2025
OP-35: Does a tool designed to measure potentially preventable chemotherapy toxicities do so effectively?
Huey R, Zafar A, Le P, Sanchez N, Patlovich K, Olivieri N, Singhi E, Rivera J, Roux R, Adelson K. OP-35: Does a tool designed to measure potentially preventable chemotherapy toxicities do so effectively? Journal Of Clinical Oncology 2025, 43: 1538-1538. DOI: 10.1200/jco.2025.43.16_suppl.1538.Peer-Reviewed Original ResearchQualifying diagnosisRates of emergency department visitsSecondary diagnosisOutpatient chemotherapy treatmentQuality of careEmergency department visitsCenters for MedicareChemotherapy treatmentRetrospective review of patientsMeasures of qualityDepartment visitsUniversity of Texas MD Anderson Cancer CenterMD Anderson Cancer CenterPreventive visitsChemotherapy-related complicationsReview of patientsAnti-cancer therapyComplication of chemotherapy treatmentDiagnosis groupsCancer CenterChemotherapy toxicityPatient 1Retrospective reviewVisitsNational Quality FoundationArchitecting a National Provider Directory for Healthcare
Kannarkat J, Kannarkat J, Shrank W. Architecting a National Provider Directory for Healthcare. Journal Of Medical Systems 2025, 49: 71. PMID: 40418256, DOI: 10.1007/s10916-025-02204-0.Peer-Reviewed Original ResearchConceptsPatient care qualityCare qualityProvider directoriesInteroperability of health information systemsHealth information systemsCenters for MedicareCMS regulationsHealthcare stakeholdersUser authenticationNational DirectoryInteroperable systemsHealthcareKey areasInformation systemsService visionDirectory functionsUsersModular designDirectoryNationalMedicareProvidersHealthInteroperabilityPatientsThe Devaluation of Otolaryngology: An Evaluation of CMS' Involvement in Physician Reimbursement
Manes R, Vasandani S. The Devaluation of Otolaryngology: An Evaluation of CMS' Involvement in Physician Reimbursement. The Laryngoscope 2025 PMID: 40195790, DOI: 10.1002/lary.32170.Peer-Reviewed Original ResearchAmerican Academy of Otolaryngology-Head and Neck SurgeryRelative Value Scale Update CommitteeRelative value unitsOtolaryngologic proceduresOtolaryngology-Head and Neck SurgeryCenters for MedicareNeck surgeryPhysician reimbursementTriological SocietyOtolaryngologyMedicareValue unitsAmerican AcademyIndependent authorsMedical societiesUpdate CommitteeFinal ruleCharacterization of studies considered and required under Medicare's coverage with evidence development program.
Mooghali M, Moneer O, Janda G, Ross J, Dhruva S, Ramachandran R. Characterization of studies considered and required under Medicare's coverage with evidence development program. Clinical Trials 2025, 17407745251313979. PMID: 39921418, DOI: 10.1177/17407745251313979.Peer-Reviewed Original ResearchCenters for MedicareMedicare beneficiariesIdentified original research articlesMedicare coverageClinical trial studyEvidence developmentTrial studyQuality of evidenceCoverage decisionsPrimary endpointClinical outcome measuresEvidence of benefitRandomized study designClinical studiesOriginal research articlesDecision MemoMedicaid ServicesOutcome measuresNational Coverage DeterminationMedicareMulti-arm designStudy designDissemination of studiesGoogle ScholarUS patientsUse of Hallway Beds, Radiology Studies, and Patients in Pain on Arrival to the Emergency Department Are Associated With Patient Experience
