Avi Dor
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View article: The Medical Costs of Determining Eligibility and Waiting for a Kidney Transplantation
The Medical Costs of Determining Eligibility and Waiting for a Kidney Transplantation Open
Background: Recent efforts to increase access to kidney transplant (KTx) in the United States include increasing referrals to transplant programs, leading to more pretransplant services. Transplant programs reconcile the costs of these ser…
View article: Hospital Behavior Over the Private Equity Life Cycle
Hospital Behavior Over the Private Equity Life Cycle Open
Private equity is an increasing presence in US healthcare, with unclear consequences. Leveraging unique data sources and difference-in-differences designs, we examine the largest private equity hospital takeover in history. The affected ho…
View article: Trends in Cost Attributable to Kidney Transplantation Evaluation and Waiting List Management in the United States, 2012-2017
Trends in Cost Attributable to Kidney Transplantation Evaluation and Waiting List Management in the United States, 2012-2017 Open
In this study, OACC costs increased at 4% per year from 2012 to 2017 and were not solely attributable to the cost of organ procurement. Expanding the waiting list will likely contribute to further increases in the mean OACC costs per trans…
View article: Financial impacts of the Medicaid expansion on community health centers
Financial impacts of the Medicaid expansion on community health centers Open
Objective To determine the impacts of the Medicaid expansion on revenues, costs, assets, and liabilities of federally funded community health centers. Data sources We combined data from the Uniform Data System, Internal Revenue Service non…
View article: Optimal staffing in community health centers to improve quality of care
Optimal staffing in community health centers to improve quality of care Open
Objective To explore optimal workforce configurations in the production of care quality in community health centers (CHCs), accounting for interactions among occupational categories, as well as contributions to the volume of services. Data…
View article: Do Stricter Immunization Laws Improve Coverage? Evidence from the Repeal of Non-medical Exemptions for School Mandated Vaccines
Do Stricter Immunization Laws Improve Coverage? Evidence from the Repeal of Non-medical Exemptions for School Mandated Vaccines Open
Nonmedical exemptions are widely shown to be associated with outbreaks of vaccine-preventable disease. In response to a recent measles outbreak in 2015, California acted to increase immunization coverage by removing all nonmedical exemptio…
View article: Do All Hospital Systems Have Market Power? Association Between Hospital System Types and Cardiac Surgery Prices
Do All Hospital Systems Have Market Power? Association Between Hospital System Types and Cardiac Surgery Prices Open
Objective: This study explores the price implications of hospital systems by analyzing the association of system characteristics with selected cardiac surgery pricing. Data Source: Using a large private insurance claim database, the author…
View article: Association of Medical Liability Reform With Clinician Approach to Coronary Artery Disease Management
Association of Medical Liability Reform With Clinician Approach to Coronary Artery Disease Management Open
Physicians substantially altered their approach to coronary artery disease testing and follow-up after initial ischemic evaluations following adoption of damage caps. They performed a similar number of ischemic evaluations but conducted fe…
View article: Use of prostate-specific antigen testing in Medicare beneficiaries: Association with previous evaluation
Use of prostate-specific antigen testing in Medicare beneficiaries: Association with previous evaluation Open
Objective: Determine uptake of prostate-specific antigen (PSA) testing in Medicare beneficiaries according to previous receipt of PSA testing. Methods: A 5% random sample of men aged 67 years or older without a previous diagnosis of prosta…
View article: Multimorbidity: Constellations of Conditions across Subgroups of Midlife and Older Individuals, and Related Medicare Expenditures
Multimorbidity: Constellations of Conditions across Subgroups of Midlife and Older Individuals, and Related Medicare Expenditures Open
Introduction: The Department of Health and Human Services’ 2010 Strategic Framework on Multiple Chronic Conditions called for the identification of common constellations of conditions in older adults. Objectives: To analyze patterns of con…
View article: Do Good Reports Mean Higher Prices? The Impact of Hospital Compare Ratings on Cardiac Pricing
Do Good Reports Mean Higher Prices? The Impact of Hospital Compare Ratings on Cardiac Pricing Open
Previous research found that the initiation of Hospital Compare (HC) quality reporting had little impact on patient outcomes. However little is known about its impact on hospital prices, which may be significant since insurers are position…
View article: Do Good Reports Mean Higher Prices? The Impact of Hospital Compare Ratings on Cardiac Pricing
Do Good Reports Mean Higher Prices? The Impact of Hospital Compare Ratings on Cardiac Pricing Open
Previous research found that the initiation of Hospital Compare (HC) quality reporting had little impact on patient outcomes.However little is known about its impact on hospital prices, which may be significant since insurers are positione…
View article: Immunization and Moral Hazard: The HPV Vaccine and Uptake of Cancer Screening
Immunization and Moral Hazard: The HPV Vaccine and Uptake of Cancer Screening Open
Immunization can cause moral hazard by reducing the cost of risky behaviors.In this study, we examine the effect of HPV vaccination for cervical cancer on participation in the Pap test, which is a diagnostic screening test to detect potent…
View article: Immunization and Moral Hazard: The HPV Vaccine and Uptake of Cancer Screening
Immunization and Moral Hazard: The HPV Vaccine and Uptake of Cancer Screening Open
Immunization can cause moral hazard by reducing the cost of risky behaviors. In this study, we examine the effect of HPV vaccination for cervical cancer on participation in the Pap test, which is a diagnostic screening test to detect poten…
View article: Changes in Receipt of Cancer Screening in Medicare Beneficiaries Following the Affordable Care Act
Changes in Receipt of Cancer Screening in Medicare Beneficiaries Following the Affordable Care Act Open
Background: The Affordable Care Act (ACA) removed copayments for screening mammography and colonoscopy in Medicare beneficiaries, but its clinical impact is unknown. Methods: Using a 5% random sample of Medicare claims from 2009 through 2…
View article: Comparing Cost-Effectiveness of HIV Testing Strategies: Targeted and Routine Testing in Washington, DC
Comparing Cost-Effectiveness of HIV Testing Strategies: Targeted and Routine Testing in Washington, DC Open
While routine testing identified more newly diagnosed infections and averted more infections than targeted testing, targeted testing is more cost effective per diagnosis and per transmission averted overall. Given the high HIV prevalence i…
View article: A framework for assessing the impact of pharmaceutical reimbursement policies on incentives to innovate
A framework for assessing the impact of pharmaceutical reimbursement policies on incentives to innovate Open
Results We developed an analytical framework with which to explore the link between reimbursement and investment in research and development (R&D) yielding incremental, substantial, and radical innovations, as well as in novel products tha…
View article: Private Safety-Net Clinics: Effects of Financial Pressures and Community Characteristics on Closures
Private Safety-Net Clinics: Effects of Financial Pressures and Community Characteristics on Closures Open
In order to better understand what threatens vulnerable populations’ access to primary care, it is important to understand the factors associated with closing safety-net clinics. This paper examines how a clinic’s financial position, produ…