A MARK FENDRICK
Biographic Data
| ID | 5538127 |
|---|---|
| NAME | A MARK FENDRICK |
| GIVEN NAMES | A MARK |
| FAMILY NAME | FENDRICK |
| SIGNATURE | FENDRICK A M |
| AFFILIATIONS | University of Michigan |
| ORCID | 0000-0002-7734-6742 |
| VERIFIED | Yes |
| TOTAL WORKS | 23 |
| TOTAL CITATIONS | 6 |
| WORKS AS AUTHOR | 23 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 1987 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Projected Savings From Reducing Low-Value Services in Medicare
This cross-sectional study estimates the utilization and potential savings achievable by reducing 47 low-value services used by Medicare beneficiaries
Fiscal Impact of Expanded Medicare Coverage for GLP-1 Receptor Agonists to Treat Obesity
This economic evaluation estimates that expanded Medicare coverage for GLP-1RAs would increase access and reduce obesity-related comorbidities but impose substantial costs over 10 years. Even with a moderate scenario (5% uptake, 20% adherence, and 30% additional price discount), net spending was still projected to reach $8 billion over a decade, underscoring the need for further price reductions, lower-cost strategies to prevent weight regain, an…
Association Between Out-of-Pocket Insurance Costs and Psychotherapy Utilization Among Commercially Insured Birthing Individuals
No Evidence on Association Between Prospective Exposure to Out-of-Pocket Cost Information and Appointment Cancelations or No-Shows
Health care price transparency aims to empower patients to make better-informed purchasing decisions. However, the prospective availability of patients' out-of-pocket costs may lead to an increased rate of forgone care. The objective of this study was to examine whether obtaining a prospective out-of-pocket cost estimate is associated with the likelihood of canceling or not arriving at a scheduled outpatient health care appointment. We surveyed a…
Redefining Cancer Screening Coverage—Screening to Diagnosis
This Viewpoint discusses financial barriers for additional diagnostic steps after patients receive abnormal cancer screening test results
How Might Patients and Physicians Use Transparent Health Care Prices to Guide Decisions and Improve Health Care Affordability
Many Americans face high cost-sharing demands from their health insurers. While there is hope that prices for health services are becoming more and more transparent, even increased availability of price information will not always translate into optimal, equitable health and financial outcomes for patients. This commentary on a case argues why transparent pricing is an ethical imperative and identifies steps that health sector stakeholders should…
Coverage for the Entire Cervical Cancer Screening Process Without Cost-Sharing
The Price Will Be Right—How to Help Patients and Providers Benefit from the New CMS Transparency Rule
Jeffrey T. Kullgren, MD, MS, MPH; Elizabeth Q. Cliff, MS; Christopher Krenz, BA; Brady T. West, PhD; Helen Levy, PhD; A. Mark Fendrick, MD; Angela Fagerlin, PhD
Cost Sharing and Utilization of Postpartum Intrauterine Devices and Contraceptive Implants Among Commercially Insured Women
Attitudes About Consumer Strategies Among Americans in High-deductible Health Plans
BACKGROUND: More than 70 million Americans are enrolled in a high-deductible health plan (HDHP), with high upfront cost-sharing to encourage strategies such as price shopping to mitigate out-of-pocket spending. Recent research suggests HDHP enrollees are reluctant to engage in these consumer strategies, but there is little information on why. OBJECTIVES: To describe associations between HDHP enrollees' attitudes about and intent to engage in cons…
Women’s Health and the Affordable Care Act
Our population-based survey of 1078 randomly sampled US women, aged 18 to 55 years, sought to characterize their understanding of and attitudes toward the Affordable Care Act (ACA). Most women, especially socially disadvantaged groups, had negative or uncertain attitudes toward the ACA and limited understanding of its health benefits, including its relevance for their own health service coverage and utilization. Our findings are important for con…
Cost of Contraceptive Methods to Privately Insured Women in the United States
The Impact of Out-of-Pocket Costs on the Use of Intrauterine Contraception Among Women With Employer-sponsored Insurance
BACKGROUND: Long-acting reversible contraception (LARC) is highly effective but also has higher initiation costs than oral contraceptive methods, which may contribute to relatively low use. The Affordable Care Act requires most private insurance plans to cover contraceptive services without patient cost-sharing. Whether this mandate will increase LARC use is unknown. OBJECTIVE: To assess the relationship between cost-sharing and use of LARC among…
