John N. Mafi
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View article: Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios
Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios Open
Supplementary Table S1 includes codes used to identify cervical cancer screening tests within claims data.
View article: Low-cost, high-volume healthcare services contribute the most to low-value care spending in Japan
Low-cost, high-volume healthcare services contribute the most to low-value care spending in Japan Open
Introduction High-income countries face the urgent task of reducing healthcare spending incurred by low-value care. However, evidence is limited as to whether high-cost or low-cost low-value care services contribute more to total unnecessa…
View article: Low-Cost, High-Volume Health Services Contribute the Most to Unnecessary Health Spending due to Low-Value Care in Japan
Low-Cost, High-Volume Health Services Contribute the Most to Unnecessary Health Spending due to Low-Value Care in Japan Open
Importance As healthcare costs continue to rise, high-income countries—including Japan—face the urgent task of reducing healthcare spending incurred by low-value care. However, evidence is limited as to which low-value care services contri…
View article: Professional Coaching to Reduce Physician Burnout: A Randomized Clinical Trial
Professional Coaching to Reduce Physician Burnout: A Randomized Clinical Trial Open
Background Physician burnout is a public health crisis. While one-on-one professional coaching reduces physician burnout, its costs may limit widespread use. Small group professional coaching could offer a more scalable solution, but its e…
View article: A Randomized-Clinical Trial of Two Ambient Artificial Intelligence Scribes: Measuring Documentation Efficiency and Physician Burnout
A Randomized-Clinical Trial of Two Ambient Artificial Intelligence Scribes: Measuring Documentation Efficiency and Physician Burnout Open
Importance Ambient artificial intelligence (AI) scribes record patient encounters and generate visit notes almost instantaneously, representing a promising solution to documentation burden and associated physician burnout. Despite swift an…
View article: Primary Care Physician Characteristics and Low-Value Care Provision in Japan
Primary Care Physician Characteristics and Low-Value Care Provision in Japan Open
Importance Evidence is limited regarding the physician characteristics associated with the provision of low-value services in primary care, especially outside of the US. Objective To measure physician-level use of 10 low-value care service…
View article: Disparities in Early Lecanemab Uptake Among US Medicare Beneficiaries
Disparities in Early Lecanemab Uptake Among US Medicare Beneficiaries Open
This cross-sectional study examines lecanemeb update among Medicare fee-for-service beneficiaries with Alzheimer disease or mild cognitive impairment and evaluates whether there are disparities among potentially eligible patients.
View article: Hospitalizations and Mortality Among Older Adults With and Without Restricted Access to Nirmatrelvir-Ritonavir
Hospitalizations and Mortality Among Older Adults With and Without Restricted Access to Nirmatrelvir-Ritonavir Open
This study compares hospitalization and mortality outcomes in vaccinated older adults with vs without restricted access to nirmatrelvir-ritonavir in Ontario.
View article: Disparities in Substance Use Disorder Telehealth Services
Disparities in Substance Use Disorder Telehealth Services Open
This cross-sectional study evaluates whether telehealth utilization is associated with changes in payer-based and rural-urban disparities in substance use disorder treatment.
View article: Racial and Ethnic Differences in Low‐Value Care Among Older Adults in a Large Statewide Health System
Racial and Ethnic Differences in Low‐Value Care Among Older Adults in a Large Statewide Health System Open
Background As value‐based payment models incorporate both measures of health equity and low‐value care (LVC), understanding how LVC varies by race is vital for interventions. Therefore, we measured racial differences in LVC in a contempora…
View article: Trends in antipsychotic prescribing among community-dwelling older adults with dementia, 2010-2018
Trends in antipsychotic prescribing among community-dwelling older adults with dementia, 2010-2018 Open
Due to an FDA “black box” warning for heightened risk of death, Choosing Wisely (CW) recommends avoiding antipsychotic prescription drugs as first-line treatment for dementia-related agitation. Yet, post-CW trends among community-dwelling …
View article: Higher than expected telemedicine use by racial and ethnic minority and cognitively impaired Medicare beneficiaries
Higher than expected telemedicine use by racial and ethnic minority and cognitively impaired Medicare beneficiaries Open
Although pandemic-era telemedicine flexibilities may have preserved access to care, concerns remain that telemedicine may have been inequitably distributed among older adults, especially those with mild cognitive impairment or dementia (MC…
View article: Correction: A pragmatic parallel arm randomized-controlled trial of a multi-pronged electronic health record-based clinical decision support tool protocol to reduce low-value antipsychotic prescriptions among older adults with Alzheimer’s and related dementias
Correction: A pragmatic parallel arm randomized-controlled trial of a multi-pronged electronic health record-based clinical decision support tool protocol to reduce low-value antipsychotic prescriptions among older adults with Alzheimer’s and related dementias Open
[This corrects the article DOI: 10.1371/journal.pone.0277409.].
