Post on 25-Jul-2020
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Curriculum Vitae
Name: John Hsu
Office Address: 50 Staniford Street, 9th Floor, Boston, MA 02114
Work Phone: 617-‐643-‐7767
Work Email: John.Hsu@mgh.harvard.edu
Work FAX: 617-‐724-‐4738
Home Address: 46 Peacock Farm Road, Lexington MA 02421
Place of Birth: Bellefonte, PA
Date Prepared: 20 September 2015
Education
August 1986 – January 1990
Johns Hopkins University BA Natural Science (Biology / Biophysics), with Honors
August 1990 – May 1995
School of Medicine, University of Pennsylvania
MD Medical Doctor, Joint M.D./M.B.A. Program
August 1993 – May 1995
Wharton School, University of Pennsylvania
MBA Health Care Finance and Management
July 1997 – May 2000
Center for Clinical Epidemiology and Biostatistics, School of Medicine, University of Pennsylvania
MSCE Health Services Research and Clinical Epidemiology
Postdoctoral Training
July 1995 – June 1997
Intern and Resident Department of Medicine Hospital of the University of Pennsylvania
July 1997 – June 1999
Fellow Center for Clinical Epidemiology and Biostatistics, School of Medicine
University of Pennsylvania
July 1997 – June 1999
Fellow Division of General Internal Medicine, Physician-‐Scientist Program
Hospital of the University of Pennsylvania
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Faculty Academic Appointments June 2006-‐Dec 2009
Associate Clinical Professor (non-‐voting)
Department of Epidemiology and Biostatistics, School of Medicine
University of California, San Francisco
September 2006-‐Dec 2009
Faculty Member Philip R Lee Institute for Health Policy Studies, School of Medicine
University of California, San Francisco
September 2007-‐Dec 2009
KL2 Faculty Member School of Medicine University of California, San Francisco
June 2008-‐ Adjunct Professor (non-‐voting)
Health Policy and Management, School of Public Health
University of California, Berkeley
September 2008-‐
Faculty Member Center on the Economics and Demography of Aging
University of California, Berkeley
January-‐November 2010
Lecturer Department of Medicine Harvard Medical School
November 2010 –
Associate Professor of Medicine Associate Professor of Health Care Policy
Department of Medicine and Department of Health Care Policy
Harvard Medical School
Appointments at Hospitals/Affiliated Institutions
July 1997-‐July 1999
Attending Physician Emergency Department Philadelphia Veterans Affairs Medical Center
July 1999-‐May 2003
Physician Department of Medicine, Oakland Medical Center
The Permanente Medical Group
June 2003-‐Dec 2009
Senior Physician Department of Medicine, Oakland Medical Center
The Permanente Medical Group
January 2010-‐ Associate in Health Policy
James J Mongan, MD, Institute for Health Policy
Massachusetts General Hospital
Other Professional Positions
October 1999-‐Dec 2009
Physician Scientist Division of Research Kaiser Permanente Medical Care Program
September 2006-‐2010
Senior Fellow Institute for Health Policy Kaiser Permanente
Jan 2010-‐ Adjunct Investigator Division of Research Kaiser Permanente Medical Care Program
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Major Administrative Leadership Positions
Local
2005-‐2006 Founding Member New Products Research Inventory Committee
Kaiser Permanente Medical Care Program
2005-‐Dec 2009
Founding Member Deductible Products Research and Analysis Committee
Kaiser Permanente Medical Care Program
September 2006-‐Dec 2009
Fellowship Committee Philip R Lee Institute for Health Policy Studies, School of Medicine
University of California, San Francisco
2007-‐2009 Member Strategic Planning Committee (DOR leadership committee)
Kaiser Division of Research
2008–Dec 2009
Director Center for Health Policy Studies, Division of Research
Kaiser Permanente Medical Care Program
2010-‐Current Director Clinical Economics and Policy Analysis Program, Mongan Institute for Health Policy
Massachusetts General Hospital Harvard Medical School Partners Health Care System
2012-‐Current Member Advisory Committee, Mongan Institute for Health Policy
Massachusetts General Hospital
2013-‐Current Member Standing Committee on Health Policy
Harvard University
National 2005 Member Annual Research Meeting
Executive Planning Committee AcademyHealth
2011 Member Annual Research Meeting Executive Planning Committee
AcademyHealth
Committee Service
Local
