2016
Understanding The Role Played By Medicare’s Patient Experience Points System In Hospital Reimbursement
Elliott MN, Beckett MK, Lehrman WG, Cleary P, Cohea CW, Giordano LA, Goldstein EH, Damberg CL. Understanding The Role Played By Medicare’s Patient Experience Points System In Hospital Reimbursement. Health Affairs 2016, 35: 1673-1680. PMID: 27605650, DOI: 10.1377/hlthaff.2015.0691.Peer-Reviewed Original ResearchAdvice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+
Winpenny E, Elliott MN, Haas A, Haviland AM, Orr N, Shadel WG, Ma S, Friedberg MW, Cleary PD. Advice to Quit Smoking and Ratings of Health Care among Medicare Beneficiaries Aged 65+. Health Services Research 2016, 52: 207-219. PMID: 27061081, PMCID: PMC5264017, DOI: 10.1111/1475-6773.12491.Peer-Reviewed Original ResearchConceptsCare experiencesPatient experience measuresPatient care experiencesMedicare Consumer AssessmentCessation advicePhysician advicePatient assessmentAged 65Physician communicationPhysician ratingsHealthcare providersSmokingFixed-effects linear regression modelsConsumer AssessmentCross-sectional survey dataSystem surveyHealth careExperience measuresSmokersPositive associationLinear regression modelsRegression modelsRepresentative sampleAdvicePhysicians
2014
Clinician advice to quit smoking among seniors
Shadel WG, Elliott MN, Haas AC, Haviland AM, Orr N, Farmer MM, Ma S, Weech-Maldonado R, Farley DO, Cleary PD. Clinician advice to quit smoking among seniors. Preventive Medicine 2014, 70: 83-89. PMID: 25482423, PMCID: PMC5428890, DOI: 10.1016/j.ypmed.2014.11.020.Peer-Reviewed Original ResearchMeSH KeywordsAge DistributionAgedAged, 80 and overCommunicationEducational StatusFemaleGeographyHealth Care SurveysHealth StatusHumansLinear ModelsMaleMedicareMinority HealthPatient Education as TopicPhysician-Patient RelationsPractice Patterns, Physicians'PrevalenceSex DistributionSmokingSmoking CessationSmoking PreventionUnited StatesConceptsCessation adviceProportion of smokersAmerican Indian/Alaskan NativeClinician advicePersons 50System survey dataSmoking ratesDoctor visitsAfrican American seniorsMedicare beneficiariesAge 64Healthcare providersConsumer AssessmentAlaskan NativesSmoking researchBeneficiary characteristicsUS seniorsSmokersSmokingCliniciansConsistent interventionOld smokeAdviceFemale respondentsSeniors
2013
Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey
Hays RD, Martino S, Brown JA, Cui M, Cleary P, Gaillot S, Elliott M. Evaluation of a Care Coordination Measure for the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Medicare Survey. Medical Care Research And Review 2013, 71: 192-202. PMID: 24227813, PMCID: PMC3959996, DOI: 10.1177/1077558713508205.Peer-Reviewed Original ResearchConceptsCare coordinationHealthcare providersConsumer AssessmentCAHPS global ratingCare coordination measuresBetter care coordinationMedicare surveyOverall care qualityMedical recordsPersonal doctorPatient reportsStrong unique associationCare qualityGlobal ratingHealth careFive-item measureComposite scoreCarePlan performanceCoordination measuresUnique associationPatientsProviders
2012
Multilevel Interventions: Study Design and Analysis Issues
Cleary PD, Gross CP, Zaslavsky AM, Taplin SH. Multilevel Interventions: Study Design and Analysis Issues. JNCI Monographs 2012, 2012: 49-55. PMID: 22623596, PMCID: PMC3482964, DOI: 10.1093/jncimonographs/lgs010.Peer-Reviewed Original ResearchMeSH KeywordsConfounding Factors, EpidemiologicContinuity of Patient CareData Interpretation, StatisticalDelivery of Health Care, IntegratedEarly Detection of CancerEducation, Medical, ContinuingFamilyHealth BehaviorHealth EducationHealth PromotionHealth Services ResearchHumansMedicaidMedicareNeoplasmsOrganizationsPatient Care TeamPrimary Health CareQuality of Health CareRandomized Controlled Trials as TopicResearch DesignResidence CharacteristicsRisk AssessmentSchoolsUnited StatesWorkplaceConceptsSingle-level interventionsMultilevel interventionsImpact of interventionsPatient outcomesCancer preventionIntervention componentsHealth care organizationsStudy designFocused interventionsHealth careInterventionSustained changesOutcomesKind of interventionLittle evidenceLevelsPatientsClinicCommunity levelCancerPhysiciansIndividualsCarePrevention
2011
Market characteristics and awareness of managed care options among elderly beneficiaries enrolled in traditional Medicare.