Kuhn D, Pang P, Mazurenko O, Glober N, Lardaro T, Li X, Harle C, Musey P. Use of Hallway Beds, Radiology Studies, and Patients in Pain on Arrival to the Emergency Department Are Associated With Patient Experience. Annals Of Emergency Medicine 2025 PMID: 39831869, DOI: 10.1016/j.annemergmed.2024.11.020.Peer-Reviewed Original ResearchPatient experience scoresExperience scoresEmergency departmentPatient experiencePatient visitsAssociated with patient experiencePatient-centered emergency careCoordination of careRisk adjustmentRegional health systemUnique patient visitsCenters for MedicareDischarged ED patientsSurvey response rateExperience ratingCross-sectional studyMultivariable mixed-effects regressionPatient-centerednessMixed-effects regressionAfrican American patientsEmergency careHealth systemHallway bedsBed placementMedicaid insuranceAssessing Medicare’s Coverage With Evidence Development Program
Mooghali M, Moneer O, Janda G, Dhruva S, Ross J, Ramachandran R. Assessing Medicare’s Coverage With Evidence Development Program. Health Affairs 2025, 44: 32-39. PMID: 39761464, DOI: 10.1377/hlthaff.2024.00814.Peer-Reviewed Original ResearchSex-Based Bias in Industry Payments to Medical Oncologists
Jan I, De B, Kwon Y, Freeman R, Larkin K, Subramanian S, Pandu P, Song A, Young M, Sayan M, Beier M, Ludmir E, Vapiwala N, Haffty B, Mattes M. Sex-Based Bias in Industry Payments to Medical Oncologists. JCO Oncology Advances 2025 DOI: 10.1200/oa-24-00029.Peer-Reviewed Original ResearchMedical oncologistsNational Plan and Provider Enumeration SystemIndustry paymentsCenters for MedicareGeneral paymentsResearch paymentsNational Institutes of Health (NIHPractice locationIndustry research paymentsSex-based differencesSpeaker feesOncologistsNo significant sex differencesEnumeration systemSex-based biasOpen Payments DatabaseNIH RePORTERSex-basedInvestigate potential differencesSignificant sex differencesOncology researchResearch fundingPayments Database
2024
Why do we need quality measures in emergency medicine?
Das S, Miller G, Libby C, Gettel C, Rabin E, Lin M. Why do we need quality measures in emergency medicine? Journal Of The American College Of Emergency Physicians Open 2024, 5: e13329. PMID: 39697807, PMCID: PMC11652395, DOI: 10.1002/emp2.13329.Peer-Reviewed Original ResearchMerit-based incentive payment systemEmergency physiciansEmergency careQuality measuresPatient safety committeeImprove care deliveryAlternative payment modelsPracticing emergency physiciansReimbursement of careCenters for MedicareIncentive Payment SystemMeasure development processPhysician qualityCare deliveryEmergency medicineHealthcare servicesPayment modelsImpact reimbursementEmergency departmentAmerican CollegeCarePhysiciansReimbursementSafety CommitteePayment systemTrends in Total Hip Arthroplasty Length of Stay and Coding Status From 2018 to 2021: Two-Year Impact of the Removal From the Inpatient-Only List
Sanchez J, Dhodapkar M, Halperin S, Jiang W, Grauer J, Rubin L. Trends in Total Hip Arthroplasty Length of Stay and Coding Status From 2018 to 2021: Two-Year Impact of the Removal From the Inpatient-Only List. Arthroplasty Today 2024, 30: 101568. PMID: 39634104, PMCID: PMC11615875, DOI: 10.1016/j.artd.2024.101568.Peer-Reviewed Original ResearchLength of stayInpatient-onlyCode statusCenters for MedicareAverage length of stayPearson chi-square testOutpatient total hip arthroplastyCurrent Procedural Terminology codesChi-square testTotal hip arthroplasty patientsSmoking statusMethods DataTotal hip arthroplastyTwo-year impactProcedural Terminology codesNational Surgical Quality Improvement Program databaseAmerican Society of Anesthesiologists classificationAnalysis of variance testQuality Improvement Program databaseOutpatient statusOutpatient casesAge groupsYear of surgeryCategorical variablesTerminology codesOptimization criteria for ordering myeloid neoplasm next‐generation sequencing
