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Understanding the Sequelae of Invasive Meningococcal Disease in the United States.
Infect Dis Ther
November 2024
University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
Invasive meningococcal disease (IMD) is an uncommon but serious and potentially fatal condition that can result in reduced life expectancy and a broad spectrum of sequelae, many of which may be lifelong and devastating for those who survive the acute disease period. In the United States of America (USA), vaccination is available against the five meningococcal serogroups (A, B, C, W, and Y), but meningococcal vaccination rates among healthy USA adolescents and individuals at high risk because of medical conditions are low, rendering them vulnerable to IMD and its sequelae. Despite the severity of the disease, the clinical impact and rates of IMD sequelae in the USA are poorly understood, as USA-specific data are limited, and the methodology of existing research is heterogenous.
View Article and Find Full Text PDFChanges in Diagnoses and Site of Care for Patients Receiving Hospice Care From Agencies Acquired by Private Equity Firms and Publicly Traded Companies.
JAMA Netw Open
September 2023
Division of Health Policy and Economics, Weill Cornell Medical College, New York, New York.
Article Synopsis
- About 16% of US hospice agencies are owned by private equity firms or publicly traded companies.
- The study investigates how these acquisitions affect the care settings and clinical conditions of Medicare patients in hospice care.
- Findings show that hospice agencies acquired by private equity firms or publicly traded companies had notable changes, including increased dementia diagnoses and shifts in where patients received care post-acquisition.
Competitive Spillovers and Regulatory Exploitation by Skilled Nursing Facilities.
Forum Health Econ Policy
June 2016
Department of Health Care Policy, Harvard Medical School, 180 Longwood Avenue, Boston, MA 02115, USA.
Typically, research on the effect of ownership has considered health care providers in isolation of competitive interaction from other firms. This analysis considers how the selection of Medicare reimbursement codes for skilled nursing facilities varies by ownership and is influenced by the competitive spillovers from market dominance of for-profit institutions. We find evidence that not-for-profits are less likely to code patients into the highest reimbursement categories.
View Article and Find Full Text PDFEffect of nursing home ownership on the quality of post-acute care: an instrumental variables approach.
J Health Econ
January 2013
Harvard University, Department of Health Care Policy, Boston, MA 02115-5899, USA.
Given the preferential tax treatment afforded nonprofit firms, policymakers and researchers have been interested in whether the nonprofit sector provides higher nursing home quality relative to its for-profit counterpart. However, differential selection into for-profits and nonprofits can lead to biased estimates of the effect of ownership form. By using "differential distance" to the nearest nonprofit nursing home relative to the nearest for-profit nursing home, we mimic randomization of residents into more or less "exposure" to nonprofit homes when estimating the effects of ownership on quality of care.
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