2001-‐2003 Physician Electronic Selection Committee Kaiser Permanente Medical Care Program 2002-‐2009 Kaiser Permanente Benefits Group,
Consultant Kaiser Permanente Medical Care Program
2002-‐2005 Internet Services Group, Consultant Kaiser Permanente Medical Care Program 2002-‐2005 Investigator Development Committee Kaiser Division of Research 2003-‐2005 Clinical Informatics Research Network Kaiser Permanente Medical Care Program 2003-‐2006 HealthConnect Evaluation Program, Kaiser Permanente Medical Care Program
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Consultant 2003-‐2009 National Threat Assessment Clinical
Workgroup Kaiser Permanente Medical Care Program
2003-‐2009 National Benefits Product Development & Implementation Group, Consultant
Kaiser Permanente Medical Care Program
2003-‐2009 Programmer/Analyst Promotions Committee
Kaiser Division of Research
2004-‐2005 Development of a Research and Evaluation Framework for HPHC/Health Information Technology
Kaiser Permanente Medical Care Program
2005-‐2006 Definition of Organizational Priorities, Evidence Needs, and Research on Benefit Design for KP National
Kaiser Permanente Medical Care Program
2008-‐2009 Kaiser Permanente Emergency Medicine Research Network, Founding Member
Kaiser Permanente Medical Care Program
2008-‐2009 Kaiser Permanente Charitable Coverage Evaluation Committee
Kaiser Permanente Medical Care Program
2009 Kaiser Permanente Northern California Population Surveillance Committee
Kaiser Permanente Medical Care Program
2013-‐Current Population Health Research Committee Partners Healthcare System 2013-‐Current RPDR-‐Epic Research Committee Partners Healthcare System
Regional
National and International
2003-‐ Advisory Board Veterans Administration Clinical Care Evaluation Study
2004-‐ Advisory Board National Bioterrorism Syndromic Surveillance Demonstration Project
2006, 2008, 2010, 2015
Scientific Committee International Health Economics Association
2007-‐2009 Conference Organizing Committee Health Care Quality and Outcomes Conference (HCQO)
2007 Chair and Host 2007-‐2009 Working Group Center for Medical Technology Policy 2007-‐2009 Health Economics Interest Group Steering
Committee AcademyHealth
2008 New Investigator Award Selection Committee
International Society for Pharmacoeconomics and Outcomes Research (ISPOR)
2008 Avedis Donabedian Outcomes Research Lifetime Achievement Selection Committee
International Society for Pharmacoeconomics and Outcomes
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Research (ISPOR)
Professional Societies
1997 American College of Physicians (ACP) 1998 Society of Medical Decision Making
(SMDM)
2007 Technology Assessment Working Group 1998-‐ Society of General Internal Medicine 2006 Member, Health Policy Abstract Review
Committee 2007 Chair, Health Policy Abstract Review
Committee 2009 Co-‐Chair, Health Policy Abstract Review
Committee 2000 Academy for Health Services Research and
Health Policy, AcademyHealth
2000-‐ AcademyHealth Annual Research Meeting 2005 Member, Abstract Review Committee 2008 Member, Quality Abstract Review
Committee 2010 Member, Health Information Technology
Abstract Review Committee 2010 Member, Call for Panels Review Committee 2011 Chair, Health Care Coverage and Access
Abstract Review Committee 2011 Member, Medicare Abstract Review
Committee 2004-‐ International Health Economics Association
(IHEA)
2007, 2009, 2011 Member, Scientific Advisory Board 2005 American Society of Health Economists
(ASHE) 2010, 2012
Member, Scientific Advisory Board
2005-‐ International Society for Pharmacoeconomics and Outcomes Research (ISPOR)
2007 Member, Employer/Insurer Working Group 2006 American Medical Informatics Association 2005 Session Facilitator 2006 Member, Abstract Review Committee 2006 International Society of Member, Abstract Review Committee
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Pharmacoepidemiology (ISPE) 2012
2006 American Public Health Association (APHA)
Grant Review Activities
2001-‐2004 Health Care Technology and Decision Science
Agency for Healthcare Research and Quality
2001-‐2004 Standing Member 2004 Grant Reviews Center for Health Management Research 2006 NHLBI, Heart Failure Network National Institutes of Health 2006 Ad hoc Member 2006 Changes in Health Care Finance and
Organization Program Robert Wood Johnson Foundation
