Health Expenditures

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  Subject Areas on Research

  • "Death and taxes": a contrary view. 
  • A Discrete Choice Experiment to Examine the Preferences of Patients With Cancer and Their Willingness to Pay for Different Types of Health Care Appointments. 
  • A Touchy Subject: Can Physicians Improve Value by Discussing Costs and Clinical Benefits With Patients? 
  • A comparison of the case-control and case-crossover designs for estimating medical costs of nonfatal fall-related injuries among older Americans. 
  • A cost-effectiveness comparisons of adult spinal deformity surgery in the United States and Japan. 
  • A marginalized two-part model for longitudinal semicontinuous data. 
  • A network perspective on patient experiences and health status: the Medical Expenditure Panel Survey 2004 to 2011. 
  • A spatiotemporal quantile regression model for emergency department expenditures. 
  • Accountable care organizations and evidence-based payment reform. 
  • Actual medical and pharmacy costs for bariatric surgery: 6-year follow-up. 
  • Acute myeloid leukemia: a retrospective claims analysis of resource utilization and expenditures for newly diagnosed patients from first-line induction to remission and relapse. 
  • Adoption of pharmaceutical innovation and the growth of drug expenditure in Taiwan: is it cost effective? 
  • Advancing Value Assessment in the United States: A Multistakeholder Perspective. 
  • Adverse Change in Employment Status After Acute Myocardial Infarction: Analysis From the TRANSLATE-ACS Study. 
  • Alma-Ata at 40 years: reflections from the Lancet Commission on Investing in Health. 
  • An analysis of disenrollment from Medicare managed care plans by Medicare beneficiaries with diabetes. 
  • An analysis of the heterogeneity of U.S. nursing home patients. 
  • Annual financial impact of well-differentiated thyroid cancer care in the United States. 
  • Annual medical spending attributable to obesity: payer-and service-specific estimates. 
  • Anticipating the profession's future. 
  • Are free anti-tuberculosis drugs enough? An empirical study from three cities in China. 
  • Ask Early and Ask Often: How Discussing Costs Could Save Your Patient's Life. 
  • Association of Prior Authorization and Out-of-pocket Costs With Patient Access to PCSK9 Inhibitor Therapy. 
  • Associations Between Medicare Part D and Out-of-Pocket Spending, HIV Viral Load, Adherence, and ADAP Use in Dual Eligibles With HIV. 
  • Associations between Difficulty Paying Medical Bills and Forgone Medical and Prescription Drug Care. 
  • Better Evidence to Guide Payment Reforms: Recognizing the Importance of Perspective. 
  • Bridging the gap between financial distress and available resources for patients with cancer: a qualitative study. 
  • Case mix controlled service use and expenditures in the social/health maintenance organization demonstration. 
  • Changes in health expenditures in China in 2000s: has the health system reform improved affordability. 
  • China's response to the rising stroke burden. 
  • Clinical Outcomes, Utilization, and Charges in Persons With Neck Pain Receiving Guideline Adherent Physical Therapy. 
  • Common and Costly Hospitalizations Among Insured Young Adults Since the Affordable Care Act. 
  • Comparative Assessment of Utilization and Hospital Outcomes of Veterans Receiving VA and Non-VA Outpatient Dialysis. 
  • Comprehensive decision analytical modelling in economic evaluation: a Bayesian approach. 
  • Conjoint Analysis of Treatment Preferences for Nondisplaced Scaphoid Fractures. 
  • Controlled Substance Lock-In Programs: Examining An Unintended Consequence Of A Prescription Drug Abuse Policy. 
  • Cost of Bleeding-related Episodes in Adult Patients With Primary Immune Thrombocytopenia: A Population-based Retrospective Cohort Study of Administrative Claims Data for Commercial Payers in the United States. 
  • Cost of Medical Care of Patients with Advanced Serious Illness in Singapore (COMPASS): prospective cohort study protocol. 
  • Cost of cancer care: issues and implications. 
  • Cost of multiple sclerosis by level of disability: a review of literature. 
  • Cost offsets to medicare attributable to receipt of hip, knee, and shoulder arthroplasty. 
  • Cost-related health literacy: a key component of high-quality cancer care. 
  • Costs associated with multimorbidity among VA patients. 
  • Costs by industry and diagnosis among musculoskeletal claims in a state workers compensation system: 1999-2004. 
  • Costs of newly diagnosed neovascular age-related macular degeneration among medicare beneficiaries, 2004-2008. 
  • Death service ratio: a measure of hospice utilization and cost impact. 
