FEBRUARY 2019
To help the Pennsylvania Department of Human Services understand the likely impact of a proposed Medicaid work requirement, an LDI research team led by Daniel Polsky and Paula Chatterjee analyzed the demographic, economic, and health characteristics of working-age, non-disabled adults who receive Medicaid. Report
In Health Affairs, Abby Alpert and colleagues link OxyContin reformulation to a national epidemic of hepatitis C. Blog
In JAMA Network Open, Rachel Werner, Genevieve Kanter, and Daniel Polsky find that physicians who join accountable care organizations are no less likely to care for minority and low-income patients, and more likely to care for sicker patients. Blog
In JAMA Network Open, Holly Fernandez Lynch and colleagues find that payment for research participation encouraged participants to lie about their eligibility, regardless of payment amount. Blog
The first report went after low-hanging BS. This time around, Lawton R. Burns and Mark Pauly make bolder assertions about other forms of health industry BS, including important distinctions between total and partial BS. Special Report
In a timely blog post, Salini Mohanty describes what happened when California strengthened its immunization laws, and what other states can learn from the experience. This work was supported by an LDI Policy Accelerator Grant. Blog
In Health Affairs and the New England Journal of Medicine, our Fellows analyze year 1 of a new Medicare payment policy and suggest changes to help small practices and support clinicians as they take on greater accountability for costs. Blog
In a New England Journal of Medicine Perspective, Genevieve Kanter and Mark Pauly argue that providers in accountable care organizations should not be exempt from "Stark" laws regulating financial conflicts of interest in physician referrals. Blog
Organized by Lawton R. Burns, the small-group meeting covered a wide range of topics including bundled payment, consolidation in the health care industry, and the ACA exchanges. Administrator Verma was in town to deliver a keynote at the 25th Annual Wharton Health Care Business Conference. Photos
Convened by Health Affairs, a 22-member panel of experts, including Mark Pauly, will analyze how to make the most of our health care spending. Their first meeting was in January. News
Co-hosted by Penn LDI and the Institute of Biomedical Informatics, a workshop on machine learning methods drew more than 150 faculty members and graduate students. News
The fifth annual event included presentations from our Fellows on topics ranging from childhood stress and urban poverty, to violence as a health equity issue. Jonathan Woodson, formerly of the Department of Defense, delivered the keynote address on reducing disparities in the Military Health System. News
Patients' Perspectives on Approaches to Facilitate Completion of Advance Directives, American Journal of Hospice and Palliative Medicine, January 2019, Joshua A. Rolnick, Judy A. Shea, Joanna L. Hart, Scott D. Halpern

Using Behavioral Economics to Encourage Parent Behavior Change: Opportunities to Improve Clinical Effectiveness, Academic Pediatrics, January 2019, Brian Jenssen, Alison M. Buttenheim, Alexander G. Fiks

US Emergency Department Encounters for Firearm Injuries According to Presentation at Trauma vs Nontrauma Centers, JAMA Surgery, January 2019, Edouard Coupet, Yanlan Huang, M. Kit Delgado

Are Recessions Good for Staffing in Nursing Homes?, NBER, December 2018, R. Tamara Konetzka, Karen B. Lasater, Edward C. Norton, Rachel M. Werner

Financial Fraud Among Older Americans: Evidence and Implications, The Journals of Gerontology: Series B, December 2018, Marguerite DeLiema, Martha Deevy, Annamaria Lusardi, Olivia S. Mitchell

The Impact of Intimate Partner Violence, Depressive Symptoms, Alcohol Dependence, and Perceived Stress on 30-year Cardiovascular Disease Risk Among Young Adult Women: A Multiple Mediation Analysis, Preventive Medicine, January 2019, Elizabeth Novack Wright, Alexandra Hanlon, Alicia Lozano, Anne M. Teitelman

What Motivates Mental Health Clinicians-in-Training to Implement Evidence-Based Assessment? A Survey of Social Work Trainees, Administration and Policy in Mental Health and Mental Health Services Research, January 2019, Viktor Lushin, Emily M. Becker-Haimes, David Mandell, Jordan Conrad, Victor Kaploun, Sophia Bailey, Ai Bo, Rinad S. Beidas

The Association of the Nurse Work Environment and Patient Safety in Pediatric Acute Care, Journal of Patient Safety, December 2018, Eileen T. Lake, Kathryn E. Roberts, Paula D. Agosto, Elizabeth Ely, Amanda P. Bettencourt, Elizabeth S. Schierholz, Warren D. Frankenberger, Gianluca Catania, Linda H. Aiken

Pathways to Abortion at a Tertiary Care Hospital: Examining Obesity and Delays, Perspectives on Sexual and Reproductive Health, January 2019, Alhambra Frarey, Courtney Schreiber, Arden McAllister, Allison Shaber, Sarita Sonalkar, Mary D. Sammel, Judith A. Long

Construct Validity of Six Sentiment Analysis Methods in the Text of Encounter Notes of Patients with Critical Illness, Journal of Biomedical Informatics, January 2019, Gary E. Weissman, Lyle H. Ungar, Michael O. Harhay, Katherine R. Courtright, Scott D. Halpern

Marginalization: Conceptualizing Patient Vulnerabilities in the Framework of Social Determinants of Health - An Integrative Review, Nursing Inquiry, November 2018, Foster Osei Baah, Anne M. Teitelman, Barbara Riegel

The Implementation of a Team Training Intervention for School Mental Health: Lessons Learned, Psychotherapy, November 2018, Courtney Benjamin Wolk, Rebecca Stewart, Ricardo Eiraldi, Peter Cronholm, Eduardo Salas, David Mandell

A Partially Structured Postoperative Handoff Protocol Improves Communication in 2 Mixed Surgical Intensive Care Units: Findings From the Handoffs and Transitions in Critical Care (HATRICC) Prospective Cohort Study, Annals of Surgery, November 2018, Meghan B. Lane-Fall, Jose L. Pascual, Hannah G. Peifer, Laura J. Di Taranti, Meredith L. Collard, Juliane Jablonski, Jacob T. Gutsche, Scott D. Halpern, Frances K. Barg, Lee A. Fleisher

Disparities in Breast Cancer Survival by Socioeconomic Status Despite Medicare and Medicaid Insurance, Journal of Human Capital, December 2018, Jeffrey J. Silber, Paul R. Rosenbaum, Richard N. Ross, Joseph G. Reiter, Bijan Niknam, Alexander Hill, Diana Bongiorno, Shivani Shah, Lauren Hochman, Orit Even-Shoshan, Kevin R. Fox

Trends in Opioid Prescribing and Dispensing by Veterinarians in Pennsylvania, JAMA Network Open, January 2019, Dana L. Clarke, Kenneth J. Drobatz, Chloe Korzekwa, Lewis S. Nelson, Jeanmarie Perrone

Financial Incentives for Achieving and Maintaining Viral Suppression Among HIV-positive Adults in Uganda: A Randomised Controlled Trial, The Lancet HIV, January 2019, Harsha Thirumurthy, Alex Ndyabakira, Kara Marson, Devy Emperador, Moses Kamya, Diane Havlir, Dalsone Kwarisiima, Gabriel Chamie

WHO WE ARE
As Penn's hub for health services research, health policy, and health economics, Penn LDI catalyzes and facilitates research collaborations and educational programs to expand knowledge and shape policy for a more effective health system.