David G Stevenson
Dados Biográficos
| ID | 5537110 |
|---|---|
| NOME | David G Stevenson |
| PRENOMES | David G |
| SOBRENOME | Stevenson |
| ASSINATURA | STEVENSON D G |
| AFILIAÇÕES | Harvard University |
| ORCID | 0000-0002-3370-3277 |
| VERIFICADO | Sim |
| TOTAL DE OBRAS | 13 |
| TOTAL DE CITAÇÕES | 0 |
| TOTAL COMO AUTOR | 13 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2005 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 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
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 Contracting and Common Ownership Between Hospice Agencies and Nursing Homes
BACKGROUND: In recent years, policymakers have paid particular attention to the emergence of a robust for-profit hospice sector and increased hospice use by nursing home residents. Previous research has explored financial incentives for nursing home-hospice use, but there has been limited research on nursing home-hospice partnerships and none on the extent of nursing home-hospice common ownership. OBJECTIVE: To describe trends in nursing home-hos…
Nursing Home Chain Affiliation and Its Impact on Specialty Service Designation for Alzheimer Disease
Specialty care units (SCUs) in nursing homes (NHs) grew in popularity during the 1990s to attract residents while national policies and treatment paradigms changed. Alzheimer disease has consistently been the dominant form of SCU. This study explored the extent to which chain affiliation, which is common among NHs, affected SCU bed designation. Using data from the Online Survey Certification and Reporting (OSCAR) from 1996 through 2010 with 207 4…
The Impact of Chain Standardization on Nursing Home Staffing
BACKGROUND: Standardization in production is common in multientity chain organizations. Although chains are prominent in the nursing home sector, standardization in care has not been studied. One way nursing home chains may standardize is by controlling the level and mix of staffing in member homes. OBJECTIVES: To examine the extent to which standardization occurred in staffing, its relative presence across different types of chains, and whether …
Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care
BACKGROUND: In 2012, over half of nursing homes were operated by corporate chains. Facilities owned by the largest for-profit chains were reported to have lower quality of care. However, it is unknown how nursing home chain ownerships are related with experiences of care. OBJECTIVES: To study the relationship between nursing home chain characteristics (chain size and profit status) with patients' family member reported ratings on experiences with…
High-Risk Medication Use by Nursing Home Residents Before and After Hospitalization
BACKGROUND: Two prominent challenges in nursing home care are ensuring appropriate medication use and achieving high-quality care as residents transition from the hospital to the nursing home. Research about prescribing practices at this important clinical juncture is limited. OBJECTIVE: To analyze the use of high-risk medications by nursing home residents before and after being hospitalized. We define high-risk medications using the Beers criter…
Medicare Part D Plan Generosity and Medication Use Among Dual-eligible Nursing Home Residents
BACKGROUND: In 2006, dual-eligible nursing home residents were randomly assigned to a Medicare Part D prescription drug plan (PDP). Subsequently, residents not enrolled in qualified plans at the start of the next year were rerandomized. PDPs vary in generosity through differences in medication coverage and utilization management. Therefore, residents' assigned plans may be relatively more or less generous for their particular drugs. The impact of…
Does Litigation Increase or Decrease Health Care Quality
BACKGROUND: The tort system is supposed to help improve the quality and safety of health care, but whether it actually does so is controversial. Most previous studies modeling the effect of negligence litigation on quality of care are ecologic. OBJECTIVE: To assess whether the experience of being sued and incurring litigation costs affects the quality of care subsequently delivered in nursing homes. RESEARCH DESIGN, SUBJECTS, MEASURES: We linked …
Service Use at the End-of-Life in Medicare Advantage Versus Traditional Medicare
BACKGROUND: Relative to traditional fee-for-service Medicare, managed care plans caring for Medicare beneficiaries may be better positioned to promote recommended services and discourage burdensome procedures with little clinical value at the end of life. OBJECTIVE: To compare end-of-life service use for enrollees in Medicare Advantage health maintenance organizations (MA-HMO) relative to similar individuals enrolled in traditional Medicare (TM).…
Private Long-Term Care Insurance and State Tax Incentives
To increase the role of private insurance in financing long-term care, tax incentives for long-term care insurance have been implemented at both the federal and state levels. To date, there has been surprisingly little study of these initiatives. Using a panel of national data, we find that market take-up for long-term care insurance increased over the last decade, but state tax incentives were responsible for only a small portion of this growth.…
The Influence of Medicare Home Health Payment Incentives
During the late 1990s, the U.S. government instituted an interim payment system (IPS) to constrain Medicare home health care expenditures. Previous research has focused largely on the implications of the IPS for Medicare patients; this study broadens the analysis to consider patients with other payer sources. Using the National Home and Hospice Care Survey, we found similar effects of the IPS across payer types. Specifically, the IPS was associat…
Nursing Home Consumer Complaints and Their Potential Role in Assessing Quality of Care
BACKGROUND: State survey agencies collect and investigate consumer complaints for care in nursing homes and other health care settings. Complaint investigations play a key role in quality assurance, because they can respond to concerns of consumers and families. OBJECTIVE: This study uses 5 years of nursing home complaints data from Massachusetts (1998-2002) to investigate whether complaints might be used to assess nursing home quality of care. R…