2006 Ad hoc Member 2007 Heath Information Technology Program East Bay Community Foundation 2007 Ad hoc Member 2007, 2009, 2010, 2011
Life Sciences Discovery Fund American Association for the Advancement of Science (AAAS)
2007, 2009 Ad hoc Member 2007, 2008, 2009
Health Services Organization and Delivery (HSOD)
NIH Ad hoc Member
2007, 2008, 2009 Ad hoc Member 2009-‐2015 Heath Care Research and Training (HCRT)
Scientific Review Committee Agency for Healthcare Research and Quality
2009, 2010 Ad hoc Member 2010 – Current Standing Member 2010 Special Emphasis Panel Agency for Healthcare Research and
Quality 2011 Health Systems Research Agency for Healthcare Research and
Quality Ad hoc Member
Editorial Activities
2012 – Present Editorial Board, ISRN Economics 2012 – Present Associate Editor, BMC Health Services Research 2011 Guest Editor, Special Edition of Medicare & Medicaid Research and Review 2011 – Present Editorial Board, Medicare & Medicaid Research Review 2011 – Present PLoS One
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2010 – Present Editorial Board, Comparative Effectiveness Review 2011 – Present Medicare & Medicaid Research and Review 2008 – Present Health Affairs 2007 – Present International Journal of Health Care Finance & Economics 2007 – Present Health Policy 2006 – Present Health Services Research 2006 – Present New England Journal of Medicine 2004 – Present American Journal of Managed Care 2004 – Present International Journal for Quality in Health Care 2004 – Present Annals of Family Medicine 2003 – Present Medical Care 2000 – Present Journal of General Internal Medicine 2000 – Present Journal of the American Medical Association 1999 – Present Annals of Internal Medicine
Honors and Prizes
1990 Watson Scholarship IBM College Scholarship 1992 Short Term Research
Fellowship National Institutes of Health
1994 Cancer Research and Education Grant Fellowship
School of Medicine University of Pennsylvania
1995 Penn Med Scholar School of Medicine University of Pennsylvania
1995 Clinical Investigator Pathway
Department of Medicine University of Pennsylvania
1997 William Osler Society of Fellows in Medicine
School of Medicine University of Pennsylvania
1997 National Research Service Award Fellowship
School of Medicine University of Pennsylvania
2003 Outstanding Abstract Award
AcademyHealth Annual Research Meeting
Top abstract in the category
2003 Genentech Top Abstract Award
Bay Area Clinical Research Symposium
Top abstract of the conference for a senior investigator
2003 Top Scored Grant Application (R01)
Agency for Healthcare Research and Quality
2004 Outstanding Abstract Award
AcademyHealth Annual Research Meeting
Top abstract in the category
2004 Genentech Top Bay Area Clinical Research Top abstract of the
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Abstract Award Symposium conference for a senior investigator
2005 Outstanding Abstract Award
AcademyHealth Annual Research Meeting
Top abstract in the category
2006 Editor’s Choice for Best Articles
Journal of General Internal Medicine
One of the top articles in 2006 as chosen by JGIM editors
2007 Article-‐of-‐the-‐Year Award
Unintended Consequences of Caps on Medicare Drugs Benefit, New England Journal of Medicine 2006
AcademyHealth
2007 Research Excellence Award for Practical Application Excellence (Article-‐of-‐the-‐Year Award)
Unintended Consequences of Caps on Medicare Drugs Benefit, New England Journal of Medicine 2006
International Society for Pharmacoeconomics and Outcomes (ISPOR)
2008 AcademyHealth Annual Meeting Best Abstract
AcademyHealth Annual Research Meeting
One of the top three abstracts in 2008
2010 AcademyHealth Annual Meeting Best Abstract
AcademyHealth Annual Research Meeting
One of the top three abstracts in 2010
2013 AcademyHealth Annual Meeting Best Abstract
AcademyHealth Annual Research Meeting
Abstract selected as one of the top in 2013
2013 AcademyHealth Annual Meeting – Best Student Abstract (mentor)
AcademyHealth Annual Research Meeting
Report of Funded and Unfunded Projects
Funding Information
Past
2008 –2009
Medicare Part D Risk Adjustment MedPAC $100K Principal Investigator The goals of this study are to examine the performance of Present risk adjustment approaches for Medicare Part D (RxHCC) and for Medicare Advantage (CMS-‐HCC), and to examine the effect on performance of adding information on outpatient prescription drug use (Part D).
