Nancy Beaulieu
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View article: Specialist use among privately insured children with disabilities
Specialist use among privately insured children with disabilities Open
Objective To investigate primary care practice ownership and specialist‐use patterns for commercially insured children with disabilities. Data Sources and Study Setting A national commercial claims database and the Health Systems and Provi…
View article: Organization of Cancer Specialists in US Physician Practices and Health Systems
Organization of Cancer Specialists in US Physician Practices and Health Systems Open
PURPOSE To describe the supply of cancer specialists, the organization of cancer care within versus outside of health systems, and the distance to multispecialty cancer centers. METHODS Using the 2018 Health Systems and Provider Database f…
View article: Diabetes-Focused Health Care Utilization Among Adolescents and Young Adults With Type 1 Diabetes
Diabetes-Focused Health Care Utilization Among Adolescents and Young Adults With Type 1 Diabetes Open
View article: Increases in Inpatient Psychiatry Beds Operated by Systems, For-Profits, and Chains, 2010–2016
Increases in Inpatient Psychiatry Beds Operated by Systems, For-Profits, and Chains, 2010–2016 Open
Inpatient psychiatry has shifted toward increased ownership by systems, for-profits, and chains. Payers and policy makers should safeguard against profiteering, and future research should investigate the implications of these trends on qua…
View article: Primary care quality and cost for privately insured patients in and out of US Health Systems: Evidence from four states
Primary care quality and cost for privately insured patients in and out of US Health Systems: Evidence from four states Open
Objective To characterize physician health system membership in four states between 2012 and 2016 and to compare primary care quality and cost between in‐system providers and non‐system providers for the commercially insured population. Da…
View article: Changes in Quality of Care after Hospital Mergers and Acquisitions
Changes in Quality of Care after Hospital Mergers and Acquisitions Open
Hospital acquisition by another hospital or hospital system was associated with modestly worse patient experiences and no significant changes in readmission or mortality rates. Effects on process measures of quality were inconclusive. (Fun…
View article: Organizational Culture and Performance
Organizational Culture and Performance Open
Organizations are all around us. Culture is trickier—to analyze and even to see. We consider both the effect of management on culture and the effect of culture on performance. We begin by describing an intervention that dramatically improv…