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Initial Opioid Prescriptions among U.S. Commercially Insured Patients, 2012-2017.
Zhu W, Chernew ME, Sherry TB, Maestas N. Zhu W, et al. Among authors: chernew me. N Engl J Med. 2019 Mar 14;380(11):1043-1052. doi: 10.1056/NEJMsa1807069. N Engl J Med. 2019. PMID: 30865798 Free PMC article.
Of concern are long-duration and high-dose initial prescriptions, which place the patients and their friends and relatives at heightened risk for long-term opioid use, misuse, overdose, and death. METHODS: We estimated the incidence of initial opioid prescriptions in each …
Of concern are long-duration and high-dose initial prescriptions, which place the patients and their friends and relatives at heightened ris …
Insurance Transitions and Changes in Physician and Emergency Department Utilization: An Observational Study.
Barnett ML, Song Z, Rose S, Bitton A, Chernew ME, Landon BE. Barnett ML, et al. Among authors: chernew me. J Gen Intern Med. 2017 Oct;32(10):1146-1155. doi: 10.1007/s11606-017-4072-4. Epub 2017 May 18. J Gen Intern Med. 2017. PMID: 28523475 Free PMC article.

After matching, switching plans was associated with a 203% and 47.5% increase in the rate of new primary care physician visits following switching for those initially with Medicaid or private coverage, respectively (both p < 0.001), with a large short-term increase, dim

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After matching, switching plans was associated with a 203% and 47.5% increase in the rate of new primary care physician visits following swi …
Modeling Health Care Spending Growth of Older Adults.
Hatfield LA, Favreault MM, McGuire TG, Chernew ME. Hatfield LA, et al. Among authors: chernew me. Health Serv Res. 2018 Feb;53(1):138-155. doi: 10.1111/1475-6773.12640. Epub 2016 Dec 26. Health Serv Res. 2018. PMID: 28024314 Free PMC article.
OBJECTIVE: To forecast out-of-pocket health care spending among older adults. Long-term forecasts allow policy makers to explore potential impacts of policy scenarios, but existing microsimulations do not incorporate details of supplemental insurance coverage and income ef …
OBJECTIVE: To forecast out-of-pocket health care spending among older adults. Long-term forecasts allow policy makers to explore pote …
Regulatory neutrality is essential to establishing a level playing field for accountable care organizations.
Bacher GE, Chernew ME, Kessler DP, Weiner SM. Bacher GE, et al. Among authors: chernew me. Health Aff (Millwood). 2013 Aug;32(8):1426-32. doi: 10.1377/hlthaff.2012.0360. Health Aff (Millwood). 2013. PMID: 23918487
We describe the implications of regulatory neutrality in four key areas: antitrust, financial solvency regulation, Medicare governance requirements, and Medicare payment models. We also discuss issues relating to short-term versus long-term perspectives--to promote …
We describe the implications of regulatory neutrality in four key areas: antitrust, financial solvency regulation, Medicare governance requi …
Additional reductions in Medicare spending growth will likely require shifting costs to beneficiaries.
Chernew ME. Chernew ME. Health Aff (Millwood). 2013 May;32(5):859-63. doi: 10.1377/hlthaff.2012.1239. Health Aff (Millwood). 2013. PMID: 23650318
The Affordable Care Act created a projected trajectory for Medicare spending per beneficiary that is lower than historical growth rates. Although opportunities for one-time savings exist, any long-term savings from Medicare, beyond those already forecast, will probably req …
The Affordable Care Act created a projected trajectory for Medicare spending per beneficiary that is lower than historical growth rates. Alt …
The slowdown in health care spending in 2009-11 reflected factors other than the weak economy and thus may persist.
Ryu AJ, Gibson TB, McKellar MR, Chernew ME. Ryu AJ, et al. Among authors: chernew me. Health Aff (Millwood). 2013 May;32(5):835-40. doi: 10.1377/hlthaff.2012.1297. Health Aff (Millwood). 2013. PMID: 23650315
Policy experts disagree about whether the slower health spending growth was temporary or represented a long-term shift. This study examined two factors that might account for the slowdown: job loss and benefit changes that shifted more costs to insured people. ...
Policy experts disagree about whether the slower health spending growth was temporary or represented a long-term shift. This study ex …
A hospital system's wellness program linked to health plan enrollment cut hospitalizations but not overall costs.
Gowrisankaran G, Norberg K, Kymes S, Chernew ME, Stwalley D, Kemper L, Peck W. Gowrisankaran G, et al. Among authors: chernew me. Health Aff (Millwood). 2013 Mar;32(3):477-85. doi: 10.1377/hlthaff.2012.0090. Health Aff (Millwood). 2013. PMID: 23459726
Therefore, we conclude that although the program did cut some hospitalizations, it did not save money for the employer in the short term. This finding underscores that wellness program incentives under the Affordable Care Act are unlikely to greatly reduce health care spen …
Therefore, we conclude that although the program did cut some hospitalizations, it did not save money for the employer in the short term …
Health care spending and quality in year 1 of the alternative quality contract.
Song Z, Safran DG, Landon BE, He Y, Ellis RP, Mechanic RE, Day MP, Chernew ME. Song Z, et al. Among authors: chernew me. N Engl J Med. 2011 Sep 8;365(10):909-18. doi: 10.1056/NEJMsa1101416. Epub 2011 Jul 13. N Engl J Med. 2011. PMID: 21751900 Free PMC article.
Savings were achieved through changes in referral patterns rather than through changes in utilization. The long-term effect of the AQC system on spending growth depends on future budget targets and providers' ability to further improve efficiencies in practice. ...
Savings were achieved through changes in referral patterns rather than through changes in utilization. The long-term effect of the AQ …
Value-based insurance design: embracing value over cost alone.
Fendrick AM, Chernew ME, Levi GW. Fendrick AM, et al. Among authors: chernew me. Am J Manag Care. 2009 Dec;15(10 Suppl):S277-83. Am J Manag Care. 2009. PMID: 20088631 Free article.
From an overall cost perspective, reduced consumption of certain essential services may yield short-term savings but lead to worse health and markedly higher costs down the road--in complications, hospitalizations, and increased utilization. ...
From an overall cost perspective, reduced consumption of certain essential services may yield short-term savings but lead to worse he …
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