The Effect of a Large Regional Health Plan’s Value-based Insurance Design Program on Statin Use
BACKGROUND: Cost-sharing requirements employed by health insurers to discourage the unnecessary use of medications may lead to underutilization of recommended treatment regimens and suboptimal quality of care. Value-based insurance design (VBID) programs seek to address these problems by lowering copayments to promote adherence to "high-value" medications that have been proven to be clinically beneficial. VBID evaluations to date have focused on …
Healthcare Utilization in Community-Acquired Pneumonia Episodes of Care
OBJECTIVE: Compare healthcare utilization and total payments for community-acquired pneumonia (CAP) episodes-of-care among 5 health plan designs spanning the continuum of managed care. RESEARCH DESIGN: Medical and prescription claims analysis of CAP episodes among enrollees of employer-sponsored health plans. Episode characteristics, healthcare utilization, and payments were compared across fee-for-service, Preferred Provider Organizations (PPO),…
Colorectal cancer screening behavior in women attending screening mammography
The Health Effects of Restricting Prescription Medication Use Because of Cost
BACKGROUND: High out-of-pocket expenditures for prescription medications could lead people with chronic illnesses to restrict their use of these medications. Whether adults experience adverse health outcomes after having restricted medication use because of cost is not known. METHODS: We analyzed data from 2 prospective cohort studies of adults who reported regularly taking prescription medications using 2 waves of the Health and Retirement Study…
Informal Caregiving for Diabetes and Diabetic Complications Among Elderly Americans
Diabetes imposes a substantial burden on elderly individuals, their families, and society, both through increased rates of disability and the significant time that informal caregivers must spend helping address the associated functional limitations. Future evaluations of the costs of diabetes, and the cost-effectiveness of diabetes interventions, should consider the significant informal caregiving costs associated with the disease
National estimates of the quantity and cost of informal caregiving for the elderly with dementia
Specialist and Generalist Physicians' Adoption of Antibiotic Therapy to Eradicate Helicobacter pylori Infection
OBJECTIVES: The authors examine how specialist and generalist physicians adapted their practice patterns to emerging information on the role of Helicobacter pylori in peptic ulcer disease (PUD). METHODS: Data were collected via a mail survey sent to national random samples of gastroenterologists, family practitioners, and general internists in April 1994. A Cox proportional hazards regression was used to evaluate the determinants of the timing of…
Hospital Adoption of Laparoscopic Cholecystectomy
Fendrick, A. Mark MD*,†,‡,§,∥; ESCARCE, JOSÉ J. MD†,‡,§,∥; MCLANE, CLYDE BS§,∥; SHEA, JUDY A. PHD†,‡,§,∥; Schwartz, J. Sanford MD†,‡,§,∥ Author Information
Impact of Initial Triage Decisions on Nursing Intensity for Patients With Acute Chest Pain
The results of a prospective evaluation of the patient-specific correlates of nursing intensity for 183 consecutive emergency room patients admitted for evaluation of acute chest pain, including 33 (18%) with acute myocardial infarction (AMI), are reported. These correlates were measured with a previously-validated, commercially-available patient classification tool (Medicus). In multiple linear regression analysis that adjusted for the effects o…
Waiting for Care
Queues arise in medical care and serve as allocators in the absence of an effective market and when resources become perceptibly constrained. This is essentially the case in all countries where money is not the means for gaining access to medical services. A study estimated that the total wait in England was 96 days for nonemergency care leading to hospitalization, including primary and specialty ambulatory care, for that one quarter of patients …
Informal Caregiving for Diabetes and Diabetic Complications Among Elderly Americans
Diabetes imposes a substantial burden on elderly individuals, their families, and society, both through increased rates of disability and the significant time that informal caregivers must spend helping address the associated functional limitations. Future evaluations of the costs of diabetes, and the cost-effectiveness of diabetes interventions, should consider the significant informal caregiving costs associated with the disease
