E. John Orav

1 month ago | jamanetwork.com | Nicholas Daley |E. John Orav

Health Care Contact Days, Care Experience, and Out-of-Pocket Spending Among Traditional Medicare Patients Health care contact days—spent obtaining care outside of the home—can represent needed care and place burdens on older adults and caregivers.1-3 For older Medicare beneficiaries, studies show that contact days vary by factors beyond medical need, suggesting modifiable overuse and underuse.4-6 Understanding how contact days relate to other dimensions of patient experience could inform...

Nov 8, 2024 | jamanetwork.com | Aaron Hedquist |E. John Orav |Austin Frakt

Introduction Health care delivery has rapidly transitioned from independent physicians and hospitals to integrated delivery networks. More than three-quarters of inpatient facilities are affiliated with a health system.1,2 With increasing financial and provider organization integration under value-based care contracts, many systems have elected to function as both payer and provider organization by owning and operating health insurance plans, including Medicare Advantage (MA).

Sep 5, 2024 | acsjournals.onlinelibrary.wiley.com | Jacob S. Hogan |E. John Orav |Neha Vapiwala |Miranda Lam

Corresponding Author Miranda B. Lam MD, MBA Department of Radiation Oncology, Brigham and Women’s Hospital/Dana-Farber Cancer Institute, Boston, Massachusetts, USA Department of Health Policy and Management, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA Correspondence Miranda B. Lam, Radiation Oncology, Dana-Farber Cancer Institute and Brigham Women’s Hospital, 75 Francis St, Boston, MA 02115, USA.

Aug 14, 2024 | agsjournals.onlinelibrary.wiley.com | Sunny C. Lin |Jie Zheng |Arnold M. Epstein |E. John Orav

CONFLICT OF INTEREST STATEMENT Dr. Joynt Maddox previously served on the Health Policy Advisory Council for the Centene Corporation (St. Louis, MO) and received research funding from Humana. The remaining authors declare no conflicts. Supporting Information Filename Description jgs1131-sup-0001-Tables.pdfPDF document, 273.2 KB Supplementary Table S1. Long-term care (LTC) resident characteristics. Supplementary Table S2.

Sep 14, 2023 | jamanetwork.com | Eric Roberts |E. John Orav

Key PointsQuestion  To what extent did dual-eligible beneficiaries lose Medicaid before and during the COVID-19 public health emergency (PHE), and what characteristics of beneficiaries were associated with increased risk of Medicaid loss? Findings  In this repeated cross-sectional study, dual-eligible beneficiaries losing Medicaid increased steadily prior to the PHE and fell significantly during the PHE.