Ryan Koski-Vacirca, MD, MPH
Hospital ResidentCards
About
Research
Publications
2023
Implementation of Text-message Reminders (Nudges) to Increase Emergency Medicine Resident Feedback
Sun W, Goldflam K, Coughlin R, Venkatesh A, Sangal R, Della-Giustina D, Koski-Vacirca R, Teresi R, He L, Tsyrulnik A. Implementation of Text-message Reminders (Nudges) to Increase Emergency Medicine Resident Feedback. Western Journal Of Emergency Medicine 2023, 24 DOI: 10.5811/westjem.61094.Peer-Reviewed Original ResearchEstimated reimbursement impact of COVID‐19 on emergency physicians
Venkatesh A, Janke A, Koski‐Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. Estimated reimbursement impact of COVID‐19 on emergency physicians. Academic Emergency Medicine 2023, 30: 636-643. PMID: 36820470, DOI: 10.1111/acem.14700.Peer-Reviewed Original ResearchConceptsNationwide Emergency Department SampleED visitsEmergency physiciansSecondary analysisCOVID-19Acute care utilizationEmergency Department SampleEmergency Department registryCOVID-19 pandemicHealth care servicesEmergency department sitesReimbursement impactCare utilizationBilling codesInsurance payerDepartment registryPrimary analysisCare servicesPhysiciansReimbursement lossHealth careStudy sampleVisitsPandemic-related lossReimbursement
2022
Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19
Janke A, Gettel C, Koski-Vacirca R, Lin M, Kocher K, Venkatesh A. Trends In Treat-And-Release Emergency Care Visits With High-Intensity Billing In The US, 2006–19. Health Affairs 2022, 41: 1772-1780. PMID: 36469824, DOI: 10.1377/hlthaff.2022.00484.Peer-Reviewed Original ResearchConceptsRelease ED visitsEmergency departmentED visitsNationwide Emergency Department SampleEmergency care visitsEmergency Department SampleProportion of visitsHealth care systemMore comorbiditiesCare visitsOlder patientsED careBilling practicesSerious diagnosisObservational studyUndifferentiated patientsPatient complexityCare servicesHealth statusCare systemVisitsPatientsEvolving roleReimbursement reformTreat9 Nationwide Reimbursement Impact of COVID-19 to Emergency Physicians: $6.6 Billion Loss in 2020
Venkatesh A, Janke A, Koski-Vacirca R, Rothenberg C, Parwani V, Granovsky M, Burke L, Li S, Pines J. 9 Nationwide Reimbursement Impact of COVID-19 to Emergency Physicians: $6.6 Billion Loss in 2020. Annals Of Emergency Medicine 2022, 80: s4-s5. PMCID: PMC9519215, DOI: 10.1016/j.annemergmed.2022.08.031.Peer-Reviewed Original Research
2021
Letters of Correspondence: COVID-19 and Student Advocacy, Medical Education, Surge Response, and Testing.
Koski-Vacirca R, Zaidi D, Macko L, Prasad T, Karamchandani RR, Singh S, Asimos AW, Chen F, Isaak RS, Steiner BD, Martinelli SM, Weissler EH, Kibbe MR, Mann JWF, Caulfield H, Harr C, Hildreth AN, Krahnert JF, Reinke CE, Snyder JR, Tuttle-Newhall JE, Wyatt J, Shortell CK. Letters of Correspondence: COVID-19 and Student Advocacy, Medical Education, Surge Response, and Testing. North Carolina Medical Journal 2021, 82: 83-86. PMID: 33397766, DOI: 10.18043/ncm.82.1.83.Peer-Reviewed Original ResearchRulemaking For Health Care Affordability: Implementing The No Surprises Act
Koski-Vacirca R, Venkatesh AK. “Rulemaking For Health Care Affordability: Implementing The No Surprises Act, " Health Affairs Blog, November 2, 2021. DOI: 10.1377/hblog20211028.424036Peer-Reviewed Case Reports and Technical Notes
2020
Resilience in Health Care Financing
Murphy K, Koski-Vacirca R, Sharfstein J. Resilience in Health Care Financing. JAMA 2020, 324: 126-127. PMID: 32662852, DOI: 10.1001/jama.2020.10417.Peer-Reviewed Original ResearchResilience in Health Care Financing.
Murphy K, Koski-Vacirca R, Sharfstein J. Resilience in Health Care Financing. JAMA Health Forum 2020, 1: e200614. PMID: 36218494, DOI: 10.1001/jamahealthforum.2020.0614.Peer-Reviewed Original Research
2019
Ch. 16 - Physician Shortage and Physician Workforce Challenge, Emergency Medicine Advocacy Handbook
Koski-Vacirca R, VanderVinne N, Burmeister B. Ch. 16 - Physician Shortage and Physician Workforce Challenge. Emergency Medicine Advocacy Handbook 2019. ISBN 978-1-929854-53-0BooksWhat's Happening to Rural Emergency Departments?
Koski-Vacirca R. What's Happening to Rural Emergency Departments? Emergency Medicine Residents Association Newsletter 2019Commentaries, Editorials and Letters