Arnold Milstein

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  • Cheryl Damberg, Kyle Grazier, Sheldon Greenfield, David Hopkins, Sherrie H Kaplan, Peter V Lee +5 others
  • 2005
Acknowledgements Preparation of this report reflects significant contributions by numerous individuals listed below. In particular, we wish to acknowledge Patricia Sinnott for organizing the " State of the Art and Road Map for Public/Private Collaboration for Performance Excellence " conference and Joachim Roski for providing the material contained in the(More)
While all of medicine is under pressure to increase transparency and accountability, joint replacement subspecialists will face special scrutiny. Disclosures of questionable consulting fees, a demographic shift to younger patients, and uncertainty about the marginal benefits of product innovation in a time of great cost pressure invite a serious and(More)
High copayments for medical services can cause patients to underuse essential therapies. Value-based health insurance design attempts to address this problem by explicitly linking cost sharing and value. Copayments are set at low levels for high-value services. The Mercer National Survey of Employer-Sponsored Health Plans demonstrates that value-based(More)
About the Engelberg Center for Health Care Reform at Brookings Established in 2007, the Engelberg Center for Health Care Reform at Brookings is dedicated to providing practical solutions to achieve high-quality, innovative, affordable health care. To achieve its mission, the Center conducts research, develops policy recommendations, and provides technical(More)
BACKGROUND Medicare's value-based purchasing (VBP) and the Hospital Readmissions Reduction Program (HRRP) could disproportionately affect safety-net hospitals. OBJECTIVE To determine whether safety-net hospitals incur larger financial penalties than other hospitals under VBP and HRRP. DESIGN Cross-sectional analysis. SETTING United States in 2014. (More)
OBJECTIVE The purpose of this study was to determine whether multidisciplinary team-based care guided by the chronic care model can reduce medical payments and improve quality for Medicaid enrollees with diabetes. RESEARCH DESIGN AND METHODS This study was a difference-in-differences analysis comparing Medicaid patients with diabetes who received(More)
This paper proposes a system for fine-grained classification of developmental disorders via measurements of individuals' eye-movements using multi-modal visual data. While the system is engineered to solve a psychiatric problem, we believe the underlying principles and general methodology will be of interest not only to psychiatrists but to researchers and(More)
The independent Office of the Actuary for CMS certified that the Pioneer ACO model has met the stringent criteria for expansion to a larger population. Significant savings have accrued and quality targets have been met, so the program as a whole appears to be working. Ironically, 13 of the initial 32 enrollees have left. We attribute this to the design of(More)
INTRODUCTION Coronary artery bypass graft (CABG) surgery is a well-established, commonly performed treatment for coronary artery disease--a disease that affects over 10% of US adults and is a major cause of morbidity and mortality. In 2005, the mean cost for a CABG procedure among Medicare beneficiaries in the USA was $32, 201 ± $23,059. The same operation(More)
OBJECTIVES Post-traumatic stress disorder (PTSD) is a well-documented risk factor for cardiovascular disease (CVD). However, it is unknown whether another common stress disorder-adjustment disorder--is also associated with an increased risk of CVD and whether gender modifies these associations. The aim of this study was to examine the overall and(More)