Ezekiel J. Emanuel

You are viewing 96 posts with the tag Health Care

Apr 11

Bernie Sanders Thinks He Can Vanquish Health Insurers. He’s Wrong.

Read the article.

The Atlantic, March 2019

Categories: Opinions , Popular Writing

Apr 11

Big Pharma’s Go-To Defense of Soaring Drug Prices Doesn’t Add Up (The Atlantic)


Apr 5

Republicans and Democrats Might Be Able to Make a Deal on Drug Pricing

Read the article.

The Washington Post, November 2018.


Apr 5

The Trump Administration's Latest Plan to Lower Drug Prices is Hollow - And Maybe Counterproductive (The Washington Post)

Read the article. 

The Washington Post, October 2018.

Categories: Opinions , Popular Writing

Apr 5

Next Phase in Effective Cost Control in Health Care

Glickman A, DiMagno SSP, Emanuel EJ.

JAMA, March 2019.

Read this article.

Categories: Academic Writing

Apr 5

Effect of Financial Bonus Size, Loss Aversion, and Increased Social Pressure on Physician Pay-For-Performance: A Randomized Clinical Trial and Cohort Study

Navathe AS, Volpp KG, Caldarella KL, Bond A, Troxel AB, Zhu J, Matloubieh S, Lyon Z, Mishra A, Sacks L, Nelson C, Patel P, Shea J, Calcagno D, Vittore S, Sokol K, Weng K, McDowald N, Crawford P, Small D, Emanuel EJ. 

JAMA Network, February 2019.

Read this article.

Categories: Academic Writing

Apr 5

National Representativeness of Hospitals and Markets in Medicare's Mandatory Bundled Payment Program

Liao JM, Emanuel EJ, Polsky DE, Huang Q, Shah Y, Zhu J, Lyon ZM, Dykstra SE, Dinh CT, Counsins DS, Navathe AS. 

Health Affairs, January 2019.

Read this article.

Categories: Academic Writing

Apr 5

Pricing a Year of Progression-Free Survival: When is the Cost of Cancer Drugs Unreasonable?

DiMagno SSP, Emanuel EJ.

JAMA Dermatology, December 2018.

Read this article.

Categories: Opinions , Academic Writing

Apr 5

Pitfalls and Potential in Medicare's Move Toward Outpatient Care Episodes

Navathe AS, Emanuel EJ, Liao JM.

Annals of Internal Medicine, December 2018.

Read this article.

Categories: Academic Writing

Apr 5

Outcomes for Individuals Turned Down for Living Kidney Donation

Reese PP, Allen MB, Carney C, Leidy D, Levsky S, Pendse R, Mussell AS, Bermudez F, Keddem S, Thiessen C, Rodrigue JR, Emanuel EJ. 

Clinical Transplantation, December 2018.

Read this article.

Categories: Academic Writing
Tags: Health Care

Apr 5

Aligning Patient and Physician Incentives

Navathe AS, Emanuel EJ, Volpp KG.

JAMA, October 2018.

Read this article. 

Categories: Academic Writing
Tags: Health Care

Apr 5

Association of Hospital Participation in a Medicare Bundled Payment Program with Volume and Case Mix of Lower Extremity Joint Replacement Episodes

Navathe AS, Liao JM, Dykstra SE, Wang E, Lyon ZM, Shah Y, Martinez J, Small DS, Werner RM, Dinh C, Ma X, Emanuel EJ. 

JAMA, September 2018.

Read this article. 

Categories: Academic Writing

Mar 29

The Status of End-of-Life Care in the United States: The Glass is Half Full

JAMA, July 2018.

Read this article.

Categories: Academic Writing

Mar 29

Redesigning Provider Payment: Opportunities and Challenges From the Hawaii Experience

Volpp KG, Navathe AS, Lee EO, Mugishii M, Troxel AB, Caldarella K, Hodlofski A, Bernheim S, Drye E, Yoshimoto J, Takata K, Stollar MB, Emanuel EJ.

Healthcare (Amsterdam, Netherlands), September 2018.

Read the article. 

    Abstract

    Objectives

    To describe the process of developing a new physician payment system based on value and transitioning away from a fee-for-service payment system

    Study design

    Descriptive. This paper describes a recent initiative involving redesign of primary care provider payment in the State of Hawaii. While there has been extensive discussion about switching payment from volume to value in recent years, much of this change has happened at the organizational level and this initiative focused on changing the incentives for individual providers.

    Methods

    Descriptive paper. In this paper we discuss the approach taken to shift incentives from fee-for-service towards value using behavioral economics as a conceptual framework for program design. We summarize the new payment system, challenges in its design, and our approach to piloting of different behavioral economic strategies to improve performance.

    Results

    None.

    Conclusions

    This paper will provide useful guidance to health plans or health delivery systems considering shifting primary care payment away from fee-for-service towards value highlighting some of the design challenges and necessary compromises in implementing such a system at scale.

     
    Categories: Academic Writing

    Mar 29

    We Can't Afford the Drugs That Could Cure Cancer (The Wall Street Journal)

    Read the article. 

    The Wall Street Journal, September 2018

    Categories: Popular Writing

    Mar 28

    All Children Should Have to Get the Flu Shot (The New York Times)

    Read the article.

    By Ezekiel J. Emanuel and Justin Bernstein

    The New York Times, March 2018

    Categories: Opinions , Popular Writing

    Mar 28

    Are Hospitals Becoming Obsolete? (The New York Times)

    Read the article

    The New York Times, February 2018

    Categories: Opinions , Popular Writing
    Tags: Health Care

    Mar 27

    Comparison of Hospitals Participating in Medicare's Voluntary and Mandatory Orthopedic Bundle Programs

    Navathe AS, Liao JM, Polsky D, Shah Y, Huang Q, Zhu J, Lyon ZM, Wang R, Rolnick J, Martinez JR, Emanuel EJ. 

    Health Affairs June 2018.

    Read this article.

    ABSTRACT

    We analyzed data from Medicare and the American Hospital Association Annual Survey to compare characteristics and baseline performance among hospitals in Medicare’s voluntary (Bundled Payments for Care Improvement initiative, or BPCI) and mandatory (Comprehensive Care for Joint Replacement Model, or CJR) joint replacement bundled payment programs. BPCI hospitals had higher mean patient volume and were larger and more teaching intensive than were CJR hospitals, but the two groups had similar risk exposure and baseline episode quality and cost. BPCI hospitals also had higher cost attributable to institutional postacute care, largely driven by inpatient rehabilitation facility cost. These findings suggest that while both voluntary and mandatory approaches can play a role in engaging hospitals in bundled payment, mandatory programs can produce more robust, generalizable evidence. Either mandatory or additional targeted voluntary programs may be required to engage more hospitals in bundled payment programs.

    Categories: Academic Writing

    Mar 12

    Incorporating Value Into Physician Payment and Patient Cost Sharing

    Song Z, Navathe AS, Emanuel EJ, Volpp KG. 

    American Journal of Managed Care, March 2018. 

    Read this article. 

    ABSTRACT: 

    The United States is simultaneously moving toward value-based payments for populations and precision medicine for individuals. During this evolution, innovations in payment and delivery that enhance tailoring of treatments to individuals while improving the value of care are needed. We propose one such innovation that would allow physician payment and patient cost sharing to better reflect the value of care by allowing the appropriateness of a service for a given patient in a given clinical situation to play a more meaningful role in the design of such incentives. We introduce the idea of a payment modifier, based on indication and appropriateness, and discuss its advantages and challenges to implementation.

    Categories: Academic Writing

    Mar 12

    The Real Cost of the US Health Care System