Women’s Health and the Affordable Care Act
Our population-based survey of 1078 randomly sampled US women, aged 18 to 55 years, sought to characterize their understanding of and attitudes toward the Affordable Care Act (ACA). Most women, especially socially disadvantaged groups, had negative or uncertain attitudes toward the ACA and limited understanding of its health benefits, including its relevance for their own health service coverage and utilization. Our findings are important for con…
Waiting for Care
Queues arise in medical care and serve as allocators in the absence of an effective market and when resources become perceptibly constrained. This is essentially the case in all countries where money is not the means for gaining access to medical services. A study estimated that the total wait in England was 96 days for nonemergency care leading to hospitalization, including primary and specialty ambulatory care, for that one quarter of patients …
Impact of Initial Triage Decisions on Nursing Intensity for Patients With Acute Chest Pain
The results of a prospective evaluation of the patient-specific correlates of nursing intensity for 183 consecutive emergency room patients admitted for evaluation of acute chest pain, including 33 (18%) with acute myocardial infarction (AMI), are reported. These correlates were measured with a previously-validated, commercially-available patient classification tool (Medicus). In multiple linear regression analysis that adjusted for the effects o…
Hospital Adoption of Laparoscopic Cholecystectomy
Fendrick, A. Mark MD*,†,‡,§,∥; ESCARCE, JOSÉ J. MD†,‡,§,∥; MCLANE, CLYDE BS§,∥; SHEA, JUDY A. PHD†,‡,§,∥; Schwartz, J. Sanford MD†,‡,§,∥ Author Information
Specialist and Generalist Physicians' Adoption of Antibiotic Therapy to Eradicate Helicobacter pylori Infection
OBJECTIVES: The authors examine how specialist and generalist physicians adapted their practice patterns to emerging information on the role of Helicobacter pylori in peptic ulcer disease (PUD). METHODS: Data were collected via a mail survey sent to national random samples of gastroenterologists, family practitioners, and general internists in April 1994. A Cox proportional hazards regression was used to evaluate the determinants of the timing of…
National estimates of the quantity and cost of informal caregiving for the elderly with dementia
Informal Caregiving for Diabetes and Diabetic Complications Among Elderly Americans
Diabetes imposes a substantial burden on elderly individuals, their families, and society, both through increased rates of disability and the significant time that informal caregivers must spend helping address the associated functional limitations. Future evaluations of the costs of diabetes, and the cost-effectiveness of diabetes interventions, should consider the significant informal caregiving costs associated with the disease
The Health Effects of Restricting Prescription Medication Use Because of Cost
BACKGROUND: High out-of-pocket expenditures for prescription medications could lead people with chronic illnesses to restrict their use of these medications. Whether adults experience adverse health outcomes after having restricted medication use because of cost is not known. METHODS: We analyzed data from 2 prospective cohort studies of adults who reported regularly taking prescription medications using 2 waves of the Health and Retirement Study…
Colorectal cancer screening behavior in women attending screening mammography
Healthcare Utilization in Community-Acquired Pneumonia Episodes of Care
OBJECTIVE: Compare healthcare utilization and total payments for community-acquired pneumonia (CAP) episodes-of-care among 5 health plan designs spanning the continuum of managed care. RESEARCH DESIGN: Medical and prescription claims analysis of CAP episodes among enrollees of employer-sponsored health plans. Episode characteristics, healthcare utilization, and payments were compared across fee-for-service, Preferred Provider Organizations (PPO),…
The Effect of a Large Regional Health Plan’s Value-based Insurance Design Program on Statin Use
BACKGROUND: Cost-sharing requirements employed by health insurers to discourage the unnecessary use of medications may lead to underutilization of recommended treatment regimens and suboptimal quality of care. Value-based insurance design (VBID) programs seek to address these problems by lowering copayments to promote adherence to "high-value" medications that have been proven to be clinically beneficial. VBID evaluations to date have focused on …
