Sally C Stearn
Dados Biográficos
| ID | 3582138 |
|---|---|
| NOME | Sally C Stearn |
| PRENOMES | Sally C |
| SOBRENOME | Stearn |
| ASSINATURA | STEARN S C |
| AFILIAÇÕES | University of North Carolina at Chapel Hill |
| ORCID | 0000-0002-1129-0838 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 29 |
| TOTAL DE CITAÇÕES | 76 |
| TOTAL COMO AUTOR | 29 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 1988 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2023 |
| ÍNDICE H | 4 |
High Deductible Health Plans and Use of Free Preventive Services Under the Affordable Care Act
The Affordable Care Act aimed to increase use of preventive services by eliminating cost-sharing to consumers. However, patients may be unaware of this benefit or they may not seek preventive services if they anticipate that the cost of potential diagnostic or treatment services will be too high, both more likely among those in high deductible health plans. We used nationally representative private health insurance claims (100% sample of IBM ® Ma…
A Comparison of Self-reported Medication Adherence to Concordance Between Part D Claims and Medication Possession
OBJECTIVE: Medicare Part D claims indicate medication purchased, but people who are not fully adherent may extend prescription use beyond the interval prescribed. This study assessed concordance between Part D claims and medication possession at a study visit in relation to self-reported medication adherence. MATERIALS AND METHODS: We matched Part D claims for 6 common medications to medications brought to a study visit in 2011-2013 for the Ather…
Hospice Use, Hospitalization, and Medicare Spending at the End of Life
Hospice Use, Hospitalization, and Medicare Spending at the End of Life
The Medicare hospice benefit is associated with reduced hospital care at the end of life and reduced Medicare expenditures for most enrollees. Policies that encourage timely initiation of hospice and discourage extremely short stays could increase these successes while maintaining program goals
Assessing Medicare Part D Claim Completeness Using Medication Self-Reports
OBJECTIVE: Medicare Part D claims are commonly used for research, but missing claims could compromise their validity. This study assessed 2 possible causes of missing claims: veteran status and Generic Drug Discount Programs (GDDP). MATERIALS AND METHODS: We merged medication self-reports from telephone interviews in the Atherosclerosis Risk in Communities (ARIC) Study with Part D claims for 6 medications (3 were commonly in GDDP in 2009). Merged…
Exploring the Association of Homicides in Northern Mexico and Healthcare Access for US Residents
Examining Continuity of Care for Medicaid-Enrolled Children Receiving Oral Health Services in Medical Offices
Effects of Early Dental Office Visits on Dental Caries Experience
Objectives. We determined the association between timing of a first dentist office visit before age 5 years and dental disease in kindergarten. Methods. We used North Carolina Medicaid claims (1999–2006) linked to state oral health surveillance data to compare caries experience for kindergarten students (2005–2006) who had a visit before age 60 months (n = 11 394) to derive overall exposure effects from a zero-inflated negative binomial regressio…
Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience
Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999–2006) to oral health surveillance data (2005–2006). Regression models estimat…
Explaining Variation in Hospice Visit Intensity for Routine Home Care
BACKGROUND: Medicare pays a flat per diem rate by level of hospice service without case-mix adjustment, although previous research shows that visit intensity varies considerably over the course of hospice episodes. Concerns pertain to the inherent financial incentives for routine home care, the most frequently used level, and whether payment efficiency can be improved using case-mix adjustment. OBJECTIVES: The aim of this study was to assess vari…
Impact of Caring for Grandchildren on the Health of Grandparents in Taiwan
Improvements in self-rated health and mobility associated with caregiving support our hypothesis that caring for grandchildren can be beneficial for grandparents in Taiwan, especially for long-term multigenerational caregivers. Comparing Taiwanese grandparents across different types of caregiving shows that the associations of grandparent caregiving with health vary by living arrangement and duration. However, these findings may not be causal bec…
Effect of Early Preventive Dental Visits on Subsequent Dental Treatment and Expenditures
OBJECTIVE: Professional organizations recommend a preventive dental visit by 1 year of age. This study compared dental treatment and expenditures for Medicaid children who have a preventive visit before the age of 18 months with those who have a visit at age 18-42 months. METHODS: This retrospective cohort study used reimbursement claims for 19,888 children enrolled in North Carolina Medicaid (1999-2006). We compared the number of dental treatmen…