Mittler JN, Landon BE, Zaslavsky AM, Cleary PD. Market characteristics and awareness of managed care options among elderly beneficiaries enrolled in traditional Medicare. Medicare & Medicaid Research Review 2011, 1: e1-19. PMID: 22340776, PMCID: PMC4010617, DOI: 10.5600/mmrr.001.03.a03.Peer-Reviewed Original ResearchConceptsMarket characteristicsBeneficiaries' awarenessTraditional MedicareMedicare risk plansCoverage choicesChoice setsMedicare riskMedicare Current Beneficiary Survey dataCare penetrationSurvey dataBeneficiary knowledgeRisk plansBeneficiariesElderly beneficiariesMore plansTraditional Medicare beneficiariesMedicareCross-sectional analysisRegression modelsChoiceMore accurate knowledgeMedicare beneficiariesMore successConsumersCare optionsHow Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare?
Elliott MN, Haviland AM, Orr N, Hambarsoomian K, Cleary PD. How Do the Experiences of Medicare Beneficiary Subgroups Differ between Managed Care and Original Medicare? Health Services Research 2011, 46: 1039-1058. PMID: 21306370, PMCID: PMC3165177, DOI: 10.1111/j.1475-6773.2011.01245.x.Peer-Reviewed Original ResearchConceptsFair self-rated healthHealth care providersSubgroup characteristicsSelf-rated healthHealth care experiencesLow-income subsidyMedicare Consumer AssessmentUniform careCare scoresAge 85Care providersMedicare beneficiariesService MedicareCare experiencesCAHPS measuresConsumer AssessmentHigh school degreeCareSystem surveyParticular subgroupManaged CareAssessed differencesTraditional feeLow incomeSignificant positive interaction
2010
Market Variations in Intensity of Medicare Service Use and Beneficiary Experiences with Care
Mittler JN, Landon BE, Fisher ES, Cleary PD, Zaslavsky AM. Market Variations in Intensity of Medicare Service Use and Beneficiary Experiences with Care. Health Services Research 2010, 45: 647-669. PMID: 20403055, PMCID: PMC2875753, DOI: 10.1111/j.1475-6773.2010.01108.x.Peer-Reviewed Original ResearchAgedAged, 80 and overClinical CompetenceCommunicationFee-for-Service PlansFemaleHealth Care SurveysHealth Services AccessibilityHumansLinear ModelsMaleManaged Care ProgramsMarketing of Health ServicesMedicarePatient SatisfactionProfessional-Patient RelationsQuality of Health CareReferral and ConsultationRisk AdjustmentSmall-Area AnalysisTerminal CareTime FactorsUnited StatesVaccinationGeographic Area Variations in the Medicare Health Plan Era
Keenan PS, Cleary PD, O'Malley AJ, Landon BE, Zaborski L, Zaslavsky AM. Geographic Area Variations in the Medicare Health Plan Era. Medical Care 2010, 48: 260-266. PMID: 20182269, DOI: 10.1097/mlr.0b013e3181ca410a.Peer-Reviewed Original Research
2009
Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care
Keenan PS, Elliott MN, Cleary PD, Zaslavsky AM, Landon BE. Quality Assessments by Sick and Healthy Beneficiaries in Traditional Medicare and Medicare Managed Care. Medical Care 2009, 47: 882-888. PMID: 19543123, DOI: 10.1097/mlr.0b013e3181a39415.Peer-Reviewed Original ResearchConceptsPreventive services measuresCare experiencesPreventive servicesMedicaid ServicesPreventive services receiptRates of immunizationCAHPS scoresExperience measuresOffice wait timeQuality of careTraditional MedicareSick groupPhysician ratingsCare plansMedicare Managed CareHealthcare providersService MedicareCAHPS measuresHealth plansService receiptConsumer AssessmentSystem surveyHealthier beneficiariesManaged CareMedicareMarket and Beneficiary Characteristics Associated With Enrollment in Medicare Managed Care Plans and Fee-for-Service
Shimada SL, Zaslavsky AM, Zaborski LB, O'Malley AJ, Heller A, Cleary PD. Market and Beneficiary Characteristics Associated With Enrollment in Medicare Managed Care Plans and Fee-for-Service. Medical Care 2009, 47: 517-523. PMID: 19365291, DOI: 10.1097/mlr.0b013e318195f86e.Peer-Reviewed Original Research
2005
Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances.
