Lawrence P Casalino
Biographic Data
| ID | 5534185 |
|---|---|
| NAME | Lawrence P Casalino |
| GIVEN NAMES | Lawrence P |
| FAMILY NAME | Casalino |
| SIGNATURE | CASALINO L P |
| AFFILIATIONS | Cornell University |
| ORCID | 0000-0002-7927-7859 |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 0 |
| AUTHOR COUNT | 19 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Budgetary Impact of the Medicare Shared Savings Program on Traditional Medicare
This cross-sectional study provides updated estimates of the Medicare Shared Savings Program’s budgetary impact between 2012 and 2023 using a more recent longitudinal evaluation of the program’s effects
Changes in Primary Care Practice Setting and Practice Type for Medicare Beneficiaries
This cross-sectional study examined changes in practice setting and practice type in 2012 vs 2022 among patients with traditional Medicare coverage
Physician Altruism and Spending, Hospital Admissions, and Emergency Department Visits
This cross-sectional study found that Medicare patients treated by altruistic physicians had fewer potentially preventable hospitalizations and emergency department visits and lower spending. Policymakers and leaders of hospitals, medical practices, and medical schools may want to consider creating incentives, organizational structures, and cultures that may increase, or at least do not decrease, physician altruism. Further research should seek t…
Audio-Only Telehealth Use Among Traditional Medicare Beneficiaries
This cross-sectional study analyzes how use of audio-only telehealth services by Medicare beneficiaries changed from 2020 to 2022 and assesses which patients would be most affected by policy reforms
Accountable Care Organization Leader Perspectives on the Medicare Shared Savings Program: A Qualitative Study
In this study, the ACO leaders reported varied approaches to promoting clinician alignment with ACO goals, an emphasis on increasing annual wellness visits, and new pressures related to growth of other care models. Policymakers hoping to modify or expand the program may wish to incorporate these perspectives into future reforms
Ambulatory Care Fragmentation and Total Health Care Costs
BACKGROUND: The magnitude of the relationship between ambulatory care fragmentation and subsequent total health care costs is unclear. OBJECTIVE: To determine the association between ambulatory care fragmentation and total health care costs. RESEARCH DESIGN: Longitudinal analysis of 15 years of data (2004-2018) from the national Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, linked to Medicare fee-for-service claims. SUB…
Association of Private Equity Investment in US Nursing Homes With the Quality and Cost of Care for Long-Stay Residents
This cohort study with difference-in-differences analysis found that private equity acquisition of nursing homes was associated with increases in ACS emergency department visits and hospitalizations and higher Medicare costs
Ambulatory Care Fragmentation and Subsequent Hospitalization: Evidence From the REGARDS Study
BACKGROUND: Previous studies have suggested that highly fragmented ambulatory care increases the risk of subsequent hospitalization, but those studies used claims only and were not able to adjust for many clinical potential confounders. OBJECTIVE: The objective of this study was to determine the association between fragmented ambulatory care and subsequent hospitalization, adjusting for demographics, medical conditions, medications, health behavi…
Meaningful Use of Electronic Health Records by Outpatient Physicians and Readmissions of Medicare Fee-for-Service Beneficiaries
BACKGROUND: Nearly one-fifth of hospitalized Medicare fee-for-service beneficiaries are readmitted within 30 days. Participation in the Meaningful Use initiative among outpatient physicians may reduce readmissions. OBJECTIVE: To evaluate the impact of outpatient physicians' participation in Meaningful Use on readmissions. SUBJECTS AND RESEARCH DESIGN: The study population included 90,774 Medicare fee-for-service beneficiaries from New York State …
Associations between patients’ perceptions of care integration and organizational features of medical groups in the United States
Background: Prior studies suggest structurally integrating healthcare organizations may not yield care that is integrated for patients. This research has been limited by lack of comprehensive measures of integrated patient care. Our study establishes an evidence base of care integration from the patient’s perspective among a national sample in the United States using a reliable and valid survey. We explore the relationship between patient-perceiv…
Physician Satisfaction and Physician Well-Being: Should Anyone Care