Gisriel S, Howe J, Tormey C, Torres R, Hager K, Rinder H, Siddon A. Optimization criteria for ordering myeloid neoplasm next‐generation sequencing. EJHaem 2024, 5: 1236-1242. PMID: 39691272, PMCID: PMC11647727, DOI: 10.1002/jha2.1036.Peer-Reviewed Original ResearchNext-generation sequencingNext-generation sequencing testMyeloid neoplasmsDiagnosis of chronic myeloid leukemiaAltering treatment plansEnd-of-inductionFluorescence in situ hybridizationRecurrence post-transplantChronic myeloid leukemiaSuspicion of progressionPathogenic mutationsClinical suspicionMutation statusMN diagnosisMyeloid leukemiaPost-transplantRisk stratificationWorsening diseaseTreatment planningCancellation criteriaSuspicionDiagnosisSequenceCenters for MedicareB testVerification of Death by Neurologic Criteria: A Survey of 12 Organ Procurement Organizations Across the United States
Sarhadi K, Hendershot K, Smith N, Souter M, Creutzfeldt C, Lele A, Maciel C, Busl K, Balogh J, Greer D, Lewis A, Wahlster S. Verification of Death by Neurologic Criteria: A Survey of 12 Organ Procurement Organizations Across the United States. Neurocritical Care 2024, 41: 847-854. PMID: 38750393, DOI: 10.1007/s12028-024-02001-6.Peer-Reviewed Original ResearchOrgan procurement organizationsClinician knowledgeBackgroundThe Centers for MedicareReferral hospitalGuideline-concordant practicesAmerican AcademyCenters for MedicareMethodsAn electronic surveyMedical society guidelinesUnited StatesProcurement organizationsVerification of deathDetermine validityHospital policiesPractice parametersElectronic surveyAmerican Academy of Neurology practice parameterFederal lawAdvocacy effortsLegal requirementsReferralUS regionsPotential organ donorsNeurological criteriaPublic trustComparison of industry payments to psychiatrists and psychiatric advanced practice clinicians in the USA, 2021: a cross-sectional study
Havlik J, Ososanya L, Lee M, Wahid S, Heyang M, Sun Q, Ross J, Rhee T. Comparison of industry payments to psychiatrists and psychiatric advanced practice clinicians in the USA, 2021: a cross-sectional study. BMJ Open 2024, 14: e081252. PMID: 38331855, PMCID: PMC10860012, DOI: 10.1136/bmjopen-2023-081252.Peer-Reviewed Original ResearchConceptsAdvanced practice cliniciansNational Plan and Provider Enumeration SystemUnited States dollarsScope of practiceIndustry paymentsUS Centers for MedicarePracticing cliniciansPercentage of cliniciansCenters for MedicareSecondary outcome measuresPsychiatric CNSClinician typePayment sourcePractice lawsNon-research paymentsPsychiatric cliniciansPsychiatristsEnumeration systemStudy objectiveUS psychiatristsOpen Payments DatabaseCliniciansStates dollarsPayments DatabasePracticeLongitudinal Care Network Changes and Associated Healthcare Utilization Among Care Recipients
Liu R, Vander Wyk B, Quiñones A, Allore H. Longitudinal Care Network Changes and Associated Healthcare Utilization Among Care Recipients. Research On Aging 2024, 46: 327-338. PMID: 38261524, PMCID: PMC11472584, DOI: 10.1177/01640275241229162.Peer-Reviewed Original ResearchSkilled-nursing facilityCare recipientsNational Health and Aging Trends StudyGeneralized Estimating Equation modelsCenters for MedicareLikelihood of hospitalizationMedicaid Services dataCaregiver networkUnpaid caregiversHealthcare utilizationTrends StudyAssociated healthcare utilizationOlder adultsCaregiversRisk ratioSurvey wavesService dataCareHospitalAssociationAdmissionMedicareMedicaidAdultsEquation modeling
2023
The Cost of Cancer Care at the End of Life: Implications for Centers for Medicare and Medicaid Services and for Radiation Oncology