  • Delivering affordable cancer care in high-income countries. 
  • Dementia and Medicare at life's end. 
  • Determining the effectiveness of Take Off Pounds Sensibly (TOPS), a nationally available nonprofit weight loss program. 
  • Direct and indirect costs and potential cost savings of laparoscopic adjustable gastric banding among obese patients with diabetes. 
  • Discussing Out-of-Pocket Expenses During Clinical Appointments: An Observational Study of Patient-Psychiatrist Interactions. 
  • Disenrollment from Medicare HMOs. 
  • Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China. 
  • Do United States-based Medicaid spend-down programmes make public sense for persons with HIV/AIDS? 
  • Do heart failure disease management programs make financial sense under a bundled payment system? 
  • Do nurse-led skill training interventions affect informal caregivers' out-of-pocket expenditures? 
  • Does Medical Expansion Improve Population Health? 
  • Does cost savings mean cost effective? 
  • Does improving geographic access to VA primary care services impact patients' patterns of utilization and costs? 
  • Does removing certificate-of-need regulations lead to a surge in health care spending? 
  • Dry eye medication use and expenditures: data from the medical expenditure panel survey 2001 to 2006. 
  • Early Cessation of Adenosine Diphosphate Receptor Inhibitors Among Acute Myocardial Infarction Patients Treated With Percutaneous Coronary Intervention: Insights From the TRANSLATE-ACS Study (Treatment With Adenosine Diphosphate Receptor Inhibitors: Longitudinal Assessment of Treatment Patterns and Events After Acute Coronary Syndrome). 
  • Economic causes and consequences of obesity. 
  • Editorial Commentary: Life-saving Antimicrobial Drugs: What Are We Doing to Pricing and Availability? 
  • Effects of antipsychotic medication on psychiatric service utilization and cost. 
  • Emergency room and inpatient use after cardiac pacemaker implantation. 
  • Endogenous technological change in medicine and its impact on healthcare costs: evidence from the pharmaceutical market in Taiwan. 
  • Epidemiologic Analysis of Elective Operative Procedures in Infants Less Than 6 Months of Age in the United States. 
  • Estimates and patterns of direct health care expenditures among individuals with back pain in the United States. 
  • Estimates of state-level health-care expenditures associated with disability. 
  • Evaluating short- and long-term impacts of a Medicaid "lock-in" program on opioid and benzodiazepine prescriptions dispensed to beneficiaries. 
  • Evaluation for coronary artery disease and medicare spending. 
  • Examining dental expenditure and dental insurance accounting for probability of incurring expenses. 
  • Expenditures in caring for patients with dementia who live at home. 
  • Expulsive therapy versus early endoscopic stone removal in patients with acute renal colic: a comparison of indirect costs. 
  • Factors influencing the health care expenditures of patients with laryngeal disorders. 
  • Factors that determine catastrophic expenditure for tuberculosis care: a patient survey in China. 
  • Falling into the doughnut hole: drug spending among beneficiaries with end-stage renal disease under Medicare Part D plans. 
  • Fast-tracking ambulatory surgery patients following anesthesia. 
  • Financial Burden in Survivors of Childhood Cancer: A Report From the Childhood Cancer Survivor Study. 
  • Financial Toxicity of Cancer Care: It's Time to Intervene. 
  • Financial burden of healthcare for cancer patients with social medical insurance: a multi-centered study in urban China. 
  • Forecasting hospital expenditure in Victoria: lessons from Europe and Canada. 
  • Full disclosure--out-of-pocket costs as side effects. 
  • Funding allocation to surgery in low and middle-income countries: a retrospective analysis of contributions from the USA. 
  • Geographic variation in the use of catheter ablation for atrial fibrillation among Medicare beneficiaries. 
  • Giving birth at a health-care facility in rural China: is it affordable for the poor? 
  • Global Lessons In Frugal Innovation To Improve Health Care Delivery In The United States. 
  • Global economic consequences of selected surgical diseases: a modelling study. 
  • Global health 2035: a world converging within a generation. 
  • Global rates of glaucoma surgery. 
  • Global variation in the prevalence of elevated cholesterol in outpatients with established vascular disease or 3 cardiovascular risk factors according to national indices of economic development and health system performance. 
  • Going for Broke: A Longitudinal Study of Patient-Reported Financial Sacrifice in Cancer Care. 
  • Health care utilization and expenditure changes associated with bariatric surgery. 
  • Health equity in transition from planned to market economy in China. 
  • Health expenditures among high-risk patients after gastric bypass and matched controls. 
