Thomas C Tsai

Dados Biográficos

ID4594319
NOMEThomas C Tsai
PRENOMESThomas C
SOBRENOMETsai
ASSINATURATSAI T C
AFILIAÇÕESHarvard University
ORCID0000-0003-4244-9124
VERIFICADOSim
TOTAL DE OBRAS19
TOTAL DE CITAÇÕES0
TOTAL COMO AUTOR19
TOTAL COMO EDITOR0
PRIMEIRO ANO DE PUBLICAÇÃO2015
ANO MAIS RECENTE DE PUBLICAÇÃO2025
ÍNDICE H0

  • Clinical outcomes and profitability following rural hospital mergers and acquisitions

    Open AccessThomas C Tsai, Ciara Duggan et al.ARTICLEThe Journal of Rural Health2025

    PURPOSE: As US hospital markets become increasingly consolidated, empirical evidence is needed on the clinical and financial impacts of mergers on care provided by rural hospitals. We identified characteristics of rural hospitals that underwent mergers or acquisitions and examined changes in profitability, clinical outcomes, and patient experience at acquired versus non-acquired rural hospitals. METHODS: We identified 145 rural US hospitals that …

  • Perioperative Costs of Elective Surgical Procedures in Medicare Advantage Compared With Traditional Medicare

    Open AccessEran Politzer, Timothy S Anderson et al.ARTICLEJAMA Health Forum2025

    This study found that in addition to lower utilization of common elective surgical procedures, the costs of surgical episodes were lower for patients enrolled in MA than those enrolled in TM. MA plans had lower costs because more procedures were performed in outpatient settings, required shorter lengths of stay, and less expensive postacute care, with no apparent harm to overall quality. Physician and surgical facility selection and patient steer…

  • Payment Source Shift for Surgical Care Among Veterans Enrolled in Medicare Advantage Plans

    Open AccessWinta T Mehtsun, Yanlei Ma et al.ARTICLEJAMA Health Forum2025

    The findings of this cross-sectional study suggest substantial cost shifting in veterans' surgical care from MA to VHA among high-veteran MA plans, underscoring the urgent need for policy reforms to improve the efficiency of veterans' care

  • Carbon Emissions and Bundled Payments—Expanding the Reach of Value-Based Care

    Open AccessAhmad Hider, Ahmad M Hider et al.ARTICLEJAMA Health Forum2025

    This Viewpoint discusses the Transforming Episode Accountability Model, an episode-based bundled payment model focused on 5 surgical conditions, its limitations as a driver for decarbonization, and policy recommendations for Centers for Medicare & Medicaid Services and other federal agencies

  • Characteristics of Hospitals Participating in the Transforming Episode Accountability Model

    Open AccessSukruth A Shashikumar, Jie Zheng et al.ARTICLEJAMA Health Forum2025

    This cross-sectional study compares the hospital-, market-, patient-, and spending-level characteristics of hospitals mandated vs not mandated to participate in the Transforming Episode Accountability Model (TEAM) bundled payment program

  • Characteristics and Benefit Design of Veteran Medicare Advantage Affinity Plans

    Open AccessAllison Dorneo, Yanlei Ma et al.ARTICLEJAMA Health Forum2025

    This study found that MA insurers-specifically VMAPs-engaged in targeted marketing to veterans, offering $0 premiums, cash back benefits, and supplemental benefits. However, nearly all VMAPs excluded Medicare Part D, likely designed to attract veteran enrollees who use VHA care, making them low-cost enrollees to the plan. Since the VHA cannot bill plans for Medicare-covered services, VMAPs may be increasing wasteful federal spending

  • Subspecialization of Surgical Specialties in the US

    Open AccessRené Karadakic, David C Chan et al.ARTICLEJAMA Health Forum2025

    This cohort study found that subspecialization has considerably reshaped the surgical workforce, concentrating care among subspecialists while narrowing the procedural scope of generalist surgeons. These shifts raise concerns about access to generalist care, particularly in regions with declining generalist supply, and suggest the need for policies that consider both specialization and geographic equity in surgical workforce planning

  • Roles of benefit finding in psychological and inflammatory adjustments in persons with colorectal cancer

    Thomas C Tsai, Gabriela G Lee et al.ARTICLEPsychology & Health2025

    Objective This study examined the unique associations of different dimensions of the resilience factor, benefit finding, on concurrent and prospective psychological and biological adjustment outcomes over the first year after a colorectal cancer diagnosis.Methods and measures Individuals newly diagnosed with colorectal cancer (n = 133, mean age = 56 years old, 59% female, 46% Hispanic) completed questionnaires assessing the multidimensional aspec…

  • A dyadic stress induction tool for experimental investigation of adult patients with cancer and their family caregivers

    Open AccessY Kim, Charles S Carver et al.ARTICLEAnnals of Behavioral Medicine2025Referências: 56

