Publications
The Center exists in part to create original evidence and information that support and advance conversations around professionalism, value, and other health care issues.
READ about scientific publications, briefs, and reports emerging from the Center and its collaborators below.
Characteristics of Office-Based Buprenorphine Prescribers for Medicare Patients
- Rohit Abraham
- Elizabeth Wilkinson
- Yalda Jabbarpour
- Stephen Petterson, PhD
- Andrew W. Bazemore, MD, MPH
Submitted on: January, 2020
Introduction: Opioid use disorder (OUD) is a major and growing public health concern, and Medicare patients have nearly double the proportion of OUD prevalence compared with those with commercial insurance. This study examines provider-level characteristics to delineate the wide variation behind buprenorphine provision, which is the mainstay of medication-assisted treatment for OUD.
Methods: Using Medicare Part D Public Use Files claims data from 2013 to 2016 in all states, we assessed prescribing patterns of buprenorphine formulations for the specialties of family medicine, internal medicine, psychiatry, and general practice.
Payment Structures That Support Social Care Integration With Clinical Care: Social Deprivation Indices and Novel Payment Models
- Alison N. Huffstetler, MD
- Robert L. Phillips Jr., MD, MSPH
Submitted on: December, 2019
The U.S. lags behind other developed countries in the use of indices and novel reimbursement models to adjust for social determinants of health (SDH) in medicine. This may be due in part to the inadequate body of research regarding outcomes after implementation of healthcare payments designed to address SDH. This perspective article focuses on four models employed both internationally and domestically to outline the implementation, successes, limitations, and research needed to support national application of SDH models. A brief history of prior models is introduced asa primer to the current U.S. system. Internationally, the United Kingdom and New Zealand employ small area indices to adjust healthcare dollar allocation based on increased social need in an area.
The Declining Presence of Family Physicians in Hospital-Based Care
- Anuradha Jetty
- Yalda Jabbarpour
- Stephen Petterson, PhD
- Aimee Eden
- Andrew Bazemore
Submitted on: December, 2019
Despite training to provide care across the continuum of health delivery settings, the proportion of family physicians (FPs) reporting inpatient care has decreased by 26% between 2013 and 2017, leaving approximately 1 in 4 of FPs practicing hospital medicine in 2017. Policy makers, payers, and leaders in medical education should closely track the impact of these trends, given previous evidence associating better cost and utilization outcomes with broader scope of practice. Comprehensiveness is one of the Starfield’s core tenets of primary care. Patients of family physicians (FPs) with a broader scope of practice have been shown to have lower overall health care spending.
