Publications by authors named "T L Rogstad"
Article Synopsis
- - Value-based payment programs provide payments to healthcare providers based on factors like spending, quality, or health outcomes, which raised concerns about unfair penalties for those serving vulnerable populations.
- - A review of fourteen studies on Medicare's Hospital Readmissions Reduction Program (HRRP) revealed that adjusting for social risk factors helped reduce disparities in readmissions and penalties for safety-net hospitals compared to other hospitals.
- - The findings suggest that social risk adjustment can promote fairer payments and maintain quality measurement integrity, indicating potential improvements in value-based payment approaches.
Objectives: To assess in a Medicare Advantage population (1) whether discharge to home health, compared with discharge to home, following an inpatient stay subject to CMS postacute care transfer (PACT) regulations, is associated with better outcomes or lower expenditures and (2) whether the impact differs among subpopulations.
Study Design: Claims-based retrospective cohort study.
Methods: Instrumental variable (IV) analysis, with prior hospital-level probability of discharge to home health as the IV, to control for unobservable as well as observable confounders.
This study examined the effects of a digital diabetes prevention program (DPP) on health care costs and utilization among Medicare Advantage participants. Patients (n = 501) received access to a plan-sponsored, digitally-delivered DPP accessible through computer, tablet, or smartphone. Prior research demonstrated a 7.
View Article and Find Full Text PDFBackground: Professional societies have provided inconsistent guidance regarding whether older patients should receive early imaging for low back pain, in the absence of clinical indications. The study assesses the implications of early imaging by evaluating its association with downstream utilization in an elderly population.
Methods: Patients were included if they had a Medicare Advantage plan, had claims-based evidence of low back pain in 2014, and lacked conditions justifying early imaging.
Purpose: Although there is some evidence to support the use of hypofractionated (HF) radiation therapy (RT) postmastectomy, it is not currently the standard of care. RT noncompletion and delayed completion have been shown to lead to inferior outcomes. This study assesses the association between the choice of an HF versus conventionally fractionated regimen and completion.
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