View article: Increased spending on low-value care during the COVID-19 pandemic in Virginia
Increased spending on low-value care during the COVID-19 pandemic in Virginia Open
Characterizing the value and equity of care delivered during the COVID-19 pandemic is crucial to uncovering health system vulnerabilities and informing postpandemic recovery. We used insurance claims to evaluate low-value (no clinical bene…
View article: Reducing Wasteful Spending on Discarded Lecanemab in the US Medicare Program
Reducing Wasteful Spending on Discarded Lecanemab in the US Medicare Program Open
This cross-sectional study examines the wastage observed with the use of weight-based dosing of lecanemab in treatment of Alzheimer disease and proposes alternative vial sizes to reduce wastage.
View article: Supplementary Table S3 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios
Supplementary Table S3 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios Open
Supplementary Table S3 shows CPT codes used in the analysis of colposcopy and related cervical services.
View article: Supplementary Table S3 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios
Supplementary Table S3 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios Open
Supplementary Table S3 shows CPT codes used in the analysis of colposcopy and related cervical services.
View article: Supplementary Table S2 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios
Supplementary Table S2 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios Open
Supplementary Table S2 displays specifications for high and low-value cervical cancer screening as specified by the Milliman Medinsight Health Waste Calculator.
View article: Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios
Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios Open
Supplementary Table S1 includes codes used to identify cervical cancer screening tests within claims data.
View article: Supplementary Table S2 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios
Supplementary Table S2 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios Open
Supplementary Table S2 displays specifications for high and low-value cervical cancer screening as specified by the Milliman Medinsight Health Waste Calculator.
View article: Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios
Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios Open
Supplementary Table S1 includes codes used to identify cervical cancer screening tests within claims data.
View article: Data from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios
Data from Reallocating Cervical Cancer Preventive Service Spending from Low to High-Value Clinical Scenarios Open
Timely follow-up care after an abnormal cervical cancer screening test result is critical to the prevention and early diagnosis of cervical cancer. The current inadequate and inequitable delivery of these potentially life-saving services i…
View article: Talking With Patients About the New Anti-amyloid Alzheimer Disease Medications
Talking With Patients About the New Anti-amyloid Alzheimer Disease Medications Open
Ideas and Opinions23 January 2024Talking With Patients About the New Anti-amyloid Alzheimer Disease MedicationsCatherine A. Sarkisian, MD, MSHS, Artem Romanov, BA, and John N. Mafi, MD, MPHCatherine A. Sarkisian, MD, MSHSDivision of Genera…
View article: Developing an electronic health record measure of low-value esophagogastroduodenoscopy for GERD at a large academic health system
Developing an electronic health record measure of low-value esophagogastroduodenoscopy for GERD at a large academic health system Open
Objectives Low-value esophagogastroduodenoscopies (EGDs) for uncomplicated gastro-oesophageal reflux disease (GERD) can harm patients and raise patient and payer costs. We developed an electronic health record (EHR) ‘eMeasure’ to detect lo…
View article: Examining patient perspectives on low‐value care: Findings from a survey on preoperative testing for cataract surgery
Examining patient perspectives on low‐value care: Findings from a survey on preoperative testing for cataract surgery Open
Despite national recommendations against routine preoperative (pre-op) testing before cataract surgery, over 80% of Medicare patients still receive this low-value care.1, 2 Although theories have been proposed to explain drivers such as in…
View article: Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios
Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios Open
Supplementary Table S1 includes codes used to identify cervical cancer screening tests within claims data.
View article: Data from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios
Data from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios Open
Timely follow-up care after an abnormal cervical cancer screening test result is critical to the prevention and early diagnosis of cervical cancer. The current inadequate and inequitable delivery of these potentially life-saving services i…
View article: Supplementary Table S2 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios
Supplementary Table S2 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios Open
Supplementary Table S2 displays specifications for high and low-value cervical cancer screening as specified by the Milliman Medinsight Health Waste Calculator.
View article: Supplementary Table S3 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios
Supplementary Table S3 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios Open
Supplementary Table S3 shows CPT codes used in the analysis of colposcopy and related cervical services.
View article: Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios
Supplementary Table S1 from Reallocating Cervical Cancer Preventive Service Spending from Low- to High-Value Clinical Scenarios Open
Supplementary Table S1 includes codes used to identify cervical cancer screening tests within claims data.