Amresh Hanchate
Biographic Data
| ID | 130693 |
|---|---|
| NAME | Amresh Hanchate |
| GIVEN NAMES | Amresh |
| FAMILY NAME | Hanchate |
| SIGNATURE | HANCHATE A |
| AFFILIATIONS | Boston University |
| ORCID | 0000-0002-7038-4463 |
| VERIFIED | Yes |
| TOTAL WORKS | 21 |
| TOTAL CITATIONS | 3 |
| AUTHOR COUNT | 21 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2004 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 1 |
Differences in the Measurement of Comorbidities Based on ICD-10-CM Coding Definitions Using Medicare Advantage Encounter Data and Fee-For-Service Claims
BACKGROUND: Medicare Advantage (MA) encounter data became available for research in 2019; data quality concerns remain. OBJECTIVES: We evaluated the consistency of ICD-10-CM comorbidity coding between MA and Fee-For-Service (FFS) data. METHODS: We used round 7 (2017) of the National Health and Aging Trends Study (NHATS) linked to Medicare enrollment, MA encounter, and FFS claims (2016-2017). We included participants continuously enrolled in MA or…
Using the Environmental Health Disparities Framework to understand Black and Latino perspectives of a local fertilizer plant fire
In February 2022, a fertilizer plant fire burned for four days and displaced thousands of residents, who were mainly low-income and Black or Latino, from their homes in Winston Salem, NC. In partnership with Black and Latino residents and nonprofit organizations, we sought to understand Black and Latino resident perceptions of the chronic and acute health risks, as well as the emotional and financial effects that resulted from the fire, which inc…
Affordable Care Act Medicaid Expansion was Associated With Reductions in the Proportion of Hospitalizations That are Potentially Preventable Among Hispanic and White Adults
OBJECTIVE: Using data on 5 years of postexpansion experience, we examined whether the coverage gains from Affordable Care Act Medicaid expansion among Black, Hispanic, and White individuals led to improvements in objective indicators of outpatient care adequacy and quality. RESEARCH DESIGN: For the population of adults aged 45-64 with no insurance or Medicaid coverage, we obtained data on census population and hospitalizations for ambulatory care…
Diabetes Control During Massachusetts Insurance Reform
Impact of United States 2017 Immigration Policy changes on missed appointments at two Massachusetts Safety-Net Hospitals
Examination of Elective Bariatric Surgery Rates Before and After US Affordable Care Act Medicaid Expansion
This cohort study found that Medicaid expansion was associated with increased rates of bariatric surgery among lower-income non-Hispanic White individuals, but not among Hispanic and non-Hispanic Black individuals
The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management
Stable insurance coverage was associated with improved DM outcomes for all racial / ethnic groups, but did not eliminate racial ethnic disparities
Changes to dietary and health outcomes following implementation of the 2012 updated US Department of Agriculture school nutrition standards
Objective: In 2012, the US government overhauled school nutrition standards, but few studies have evaluated the effects of these standards at the national level. The current study examines the impact of the updated school nutrition standards on dietary and health outcomes of schoolchildren in a nationally representative data set. Design: Difference-in-differences. We compared weekday fruit and vegetable intake between students with daily school l…
Racial Differences in Insurance Stability After Health Insurance Reform
BACKGROUND: One of the potential benefits of insurance reform is greater stability of insurance and reduced coverage disparities by race and ethnicity. OBJECTIVES: We examined the temporal trends in insurance coverage by racial/ethnic group before and after Massachusetts Insurance Reform by abstracting records across 2 urban safety net hospital systems. RESEARCH DESIGN: We examined adjusted odds of being uninsured and incident rate ratios of gain…
Racial/Ethnic Disparities in Readmissions in US Hospitals
We examine differences in rates of 30-day readmissions across patients by race/ethnicity and the extent to which these differences were moderated by insurance coverage. We use hospital discharge data of patients in the 18 years and above age group for 5 US states, California, Florida, Missouri, New York, and Tennessee for 2009, the latest year prior to the start of Centers for Medicare & Medicaid Services' Hospital Compare program of public repor…
Is 30-Day Posthospitalization Mortality Lower Among Racial/Ethnic Minorities
