Richard A. Hirth
University of Michigan
Internal medicineBusinessPaymentDemographyNursingHealth careActuarial scienceEconomicsIntensive care medicineHemodialysisKidney diseaseDiseaseProspective payment systemQuality (business)DialysisPopulationIncentiveNursing homesFamily medicineMedicine
Publications 151
#1Rachel S. Bergmans (UM: University of Michigan)H-Index: 9
#2Jennifer D' Souza (UM: University of Michigan)
Last. Sara D. Adar (UM: University of Michigan)H-Index: 31
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#1Jiaqi Gao (UM: University of Michigan)
#2Carlos F. Mendes de Leon (UM: University of Michigan)H-Index: 63
Last. Joel D. Kaufman (UW: University of Washington)H-Index: 76
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#1Boya Zhang (UM: University of Michigan)
#2Jennifer Weuve (BU: Boston University)H-Index: 43
Last. Jennifer D'Souza (UM: University of Michigan)H-Index: 11
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#1Betsy Q. Cliff (UIC: University of Illinois at Chicago)H-Index: 1
#2Anton L.V. Avanceña (UM: University of Michigan)H-Index: 4
Last. Shoou-Yih Daniel Lee (VCU: Virginia Commonwealth University)
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Policy Points Dissemination of Choosing Wisely guidelines alone is unlikely to reduce the use of low-value health services. Interventions by health systems to implement Choosing Wisely guidelines can reduce the use of low-value services. Multicomponent interventions targeting clinicians are currently the most effective types of interventions. CONTEXT Choosing Wisely aims to reduce the use of unnecessary, low-value medical services through development of recommendations related to service utiliza...
#1Dena BallouzH-Index: 4
Last. Maria A. Woodward (UM: University of Michigan)H-Index: 22
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#1Richard A. Hirth (UM: University of Michigan)H-Index: 39
#2Betsy Q. Cliff (UIC: University of Illinois at Chicago)H-Index: 1
Last. John Z. AyanianH-Index: 79
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BACKGROUND Six states expanding Medicaid under the Affordable Care Act have obtained waivers to incorporate cost-sharing. OBJECTIVE We describe the magnitude and distribution of cost-sharing imposed by the Healthy Michigan Plan and enrollees' propensity to pay. RESEARCH DESIGN Enrollees are followed for at least 18 months (6-mo baseline period for utilization and spending before receipt of first cost-sharing statement; ≥12 mo follow-up thereafter to ascertain obligations and payments). Analyses ...
#1Richard A. Hirth (UM: University of Michigan)H-Index: 39
#2Joseph M. Messana (UM: University of Michigan)H-Index: 19
Last. Grecia MarrufoH-Index: 4
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Under the Comprehensive End-stage Renal Disease (ESRD) Care (CEC) Model, dialysis facilities and nephrologists form ESRD Seamless Care Organizations (ESCOs) to deliver high value care. This study c...
4 CitationsSource
#1Caroline E. Sloan (Duke University)H-Index: 3
#2Cynthia J. Coffman (Duke University)H-Index: 29
Last. Virginia Wang (Duke University)H-Index: 16
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Peritoneal dialysis (PD), a home-based treatment for kidney failure, is associated with similar mortality, higher quality of life, and lower costs compared with hemodialysis. Yet <10% of patients r...
#1Betsy Q. CliffH-Index: 2
#2Sarah MillerH-Index: 17
Last. Richard A. HirthH-Index: 39
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Recent expansions of Medicaid eligibility have come with increased experimentation with enrollee cost-sharing. In this paper, we exploit a discontinuous premium increase at the federal poverty level in Michigan’s Medicaid expansion program to test low-income individuals’ sensitivity to premiums using linked enrollment and claims data. At the cutoff, average premiums increase by $3.15 and the probability of disenrollment increases by 2.3 percentage points. Increased disenrollment occurs among tho...
1 CitationsSource
#1Sean Shenghsiu Huang (Georgetown University)H-Index: 6
#2Jane Banaszak-Holl (Monash University)H-Index: 21
Last. Richard A. Hirth (UM: University of Michigan)H-Index: 39
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Nursing home (NH) care is arguably the most significant financial risk faced by the elderly without long-term care insurance or Medicaid coverage. Annual out-of-pocket expenditures for NH care can ...
4 CitationsSource