Kim M, Zaslavsky AM, Cleary PD. Adjusting Pediatric Consumer Assessment of Health Plans Study (CAHPS) Scores to Ensure Fair Comparison of Health Plan Performances. Medical Care 2005, 43: 44-52. PMID: 15626933.Peer-Reviewed Original ResearchConceptsPrivate health insuranceCasemix modelChild health statusCAHPS surveyPatient characteristicsHealth plansHealth Plans Study (CAHPS) surveyHealth insurancePlan ratingsHealth plan performanceHealth statusCAHPS scoresPlan differencesConsumer AssessmentCommercial plansParents' agePlan performanceAdjustment variablesMedicaidSeparate modelsSubstantial impactStudy surveyMedicaid beneficiariesMedicaid plansSuch models
2004
Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care
Zaslavsky AM, Zaborski LB, Cleary PD. Plan, Geographical, and Temporal Variation of Consumer Assessments of Ambulatory Health Care. Health Services Research 2004, 39: 1467-1486. PMID: 15333118, PMCID: PMC1361079, DOI: 10.1111/j.1475-6773.2004.00299.x.Peer-Reviewed Original ResearchConceptsHealth plansConsumer AssessmentCare plansHealth Plans Study (CAHPS) surveyGlobal ratingRatings of careHealth plan qualityAspects of careQuality of careAmbulatory health careQuality improvement measuresPrescription drug benefitPrescription accessStudy periodDrug benefitCareHealth carePlan qualityMedicareBenefit designMeaningful changeRepresentative sampleDoctorsYearsComparison of Performance of Traditional Medicare vs Medicare Managed Care
Landon BE, Zaslavsky AM, Bernard SL, Cioffi MJ, Cleary PD. Comparison of Performance of Traditional Medicare vs Medicare Managed Care. JAMA 2004, 291: 1744-1752. PMID: 15082702, DOI: 10.1001/jama.291.14.1744.Peer-Reviewed Original ResearchConceptsPreventive servicesHealth Plans Study (CAHPS) surveyRatings of careAspects of careModel of careBeneficiaries' experiencesFFS Medicare beneficiariesReports of receiptTraditional MedicareCare enrolleesFFS plansMedicare populationMedicare beneficiariesMedicare Managed CareCAHPS surveyCase mixMMC plansService MedicareMMC enrollmentSample of beneficiariesMedicaid ServicesConsumer AssessmentCareHealth careManaged Care
2003
Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care
Dickey B, Normand SL, Hermann RC, Eisen SV, Cortes DE, Cleary PD, Ware N. Guideline Recommendations for Treatment of Schizophrenia: The Impact of Managed Care. JAMA Psychiatry 2003, 60: 340-348. PMID: 12695310, DOI: 10.1001/archpsyc.60.4.340.Peer-Reviewed Original ResearchMeSH KeywordsAdultAmbulatory CareAttitude to HealthFee-for-Service PlansFemaleFollow-Up StudiesGuideline AdherenceHealth Services ResearchHospitalizationHumansMaleManaged Care ProgramsMedicaidMedicareMiddle AgedOutcome Assessment, Health CarePersonal SatisfactionPractice Guidelines as TopicProspective StudiesQuality of LifeSchizophreniaConceptsTreatment of schizophreniaTreatment guidelinesMedicaid beneficiariesSchizophrenia Patient Outcomes Research Team (PORT) treatment recommendationsOutpatient mental health facilitiesDisabled Medicaid beneficiariesProspective observational studyHealth-related qualityHigh-risk adultsAdult Medicaid beneficiariesOutpatient medical recordsMain outcome measuresSchizophrenia treatment guidelinesClinician-reported outcomesWay mental health careMental health careSelf-reported qualityBehavioral health care organizationsMental health facilitiesDelivery of treatmentMental health benefitsClinical outcomesGuideline recommendationsOutpatient treatmentMedical records
2002
Dimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey
Zaslavsky AM, Cleary PD. Dimensions of Plan Performance for Sick and Healthy Members on the Consumer Assessments of Health Plans Study 2.0 Survey. Medical Care 2002, 40: 951-964. PMID: 12395028, DOI: 10.1097/00005650-200210000-00012.Peer-Reviewed Original ResearchConceptsHealthy membersReport itemsConsumer AssessmentSmoking cessation adviceGeneral health statusHealth plan qualityMedicare Managed Care Consumer AssessmentHealth Plans SurveyQuality improvement effortsPlan performanceCessation advicePlan careCare beneficiariesHealth statusPatient careSick membersPoor healthMedical servicesPlans SurveyCarePlan qualitySubgroupsPlan scoresReportDoctorsFactors Affecting Response Rates to the Consumer Assessment of Health Plans Study Survey
Zaslavsky AM, Zaborski LB, Cleary PD. Factors Affecting Response Rates to the Consumer Assessment of Health Plans Study Survey. Medical Care 2002, 40: 485-499. PMID: 12021675, DOI: 10.1097/00005650-200206000-00006.Peer-Reviewed Original ResearchConceptsResponse rateLow response rateHealth Plans Study (CAHPS) surveyHigh response rateHealth Care SurveyLogistic regression modelsPlan characteristicsNonwhite beneficiariesCare SurveyChi2 testDeterminants of nonresponseCAHPS surveySociodemographic representativenessConsumer AssessmentContact informationDisabled beneficiariesInterStudy dataHigh rateRegression modelsAssociationFurther effortsMore residentsTelephoneProfit plansStudy surveySimilarities and Differences in Choosing Health Plans
Short P, McCormack L, Hibbard J, Shaul JA, Harris-Kojetin L, Fox MH, Damiano P, Uhrig JD, Cleary PD. Similarities and Differences in Choosing Health Plans. Medical Care 2002, 40: 289-302. PMID: 12021685, DOI: 10.1097/00005650-200204000-00005.Peer-Reviewed Original ResearchConceptsHealth plansMedicaid recipientsCAHPS reportsHealth Plans StudyEnrollment materialsMedicare health plansType of insuranceEmployer-sponsored insuranceConsumer AssessmentHealth insurance optionsMedicaidSignificant differencesMedicarePercentage of consumersInformation interventionCAHPSRecipientsReportPlan selection processPlan study
2001
Racial Disparity in Influenza Vaccination: Does Managed Care Narrow the Gap Between African Americans and Whites?
Schneider E, Cleary P, Zaslavsky A, Epstein A. Racial Disparity in Influenza Vaccination: Does Managed Care Narrow the Gap Between African Americans and Whites? JAMA 2001, 286: 1455-1460. PMID: 11572737, DOI: 10.1001/jama.286.12.1455.Peer-Reviewed Original ResearchConceptsInfluenza vaccinationRacial disparitiesService insuranceCare enrolleesAfrican AmericansMedicare Current Beneficiary SurveyWhite Medicare beneficiariesSubstantial racial disparitiesUS cohortPreventive servicesMedicare beneficiariesPercentage of respondentsVaccinationHealth servicesBeneficiary SurveyPercentage point differenceCareHigh rateInsurance groupsEnrolleesDisparitiesWhitesInsuranceAmericansPoint differenceQuality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region
Seddon M, Ayanian J, Landrum M, Cleary P, Peterson E, Gahart M, McNeil B. Quality of ambulatory care after myocardial infarction among medicare patients by type of insurance and region. The American Journal Of Medicine 2001, 111: 24-32. PMID: 11448657, DOI: 10.1016/s0002-9343(01)00741-0.Peer-Reviewed Original ResearchMeSH KeywordsAdrenergic beta-AntagonistsAgedAmbulatory CareAnticholesteremic AgentsAspirinCalcium Channel BlockersCaliforniaComorbidityDrug PrescriptionsEducational StatusEthnicityFee-for-Service PlansFemaleFloridaHealth Maintenance OrganizationsHumansIncomeMaleMedicareMultivariate AnalysisMyocardial InfarctionNew EnglandQuality of Health CareSurveys and QuestionnairesUnited StatesConceptsHealth maintenance organizationCholesterol-lowering agentsService patientsMyocardial infarctionCardiac medicationsCardiac rehabilitationHMO patientsMedicare patientsEffective cardiac medicationsCalcium channel blockersElderly Medicare patientsCardiac careChannel blockersAmbulatory carePatientsType of insuranceEnzyme inhibitorsService careDrug useInfarctionMaintenance organizationSimilar proportionsCareRehabilitationMedications