Effect of Primary Prophylactic Granulocyte-Colony Stimulating Factor Use on Incidence of Neutropenia Hospitalizations for Elderly Early-stage Breast Cancer Patients Receiving Chemotherapy
OBJECTIVE: Chemotherapy is vital for breast cancer management, but early-onset toxicities like neutropenia hinder its administration, especially in the elderly. Primary prophylactic (PP) use of granulocyte-colony stimulating factors (G-CSF) helps prevent neutropenia and its complications while receiving chemotherapy. Nevertheless, evidence supporting the effectiveness of PPG-CSF in the elderly is limited. Thus, the American Society of Clinical On…
Multiple imputation of dental caries data using a zero-inflated Poisson regression model
This technique can be easily applied to impute missing dental caries data
Follow‐Up Preventive Dental Visits for Medicaid‐Enrolled Children in the Medical Office
Children with preventive dental services in medical offices have similar numbers of oral health and well-child visits, with both below recommended numbers. Strategies to increase these services may need to be tied to those aimed at increasing compliance with well-child visits, taking advantage of nonwell-child visits, and implementing Medicaid policies that allow for optimal timing of visits
Staying the Course
Facilities can implement specific actions to retain NAs, though such policies may have a limited effect on retention in the profession. Broader enhancements of career opportunities may be necessary for profession retention, though balance between retention and promotion may be important
How Age and Disability Affect Long-Term Care Expenditures in the United States
The ageing of the population and increasing longevity result in predictions of sizeable increases in long-term care expenditures. Other analyses have shown significant decreases in disability prevalence among older people in the US. This study provides an empirical quantification of the net result of these two forces (increased expenditures due to ageing versus potential expenditure reductions due to reduced disability) using the Medicare Current…
Medicare Prospective Payment and Quality of Care for Long-Stay Nursing Facility Residents
BACKGROUND: The Balanced Budget Act of 1997 dramatically changed the way that Medicare pays skilled nursing facilities and also cut per-diem rates. Previous studies have found effects on facility-wide staffing but not on quality for short-stay residents. Because facilities may combine revenue streams to be used where needed, spillover effects on quality of care for long-stay residents are possible. OBJECTIVE: We sought to investigate effects of f…
How Good Is Assisted Living? Findings and Implications From an Outcomes Study
No single component defines "good" AL care. Predictors and outcomes are inconsistent, and effect sizes are small. Therefore, practice and policy should not focus narrowly on any one area or restrict the type of care-this being welcome news that supports diversity to accommodate individual preferences
Longevity and Health Care Expenditures
Both increases in the absolute number of elderly persons and in their longevity will increase future Medicare expenditures. Yet, the expected increase in per person health care expenditures caused by greater longevity of Medicare beneficiaries will be less than expected because of the concentration of expenditures at the end of life rather than during extra years of a relatively healthy life. The latter conclusion may be altered, however, because…
Grading Systems for Cost-Effectiveness Studies
From the Department of Health Policy and Administration, the University of North Carolina, Chapel Hill, North Carolina. †From the University of York, United Kingdom. Address correspondence and reprint requests to: Sally C. Stearns, PhD, Department of Health Policy and Administration, CB #7411, University of North Carolina, Chapel Hill, NC 27599-7411. E-mail: [email protected]
Treatment Outcomes and Costs of Dental Sealants Among Children Enrolled in Medicaid
Objectives. This retrospective cohort analysis of children enrolled in the North Carolina Medicaid program compared the likelihood of restorative treatments and associated cumulative Medicaid expenditures for teeth with or without dental sealants. Methods. We assessed the dental experience of the cohort of 15 438 children from 1985 to 1992 on the basis of enrollment and claims files. We conducted regression analyses for outcomes (caries-related s…
Access to Care for Rural Medicare Beneficiaries
