We study a unique all-payer data set spanning 38 states to examine the differences in inpatient reimbursement rates paid by traditional Medicare (TM), Medicare Advantage (MA), Medicaid, and private (under-65) insurers, and the differences in negotiated rates across the 60 largest private...

Mitigating the adverse effects of uncertainty in appointment systems, arising from heterogeneous patient needs and preferences, is critical to the effective use of scarce medical resources and patient satisfaction. This study addresses an online scheduling problem with multiple servers and...

The U.S. health care system has experienced great pressure since early March 2020 as it pivoted to providing necessary care for COVID-19 patients. But there are signs that non-COVID-19 care use declined during this time period. We examine near real time data from a nationwide electronic...

The ambulatory physician payment system in the German Social Health Insurance (SHI) offers incentives to reduce practice activity at the end of a billing period. Most services within a period are reimbursed at full cost only up to a certain threshold. Furthermore, capitated payments make...

Exploring the History and Literature of Telehealth -- Establishing the Definitions for Telehealth -- Integration of Telehealth into Contemporary Pharmacy Practice -- Foundational Steps for Designing Telehealth Care Models -- Description of Operational Telehealth Pharmacy Practice Workflow in...

This paper uses data from 802,777 veterans assigned to 7,548 primary care providers (PCPs) within the Veterans Health Administration (VHA) to examine variations in the efficacy of primary care providers (PCPs), their consequences for health outcomes, and their determinants. Leveraging...

This paper extends my research applying statistical decision theory to treatment choice with sample data, using maximum regret to evaluate the performance of treatment rules. The specific new contribution is to study as-if optimization using estimates of illness probabilities in clinical choice...

Este documento tiene por objetivo acercar este debate a la realidad latinoamericana a través del análisis de los tiempos de espera de las familias, mujeres y hombres adultos, que llevan a sus hijos e hijas menores de 3 años al control pediátrico del niño sano en Montevideo. En particular,...

The U.S. health care system has experienced great pressure since early March 2020 as it pivoted to providing necessary care for COVID-19 patients. But there are signs that non-COVID-19 care use declined during this time period. We examine near real time data from a nationwide electronic...

The ambulatory physician payment system in the German Social Health Insurance (SHI) offers incentives to reduce practice activity at the end of a billing period. Most services within a period are reimbursed at full cost only up to a certain threshold. Furthermore, capitated payments make...

For some considerable time now the interface between ambulatory and hospital care has been mooted as a cause of inefficiencies in the German health system and there have been calls for a softening of the strict separation between the two sectors. This debate emphasizes the need for detailed...

US government investments in health information technology (IT) reflect the significant promise of digitization for improving quality and efficiency in health care. Previous studies of the impact of health IT have focused on the hospital setting, despite the fact that most care is delivered in...

Long waiting lines are a common feature and a major concern in many public health care delivery systems. The waiting lines are often characterized as inefficient, because they are a burden to patients without generating any gains for providers. There is an ongoing debate in Germany regarding the...

For some considerable time now the interface between ambulatory and hospital care has been mooted as a cause of inefficiencies in the German health system and there have been calls for a softening of the strict separation between the two sectors. This debate emphasizes the need for detailed...

Uzbekistan inherited a hospital-based health system from the Soviet Union. We explore the health system-related challenges faced during the scale-up of ambulatory (outpatient) treatment for drug-susceptible and drug-resistant tuberculosis (TB) in Karakalpakstan in Uzbekistan. Semi-structured...

Seit 15 Jahren betreibt die Politik systematisch die Öffnung des ambulanten Bereichs für Krankenhäuser. 2015 wurden die Regelungen hierzu mit dem GKV-Versorgungsstärkungsgesetz (GKV-VSG) erneut reformiert und vertieft. Krankenhäuser und Vertragsärzte agieren im Hinblick auf Bedarfsplanung,...

US government investments in health information technology (IT) reflect the significant promise of digitization for improving quality and efficiency in health care. Previous studies of the impact of health IT have focused on the hospital setting, despite the fact that most care is delivered in...

Uzbekistan inherited a hospital-based health system from the Soviet Union. We explore the health system-related challenges faced during the scale-up of ambulatory (outpatient) treatment for drug-susceptible and drug-resistant tuberculosis (TB) in Karakalpakstan in Uzbekistan. Semi-structured...

Die Sicherstellung einer flächendeckenden, wohnortnahen und bedarfsgerechten Versorgung ist ein zentrales Anliegen der deutschen Gesundheitspolitik. Anke Schliwen untersucht den regionalen Zusammenhang von Versorgungsbedarf, Angebot und Inanspruchnahme hausärztlicher Leistungen. Dabei wird der...