Tami Swenson

Learn More
OBJECTIVES To examine the association between statin out-of-pocket (OOP) costs and utilization among the Medicare Part D population. DATA SOURCES/STUDY SETTING 2006-2008 administrative claims and enrollment data for the 5 percent Medicare sample. STUDY DESIGN Sample included 346,583 beneficiary-year observations of statin users enrolled in stand-alone(More)
A breakthrough in the tradeoff between privacy and data quality has been achieved for restricted access to population census microdata samples. The IPUMS-International website, as of June 2006, offers integrated microdata for 47 censuses, totaling more than 140 million person records, with 13 countries represented. Over the next four years, the global(More)
Medicare's Physician Quality Reporting System (PQRS) is the largest quality-reporting system in the U.S. health care system and a basis for the new value-based modifier system for physician payment. The PQRS allows health care providers to report measures of quality of care that include both the process of care and physiological outcomes. Using a(More)
PURPOSE To explore two issues that are relevant to inclusion of PQRS reporting in a value-based payment system: (1) what are the characteristics of PQRS reports and the providers who file them; and (2) could PQRS provide active attribution information to supplement existing attribution algorithms? DESIGN AND METHODS Using data from five states for the(More)
Growth in Medicare expenditures has forced legislators and policymakers to look for ways to slow spending and get more value for their money. This article reviews previous federal efforts to control Medicare costs as well as current ones required by the Patient Protection and Affordable Care Act. It also describes a proposal for value-based purchasing that(More)
A breakthrough in the tradeoff between privacy and data quality has been achieved for restricted access to population census microdata samples. The IPUMS-International website, as of June 2006, offers integrated microdata for 47 censuses, totaling more than 140 million person records, with 13 countries represented. Over the next four years, the global(More)
Visits to the emergency department (ED) are costly, and because some of them are potentially avoidable, some types of ED visits also may be indicative of poor care management, inadequate access to care, or poor choices on the part of beneficiaries. Billings and colleagues developed an algorithm to analyze ED visits and assign probabilities that each visit(More)
Virtually all quantitative microdata used by social scientists derive from samples that incorporate clustering, stratification, and weighting adjustments (Kish 1965, 1992). Such data can yield standard error estimates that differ dramatically from those derived from a simple random sample of the same size. Researchers using historical U.S. census microdata,(More)
The concept of 'value' typically includes a combination of cost and quality measures. Some approaches to incorporating value into payment systems treat cost and quality as separate dimensions, but policymakers have expressed interest in a single scalar index that combines cost and quality. Treating risk-adjusted cost as an input and multiple measures of(More)
  • 1