This paper examines variations between urban and rural Medicare beneficiaries in three measures of access to care: self‐reported access to care, satisfaction with care received and use of services. The assessment focuses on these measures and their relationship to adjacency to metropolitan areas. Comparisons are also provided for the relative effects of adjacency versus broader access barriers such as income. Data from the 1993 Medicare Current B…
The Role of Peer-Reviewed Journals in Science
Weinberger, Morris PhD; Tierney, William M. MD; Ayanian, John Z. MD, MPP; Burnam, Audrey PhD; Escarce, Jose J. MD, PhD; Hays, Ron D. PhD; Horner, Ronnie D. PhD; McHorney, Colleen A. PhD; Oddone, Eugene Z. MD; Romano, Patrick MD; Powe, Neil R. MD, MPH, MBA; Stearns, Sally C. PhD Author Information
Health Economics and Medical Care
From RAND Health Program, Santa Monica, California. †From University of North Carolina at Chapel Hill, School of Public Health. Address correspondence to: José J. Escarce, MD, PhD, RAND, 1700 Main St, M-28, Santa Monica, CA 90401. E-mail: [email protected]
Impact of Caring for Grandchildren on the Health of Grandparents in Taiwan
Improvements in self-rated health and mobility associated with caregiving support our hypothesis that caring for grandchildren can be beneficial for grandparents in Taiwan, especially for long-term multigenerational caregivers. Comparing Taiwanese grandparents across different types of caregiving shows that the associations of grandparent caregiving with health vary by living arrangement and duration. However, these findings may not be causal bec…
Longevity and Health Care Expenditures
Both increases in the absolute number of elderly persons and in their longevity will increase future Medicare expenditures. Yet, the expected increase in per person health care expenditures caused by greater longevity of Medicare beneficiaries will be less than expected because of the concentration of expenditures at the end of life rather than during extra years of a relatively healthy life. The latter conclusion may be altered, however, because…
How Good Is Assisted Living? Findings and Implications From an Outcomes Study
No single component defines "good" AL care. Predictors and outcomes are inconsistent, and effect sizes are small. Therefore, practice and policy should not focus narrowly on any one area or restrict the type of care-this being welcome news that supports diversity to accommodate individual preferences
Staying the Course
Facilities can implement specific actions to retain NAs, though such policies may have a limited effect on retention in the profession. Broader enhancements of career opportunities may be necessary for profession retention, though balance between retention and promotion may be important
A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center
Effects of Early Dental Office Visits on Dental Caries Experience
Objectives. We determined the association between timing of a first dentist office visit before age 5 years and dental disease in kindergarten. Methods. We used North Carolina Medicaid claims (1999–2006) linked to state oral health surveillance data to compare caries experience for kindergarten students (2005–2006) who had a visit before age 60 months (n = 11 394) to derive overall exposure effects from a zero-inflated negative binomial regressio…
How Age and Disability Affect Long-Term Care Expenditures in the United States
The ageing of the population and increasing longevity result in predictions of sizeable increases in long-term care expenditures. Other analyses have shown significant decreases in disability prevalence among older people in the US. This study provides an empirical quantification of the net result of these two forces (increased expenditures due to ageing versus potential expenditure reductions due to reduced disability) using the Medicare Current…
Treatment Outcomes and Costs of Dental Sealants Among Children Enrolled in Medicaid
Objectives. This retrospective cohort analysis of children enrolled in the North Carolina Medicaid program compared the likelihood of restorative treatments and associated cumulative Medicaid expenditures for teeth with or without dental sealants. Methods. We assessed the dental experience of the cohort of 15 438 children from 1985 to 1992 on the basis of enrollment and claims files. We conducted regression analyses for outcomes (caries-related s…
Hospice Use, Hospitalization, and Medicare Spending at the End of Life
The Medicare hospice benefit is associated with reduced hospital care at the end of life and reduced Medicare expenditures for most enrollees. Policies that encourage timely initiation of hospice and discourage extremely short stays could increase these successes while maintaining program goals
Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience
Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999–2006) to oral health surveillance data (2005–2006). Regression models estimat…
