Review of Economics and Statistics, Vol. 74, No. 1 (Feb., 1992), pp. 185-191

• Costing Medical Care

  Judith R Lave, CHRIS L PASHOS et al.•ARTICLE•Medical Care•1994

  Añadir item

  This paper describes how the PORTS are using data from the Medicare administrative records systems to study the medical care costs of specific conditions. The general strengths and weaknesses of the Medicare databases for studying cost related issues are discussed, and the relevant data elements are examined in detail. Changes in the nature of the data collected over time are noted. Information is provided on how the PORTS are using these data to…

• Variation in the Use of Red Blood Cell Transfusions; A Study of Four Common Medical and Surgical Conditions

  Peggy B Hasley, Judith R Lave et al.•ARTICLE•Medical Care•1995

  Añadir item

  This study assessed variation in red cell transfusion practice among adult patients hospitalized with ulcer disease (ULCER), and those undergoing coronary artery bypass grafting (CABG), hip surgery (HIP), or total knee replacement (KNEE). The study design was a retrospective analysis of the 1989 MedisGroups Hospital Comparative Database, and the participants were adult patients presenting for their first admission with ULCER (N = 4,664), CABG (N …

• Relationship of Provider Characteristics To Outcomes, Process, And Costs of Care for Community-Acquired Pneumonia

  Jeff Whittle, Chyongchiou J Lin et al.•ARTICLE•Medical Care•1998•Referencias: 28

  Añadir item

  OBJECTIVES: The authors describe the relation of provider characteristics to processes, costs, and outcomes of medical care for elderly patients hospitalized for community-acquired pneumonia. METHODS: Using Medicare claims data, Medicare beneficiaries discharged from Pennsylvania hospitals during 1990 with community-acquired pneumonia were identified. Claims data were used to ascertain mortality, readmissions, use of procedures and physician cons…

• Does Hospitalization Impact Survival After Lower Respiratory Infection in Nursing Home Residents

  Robin L Kruse, David R Mehr et al.•ARTICLE•Medical Care•2004•Referencias: 32

  Añadir item

  BACKGROUND: Lower respiratory infection (LRI) is the leading cause of hospitalization for nursing home residents, but hospitalization is costly and may cause complications. OBJECTIVE: We sought to compare mortality and cost between episodes of LRI initially treated in the hospital versus the nursing home after controlling for illness severity and the probability of hospitalization. DESIGN: This was a prospective cohort study of nursing home resid…

• Is Lower 30-Day Mortality Posthospital Admission Among Blacks Unique to the Veterans Affairs Health Care System

  Daniel Polsky, Judith R Lave et al.•ARTICLE•Medical Care•2007•Referencias: 29

  Añadir item

  BACKGROUND: Several studies have reported lower risk-adjusted mortality for blacks than whites within the Veterans Affairs (VA) health care system, particularly for those age 65 and older. This finding may be a result of the VA's integrated health care system, which reduces barriers to care through subsidized comprehensive health care services. However, no studies have directly compared racial differences in mortality within 30 days of hospitaliz…

• How the Medicare Part D Drug Benefit Changed the Distribution of Out-of-Pocket Pharmacy Spending Among Older Beneficiaries

  Yuting Zhang, Judith R Lave et al.•ARTICLE•The Journals of Gerontology…•2009

  Añadir item

  Although Part D reduced out-of-pocket expenditures for older adults, those with the highest drug spending still pay a substantial share of their drug costs out-of-pocket. Thus, the Part D benefit does not achieve a primary purpose of insurance-to offer the greatest financial protection to those at the highest risk

• Development and Validation of Hospital “End-of-Life” Treatment Intensity Measures

  Amber E Barnato, Max H Farrell et al.•ARTICLE•Medical Care•2009•Referencias: 12

  Añadir item

  BACKGROUND: Health care utilization among decedents is increasingly used as a measure of health care efficiency, but decedent-based measures may be biased estimates of care received by "dying" patients. OBJECTIVE: To develop and validate new measures of hospital "end-of-life" treatment intensity. RESEARCH DESIGN: Retrospective cohort study using Pennsylvania Health Care Cost Containment Council (PHC4) discharge data (April 2001-March 2005) and Ce…

• Organizational Determinants of Hospital End-of-Life Treatment Intensity

  Caroline Y Lin, Max H Farrell et al.•ARTICLE•Medical Care•2009•Referencias: 21

  Añadir item

  BACKGROUND: There is substantial hospital-level variation in end-of-life (EOL) treatment intensity. OBJECTIVE: To explore the association between organizational factors and EOL treatment intensity in Pennsylvania (PA) hospitals. RESEARCH DESIGN: Cross-sectional mixed-mode survey of Chief Nursing Officers of PA hospitals linked to hospital-level measures of EOL treatment intensity calculated from PA Health Care Cost Containment Council (PHC4) hosp…

• Is Survival Better at Hospitals With Higher “End-of-Life” Treatment Intensity

  Amber E Barnato, Chung-Chou H Chang et al.•ARTICLE•Medical Care•2010•Referencias: 18

  Añadir item

  BACKGROUND: Concern regarding wide variations in spending and intensive care unit use for patients at the end of life hinges on the assumption that such treatment offers little or no survival benefit. OBJECTIVE: To explore the relationship between hospital "end-of-life" (EOL) treatment intensity and postadmission survival. RESEARCH DESIGN: Retrospective cohort analysis of Pennsylvania Health Care Cost Containment Council discharge data April 2001…

• The Impact of Medicare Part D on Medication Adherence Among Older Adults Enrolled in Medicare-Advantage Products

  Yuting Zhang, Judith R Lave et al.•ARTICLE•Medical Care•2010•Referencias: 37

  Añadir item

  BACKGROUND: Little is known about how Medicare Part D affects the medication refill adherence for cardiovascular and diabetes medications, particularly among beneficiaries without prior drug coverage. OBJECTIVES: To evaluate Medicare Part D's effect on medication adherence among beneficiaries with hyperlipidemia, hypertension, and/or diabetes enrolled in Medicare Advantage products. RESEARCH DESIGN: We used a quasi-experimental pre-post design, w…

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