Yu J. The Cost of Cancer Care at the End of Life: Implications for Centers for Medicare and Medicaid Services and for Radiation Oncology. International Journal Of Radiation Oncology • Biology • Physics 2023, 116: 736-738. PMID: 37355309, DOI: 10.1016/j.ijrobp.2023.02.012.Peer-Reviewed Original Research
2021
How Total Performance Scores of Medicare Value-Based Purchasing Program Hospitals Change Over Time
Ramirez A, Marsh K, McMurry T, Turrentine F, Tracci M, Jones R. How Total Performance Scores of Medicare Value-Based Purchasing Program Hospitals Change Over Time. Journal For Healthcare Quality 2021, 44: 78-87. PMID: 34469925, DOI: 10.1097/jhq.0000000000000321.Peer-Reviewed Original ResearchConceptsPhysician-owned surgical hospitalsTotal performance scoreAccountable care organizationsValue-based purchasingHospital typeCenters for MedicareMedicare Value-Based PurchasingGeneral HospitalPerformance scoresPerformance-based financial incentivesSurgical hospitalsDisproportionate share hospital paymentsLongitudinal linear mixed-effects modelsCase mix indexIndividual domain scoresCare organizationsMedicare daysLinear mixed-effects modelsHospital changesInpatient daysPatient dischargeDomain scoresHospital paymentsPatient satisfactionKaiser hospitals
2018
Revenue Increase following 2017 Multiple Procedures Payment Reduction Modification: Differential Impact on Neuroradiology—Report from an Academic Medical Center
Noveiry B, Varzaneh F, Yousem D. Revenue Increase following 2017 Multiple Procedures Payment Reduction Modification: Differential Impact on Neuroradiology—Report from an Academic Medical Center. American Journal Of Neuroradiology 2018, 39: 612-617. PMID: 29472301, PMCID: PMC7410757, DOI: 10.3174/ajnr.a5555.Peer-Reviewed Original ResearchConceptsMR imagingDiagnostic imaging modalitiesJohns Hopkins Medical InstitutionsCenters for MedicareAdvanced diagnostic imaging modalitiesUltrasound scanAcademic medical centerMedicare insuranceDiagnostic proceduresImaging modalitiesRevenue increasesMedical CenterPatientsCTNeuroradiologyUltrasoundService guidelinesPayment reductionMedicaid ServicesProcedure codesMedicaid Services guidelines
2017
Carotid artery revascularization in patients with contralateral carotid artery occlusion: Stent or endarterectomy?
Nejim B, Aridi H, Locham S, Arhuidese I, Hicks C, Malas M. Carotid artery revascularization in patients with contralateral carotid artery occlusion: Stent or endarterectomy? Journal Of Vascular Surgery 2017, 66: 1735-1748.e1. PMID: 28666824, DOI: 10.1016/j.jvs.2017.04.055.Peer-Reviewed Original ResearchMeSH KeywordsAgedCarotid StenosisChi-Square DistributionEndarterectomy, CarotidEndovascular ProceduresFemaleHumansKaplan-Meier EstimateLogistic ModelsMaleMiddle AgedMultivariate AnalysisOdds RatioProportional Hazards ModelsRegistriesRetrospective StudiesRisk FactorsSeverity of Illness IndexStentsTime FactorsTreatment OutcomeUnited StatesConceptsContralateral carotid artery occlusionCarotid artery occlusionCarotid artery stenting patientsCarotid artery stentingArtery occlusionCarotid endarterectomyRisk of strokeAsymptomatic patientsSymptomatic patientsHazard ratioOdds ratioHigh riskMultivariate logistic regression analysisContralateral carotid occlusionLog-rank testVascular Quality Initiative (VQI) registryCohort of patientsRisk of ipsilateral strokeCenters for MedicareShort-term outcomesCarotid artery revascularizationCarotid endarterectomy patientsHistory of strokeLogistic regression analysisCox proportional hazards
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