Brad Wright
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Characterizing Guillain-Barré Risk Factors Among Traditional Medicare Beneficiaries Open
Guillain-Barré Syndrome (GBS) is a rare and potentially life-threatening autoimmune disorder affecting the peripheral nerves. We sought to identify demographic and clinical characteristics associated with GBS onset. In this retrospective c…
Primary care patterns among dual eligibles with Alzheimer's disease and related dementias Open
BACKGROUND: Primary care is essential for persons with Alzheimer's disease and related dementias (ADRD). Prior research suggests that the propensity to provide high-quality, continuous primary care varies by provider setting, but the setti…
View article: Characterizing the Uptake of Newly Opened Health Centers by Individuals Dually Enrolled in Medicare and Medicaid
Characterizing the Uptake of Newly Opened Health Centers by Individuals Dually Enrolled in Medicare and Medicaid Open
Federally qualified health centers (FQHCs) increasingly provide high-quality, cost-effective primary care to individuals dually enrolled in Medicare and Medicaid. However, not everyone can access an FQHC. We used 2012 to 2018 Medicare clai…
Association Of Unemployment With Medicaid Enrollment By Social Vulnerability In North Carolina During COVID-19 Open
The COVID-19 pandemic precipitated an unemployment crisis in the US that surpassed the Great Recession of 2007-09 within the first three months of the pandemic. This article builds on the limited early evidence of the relationship between …
View article: Racial and Ethnic Disparities in Hospital-Based Care Among Dual Eligibles Who Use Health Centers
Racial and Ethnic Disparities in Hospital-Based Care Among Dual Eligibles Who Use Health Centers Open
Introduction: Health center use may reduce hospital-based care among Medicare-Medicaid dual eligibles, but racial and ethnic disparities in this population have not been widely studied. We examined the extent of racial and ethnic dispariti…
Is frequent emergency department use a complement or substitute for other healthcare services? Evidence from South Carolina Medicaid enrollees Open
Objective To compare healthcare services utilization across the healthcare system between frequent and non‐frequent emergency department (ED) users among Medicaid enrollees in South Carolina. Study Setting and Design We conducted a retrosp…
Identifying Factors Associated With Variation in Telemental Health Delivery at Federally Qualified Health Centers Open
BACKGROUND: COVID-19 accelerated federally qualified health centers' use of telemental health. However, factors associated with telemental health service delivery remain unclear. We examined telemental health delivery by clinician type and…
Structural Inequities in Medicare Advantage—A Growing Cause for Concern Open
Avni Gupta, PhD, MPH, BDS; Diana Silver, PhD, MPH; David J. Meyers, PhD, MPH; Sherry Glied, PhD; José A. Pagán, PhD
View article: Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: A factorial survey experiment
Nurse judgements of hospitalized patients' safety concerns are affected by patient, nurse and event characteristics: A factorial survey experiment Open
Aim To test the influences of patient, safety event and nurse characteristics on nurse judgements of credibility, importance and intent to report patients' safety concerns. Design Factorial survey experiment. Methods A total of 240 nurses …
Concordance in Medical Urgency Classification of Discharge Diagnoses and Reasons for Visit Open
Importance Current policies to divert emergency department (ED) visits for less medically urgent conditions to more cost-effective settings rely on retrospective adjudication of discharge diagnoses. However, patients present to the ED with…
Identifying Factors Associated With Variation in Telemental Health Delivery at Federally Qualified Health Centers Open
Background: COVID-19 accelerated federally qualified health centers’ use of telemental health. However, factors associated with telemental health service delivery remain unclear. We examined telemental health delivery by clinician type and…
What the Evolution of 1332 Waivers Tells Us about Their Innovative Potential Open
Section 1332 of the Affordable Care Act (ACA) provides states unprecedented flexibility to alter federal health policy. The authors analyze state waiver activity from 2019 to 2023, applying a comparative approach to understand waivers prop…
Hospital Performance Under Alternative Readmission Measures Incorporating Observation Stays Open
Objective: To determine the extent to which counting observation stays changes hospital performance on 30-day readmission measures. Methods: This was a retrospective study of inpatient admissions and observation stays among fee-for-service…
View article: Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic
Changes in Performance Measures and Service Volume at US Federally Qualified Health Centers During the COVID-19 Pandemic Open
Importance Stay-at-home orders, site closures, staffing shortages, and competing COVID-19 testing and treatment needs all potentially decreased primary care access and quality during the COVID-19 pandemic. These challenges may have especia…
Medicare's hospital readmissions reduction program and the rise in observation stays Open
Objective To evaluate whether Medicare's Hospital Readmissions Reduction Program (HRRP) is associated with increased observation stay use. Data Sources and Study Setting A nationally representative sample of fee‐for‐service Medicare claims…
Racial and Ethnic Disparities in Hospital-Based Care Among Dual Eligibles Who Use Health Centers Open
Racial and ethnic disparities in hospital-based care among dual eligibles are less common within than between health centers. If health centers are to play a more central role in eliminating racial and ethnic health disparities, these diff…
Primary care patterns among dual eligibles with Alzheimer's disease and related dementias Open
Background Primary care is essential for persons with Alzheimer's disease and related dementias (ADRD). Prior research suggests that the propensity to provide high‐quality, continuous primary care varies by provider setting, but the settin…
Accounting for the Growth of Observation Stays in the Assessment of Medicare’s Hospital Readmissions Reduction Program Open
Importance Decreases in 30-day readmissions following the implementation of the Medicare Hospital Readmissions Reduction Program (HRRP) have occurred against the backdrop of increasing hospital observation stay use, yet observation stays a…
Characterizing the Uptake of Newly Opened Health Centers by Individuals Dually Enrolled in Medicare and Medicaid Open
Federally qualified health centers (FQHCs) increasingly provide high-quality, cost-effective primary care to individuals dually enrolled in Medicare and Medicaid. However, not everyone can access an FQHC. We used 2012 to 2018 Medicare clai…
The association between primary care use and potentially-preventable hospitalization among dual eligibles age 65 and over Open
Background Individuals dually-enrolled in Medicare and Medicaid (dual eligibles) are disproportionately sicker, have higher health care costs, and are hospitalized more often for ambulatory care sensitive conditions (ACSCs) than other Medi…
Health center use and <span>hospital‐based</span> care among individuals <span>dually enrolled</span> in Medicare and Medicaid, 2012–2018 Open
Objective To examine the relationship between federally qualified health center (FQHC) use and hospital‐based care among individuals dually enrolled in Medicare and Medicaid. Data Sources Data were obtained from 2012 to 2018 Medicare claim…