  • Health status and health care expenditures in a nationally representative sample: how do overweight and healthy-weight children compare? 
  • Health-care expenditures of overweight and obese males and females in the medical expenditures panel survey by age cohort. 
  • Healthcare expenditure and resource utilization in patients with anaemia and chronic kidney disease: a retrospective claims database analysis. 
  • Healthcare utilization and cost trajectories post-stroke: role of caregiver and stroke factors. 
  • High-volume providers and brachytherapy practice: A Medicare provider utilization and payment analysis. 
  • Horizon Scan Of Clinical Laboratories Offering Pharmacogenetic Testing. 
  • Hospital Readmission and Costs of Total Knee Replacement Surgery in 2009 and 2014: Potential Implications for Health Care Managers. 
  • How big of a problem is obesity? 
  • How does cost matter in health-care discrete-choice experiments? 
  • How effectively can the New Cooperative Medical Scheme reduce catastrophic health expenditure for the poor and non-poor in rural China? 
  • How much are patients willing to pay to avoid postoperative muscle pain associated with succinylcholine? 
  • How much donor financing for health is channelled to global versus country-specific aid functions? 
  • Identifying Social Determinants of Health and Legal Needs for Children With Special Health Care Needs. 
  • Impact of Postdischarge Follow-Up Care on Medicare Expenditures: Does Rural Make a Difference? 
  • Impact of advance care planning on the care of patients with heart failure: study protocol for a randomized controlled trial. 
  • Impact of alternative reimbursement strategies in the new cooperative medical scheme on caesarean delivery rates: a mixed-method study in rural China. 
  • Impact of an innovative financing and payment model on tuberculosis patients' financial burden: is tuberculosis care more affordable for the poor? 
  • Impact of cost valuation on cost-effectiveness in adult spine deformity surgery. 
  • Impact of morbid obesity on medical expenditures in adults. 
  • Impact of physician assistant care on office visit resource use in the United States. 
  • Implantable Neurostimulation for Headache Disorders: Effect on Healthcare Utilization and Expenditures. 
  • Informal care and Medicare expenditures: testing for heterogeneous treatment effects. 
  • Innovations In Diabetes Care Around the World: Case Studies Of Care Transformation Through Accountable Care Reforms. 
  • Inpatient Consults and Complications During Primary Total Joint Arthroplasty in a Bundled Care Model. 
  • International justice and health: a proposal. 
  • Interspecialty differences in the care of children with chronic or serious acute conditions: a review of the literature. 
  • Keeping medical costs to a minimum. 
  • Long-term biopsychosocial effects of interleukin-2 therapy. 
  • Long-term economic growth stimulus of human capital preservation in the elderly. 
  • Low-Income Working Families With Employer-Sponsored Insurance Turn To Public Insurance For Their Children. 
  • Maintenance of Weight Loss After Initiation of Nutrition Training: A Randomized Trial. 
  • Making the Case for Value-Based Payment Reform in Children's Health Care. 
  • Matching resources to treatment decisions for patients with acute coronary syndromes. 
  • Methods for estimating medical expenditures attributable to intimate partner violence. 
  • Modeling Semicontinuous Longitudinal Expenditures: A Practical Guide. 
  • Modeling the Potential Economic Impact of the Medicare Comprehensive Care for Joint Replacement Episode-Based Payment Model. 
  • Modeling zero-modified count and semicontinuous data in health services research part 2: case studies. 
  • Money talks, patients walk? 
  • More doctors: What will they cost? Physician income as supply expands 
  • Multiple prior years of health expenditures and Medicare health plan choice. 
  • N-terminal pro-B-type natriuretic peptide testing improves the management of patients with suspected acute heart failure: primary results of the Canadian prospective randomized multicenter IMPROVE-CHF study. 
  • National medical spending attributable to overweight and obesity: how much, and who's paying? 
  • Osteoporotic fractures in older adults. 
  • Out-of-Pocket Spending for Ambulatory Physical Therapy Services From 2008 to 2012: National Panel Survey. 
  • Outlook for Alternative Payment Models in Fee-for-Service Medicare. 
  • Overview of mental health services provided by state adult correctional facilities: United States, 1988. 
  • Patient Financial Assistance Programs: A Path to Affordability or a Barrier to Accessible Cancer Care? 
  • Patient Risk Factors Do Not Impact 90-Day Readmission and Emergency Department Visitation After Total Ankle Arthroplasty: Implications for the Comprehensive Care for Joint Replacement (CJR) Bundled Payment Plan. 
