Laura M Keohane
Biographic Data
| ID | 5545506 |
|---|---|
| NAME | Laura M Keohane |
| GIVEN NAMES | Laura M |
| FAMILY NAME | Keohane |
| SIGNATURE | KEOHANE L M |
| AFFILIATIONS | Vanderbilt University |
| ORCID | 0000-0002-9400-0575 |
| VERIFIED | Yes |
| TOTAL WORKS | 9 |
| TOTAL CITATIONS | 0 |
| WORKS AS AUTHOR | 9 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2014 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 0 |
Medicaid Home and Community-Based Services Initiation and Acute Services Use
In this study among a large cohort of older adults with low income across the southeastern US, Medicaid HCBS was associated with a persistent decrease in acute services use. Future research should explore additional outcomes to better inform policies that can improve HCBS outcomes and an understanding of its tradeoffs with acute services use
Medigap Protection and Plan Switching Among Medicare Advantage Enrollees With Cancer
In this cohort study, state Medigap guaranteed issue protections were associated with higher rates of switching to TM among MA beneficiaries newly diagnosed with cancer. These findings underscore the protective association of state Medigap regulations in facilitating a switch to TM (especially among beneficiaries who likely desired more flexibility in accessing and receiving care) and illuminate potential disparities in switching that may reflect…
Comparison of the Pathway to Hospice Enrollment Between Medicare Advantage and Traditional Medicare
Compared with TM beneficiaries, those in MA were more likely to enroll in hospice from community settings vs following inpatient stays. However, hospice length of stay was not substantially different between MA and TM. Further research is needed to understand how MA plans influence hospice use and the direct association with quality of end-of-life care as reported by older adults and their families
Postacute Care Services Use and Outcomes Among Traditional Medicare and Medicare Advantage Beneficiaries
In this cohort study of Medicare beneficiaries, we found that MA enrollees overall used less postacute care services than their TM counterparts. Among users of postacute care services, MA enrollees reported less favorable outcomes compared with TM enrollees. These findings highlight the importance of assessing patient-reported outcomes, especially as MA and other payment models seek to reduce inefficient use of postacute care services
Trends in and Factors Contributing to the Slowdown in Medicare Spending Growth, 2007-2018
In this cross-sectional study of trends in spending growth per Medicare beneficiary aged 65 years or older, results suggested that Medicare payment policy, including sector-specific payment rate changes and sequestration, will be a critical determinant of whether the Medicare spending growth slowdown persists
Mandated Copayment Reductions in Medicare Advantage
OBJECTIVES: To address concerns that postacute cost-sharing may deter high-need beneficiaries from participating in Medicare Advantage (MA) plans, the Centers for Medicare and Medicaid Services have capped cost-sharing for skilled nursing facility (SNF) services in MA plans since 2011. This study examines whether SNF use, inpatient use, and plan disenrollment changed following stricter regulations in 2015 that required most MA plans to eliminate …
Expanding Ventilator Capacity—The Need for State and Regional Planning
As the COVID-19 pandemic continues, policy makers are seeking to expand ventilator capacity to address the anticipated surge in patients with severe respiratory failure. Without enough ventilators, rationing measures that triage ventilators in order to save the most lives could be necessary. cording to media reports, the federal government's Strategic National Stockpile has 000 ventilators">almost 13 000 ventilators to be released in emergencies.…
Preferred Provider Relationships Between Medicare Advantage Plans and Skilled Nursing Facilities Reduce Switching Out of Plans
Unlike traditional Medicare, Medicare Advantage (MA) plans contract with specific skilled nursing facilities (SNFs). Patients treated in an MA plan's preferred SNF may benefit from enhanced coordination and have a lower likelihood of switching out of their plan. Using 2011-2014 Medicare enrollment data, the Medicare Healthcare Effectiveness Data and Information Set, and the Minimum Data Set, we examined Medicare enrollees who were newly admitted …
Local Medicaid Home- and Community-Based Services Spending and Nursing Home Admissions of Younger Adults
We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased ad…
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Local Medicaid Home- and Community-Based Services Spending and Nursing Home Admissions of Younger Adults