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Nursing Home Consumer Complaints and Their Potential Role in Assessing Quality of Care
BACKGROUND: State survey agencies collect and investigate consumer complaints for care in nursing homes and other health care settings. Complaint investigations play a key role in quality assurance, because they can respond to concerns of consumers and families. OBJECTIVE: This study uses 5 years of nursing home complaints data from Massachusetts (1998-2002) to investigate whether complaints might be used to assess nursing home quality of care. R…
The Influence of Medicare Home Health Payment Incentives
During the late 1990s, the U.S. government instituted an interim payment system (IPS) to constrain Medicare home health care expenditures. Previous research has focused largely on the implications of the IPS for Medicare patients; this study broadens the analysis to consider patients with other payer sources. Using the National Home and Hospice Care Survey, we found similar effects of the IPS across payer types. Specifically, the IPS was associat…
Private Long-Term Care Insurance and State Tax Incentives
To increase the role of private insurance in financing long-term care, tax incentives for long-term care insurance have been implemented at both the federal and state levels. To date, there has been surprisingly little study of these initiatives. Using a panel of national data, we find that market take-up for long-term care insurance increased over the last decade, but state tax incentives were responsible for only a small portion of this growth.…
Medicare Part D Plan Generosity and Medication Use Among Dual-eligible Nursing Home Residents
BACKGROUND: In 2006, dual-eligible nursing home residents were randomly assigned to a Medicare Part D prescription drug plan (PDP). Subsequently, residents not enrolled in qualified plans at the start of the next year were rerandomized. PDPs vary in generosity through differences in medication coverage and utilization management. Therefore, residents' assigned plans may be relatively more or less generous for their particular drugs. The impact of…
Does Litigation Increase or Decrease Health Care Quality
BACKGROUND: The tort system is supposed to help improve the quality and safety of health care, but whether it actually does so is controversial. Most previous studies modeling the effect of negligence litigation on quality of care are ecologic. OBJECTIVE: To assess whether the experience of being sued and incurring litigation costs affects the quality of care subsequently delivered in nursing homes. RESEARCH DESIGN, SUBJECTS, MEASURES: We linked …
Service Use at the End-of-Life in Medicare Advantage Versus Traditional Medicare
BACKGROUND: Relative to traditional fee-for-service Medicare, managed care plans caring for Medicare beneficiaries may be better positioned to promote recommended services and discourage burdensome procedures with little clinical value at the end of life. OBJECTIVE: To compare end-of-life service use for enrollees in Medicare Advantage health maintenance organizations (MA-HMO) relative to similar individuals enrolled in traditional Medicare (TM).…
High-Risk Medication Use by Nursing Home Residents Before and After Hospitalization
BACKGROUND: Two prominent challenges in nursing home care are ensuring appropriate medication use and achieving high-quality care as residents transition from the hospital to the nursing home. Research about prescribing practices at this important clinical juncture is limited. OBJECTIVE: To analyze the use of high-risk medications by nursing home residents before and after being hospitalized. We define high-risk medications using the Beers criter…
Do Nursing Home Chain Size and Proprietary Status Affect Experiences With Care
BACKGROUND: In 2012, over half of nursing homes were operated by corporate chains. Facilities owned by the largest for-profit chains were reported to have lower quality of care. However, it is unknown how nursing home chain ownerships are related with experiences of care. OBJECTIVES: To study the relationship between nursing home chain characteristics (chain size and profit status) with patients' family member reported ratings on experiences with…
Nursing Home Chain Affiliation and Its Impact on Specialty Service Designation for Alzheimer Disease
Specialty care units (SCUs) in nursing homes (NHs) grew in popularity during the 1990s to attract residents while national policies and treatment paradigms changed. Alzheimer disease has consistently been the dominant form of SCU. This study explored the extent to which chain affiliation, which is common among NHs, affected SCU bed designation. Using data from the Online Survey Certification and Reporting (OSCAR) from 1996 through 2010 with 207 4…
The Impact of Chain Standardization on Nursing Home Staffing
BACKGROUND: Standardization in production is common in multientity chain organizations. Although chains are prominent in the nursing home sector, standardization in care has not been studied. One way nursing home chains may standardize is by controlling the level and mix of staffing in member homes. OBJECTIVES: To examine the extent to which standardization occurred in staffing, its relative presence across different types of chains, and whether …
Trends in Contracting and Common Ownership Between Hospice Agencies and Nursing Homes
BACKGROUND: In recent years, policymakers have paid particular attention to the emergence of a robust for-profit hospice sector and increased hospice use by nursing home residents. Previous research has explored financial incentives for nursing home-hospice use, but there has been limited research on nursing home-hospice partnerships and none on the extent of nursing home-hospice common ownership. OBJECTIVE: To describe trends in nursing home-hos…
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
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
Geriatric Care and Nursing Homes (12 obras) · Medicine (11 obras) · Family medicine (8 obras) · Nursing (8 obras) · Health care (7 obras) · Nursing homes (7 obras) · Business (6 obras) · Healthcare Policy and Management (5 obras) · Economics (4 obras) · Internal Medicine (4 obras)