    BACKGROUND: Medical illnesses are major stressors not only for the patients but also for their family caregivers, yet existing tools are inadequate to assess mechanistic response patterns to such stressors. PURPOSE: We sought to validate a stress induction task that pertains to close relationships and health-related concerns with adult patients with cancer and their family caregivers. METHODS: Patients newly diagnosed with colorectal cancer (n = …

  • Dyadic Investigation of Posttraumatic Stress Symptoms and Daily Sleep Health in Patients With Cancer and Their Caregivers

    Thomas C Tsai, Hannah‐Rose Mitchell et al.ARTICLEPsychosomatic Medicine2024

    OBJECTIVE: Cancer can be a traumatic experience affecting multidimensional aspects of sleep among patients and caregivers. This study examined the differential associations of cancer-related posttraumatic stress symptoms (PTSS) with various sleep markers in this population. METHODS: Patients newly diagnosed with colorectal cancer ( n = 138, mean age = 56.93 years, 31.88% female, 60.14% Hispanic, 6.53 months after diagnosis) and their sleep-partne…

  • Coverage Denials in Medicare Advantage—Balancing Access and Efficiency

    Open AccessSuhas Gondi, Kushal T Kadakia et al.ARTICLEJAMA Health Forum2024

    This essay compares Medicare Advantage’s claim denials and reversals with traditional Medicare and questions whether coverage obligations are being met

  • Characteristics of Health Systems Operating Medicare Advantage Plans

    Open AccessAaron Hedquist, Eric Yu et al.ARTICLEJAMA Health Forum2024

    This cross-sectional study describes Medicare Advantage plans owned or operated by health care systems in the US

  • Hospital closures in rural communities of color

    Open AccessTarun Ramesh, Thomas C TsaiARTICLEThe Journal of Rural Health2023

    Dr Tsai reports grants from the Massachusetts Consortium on Pathogen Readiness that were underwritten by the Massachusetts Life Sciences Center, Commonwealth Fund, Arnold Ventures, and William F. Milton Fund of Harvard University outside the submitted work

  • Evaluation of Potentially Avoidable Acute Care Utilization Among Patients Insured by Medicare Advantage vs Traditional Medicare

    Open AccessAdam L Beckman, Austin B Frakt et al.ARTICLEJAMA Health Forum2023

    The findings of this cross-sectional study of Medicare Advantage and traditional Medicare patients with ACSCs indicate that apparent gains in lowering rates of potentially avoidable acute care have been associated with shifting inpatient care to settings such as ED direct discharges and observation stays

  • Assessment of Strategies Used in US Hospitals to Address Social Needs During the Covid-19 Pandemic

    Open AccessJose F Figueroa, Ciara Duggan et al.ARTICLEJAMA Health Forum2022

    This survey study uses 2020 American Hospital Association data to assess strategies of US hospitals serving vulnerable populations in addressing social needs during the COVID-19 pandemic

  • Trends in Real Estate Investment Trust Ownership of US Health Care Properties

    Open AccessJoseph Dov Bruch, Tamar Katz et al.ARTICLEJAMA Health Forum2022

    This cross-sectional study examines the prevalence and characteristics of real estate investment trust-owned health care properties in the US health care sector

  • Variation in Use of Surgical Care During the Covid-19 Pandemic by Surgical Urgency and Race and Ethnicity

    Open AccessThomas C Tsai, Ava Ferguson Bryan et al.ARTICLEJAMA Health Forum2021

    As shown by this cohort study, the COVID-19 pandemic resulted in large disruptions to surgical care across all categories of operative urgency, especially elective procedures. Racial and ethnic minority groups experienced less of a disruption to surgical care than White patients. Further research is needed to explore whether the decreased surgical use among White patients was owing to patient discretion and to document whether demand for surgical…

  • Impact of ACA Insurance Coverage Expansion on Perforated Appendix Rates Among Young Adults

    John W Scott, John Rose et al.ARTICLEMedical Care2016Referências: 30

    BACKGROUND: The 2010 Dependent Coverage Provision (DCP) of the Affordable Care Act allowed young adults to remain on their parents' health insurance plans until age 26 years. Although the provision improved coverage and survey-reported access to care, little is known regarding its impact on timely access for acute conditions. This study aims to assess changes in insurance coverage and perforation rates among young adults with acute appendicitis-a…

  • Hospital Board And Management Practices Are Strongly Related To Hospital Performance On Clinical Quality Metrics

    Thomas C Tsai, Deborah D Fleming et al.ARTICLEHealth Affairs2015

    National policies to improve health care quality have largely focused on clinical provider outcomes and, more recently, payment reform. Yet the association between hospital leadership and quality, although crucial to driving quality improvement, has not been explored in depth. We collected data from surveys of nationally representative groups of hospitals in the United States and England to examine the relationships among hospital boards, managem…