  • Patient medical costs for tuberculosis treatment and impact on adherence in China: a systematic review. 
  • Patient, Caregiver, and Nurse Preferences for Treatments for Bone Metastases from Solid Tumors. 
  • Patient-physician discussions about costs: definitions and impact on cost conversation incidence estimates. 
  • Patterns of care for clinically distinct segments of high cost Medicare beneficiaries. 
  • Patterns of stress testing and diagnostic catheterization after coronary stenting in 250 350 medicare beneficiaries. 
  • Physician Experience and Attitudes Toward Addressing the Cost of Cancer Care. 
  • Preoperative Patient Profile in Total Hip and Knee Arthroplasty: Predictive of Increased Medicare Payments in a Bundled Payment Model. 
  • Price Transparency for Whom? In Search of Out-of-Pocket Cost Estimates to Facilitate Cost Communication in Cancer Care. 
  • Price of Cancer Care and Its Tax on Quality of Life. 
  • Projection of young-old and old-old with functional disability: does accounting for the changing educational composition of the elderly population make a difference? 
  • Quantifying the utility of taking pills for cardiovascular prevention. 
  • Rationale and design of the Affordability and Real-world Antiplatelet Treatment Effectiveness after Myocardial Infarction Study (ARTEMIS): A multicenter, cluster-randomized trial of P2Y12 receptor inhibitor copayment reduction after myocardial infarction. 
  • Realising the Value of Linked Data to Health Economic Analyses of Cancer Care: A Case Study of Cancer 2015. 
  • Reform of the Chinese health care financing system. 
  • Relation of body mass index in young adulthood and middle age to Medicare expenditures in older age. 
  • Relationship of fruit and vegetable consumption in middle-aged men to medicare expenditures in older age: the Chicago Western Electric Study. 
  • Repayment flexibility can reduce financial stress: a randomized control trial with microfinance clients in India. 
  • Risk adjustment for Medicare beneficiaries with Alzheimer's disease and related dementias. 
  • Selection experiences in Medicare HMOs: pre-enrollment expenditures. 
  • Size and distribution of the global volume of surgery in 2012. 
  • Skilled Nursing Facilities After Total Knee Arthroplasty: The Time for Selective Partnerships Is Now! 
  • Social security health insurance for the informal sector in Nicaragua: a randomized evaluation. 
  • Socioeconomic disparities, financial toxicity, and opportunities for enhanced system efficiencies for patients with cancer. 
  • Spinal surgery: variations in health care costs and implications for episode-based bundled payments. 
  • State- and payer-specific estimates of annual medical expenditures attributable to obesity. 
  • State-of-the-art breast reconstruction. 
  • States' allocations of funds from the tobacco master settlement agreement. 
  • Study Of Physician And Patient Communication Identifies Missed Opportunities To Help Reduce Patients' Out-Of-Pocket Spending. 
  • Surgery for spinal stenosis: long-term reoperation rates, health care cost, and impact of instrumentation. 
  • The Evolving Payment Reform Landscape: New Opportunities for Gastroenterology Leadership. 
  • The Parity Paradigm: Can Legislation Help Reduce the Cost Burden of Oral Anticancer Medications? 
  • The Use and Out-of-Pocket Cost of Urgent Care Clinics and Retail-Based Clinics by Adolescents and Young Adults Compared With Children. 
  • The concentration and persistence of health care expenditures and prescription drug expenditures in Medicare beneficiaries with Alzheimer disease and related dementias. 
  • The cost of visual impairment: purposes, perspectives, and guidance. 
  • The costs of a national health information network. 
  • The costs of obesity among full-time employees. 
  • The costs of obesity in the workplace. 
  • The determinants of health care expenditure toward the end of life: evidence from Taiwan. 
  • The economic burden of anemia in cancer patients receiving chemotherapy. 
  • The economic burden of chronic cardiovascular disease for major insurers. 
  • The economic burden of major adult visual disorders in the United States. 
  • The economic cost of myopia in adults aged over 40 years in Singapore. 
  • The economic toll of intimate partner violence against women in the United States. 
  • The effect of NCMS on catastrophic health expenditure and impoverishment from tuberculosis care in China. 
  • The effect of weight loss on health, productivity, and medical expenditures among overweight employees. 
  • The health and economic burden of genital warts in a set of private health plans in the United States. 
  • The impact of Assertive Community Treatment on utilization of primary care and other outpatient health services: the North Carolina experience. 
  • The impact of bariatric surgery on the Veterans Administration healthcare system: a cost analysis. 