2008 –2009
Medicare Private Drug Plans Study Commonwealth Fund
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$330K Principal Investigator The goals of this study are to examine the early experience of several types of Medicare Part D private prescription plans including both stand-‐alone prescription drug plans (PDP) and Medicare Advantage prescription plans (MAPD).
2005 – 2009
High Deductible Health Plans Study Commonwealth Fund $550K Principal Investigator The goal of this study is to examine the early clinical and economic impacts of health insurance plans with high patient deductibles.
2007 – 2009
Biosense Centers for Disease Control and Prevention $430K [KPNC component] Site PI, Co-‐Investigator [Kuldorff, PI] The goal of this study is to refine approaches for using multiple types of automated clinical data that could apply to the CDC Biosense project.
2006 – 2010
Models of Infectious Disease Activity Study (MIDAS) National Institute of General Medical Sciences $3M Site PI, Co-‐Investigator [Platt, PI] The goal of this study is to develop methods for using automated clinical data to detect and monitor infectious disease outbreaks.
2007 – 2010
Information Feedback for Treatment Intensification and Outcomes Agency for Healthcare Research and Quality [R18 HS017031] $333K Co-‐Investigator [Selby, PI] This study is designed to assess whether the use of systematic feedback on the need for treatment intensification in patients with poor control of CVD risk factors improves risk factor control. Using a cluster randomized trial design, this project will leverage health information technology, including Kaiser Permanente’s electronic health record and advanced population management software tools, to create and deliver this information for patients at high CVD risk.
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2004 – 2006 Completed
Methods for Developing Actionable Evidence for Consumers of Health Services Research (MATCH Study): Closing the Gap Between Organizational Decision-‐Makers and Researchers Agency for Healthcare Research and Quality [Completed] $300K Principal Investigator The goals of this study were to identify methods to improve and speed the transfer of research findings into clinical practice by helping organizational decision-‐makers define, characterize, and use evidence when making strategic decisions. Specific focus was on relevant evidence with respect to the adoption and use of health information technology.
2004 – 2009
Impact of Health Information Technology on Clinical Care Agency for Healthcare Research and Quality [R01 HS015280-‐01] $1.5M Principal Investigator The goals of this study are to evaluate the effects of ambulatory HIT on quality, safety, and resource use between 2004–2007, using a quasi-‐experimental pre-‐post design with concurrent controls, within a large, integrated health delivery system.
2004 – 2005
The Impact of Consumer Driven Health Products on People With Chronic Diseases Kaiser Family Foundation $110K Principal Investigator The goal of this study was to simulate patient out-‐of-‐pocket costs associated with a range of consumer-‐driven health products.
2003 –2007
Prescription Drug Cost-‐sharing: Effects on Affordability and Patient Safety (PCAPS Study) Agency for Healthcare Research and Quality [R01 HS013902-‐01] $1.83M Principal Investigator [0.9% rank – top R01 grant of cycle] The goals of this study were to assess the clinical and economic ramifications of prescription drug cost-‐sharing in an ongoing natural experiment in a large integrated delivery system.
2001 – 2004 Safety and Financial Ramifications of ED Copayments (SAFE Study) Agency for Healthcare Research and Quality [R01 HS011434-‐01] $627K
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Principal Investigator [3.9% rank] The goals of this study were to assess the impact of ED copayments on patient clinical outcomes and treatment costs, within a large, well-‐defined patient population experiencing a sizable change in ED copayment levels.