BACKGROUND: Multiple studies have reported that risk-adjusted rates of 30-day mortality after hospitalization for an acute condition are lower among blacks compared with whites. OBJECTIVE: To examine if previously reported lower mortality for minorities, relative to whites, is accounted for by adjustment for do-not-resuscitate status, potentially unconfirmed admission diagnosis, and differential risk of hospitalization. RESEARCH DESIGN: Using inp…
Massachusetts Health Reform Cost Less and Was More Effective for Uninsured Individuals With Venous Thromboembolism
BACKGROUND: Patients with venous thromboembolism (VTE) require access to comprehensive physician and pharmacy benefits to prevent recurrence and hemorrhage. Before 2006, Massachusetts provided these benefits through a program restricted to safety net hospitals called Free Care. Providing portable health insurance through Massachusetts health reform could improve outcomes for uninsured with VTE but its cost-effectiveness is unknown. METHODS AND RE…
Risk of Undetected Cancer at the Time of Laparoscopic Supracervical Hysterectomy and Laparoscopic Myomectomy
Why Are U.S. Girls Getting Meningococcal But Not Human Papilloma Virus Vaccines? Comparison of Factors Associated with Human Papilloma Virus and Meningococcal Vaccination Among Adolescent Girls 2008 t…
Comparing 2 Methods of Assessing 30-Day Readmissions
BACKGROUND: The Centers for Medicare and Medicaid Services' (CMS) all-cause readmission measure and the 3M Health Information System Division Potentially Preventable Readmissions (PPR) measure are both used for public reporting. These 2 methods have not been directly compared in terms of how they identify high-performing and low-performing hospitals. OBJECTIVES: To examine how consistently the CMS and PPR methods identify performance outliers, an…
Examining the Impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration
BACKGROUND: By focusing primarily on outcomes in the inpatient setting one may overlook serious adverse events that may occur after discharge (eg, readmissions, mortality) as well as opportunities for improving outpatient care. OBJECTIVE: Our overall objective was to examine whether experiencing an Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) event in an index medical or surgical hospitalization increased the likeliho…
Validating the Patient Safety Indicators in the Veterans Health Administration
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) use administrative data to detect potentially preventable in-hospital adverse events. However, few studies have determined how accurately the PSIs identify true safety events. OBJECTIVES: We examined the criterion validity, specifically the positive predictive value (PPV), of 12 selected PSIs using clinical data abstracted from the Veterans Health A…
Massachusetts Reform and Disparities in Inpatient Care Utilization
BACKGROUND: The 2006 Massachusetts health reform substantially decreased uninsurance rates. Yet, little is known about the reform's impact on actual health care utilization among poor and minority populations, particularly for receipt of inpatient surgical procedures that are commonly initiated by outpatient physician referral. METHODS: Using discharge data on Massachusetts hospitalizations for 21 months before and after health reform implementat…
Nursing Home Residence Confounds Gender Differences in Medicare Utilization
Exploring the Determinants of Racial and Ethnic Disparities in Total Knee Arthroplasty
OBJECTIVE: To estimate national total knee arthroplasty (TKA) rates by economic factors, and the extent to which differences in insurance coverage, income, and assets contribute to racial and ethnic disparities in TKA use. DATA SOURCE: US longitudinal Health and Retirement Study survey data for the elderly and near-elderly (biennial rounds 1994-2004) from the Institute of Social Research, University of Michigan. STUDY DESIGN: The outcome is dicho…
Bringing a global perspective to community, work and family
To date, much of the research on the interaction between work and family has focused on single countries or comparative studies on OECD countries. The goal of this paper is to demonstrate the feasibility of bringing a truly global perspective to comparative research on work, family, and community questions. We conducted an examination of extended‐hour work in four countries in Latin America, Africa, and Asia. This paper highlights two facts: firs…
Bringing a global perspective to community, work and family