  • The impact of contract primary care on health care expenditures and quality of care. 
  • The impact of health insurance on health outcomes and spending of the elderly: evidence from China's New Cooperative Medical Scheme. 
  • The impact of obesity on health care costs among persons with schizophrenia. 
  • The impact of smoking and quitting on household expenditure patterns and medical care costs in China. 
  • The impact of the new cooperative medical scheme on financial burden of tuberculosis patients: evidence from six counties in China. 
  • The implications of out-of-pocket cost of cancer treatment in the USA: a critical appraisal of the literature. 
  • The insurance effect on prescription drug expenditures among the elderly: findings from the 1997 Medical Expenditure Panel Survey. 
  • The performance of administrative and self-reported measures for risk adjustment of Veterans Affairs expenditures. 
  • The personal financial burden of cancer for the working-aged population. 
  • The pharmacoeconomics of HIV disease. 
  • The relationship between obesity and injuries among U.S. adults. 
  • The state and consequences of dermatology drug prices in the United States. 
  • The utility of cost discussions between patients with cancer and oncologists. 
  • Therapy Caps and Variation in Cost of Outpatient Occupational Therapy by Provider, Insurance Status, and Geographic Region. 
  • Timing and cost of scaling up surgical services in low-income and middle-income countries from 2012 to 2030: a modelling study. 
  • Tracking global expenditures on surgery: gaps in knowledge hinder progress. 
  • Treatment of Type 2 diabetes mellitus in Chongqing of China: unaffordable care for the poor. 
  • Trends in cost of major eye diseases to Medicare, 1991 to 2000. 
  • Trends in global health financing. 
  • Trends in healthcare expenditure among people living with HIV/AIDS in the United States: evidence from 10 Years of nationally representative data. 
  • Triply-diagnosed patients in the HIV/AIDS Treatment Adherence, Health Outcomes and Cost Study: patterns of home care use. 
  • Tuberculosis patient expenditure on drugs and tests in subsidised, public services in China: a descriptive study. 
  • Use of econometric models to estimate expenditure shares. 
  • Use of erythropoietin in cancer patients: assessment of oncologists' practice patterns in the United States and other countries. 
  • Utilisation of maternal health care in western rural China under a new rural health insurance system (New Co-operative Medical System). 
  • Utilization and expenditures of veterans obtaining primary care in community clinics and VA medical centers: an observational cohort study. 
  • Utilization of delivery care among rural women in China: does the health insurance make a difference? a cross-sectional study. 
  • Value Promotion in Health Care: The Importance of Symmetry. 
  • Value of high-cost cancer care: a behavioral science perspective. 
  • Value-based insurance design: quality improvement but no cost savings. 
  • Valuing health as development: going beyond gross domestic product. 
  • Variation in Specialty Outpatient Care Patterns in the Medicare Population. 
  • Vietnam during economic transition: a tracer study of health service access and affordability. 
  • WHO in 2002: Why does the world still need WHO? 
  • What Contributes Most to High Health Care Costs? Health Care Spending in High Resource Patients. 
  • What length of hospice use maximizes reduction in medical expenditures near death in the US Medicare program? 
  • What's it worth? Public willingness to pay to avoid mental illnesses compared with general medical illnesses. 
  • Willingness to pay for improved respiratory and cardiovascular health: a multiple-format, stated-preference approach. 
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  Keywords of People

  • Cohen, Seth Morris, Associate Professor of Surgery, Surgery, Head and Neck Surgery and Communication Sciences
  • Curtis, Lesley H., Professor in Population Health Sciences, Medicine, General Internal Medicine
  • Morgan, Perri Anne, Professor in Family Medicine and Community Health, Family Medicine and Community Health, Physician Assistant Program
  • Myers, Evan Robert, Walter L. Thomas Professor of Obstetrics and Gynecology in the School of Medicine, Obstetrics and Gynecology
  • Patel, Uptal Dinesh, Adjunct Professor in the Department of Medicine, Medicine, Nephrology
  • Reed, Shelby Derene, Professor in Population Health Sciences, Duke Science & Society
  • Sreenivasan, Gopal, Crown University Professor in Ethics, Duke Science & Society
  • Strand de Oliveira, Justine, Professor Emeritus in Family Medicine and Community Health, Family Medicine and Community Health, Physician Assistant Program
  • Zafar, Syed Yousuf, Associate Professor of Medicine, Medicine, Medical Oncology
  • Zullig, Leah L, Associate Professor in Population Health Sciences, Medicine, General Internal Medicine