2002 – 2004
Electronic Communication in Integrated Delivery Systems (E-‐Comm Study) Agency for Healthcare Research and Quality $200K Principal Investigator
The goals of this study were to assess the experiences of integrated delivery systems with developing electronic communication functionality for patients, and to quantify the changes in access to and use of electronic communication over time among patients in a single integrated delivery system.
2000-‐2005
Promoting Effective Communication and Decision-‐Making Agency for Healthcare Research and Quality Co-‐Investigator [Washington, PI] The goal of this study was to delineate the elements of communication, expectations, values, and interpersonal relationships that characterize the delivery, use, and outcomes of health care services for patients of different races/ethnicities.
2000 –2003
Center for Education and Research in Therapeutics Agency for Healthcare Research and Quality Co-‐Investigator [Platt, PI] The goals of this study were to develop the necessary infrastructure to assess and improve the use of therapeutics, and to evaluate the impact of cost-‐sharing on the use of prescription drugs in patients with diabetes.
2007 – 2013
Medicare Prescription Drug Study National Institute on Aging [R01 AG029316] $1.8M Principal Investigator The goals of this study are to assess the clinical and economic effects of two new Medicare Part D prescription plans in an ongoing natural experiment within a large integrated delivery system.
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Present 2010 – 2015 Mental Health Drugs and Medicare Part D
NIMH [R01MH090284] Co-‐Investigator [Fung, PI, 2% rank] The goals of the study are to examine the patterns of antipsychotic drug use associated with various types of Medicare Part D drug benefits. Other outcomes include clinical event rates and Medicare spending. Dr. Fung is my mentee, who has been with my research group since her graduate training at UCB. This is her first R01.
2010 – 2015 Impact of Integrated Health IT on Quality and Resource Use for Diabetic Patients NIDDK [R01 DK085070] Co-‐Investigator [Reed, PI] This will be a quasi-‐experimental study of effect of Health IT use on quality and efficiency of outpatient care for patients with multiple chronic diseases. Dr. Reed is my mentee, who has been with my research group since her graduate training at UCB. This is her first R01.
2009 –2015 The Role of Private Plans in Medicare National Institute on Aging [P01AG032952] $1.98M Site PI, Co-‐Investigator [Newhouse, PI] The goals of this study are to undertake a fundamental examination of the theoretical and empirical underpinnings of Medicare Part C, or Medicare Advantage (MA) from a framework grounded in economic theory. (renewal awarded in 2015)
2012 – 2016 Screening For Free National Cancer Institute [R01 CA164023] $2.8M Principal Investigator
The goal of this study is to assess the effects of a value-‐based insurance design (VBID) approach to increasing cancer screening by Medicare beneficiaries.
2012 – 2017 Value Based Incentives for Preventive Services NICHD [R01HD075121] $3.35M Principal Investigator
The goal of this study is to assess the effects of ACA-‐mandated changes in cost-‐sharing for preventives service use by children and adolescents.
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2014 – 2018 Fixed Dose Intervention Trial of New England: Enhancing Survival in SMI Patients National Institute of Mental Health [R01MH104560] $3.55M
Principal Investigator [multiple-‐PI with Dost Ongur, MD] The goal is to conduct a multi-‐site open-‐label, randomized controlled trial comparing an initial treatment strategy of fixed-‐doses of generic, cardiovascular prevention drugs (statins and angiotensin receptor blocker drugs) delivered within mental health clinics versus usual treatment.
2014 – 2015 To Screen or not To Screen Agency for Healthcare Research and Quality [R01HS023128] $399K
Principal Investigator The goal of this study is to emulate a clinical trial that compares screening strategies for subjects age 65+ who have varying numbers of co-‐morbid medical conditions and their effects on cancer detection, survival, and medical spending.