Conference on long-term care for the elderly
A retrospective analysis of the cost-effectiveness of dental sealants in a children's health center
Reductions in hospital use from self management training for chronic asthmatics
The Health Status of the Journal
Weinberger, Morris PhD; Tierney, William M. MD; Burnam, Audrey PhD; Duncan, Pamela W. PhD, PT; Escarce, José J. MD, PhD; Hays, Ron D. PhD; Horner, Ronnie D. PhD; McHorney, Colleen A. PhD; Oddone, Eugene Z. MD; Romano, Patrick MD; Powe, Neil R. MD, MPH, MBA; Stearns, Sally PhD Author Information
Access to Care for Rural Medicare Beneficiaries
This paper examines variations between urban and rural Medicare beneficiaries in three measures of access to care: self‐reported access to care, satisfaction with care received and use of services. The assessment focuses on these measures and their relationship to adjacency to metropolitan areas. Comparisons are also provided for the relative effects of adjacency versus broader access barriers such as income. Data from the 1993 Medicare Current B…
The Role of Peer-Reviewed Journals in Science
Weinberger, Morris PhD; Tierney, William M. MD; Ayanian, John Z. MD, MPP; Burnam, Audrey PhD; Escarce, Jose J. MD, PhD; Hays, Ron D. PhD; Horner, Ronnie D. PhD; McHorney, Colleen A. PhD; Oddone, Eugene Z. MD; Romano, Patrick MD; Powe, Neil R. MD, MPH, MBA; Stearns, Sally C. PhD Author Information
Health Economics and Medical Care
From RAND Health Program, Santa Monica, California. †From University of North Carolina at Chapel Hill, School of Public Health. Address correspondence to: José J. Escarce, MD, PhD, RAND, 1700 Main St, M-28, Santa Monica, CA 90401. E-mail: [email protected]
Treatment Outcomes and Costs of Dental Sealants Among Children Enrolled in Medicaid
Objectives. This retrospective cohort analysis of children enrolled in the North Carolina Medicaid program compared the likelihood of restorative treatments and associated cumulative Medicaid expenditures for teeth with or without dental sealants. Methods. We assessed the dental experience of the cohort of 15 438 children from 1985 to 1992 on the basis of enrollment and claims files. We conducted regression analyses for outcomes (caries-related s…
Longevity and Health Care Expenditures
Both increases in the absolute number of elderly persons and in their longevity will increase future Medicare expenditures. Yet, the expected increase in per person health care expenditures caused by greater longevity of Medicare beneficiaries will be less than expected because of the concentration of expenditures at the end of life rather than during extra years of a relatively healthy life. The latter conclusion may be altered, however, because…
Grading Systems for Cost-Effectiveness Studies
From the Department of Health Policy and Administration, the University of North Carolina, Chapel Hill, North Carolina. †From the University of York, United Kingdom. Address correspondence and reprint requests to: Sally C. Stearns, PhD, Department of Health Policy and Administration, CB #7411, University of North Carolina, Chapel Hill, NC 27599-7411. E-mail: [email protected]
How Good Is Assisted Living? Findings and Implications From an Outcomes Study
No single component defines "good" AL care. Predictors and outcomes are inconsistent, and effect sizes are small. Therefore, practice and policy should not focus narrowly on any one area or restrict the type of care-this being welcome news that supports diversity to accommodate individual preferences
Medicare Prospective Payment and Quality of Care for Long-Stay Nursing Facility Residents
BACKGROUND: The Balanced Budget Act of 1997 dramatically changed the way that Medicare pays skilled nursing facilities and also cut per-diem rates. Previous studies have found effects on facility-wide staffing but not on quality for short-stay residents. Because facilities may combine revenue streams to be used where needed, spillover effects on quality of care for long-stay residents are possible. OBJECTIVE: We sought to investigate effects of f…
How Age and Disability Affect Long-Term Care Expenditures in the United States
The ageing of the population and increasing longevity result in predictions of sizeable increases in long-term care expenditures. Other analyses have shown significant decreases in disability prevalence among older people in the US. This study provides an empirical quantification of the net result of these two forces (increased expenditures due to ageing versus potential expenditure reductions due to reduced disability) using the Medicare Current…
Follow‐Up Preventive Dental Visits for Medicaid‐Enrolled Children in the Medical Office
