In Health Affairs, Linda Aiken and colleagues find that patient safety remains a serious concern among patients and nurses, and failure to improve nurse work environments may impede progress on advancing patient safety. Brief
A cost impact study led by Mark Pauly and Mary Naylor shows that the Transitional Care Model, which relies on advanced practice nurses to deliver services from the hospital to home, reduces postacute care use and costs for older adults with cognitive impairment. Brief
In a new NBER working paper, Molly Frean and Mark Pauly find that spending growth was significantly lower in states where privately insured employees have higher deductibles. Frean, a Wharton Health Care Management doctoral student, explores implications of these findings on our blog. Blog
In Health Care Management Review, Lawton R. Burns and Wharton Health Care Management doctoral student Allison Briggs find that most hospitals rely on group purchasing organizations (GPOs) to save money on supply costs. On our blog, Burns puts to rest concerns about GPOs and their impact on price competition and access to medical supplies. Blog
In a recent article, Krisda Chaiyachati and colleagues argue that proposals to cut non-emergency transportation benefits in Medicaid are premature and potentially harmful. They call for data transparency, research, and testing different approaches before states consider dropping the benefit. Blog
With a new $1.84 million grant from the Federal Highway Administration, Kit Delgado and a team from Penn and CHOP will investigate ways to reduce cell phone use while driving, such as redesigning insurance discounts and smartphone-based "nudges". Press Release
In a series of three posts on the Health Affairs blog, Amol Navathe and Joshua Liao look at Medicare's largest physician pay-for-performance program to date - MIPS - and its implications for physician participation, engagement, and reimbursement. Blog Series
A new brief from our partnership with United States of Care explores the concept of affordability, and outlines key issues for policymakers to consider as they try to tackle this pressing problem. It is the first in a series that will examine the cost burden of health care in the United States. Issue Brief | Blog
The tenth annual University of Pennsylvania/Carnegie Mellon University Roybal Behavioral Economics Retreat convened in the Poconos to share ongoing work and latest findings. Photos | Poster Session

Tuesday, December 4 | 3:00pm - 5:00pm
Health Policy and Politics in Turbulent Times
A fireside chat with former Governor of Florida Jeb Bush

Friday, December 7 | 12:00pm - 1:20pm
LDI Health Policy Seminar with David Shulkin, MD
Former Secretary of Veterans Affairs
Effect of Community Health Worker Support on Clinical Outcomes of Low-Income Patients Across Primary Care Facilities: A Randomized Clinical Trial, JAMA Internal Medicine, October 2018, Shreya Kangovi, Nandita Mitra, Lindsey Norton, Rory Harte Xinyi Zhao, Tamala Carter, David Grande, Judith A. Long

How Important Is Price Variation Between Health Insurers?, NBER, October 2018, Stuart V. Craig, Keith Marzilli Ericson, Amanda Starc

Effect of Changes in Hospital Nursing Resources on Improvements in Patient Safety and Quality of Care: A Panel Study, Medical Care, October 2018, Douglas M. Sloane, Herbert L. Smith, Matthew D. McHugh, Linda H. Aiken

Changes in Primary Care Access at Community Health Centers Between 2012/2013 and 2016, Health Services Research, November 2018, Brendan Saloner, Adam S. Wilk, Douglas Wissoker, Molly Candon, Katherine Hempstead, Karin V. Rhodes, Daniel E. Polsky, Genevieve M. Kenney

Does Nursing Home Compare Reflect Patient Safety In Nursing Homes?, Health Affairs, November 2018, Daniel Brauner, Rachel M. Werner, Tetyana P. Shippee, John Cursio, Hari Sharma, and R. Tamara Konetzka

To Retweet or Not to Retweet: Understanding What Features of Cardiovascular Tweets Influence Their Retransmission, Journal of Health Communication, November 2018, Qinghua Yang, Christopher Tufts, Lyle Ungar, Sharath Guntuku, Raina Merchant

Mothers' Facebook Posts About Infant Health: Findings from the Grow2Gether Study, BMC Pediatrics, October 2018, Stacey Kallem, Rachel S. Gruver, Senbagam Virudachalam and Alexander G. Fiks

Closing the Gaps in Opioid Use Disorder Research, Policy and Practice: Conference Proceedings, Addiction Science & Clinical Practice, December 2018, Matthew A. Miclette, Jared A. Leff, Isabella Cuan, Jeffrey H. Samet, Brendan Saloner, Gary Mendell, Yuhua Bao, Michael A. Ashburn, Marcus A. Bachhuber, Bruce R. Schackman, Daniel E. Polsky, Zachary F. Meisel

Experiences With Medical Exemptions After a Change in Vaccine Exemption Policy in California, Pediatrics, October 2018, Salini Mohanty, Alison M. Buttenheim, Caroline M. Joyce, Amanda C. Howa, Daniel Salmon, Saad B. Omer

Association of Patient Acuity and Missed Nursing Care in U.S. Neonatal Intensive Care Units, Medical Care Research and Review, October 2018, Eileen T. Lake, Douglas O. Staiger, Emily Cramer, Linda A. Hatfield, Jessica G. Smith, Beatrice J. Kalisch, Jeannette A. Rogowski

Association Between 30-Day Mortality After Percutaneous Coronary Intervention and Education and Certification Variables for New York State Interventional Cardiologists, Circulation: Cardiovascular Interventions, September 2018, Sameed Ahmed M. Khatana, Paul N. Fiorilli, Ashwin S. Nathan, Daniel M. Kolansky, Nandita Mitra, Peter W. Groeneveld, Jay Giri

Do Hospitals with a Higher Level of Maternal Care Designation Have Better Maternal Outcomes?, American Journal of Perinatology, October 2018, Sindhu K. Srinivas, Katy Kozhimannil, Peiyin Hung, Laura Attanasio, Judy Jou, William A. Grobman

Youth Speak Out on School Food Environments, The Journal of School Nursing, October 2018, Kelsey Gangemi, Roxanne Dupuis, Elizabeth FitzGerald, Rosemary Frasso, Sara Solomon, and Carolyn C. Cannuscio

Population Trends in Intensive Care Unit Admissions in the United States Among Medicare Beneficiaries, 2006-2015, Annals of Internal Medicine, October 2018, Gary E. Weissman, Meeta Prasad Kerlin, Yihao Yuan, Nicole B. Gabler, Peter W. Groeneveld, Rachel M. Werner, Scott D. Halpern

Protecting Clinical Trial Participants and Study Integrity in the Age of Social Media, Cancer, October 2018, Holly Fernandez Lynch, Emily A. Largent, Steven Joffe, Angela M. DeMichele

Understanding the Landscape of Behavioral Health Pre-service Training to Inform Evidence-Based Intervention Implementation, Psychiatry Services, October 2018, Emily M. Becker-Haimes, Kelsie H. Okamura, Constance D. Baldwin, Edward Wahesh, Christopher Schmidt, Rinad S. Beidas

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.