We present a model of hypothesized relationships between physician satisfaction, physician well-being and the quality of care, in addition to a review of relevant literature. The model suggests that physicians who are stressed, burned out, depressed, and/or have poor self-care are more likely to be dissatisfied, and vice-versa. Both poor physician well-being and physician dissatisfaction are hypothesized to lead to diminished physician concentrat…
Physician Dissatisfaction in the United States: An Examination
This paper addresses several root causes of dissatisfaction with medical practice among American physicians, and suggests that some, but not all, are potentially remediable. Fixed assumptions about the nature of medical practice in the United States, developed over several decades, appear to be eroding. At the same time, increasing demands on physician time, especially involving low value documentation and administrative tasks are interfering wit…
Physician Networks and Ambulatory Care-sensitive Admissions
BACKGROUND: Research on the quality and cost of care traditionally focuses on individual physicians or medical groups. Social network theory suggests that the care a patient receives also depends on the network of physicians with whom a patient's physician is connected. OBJECTIVES: The objectives of the study are: (1) identify physician networks; (2) determine whether the rate of ambulatory care-sensitive hospital admissions (ACSAs) varies across…
Associations Between Medical Home Characteristics and Support for Patient Activation in the Safety Net: Understanding Differences by Race, Ethnicity, and Health Status
BACKGROUND: Few studies have evaluated whether the patient-centered medical home (PCMH) supports patient activation and none have evaluated whether support for patient activation differs among racial and ethnic groups or by health status. This is critical because activation is lower on average among minority patients and those in poorer health. OBJECTIVE: To assess the association between clinic PCMH characteristics and patient perception of clin…
The Intended and Unintended Consequences of Quality Improvement Interventions for Small Practices in a Community-based Electronic Health Record Implementation Project
BACKGROUND: Despite the rapid rise in the implementation of electronic health records (EHR), commensurate improvements in health care quality have not been consistently observed. OBJECTIVES: To evaluate whether the implementation of EHRs and complementary interventions-including clinical decision support, technical assistance, and financial incentives-improved quality of care. RESEARCH DESIGN: The study included 143 practices that implemented EHR…
Positive and Negative Spillovers of the Health Disparities Collaboratives in Federally Qualified Health Centers: Staff Perceptions
INTRODUCTION: Quality improvement (QI) interventions are usually evaluated for their intended effect; little is known about whether they generate significant positive or negative spillovers. METHODS: We mailed a 39-item self-administered survey to the 1256 staff at 135 federally qualified health centers (FQHC) implementing the Health Disparities Collaboratives (HDC), a large-scale QI collaborative intervention. We asked about the extent to which …
Quality-Based Payment for Medical Groups and Individual Physicians
This paper measures the extent to which medical groups experience external pay-for-performance incentives based on quality and patient satisfaction and the extent to which these groups pay their primary care and specialist physicians using similar criteria. Over half (52%) of large medical groups received bonus payments from health insurance plans in the period 2006-2007 based on measures of quality and patient satisfaction. Medical groups facing…
Financial Incentives, Quality Improvement Programs, and the Adoption of Clinical Information Technology
OBJECTIVE: Physician use of clinical information technology (CIT) is important for the management of chronic illness, but has lagged behind expectations. We studied the role of health insurers' financial incentives (including pay-for-performance) and quality improvement initiatives in accelerating adoption of CIT in large physician practices. METHODS: National survey of all medical groups and independent practice association (IPA) physician organ…
Improving Chronic Illness Care: A Longitudinal Cohort Analysis of Large Physician Organizations
BACKGROUND: An increasing number of people suffer from chronic illness. Processes exist to provide better chronic illness care and yet for the most part, they are not used. OBJECTIVE: To examine the change in use of commonly recommended chronic illness care management processes (CMPs) in large medical groups between 2000 and 2006 and the factors associated with the change. DESIGN AND MEASURES: Cohort analysis of data from a national telephone sur…
No prominent works on this page.