Children with preventive dental services in medical offices have similar numbers of oral health and well-child visits, with both below recommended numbers. Strategies to increase these services may need to be tied to those aimed at increasing compliance with well-child visits, taking advantage of nonwell-child visits, and implementing Medicaid policies that allow for optimal timing of visits
Staying the Course
Facilities can implement specific actions to retain NAs, though such policies may have a limited effect on retention in the profession. Broader enhancements of career opportunities may be necessary for profession retention, though balance between retention and promotion may be important
Multiple imputation of dental caries data using a zero-inflated Poisson regression model
This technique can be easily applied to impute missing dental caries data
Effect of Primary Prophylactic Granulocyte-Colony Stimulating Factor Use on Incidence of Neutropenia Hospitalizations for Elderly Early-stage Breast Cancer Patients Receiving Chemotherapy
OBJECTIVE: Chemotherapy is vital for breast cancer management, but early-onset toxicities like neutropenia hinder its administration, especially in the elderly. Primary prophylactic (PP) use of granulocyte-colony stimulating factors (G-CSF) helps prevent neutropenia and its complications while receiving chemotherapy. Nevertheless, evidence supporting the effectiveness of PPG-CSF in the elderly is limited. Thus, the American Society of Clinical On…
Effect of Early Preventive Dental Visits on Subsequent Dental Treatment and Expenditures
OBJECTIVE: Professional organizations recommend a preventive dental visit by 1 year of age. This study compared dental treatment and expenditures for Medicaid children who have a preventive visit before the age of 18 months with those who have a visit at age 18-42 months. METHODS: This retrospective cohort study used reimbursement claims for 19,888 children enrolled in North Carolina Medicaid (1999-2006). We compared the number of dental treatmen…
Impact of Caring for Grandchildren on the Health of Grandparents in Taiwan
Improvements in self-rated health and mobility associated with caregiving support our hypothesis that caring for grandchildren can be beneficial for grandparents in Taiwan, especially for long-term multigenerational caregivers. Comparing Taiwanese grandparents across different types of caregiving shows that the associations of grandparent caregiving with health vary by living arrangement and duration. However, these findings may not be causal bec…
Exploring the Association of Homicides in Northern Mexico and Healthcare Access for US Residents
Examining Continuity of Care for Medicaid-Enrolled Children Receiving Oral Health Services in Medical Offices
Effects of Early Dental Office Visits on Dental Caries Experience
Objectives. We determined the association between timing of a first dentist office visit before age 5 years and dental disease in kindergarten. Methods. We used North Carolina Medicaid claims (1999–2006) linked to state oral health surveillance data to compare caries experience for kindergarten students (2005–2006) who had a visit before age 60 months (n = 11 394) to derive overall exposure effects from a zero-inflated negative binomial regressio…
Comparing Medical and Dental Providers of Oral Health Services on Early Dental Caries Experience
Objectives. Most state Medicaid programs reimburse nondental primary care providers (PCPs) for providing preventive oral health services to young children. We examined the association between who (PCP, dentist, or both) provides these services to Medicaid enrollees before age 3 years and oral health at age 5 years. Methods. We linked North Carolina Medicaid claims (1999–2006) to oral health surveillance data (2005–2006). Regression models estimat…
Explaining Variation in Hospice Visit Intensity for Routine Home Care
BACKGROUND: Medicare pays a flat per diem rate by level of hospice service without case-mix adjustment, although previous research shows that visit intensity varies considerably over the course of hospice episodes. Concerns pertain to the inherent financial incentives for routine home care, the most frequently used level, and whether payment efficiency can be improved using case-mix adjustment. OBJECTIVES: The aim of this study was to assess vari…
Hospice Use, Hospitalization, and Medicare Spending at the End of Life
The Medicare hospice benefit is associated with reduced hospital care at the end of life and reduced Medicare expenditures for most enrollees. Policies that encourage timely initiation of hospice and discourage extremely short stays could increase these successes while maintaining program goals
Medicine (28 obras) · Family medicine (12 obras) · Health care (12 obras) · Nursing (12 obras) · Gerontology (11 obras) · Healthcare Policy and Management (9 obras) · Dental Health and Care Utilization (8 obras) · Environmental health (8 obras) · Demography (7 obras) · Medicaid (6 obras)