2019
Hospital Variation in Spending for Lung Cancer Resection in Medicare Beneficiaries
Jean RA, Bongiovanni T, Soulos PR, Chiu AS, Herrin J, Kim N, Xu X, Kim AW, Gross CP. Hospital Variation in Spending for Lung Cancer Resection in Medicare Beneficiaries. The Annals Of Thoracic Surgery 2019, 108: 1710-1716. PMID: 31400321, DOI: 10.1016/j.athoracsur.2019.06.048.Peer-Reviewed Original ResearchConceptsStage I non-small cell lung carcinomaNon-small cell lung carcinomaCell lung carcinomaHospital volumeLung carcinomaComplication rateMedicare beneficiariesExcess costsEnd Results-MedicareIndex hospital costsLung cancer careMean excess costLung cancer resectionHospital-level variationNumber of complicationsLung cancer treatmentEpisode of careCost of careLowest cost quintileIndex hospitalizationCancer resectionHospital factorsPerioperative careHospital variationSurgical hospitalization
2018
Association of the Overall Well-being of a Population With Health Care Spending for People 65 Years of Age or Older
Riley C, Roy B, Herrin J, Spatz ES, Arora A, Kell KP, Rula EY, Krumholz HM. Association of the Overall Well-being of a Population With Health Care Spending for People 65 Years of Age or Older. JAMA Network Open 2018, 1: e182136. PMID: 30646154, PMCID: PMC6324481, DOI: 10.1001/jamanetworkopen.2018.2136.Peer-Reviewed Original ResearchConceptsMedicare FFS beneficiariesPeople 65 yearsHealth care spendingFFS beneficiariesCare spendingPopulation-based cross-sectional studyLower health care spendingHealth care system capacityCross-sectional studyHealth care systemPopulation levelPayment modelsCare payment modelsHighest quintileInverse associationStudy interventionMAIN OUTCOMEMedicare feeMedicare beneficiariesUS national studyOverall healthMedian household incomeBeing IndexCare systemDemographic characteristics
2017
Regional Medicare Expenditures and Survival Among Older Women With Localized Breast Cancer
Tannenbaum S, Soulos PR, Herrin J, Mougalian S, Long JB, Wang R, Ma X, Gross CP, Xu X. Regional Medicare Expenditures and Survival Among Older Women With Localized Breast Cancer. Medical Care 2017, 55: 1030-1038. PMID: 29068906, PMCID: PMC5863278, DOI: 10.1097/mlr.0000000000000822.Peer-Reviewed Original ResearchConceptsBreast cancer careHospital referral regionsNonmetastatic breast cancerBreast cancerCancer careMedicare beneficiariesMedicare expendituresCancer expendituresBetter survivalEnd Results-MedicareRetrospective cohort studyPatients 3 yearsClinical characteristicsCohort studyOverall survivalCancer stagePatient outcomesOutcome measuresReferral regionsOlder womenSignificant associationStage IIBivariate analysisCancerQuintile
2015
The Role of Patient Factors, Cancer Characteristics, and Treatment Patterns in the Cost of Care for Medicare Beneficiaries with Breast Cancer
Xu X, Herrin J, Soulos PR, Saraf A, Roberts KB, Killelea BK, Wang SY, Long JB, Wang R, Ma X, Gross CP. The Role of Patient Factors, Cancer Characteristics, and Treatment Patterns in the Cost of Care for Medicare Beneficiaries with Breast Cancer. Health Services Research 2015, 51: 167-186. PMID: 26119176, PMCID: PMC4722219, DOI: 10.1111/1475-6773.12328.Peer-Reviewed Original ResearchConceptsBreast cancer careHospital referral regionsCancer careMedicare expendituresBreast cancerRadiation therapyTreatment factorsMean Medicare expendituresEnd Results-MedicareSpecific treatment modalitiesContribution of patientCost of careHighest spending quintilePatient factorsTreatment patternsTumor characteristicsCancer characteristicsTreatment modalitiesReferral regionsMedicare beneficiariesQuintilePatientsCancerCareTherapy
2011
Health and social services expenditures: associations with health outcomes
Bradley EH, Elkins BR, Herrin J, Elbel B. Health and social services expenditures: associations with health outcomes. BMJ Quality & Safety 2011, 20: 826. PMID: 21447501, DOI: 10.1136/bmjqs.2010.048363.Peer-Reviewed Original ResearchConceptsHealth service expendituresBetter health outcomesHealth outcomesLow birth weightLife expectancyInfant mortalityPopulation-level health outcomesService expendituresPotential life yearsSocial service expenditureHealth expenditureCross-sectional analysisMaternal mortalityBirth weightPotential yearsBetter outcomesLife yearsMortalityHealth indicatorsOutcomesHealthcare reformGross domestic productAssociationHealthExpectancy
2010
Impact of Hospice Disenrollment on Health Care Use and Medicare Expenditures for Patients With Cancer
Carlson MD, Herrin J, Du Q, Epstein AJ, Barry CL, Morrison RS, Back AL, Bradley EH. Impact of Hospice Disenrollment on Health Care Use and Medicare Expenditures for Patients With Cancer. Journal Of Clinical Oncology 2010, 28: 4371-4375. PMID: 20805463, PMCID: PMC2954136, DOI: 10.1200/jco.2009.26.1818.Peer-Reviewed Original ResearchConceptsHealth care useHospice disenrollmentCare useMedicare expendituresHospice usersEmergency departmentIntensive care unit admissionEnd Results-Medicare dataHigher health care useDisease-directed treatmentCare unit admissionRate of hospitalizationIntensive care unitLargest diagnostic groupResult of cancerTotal Medicare expendituresHospital deathUnit admissionCare unitMultivariable analysisFamily caregiversPatientsHospice teamPatient careDiagnostic groups