Quality-Based Payment for Medical Groups and Individual Physicians
This paper measures the extent to which medical groups experience external pay-for-performance incentives based on quality and patient satisfaction and the extent to which these groups pay their primary care and specialist physicians using similar criteria. Over half (52%) of large medical groups received bonus payments from health insurance plans in the period 2006-2007 based on measures of quality and patient satisfaction. Medical groups facing…
Financial Incentives, Quality Improvement Programs, and the Adoption of Clinical Information Technology
OBJECTIVE: Physician use of clinical information technology (CIT) is important for the management of chronic illness, but has lagged behind expectations. We studied the role of health insurers' financial incentives (including pay-for-performance) and quality improvement initiatives in accelerating adoption of CIT in large physician practices. METHODS: National survey of all medical groups and independent practice association (IPA) physician organ…
Improving Chronic Illness Care: A Longitudinal Cohort Analysis of Large Physician Organizations
BACKGROUND: An increasing number of people suffer from chronic illness. Processes exist to provide better chronic illness care and yet for the most part, they are not used. OBJECTIVE: To examine the change in use of commonly recommended chronic illness care management processes (CMPs) in large medical groups between 2000 and 2006 and the factors associated with the change. DESIGN AND MEASURES: Cohort analysis of data from a national telephone sur…
Positive and Negative Spillovers of the Health Disparities Collaboratives in Federally Qualified Health Centers: Staff Perceptions
INTRODUCTION: Quality improvement (QI) interventions are usually evaluated for their intended effect; little is known about whether they generate significant positive or negative spillovers. METHODS: We mailed a 39-item self-administered survey to the 1256 staff at 135 federally qualified health centers (FQHC) implementing the Health Disparities Collaboratives (HDC), a large-scale QI collaborative intervention. We asked about the extent to which …
Associations Between Medical Home Characteristics and Support for Patient Activation in the Safety Net: Understanding Differences by Race, Ethnicity, and Health Status
BACKGROUND: Few studies have evaluated whether the patient-centered medical home (PCMH) supports patient activation and none have evaluated whether support for patient activation differs among racial and ethnic groups or by health status. This is critical because activation is lower on average among minority patients and those in poorer health. OBJECTIVE: To assess the association between clinic PCMH characteristics and patient perception of clin…
The Intended and Unintended Consequences of Quality Improvement Interventions for Small Practices in a Community-based Electronic Health Record Implementation Project
BACKGROUND: Despite the rapid rise in the implementation of electronic health records (EHR), commensurate improvements in health care quality have not been consistently observed. OBJECTIVES: To evaluate whether the implementation of EHRs and complementary interventions-including clinical decision support, technical assistance, and financial incentives-improved quality of care. RESEARCH DESIGN: The study included 143 practices that implemented EHR…
Physician Satisfaction and Physician Well-Being: Should Anyone Care
We present a model of hypothesized relationships between physician satisfaction, physician well-being and the quality of care, in addition to a review of relevant literature. The model suggests that physicians who are stressed, burned out, depressed, and/or have poor self-care are more likely to be dissatisfied, and vice-versa. Both poor physician well-being and physician dissatisfaction are hypothesized to lead to diminished physician concentrat…
Physician Dissatisfaction in the United States: An Examination
This paper addresses several root causes of dissatisfaction with medical practice among American physicians, and suggests that some, but not all, are potentially remediable. Fixed assumptions about the nature of medical practice in the United States, developed over several decades, appear to be eroding. At the same time, increasing demands on physician time, especially involving low value documentation and administrative tasks are interfering wit…
Physician Networks and Ambulatory Care-sensitive Admissions
BACKGROUND: Research on the quality and cost of care traditionally focuses on individual physicians or medical groups. Social network theory suggests that the care a patient receives also depends on the network of physicians with whom a patient's physician is connected. OBJECTIVES: The objectives of the study are: (1) identify physician networks; (2) determine whether the rate of ambulatory care-sensitive hospital admissions (ACSAs) varies across…