Report of Local Teaching and Training
Teaching of Students in Courses
2012 – 2012 –
PhD Course on Proposal Development MD/MBA Seminar
Harvard University Harvard Medical School
2011 Patient Doctor III (PCE), Health Policy Harvard Medical School 2010 – Health Policy – Medical School Harvard Medical School 2009 PhD Health Services Research Seminar University of California, Berkeley 2009 PhD Grant Development Seminar University of California, Berkeley 2007-‐2009 K12 Scholars Program University of California, San Francisco 2004 Decision making course University of California, San Francisco
Formal Teaching of Residents, Clinical Fellows and Research Fellows (post-‐docs)
2012 2006-‐2009
Residents Post-‐doctoral Fellow Seminars
Department of Medicine, Massachusetts General Hospital PHL Institute for Health Policy, University of California, San Francisco
2000-‐2009 Training in Clinical Research University of California, San Francisco
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Formally Supervised Trainees
2015 – Ellen Montz Harvard PhD Candidate, Health Policy 2015 – 2015 – 2015 – 2015 – 2015 – 2014 – 2012 – 2012 – 2012 – 2011 –
Sachin Shah, MD Lidia Moura, MD Lina Song Cassandra Pelzman Xabier Garcia de Albeniz Michael Barnett Loren Saulsberry Portia Cornell Arielle Bensimon Tobi Ogbechie
General Medicine Fellow, MGH Assistant Professor, Neurology, MGH Harvard PhD Candidate, Health Policy Harvard PhD Candidate, Health Policy Harvard School of Public Health Post-‐doc General Medicine Fellow, BWH/HCP Harvard PhD Candidate, Health Policy Harvard PhD Candidate, Health Policy Harvard PhD Candidate, Health Policy HMS MD Candidate
2007 – Kirby Lee, PhD UCSF KL2 Fellow, Assistant Professor 2007 – Aabed Meer Stanford MD/MBA Candidate 2006 – Michaela Schiotz University of Copenhagen, PhD 2004 – Martin Strandberg-‐Larsen,
PhD University of Copenhagen, PhD
2006 – Ilana Graetz UCB PhD Student, assistant professor candidate, University of Tennessee, AHRQ R36 dissertation grant recipient, AHRQ Webinar
2005 – Nancy Benedetti UCSF Radiology resident 2005 – HuiHui Wang, PhD World Bank economist 2002 – Vicki Fung, PhD MGH Assistant Professor candidate,
received NIMH R01 with a 2% rank 2002 – Amin Matin, MD Harvard/UCB Medical Student, Radiologist 2001 – Angela Kuo Harvard MPH Candidate 2001 – Mary Reed, DrPH DOR Staff Scientist, received R01 on first
submission, received NIDDK R01 on first submission, received PCORI research project grant application
Local Invited Presentations
2002, 2003 Care Experience Council, Kaiser Permanente Medical Care Program 2002 Technology Experience Council, Kaiser Permanente Medical Care Program 2002 Inter-‐regional Clinician Patient Communication Group, Kaiser Permanente Medical Care
Program 2003 SCPMG Physician-‐in-‐Chief’s Group, Kaiser Permanente Medical Care Program 2003 HPMG Board of Directors, Kaiser Permanente Medical Care Program 2003 Medical Center Grand Rounds, Kaiser Permanente Medical Care Program
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2005 University of California, Berkeley, School of Public Health Seminar Series 2005 Stanford University, Health Services Research Seminar 2006 University of California, Berkeley, School of Public Health Seminar Series 2006 Epidemiology and Biostatistics Seminar, University of California, San Francisco 2006 Palo Alto Research Center, Health Information Technology Seminar 2007 Stanford University, Health Services Research Seminar 2007 University of California, Berkeley, School of Public Health Seminar Series 2008 UCSF Department of Family and Community Medicine Research Seminar 2008 UCSF Department of Pediatrics 2010 MGH Division of General Internal Medicine, Research Seminar 2010 MGH Institute for Technology Assessment, Research Seminar 2014 MGH PCORT Seminar 2015 MGH PCORI Lecture Series Report of Regional, National and International Invited Teaching and Presentations
Invited Presentations and Courses
National
1995 Hsu J, Lanza DC, Kennedy DW, “Antimicrobial Resistance In Bacterial Chronic Sinusitis,” American Rhinologic Society at the Combined Otolaryngologic Spring Meetings (abstract).
1999 Hsu J, Asch D, Ubel P, "Comprehension Of Imprecise Medical Information: Context And Numeracy," Annual Meeting of the National Service Award / Health Services Research Society (abstract).