To date, much of the research on the interaction between work and family has focused on single countries or comparative studies on OECD countries. The goal of this paper is to demonstrate the feasibility of bringing a truly global perspective to comparative research on work, family, and community questions. We conducted an examination of extended‐hour work in four countries in Latin America, Africa, and Asia. This paper highlights two facts: firs…
Bringing a global perspective to community, work and family
To date, much of the research on the interaction between work and family has focused on single countries or comparative studies on OECD countries. The goal of this paper is to demonstrate the feasibility of bringing a truly global perspective to comparative research on work, family, and community questions. We conducted an examination of extended‐hour work in four countries in Latin America, Africa, and Asia. This paper highlights two facts: firs…
Exploring the Determinants of Racial and Ethnic Disparities in Total Knee Arthroplasty
OBJECTIVE: To estimate national total knee arthroplasty (TKA) rates by economic factors, and the extent to which differences in insurance coverage, income, and assets contribute to racial and ethnic disparities in TKA use. DATA SOURCE: US longitudinal Health and Retirement Study survey data for the elderly and near-elderly (biennial rounds 1994-2004) from the Institute of Social Research, University of Michigan. STUDY DESIGN: The outcome is dicho…
Nursing Home Residence Confounds Gender Differences in Medicare Utilization
Validating the Patient Safety Indicators in the Veterans Health Administration
BACKGROUND: The Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators (PSIs) use administrative data to detect potentially preventable in-hospital adverse events. However, few studies have determined how accurately the PSIs identify true safety events. OBJECTIVES: We examined the criterion validity, specifically the positive predictive value (PPV), of 12 selected PSIs using clinical data abstracted from the Veterans Health A…
Massachusetts Reform and Disparities in Inpatient Care Utilization
BACKGROUND: The 2006 Massachusetts health reform substantially decreased uninsurance rates. Yet, little is known about the reform's impact on actual health care utilization among poor and minority populations, particularly for receipt of inpatient surgical procedures that are commonly initiated by outpatient physician referral. METHODS: Using discharge data on Massachusetts hospitalizations for 21 months before and after health reform implementat…
Comparing 2 Methods of Assessing 30-Day Readmissions
BACKGROUND: The Centers for Medicare and Medicaid Services' (CMS) all-cause readmission measure and the 3M Health Information System Division Potentially Preventable Readmissions (PPR) measure are both used for public reporting. These 2 methods have not been directly compared in terms of how they identify high-performing and low-performing hospitals. OBJECTIVES: To examine how consistently the CMS and PPR methods identify performance outliers, an…
Examining the Impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration
BACKGROUND: By focusing primarily on outcomes in the inpatient setting one may overlook serious adverse events that may occur after discharge (eg, readmissions, mortality) as well as opportunities for improving outpatient care. OBJECTIVE: Our overall objective was to examine whether experiencing an Agency for Healthcare Research and Quality Patient Safety Indicator (PSI) event in an index medical or surgical hospitalization increased the likeliho…
Risk of Undetected Cancer at the Time of Laparoscopic Supracervical Hysterectomy and Laparoscopic Myomectomy
Why Are U.S. Girls Getting Meningococcal But Not Human Papilloma Virus Vaccines? Comparison of Factors Associated with Human Papilloma Virus and Meningococcal Vaccination Among Adolescent Girls 2008 t…
Massachusetts Health Reform Cost Less and Was More Effective for Uninsured Individuals With Venous Thromboembolism
BACKGROUND: Patients with venous thromboembolism (VTE) require access to comprehensive physician and pharmacy benefits to prevent recurrence and hemorrhage. Before 2006, Massachusetts provided these benefits through a program restricted to safety net hospitals called Free Care. Providing portable health insurance through Massachusetts health reform could improve outcomes for uninsured with VTE but its cost-effectiveness is unknown. METHODS AND RE…
Racial/Ethnic Disparities in Readmissions in US Hospitals
We examine differences in rates of 30-day readmissions across patients by race/ethnicity and the extent to which these differences were moderated by insurance coverage. We use hospital discharge data of patients in the 18 years and above age group for 5 US states, California, Florida, Missouri, New York, and Tennessee for 2009, the latest year prior to the start of Centers for Medicare & Medicaid Services' Hospital Compare program of public repor…