Associations between patients’ perceptions of care integration and organizational features of medical groups in the United States
Background: Prior studies suggest structurally integrating healthcare organizations may not yield care that is integrated for patients. This research has been limited by lack of comprehensive measures of integrated patient care. Our study establishes an evidence base of care integration from the patient’s perspective among a national sample in the United States using a reliable and valid survey. We explore the relationship between patient-perceiv…
Meaningful Use of Electronic Health Records by Outpatient Physicians and Readmissions of Medicare Fee-for-Service Beneficiaries
BACKGROUND: Nearly one-fifth of hospitalized Medicare fee-for-service beneficiaries are readmitted within 30 days. Participation in the Meaningful Use initiative among outpatient physicians may reduce readmissions. OBJECTIVE: To evaluate the impact of outpatient physicians' participation in Meaningful Use on readmissions. SUBJECTS AND RESEARCH DESIGN: The study population included 90,774 Medicare fee-for-service beneficiaries from New York State …
Association of Private Equity Investment in US Nursing Homes With the Quality and Cost of Care for Long-Stay Residents
This cohort study with difference-in-differences analysis found that private equity acquisition of nursing homes was associated with increases in ACS emergency department visits and hospitalizations and higher Medicare costs
Ambulatory Care Fragmentation and Subsequent Hospitalization: Evidence From the REGARDS Study
BACKGROUND: Previous studies have suggested that highly fragmented ambulatory care increases the risk of subsequent hospitalization, but those studies used claims only and were not able to adjust for many clinical potential confounders. OBJECTIVE: The objective of this study was to determine the association between fragmented ambulatory care and subsequent hospitalization, adjusting for demographics, medical conditions, medications, health behavi…
Physician Altruism and Spending, Hospital Admissions, and Emergency Department Visits
This cross-sectional study found that Medicare patients treated by altruistic physicians had fewer potentially preventable hospitalizations and emergency department visits and lower spending. Policymakers and leaders of hospitals, medical practices, and medical schools may want to consider creating incentives, organizational structures, and cultures that may increase, or at least do not decrease, physician altruism. Further research should seek t…
Audio-Only Telehealth Use Among Traditional Medicare Beneficiaries
This cross-sectional study analyzes how use of audio-only telehealth services by Medicare beneficiaries changed from 2020 to 2022 and assesses which patients would be most affected by policy reforms
Accountable Care Organization Leader Perspectives on the Medicare Shared Savings Program: A Qualitative Study
In this study, the ACO leaders reported varied approaches to promoting clinician alignment with ACO goals, an emphasis on increasing annual wellness visits, and new pressures related to growth of other care models. Policymakers hoping to modify or expand the program may wish to incorporate these perspectives into future reforms
Ambulatory Care Fragmentation and Total Health Care Costs
BACKGROUND: The magnitude of the relationship between ambulatory care fragmentation and subsequent total health care costs is unclear. OBJECTIVE: To determine the association between ambulatory care fragmentation and total health care costs. RESEARCH DESIGN: Longitudinal analysis of 15 years of data (2004-2018) from the national Reasons for Geographic and Racial Differences in Stroke (REGARDS) study, linked to Medicare fee-for-service claims. SUB…
Changes in Primary Care Practice Setting and Practice Type for Medicare Beneficiaries
This cross-sectional study examined changes in practice setting and practice type in 2012 vs 2022 among patients with traditional Medicare coverage
Budgetary Impact of the Medicare Shared Savings Program on Traditional Medicare
This cross-sectional study provides updated estimates of the Medicare Shared Savings Program’s budgetary impact between 2012 and 2023 using a more recent longitudinal evaluation of the program’s effects
Medicine (18 works) · Family medicine (13 works) · Primary Care and Health Outcomes (12 works) · Health care (11 works) · Nursing (11 works) · Healthcare Policy and Management (8 works) · Business (7 works) · Chronic Disease Management Strategies (6 works) · Psychology (6 works) · Incentive (4 works)