Rachel M. Werner
Leonard Davis Institute of Health Economics
BusinessPaymentNursingHealth careRetrospective cohort studyEmergency medicinePay for performanceMedicaidMEDLINEQuality (business)Health care qualityLong-term careAcute careSkilled NursingIncentiveQuality of careNursing homesFamily medicineMedical emergencyQuality managementMedicine
Publications 202
#1Heather Davila (VA Boston Healthcare System)H-Index: 9
#2Tetyana P Shippee (UMN: University of Minnesota)H-Index: 22
Last. R. Tamara Konetzka (U of C: University of Chicago)H-Index: 26
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Nursing Home Compare (NHC) reports quality measures (QMs) for nursing homes (NHs) as part of its 5-star rating system. Most of the QMs are based on facility self-reported data, prompting questions about their validity. To better understand how NHs interact with the QMs, we used qualitative methods, including semistructured interviews with NH personnel (n = 110), NH provider association representatives (n = 23), and observations of organizational processes in 12 NHs in three states. We found that...
#1Eric Bressman (Leonard Davis Institute of Health Economics)H-Index: 1
Last. Rachel M. Werner (Leonard Davis Institute of Health Economics)H-Index: 44
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#1David A. Asch (Leonard Davis Institute of Health Economics)H-Index: 89
#2Buresh JH-Index: 2
Last. Rachel M. Werner (Veterans Health Administration)H-Index: 44
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#1Sameed Ahmed M. Khatana (Leonard Davis Institute of Health Economics)H-Index: 13
#2Nicholas Illenberger (UPenn: University of Pennsylvania)H-Index: 1
Last. Nandita Mitra (Leonard Davis Institute of Health Economics)H-Index: 62
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OBJECTIVE null Food insecurity is associated with diabetes. The Supplemental Nutrition Assistance Program (SNAP) is the largest U.S. government food assistance program. Whether such programs impact diabetes trends is unclear. The objective of this study was to evaluate the association between changes in state-level policies affecting SNAP participation and county-level diabetes prevalence. null RESEARCH DESIGN AND METHODS null We evaluated the association between change in county-level diabetes ...
#1Courtney Harold Van Houtven (Duke University)H-Index: 26
#2Katherine E. Miller (UNC: University of North Carolina at Chapel Hill)H-Index: 13
Last. Brystana G. Kaufman (Duke University)H-Index: 9
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Context: COVID-19 has a high case fatality rate in high-risk populations and can cause severe morbidity and high healthcare resource use. Nursing home residents are a high-risk population; they live in congregate settings, often with shared rooms, and require hands-on care. null Objectives: To assess state responses to the coronavirus pandemic related to nursing homes in the first half of 2020. null Methods: An in-depth examination of 12 states’ responses to the COVID-19 pandemic in nursing home...
#1Robert E. Burke (UPenn: University of Pennsylvania)H-Index: 13
#2Yao Xu (UPenn: University of Pennsylvania)H-Index: 2
Last. Rachel M. Werner (UPenn: University of Pennsylvania)H-Index: 44
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#1Rachel M. Werner (Leonard Davis Institute of Health Economics)H-Index: 44
#2Eric Bressman (Leonard Davis Institute of Health Economics)H-Index: 1
Abstract null null Objective null To examine the effect of the COVID-19 pandemic on post-acute care utilization and spending. null null null Design null We used a large national multipayer claims data set from January 2019 through October 2020 to examine trends in posthospital discharge location and spending. null null null Setting and participants null We identified and included 975,179 hospital discharges who were aged ≥65 years. null null null Methods null We summarized postdischarge utilizat...
Covid-Induced Changes in Health Care Delivery The rapid pace of delivery-system change during the pandemic revealed the limitations of new delivery modes and raises questions about whether our curr...
#1Robert E. Burke (Leonard Davis Institute of Health Economics)H-Index: 13
#2Yao Xu (Leonard Davis Institute of Health Economics)H-Index: 2
Last. Rachel M. Werner (Leonard Davis Institute of Health Economics)H-Index: 44
view all 4 authors...
Objective null To compare the outcomes of postacute care between home health (HH) and skilled nursing facilities (SNFs) following hospitalization among Medicare beneficiaries with a diagnosis of dementia. null Data sources null 100% MedPAR data, Minimum Data Set, and Outcome and Assessment Information Set assessment data from January 1, 2015 to December 31, 2016. null Study design null Retrospective cohort analysis using an instrumental variable design to compare outcomes (30-day readmission and...
#1Marina Serper (Leonard Davis Institute of Health Economics)H-Index: 24
#2David E. Kaplan (UPenn: University of Pennsylvania)H-Index: 73
Last. Elliot B. Tapper (UM: University of Michigan)H-Index: 37
view all 7 authors...
Background null Little is known about use of specialty care among patients admitted with cirrhosis complications. null Aims null We sought to characterize the use and impact of gastroenterology/hepatology (GI/HEP) consultations in hospitalized patients with cirrhosis. We studied two national cohorts-the Veterans Affairs Costs and Outcomes in Liver Disease (VOCAL) and a nationally representative database of commercially insured patients (Optum Clinformatics™ DataMart). null Methods null Cirrhosis...
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