Is 30-Day Posthospitalization Mortality Lower Among Racial/Ethnic Minorities
BACKGROUND: Multiple studies have reported that risk-adjusted rates of 30-day mortality after hospitalization for an acute condition are lower among blacks compared with whites. OBJECTIVE: To examine if previously reported lower mortality for minorities, relative to whites, is accounted for by adjustment for do-not-resuscitate status, potentially unconfirmed admission diagnosis, and differential risk of hospitalization. RESEARCH DESIGN: Using inp…
Racial Differences in Insurance Stability After Health Insurance Reform
BACKGROUND: One of the potential benefits of insurance reform is greater stability of insurance and reduced coverage disparities by race and ethnicity. OBJECTIVES: We examined the temporal trends in insurance coverage by racial/ethnic group before and after Massachusetts Insurance Reform by abstracting records across 2 urban safety net hospital systems. RESEARCH DESIGN: We examined adjusted odds of being uninsured and incident rate ratios of gain…
Changes to dietary and health outcomes following implementation of the 2012 updated US Department of Agriculture school nutrition standards
Objective: In 2012, the US government overhauled school nutrition standards, but few studies have evaluated the effects of these standards at the national level. The current study examines the impact of the updated school nutrition standards on dietary and health outcomes of schoolchildren in a nationally representative data set. Design: Difference-in-differences. We compared weekday fruit and vegetable intake between students with daily school l…
Examination of Elective Bariatric Surgery Rates Before and After US Affordable Care Act Medicaid Expansion
This cohort study found that Medicaid expansion was associated with increased rates of bariatric surgery among lower-income non-Hispanic White individuals, but not among Hispanic and non-Hispanic Black individuals
The Influence of Health Insurance Stability on Racial/Ethnic Differences in Diabetes Control and Management
Stable insurance coverage was associated with improved DM outcomes for all racial / ethnic groups, but did not eliminate racial ethnic disparities
Diabetes Control During Massachusetts Insurance Reform
Impact of United States 2017 Immigration Policy changes on missed appointments at two Massachusetts Safety-Net Hospitals
Affordable Care Act Medicaid Expansion was Associated With Reductions in the Proportion of Hospitalizations That are Potentially Preventable Among Hispanic and White Adults
OBJECTIVE: Using data on 5 years of postexpansion experience, we examined whether the coverage gains from Affordable Care Act Medicaid expansion among Black, Hispanic, and White individuals led to improvements in objective indicators of outpatient care adequacy and quality. RESEARCH DESIGN: For the population of adults aged 45-64 with no insurance or Medicaid coverage, we obtained data on census population and hospitalizations for ambulatory care…
Using the Environmental Health Disparities Framework to understand Black and Latino perspectives of a local fertilizer plant fire
In February 2022, a fertilizer plant fire burned for four days and displaced thousands of residents, who were mainly low-income and Black or Latino, from their homes in Winston Salem, NC. In partnership with Black and Latino residents and nonprofit organizations, we sought to understand Black and Latino resident perceptions of the chronic and acute health risks, as well as the emotional and financial effects that resulted from the fire, which inc…
Differences in the Measurement of Comorbidities Based on ICD-10-CM Coding Definitions Using Medicare Advantage Encounter Data and Fee-For-Service Claims
BACKGROUND: Medicare Advantage (MA) encounter data became available for research in 2019; data quality concerns remain. OBJECTIVES: We evaluated the consistency of ICD-10-CM comorbidity coding between MA and Fee-For-Service (FFS) data. METHODS: We used round 7 (2017) of the National Health and Aging Trends Study (NHATS) linked to Medicare enrollment, MA encounter, and FFS claims (2016-2017). We included participants continuously enrolled in MA or…
Medicine (18 works) · Internal Medicine (12 works) · Environmental health (10 works) · Health care (10 works) · Healthcare Policy and Management (10 works) · Demography (9 works) · Gerontology (9 works) · Internal Medicine (8 works) · Ethnic group (6 works) · Population (6 works)