Cost of Contraceptive Methods to Privately Insured Women in the United States
The Impact of Out-of-Pocket Costs on the Use of Intrauterine Contraception Among Women With Employer-sponsored Insurance
BACKGROUND: Long-acting reversible contraception (LARC) is highly effective but also has higher initiation costs than oral contraceptive methods, which may contribute to relatively low use. The Affordable Care Act requires most private insurance plans to cover contraceptive services without patient cost-sharing. Whether this mandate will increase LARC use is unknown. OBJECTIVE: To assess the relationship between cost-sharing and use of LARC among…
Women’s Health and the Affordable Care Act
Our population-based survey of 1078 randomly sampled US women, aged 18 to 55 years, sought to characterize their understanding of and attitudes toward the Affordable Care Act (ACA). Most women, especially socially disadvantaged groups, had negative or uncertain attitudes toward the ACA and limited understanding of its health benefits, including its relevance for their own health service coverage and utilization. Our findings are important for con…
Cost Sharing and Utilization of Postpartum Intrauterine Devices and Contraceptive Implants Among Commercially Insured Women
Attitudes About Consumer Strategies Among Americans in High-deductible Health Plans
BACKGROUND: More than 70 million Americans are enrolled in a high-deductible health plan (HDHP), with high upfront cost-sharing to encourage strategies such as price shopping to mitigate out-of-pocket spending. Recent research suggests HDHP enrollees are reluctant to engage in these consumer strategies, but there is little information on why. OBJECTIVES: To describe associations between HDHP enrollees' attitudes about and intent to engage in cons…
The Price Will Be Right—How to Help Patients and Providers Benefit from the New CMS Transparency Rule
Jeffrey T. Kullgren, MD, MS, MPH; Elizabeth Q. Cliff, MS; Christopher Krenz, BA; Brady T. West, PhD; Helen Levy, PhD; A. Mark Fendrick, MD; Angela Fagerlin, PhD
How Might Patients and Physicians Use Transparent Health Care Prices to Guide Decisions and Improve Health Care Affordability
Many Americans face high cost-sharing demands from their health insurers. While there is hope that prices for health services are becoming more and more transparent, even increased availability of price information will not always translate into optimal, equitable health and financial outcomes for patients. This commentary on a case argues why transparent pricing is an ethical imperative and identifies steps that health sector stakeholders should…
Coverage for the Entire Cervical Cancer Screening Process Without Cost-Sharing
Redefining Cancer Screening Coverage—Screening to Diagnosis
This Viewpoint discusses financial barriers for additional diagnostic steps after patients receive abnormal cancer screening test results
Projected Savings From Reducing Low-Value Services in Medicare
This cross-sectional study estimates the utilization and potential savings achievable by reducing 47 low-value services used by Medicare beneficiaries
Fiscal Impact of Expanded Medicare Coverage for GLP-1 Receptor Agonists to Treat Obesity
This economic evaluation estimates that expanded Medicare coverage for GLP-1RAs would increase access and reduce obesity-related comorbidities but impose substantial costs over 10 years. Even with a moderate scenario (5% uptake, 20% adherence, and 30% additional price discount), net spending was still projected to reach $8 billion over a decade, underscoring the need for further price reductions, lower-cost strategies to prevent weight regain, an…
Association Between Out-of-Pocket Insurance Costs and Psychotherapy Utilization Among Commercially Insured Birthing Individuals
No Evidence on Association Between Prospective Exposure to Out-of-Pocket Cost Information and Appointment Cancelations or No-Shows
Health care price transparency aims to empower patients to make better-informed purchasing decisions. However, the prospective availability of patients' out-of-pocket costs may lead to an increased rate of forgone care. The objective of this study was to examine whether obtaining a prospective out-of-pocket cost estimate is associated with the likelihood of canceling or not arriving at a scheduled outpatient health care appointment. We surveyed a…
Medicine (21 works) · Health care (11 works) · Internal Medicine (10 works) · Family medicine (9 works) · Healthcare Policy and Management (8 works) · Nursing (8 works) · Population (8 works) · Business (6 works) · Economics (6 works) · Environmental health (6 works)