We used fixed-effect models to examine the relationship between local spending on home- and community-based services (HCBSs) for cash-assisted Medicaid-only disabled (CAMOD) adults and younger adult admissions to nursing homes in the United States during 2001 through 2008, with control for facility and market characteristics and secular trends. We found that increased CAMOD Medicaid HCBS spending at the local level is associated with decreased ad…
Preferred Provider Relationships Between Medicare Advantage Plans and Skilled Nursing Facilities Reduce Switching Out of Plans
Unlike traditional Medicare, Medicare Advantage (MA) plans contract with specific skilled nursing facilities (SNFs). Patients treated in an MA plan's preferred SNF may benefit from enhanced coordination and have a lower likelihood of switching out of their plan. Using 2011-2014 Medicare enrollment data, the Medicare Healthcare Effectiveness Data and Information Set, and the Minimum Data Set, we examined Medicare enrollees who were newly admitted …
Expanding Ventilator Capacity—The Need for State and Regional Planning
As the COVID-19 pandemic continues, policy makers are seeking to expand ventilator capacity to address the anticipated surge in patients with severe respiratory failure. Without enough ventilators, rationing measures that triage ventilators in order to save the most lives could be necessary. cording to media reports, the federal government's Strategic National Stockpile has 000 ventilators">almost 13 000 ventilators to be released in emergencies.…
Mandated Copayment Reductions in Medicare Advantage
OBJECTIVES: To address concerns that postacute cost-sharing may deter high-need beneficiaries from participating in Medicare Advantage (MA) plans, the Centers for Medicare and Medicaid Services have capped cost-sharing for skilled nursing facility (SNF) services in MA plans since 2011. This study examines whether SNF use, inpatient use, and plan disenrollment changed following stricter regulations in 2015 that required most MA plans to eliminate …
Trends in and Factors Contributing to the Slowdown in Medicare Spending Growth, 2007-2018
In this cross-sectional study of trends in spending growth per Medicare beneficiary aged 65 years or older, results suggested that Medicare payment policy, including sector-specific payment rate changes and sequestration, will be a critical determinant of whether the Medicare spending growth slowdown persists
Comparison of the Pathway to Hospice Enrollment Between Medicare Advantage and Traditional Medicare
Compared with TM beneficiaries, those in MA were more likely to enroll in hospice from community settings vs following inpatient stays. However, hospice length of stay was not substantially different between MA and TM. Further research is needed to understand how MA plans influence hospice use and the direct association with quality of end-of-life care as reported by older adults and their families
Postacute Care Services Use and Outcomes Among Traditional Medicare and Medicare Advantage Beneficiaries
In this cohort study of Medicare beneficiaries, we found that MA enrollees overall used less postacute care services than their TM counterparts. Among users of postacute care services, MA enrollees reported less favorable outcomes compared with TM enrollees. These findings highlight the importance of assessing patient-reported outcomes, especially as MA and other payment models seek to reduce inefficient use of postacute care services
Medigap Protection and Plan Switching Among Medicare Advantage Enrollees With Cancer
In this cohort study, state Medigap guaranteed issue protections were associated with higher rates of switching to TM among MA beneficiaries newly diagnosed with cancer. These findings underscore the protective association of state Medigap regulations in facilitating a switch to TM (especially among beneficiaries who likely desired more flexibility in accessing and receiving care) and illuminate potential disparities in switching that may reflect…
Medicaid Home and Community-Based Services Initiation and Acute Services Use
In this study among a large cohort of older adults with low income across the southeastern US, Medicaid HCBS was associated with a persistent decrease in acute services use. Future research should explore additional outcomes to better inform policies that can improve HCBS outcomes and an understanding of its tradeoffs with acute services use
Medicine (8 works) · Demography (6 works) · Geriatric Care and Nursing Homes (6 works) · Health care (5 works) · Healthcare Policy and Management (5 works) · Medicaid (5 works) · Nursing (5 works) · Business (4 works) · Demography (4 works) · Family medicine (4 works)