2000 Hsu J, Asch D, Ubel P, “Patient’s Comprehension of Imprecise Information,” Society of General Internal Medicine (abstract).
2000 Hsu J, Uratsu C, Truman A, Quesenberry C, McDonald K, Hlatky M, Selby J, “Functional Status after Hospitalization and Treatment for a Life-‐threatening Ventricular Arrhythmia,” Building Bridges Research Conference (abstract).
2000 Hsu J, Uratsu C, Truman A, Quesenberry C, McDonald K, Hlatky M, Selby J, “Functional Status after Hospitalization and Treatment for a Life-‐threatening Ventricular Arrhythmia,” HMO Research Network Conference (abstract).
2001 Hsu J, Schmittdiel J, Fireman B, Krupat E, Thom D, Selby J, “Choice and Satisfaction in Managed Care,” AHSR Annual Conference (abstract).
2001 Vojta CL, Hsu J, Schwartz JS. “Barriers to Quality in Chronic Disease: Patient Perceptions of Risk,” AHSR Annual Conference (abstract).
2001 Hsu J, Schmittdiel J, Fireman B, Krupat E, Thom D, Selby J, “Continuity and Satisfaction in Managed Care,” SGIM Annual Conference (abstract).
2001 Hsu J, Schmittdiel J, Fireman B, Selby J. “Choice and Satisfaction in Managed Care: Selection of a Primary Care Provider,” Building Bridges Research Conference (abstract).
2002 Hsu J, Reed M, Brand R, Fireman B, Newhouse J, Selby J. “Emergency Department Cost-‐Sharing: Patient Awareness and Delayed Access,” AHSR Conference (abstract).
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2002 Hsu J, Irish J, Selby J, Krupat E. “Medical Decision Making: Attitude Match & Trust in the Provider,” AAHP Building Bridges Conference (abstract).
2002 Price M, Brand R, Ray GT, Fireman B, Newhouse J, Selby J, Hsu J. “HMO Membership Patterns: Patient Characteristics and Implications for Benefit Structures and Resource Utilization,” HMO Research Network Conference (abstract).
2003 Reed M, Fung V, Fireman B, Hsu J. “Medication Adherence and Financial Burden in an Insured Managed-‐Care Population” AHRQ/DIA Scientific Conference (abstract).
2003 Hsu J, Huang J, Brand R, Fireman B, Selby J. “Quality in Congestive Heart Failure: Beta-‐blocker Use and Adherence Levels” American Heart Association Annual Conference (abstract).
2003 Hsu J, Price M, Brand R, Fireman B, Ray T, Newhouse J, Selby J. “Ramifications Of Patient Cost-‐Sharing on Appendicitis Hospitalization Rates: Early Results From The Safety And Financial Ramifications Of ED Copayments (SAFE) Study” Bay Area Clinical Research Conference (abstract), Genentech Top Presentation Award.
2003 Hsu J, Huang J, Brand R, Fireman B, Selby J. "Drug adherence and clinical outcomes in CHF patients." Academy Health Annual Research Conference (abstract). Most Outstanding Abstract Award
2003 Hsu J, Price M, Brand R, Fireman B, Ray T, Newhouse J, Selby J. "Emergency department cost-‐sharing: clinical ramifications in patients with asthma." Academy Health Annual Research Conference (abstract).
2003 Hsu J, Huang J, Brand R, Fireman B, Selby J. “Quality in Chronic Disease Care: Angiotensin Drug Use and Adherence among CHF Patients” Bay Area Health Quality and Outcomes Research Conference (abstract).
2003 Hsu J, Reed M, Brand R, Fireman B, Newhouse J, Selby J. “Emergency Department Cost-‐Sharing in CHF: Preliminary Results from the SAFE Study,” American College of Cardiology Conference (abstract).
2004 Kronick R, Hsu J, Claxton G. “Square Pegs and Round Holes: Consumer Directed Health Plans and Patients with Chronic Diseases,” Academy Health conference (abstract).
2004 Fung V, Reed M, Fireman B, Hsu J. “e-‐Health Services (1999-‐2002): Mountains or Molehills?” Academy Health conference (abstract). Most Outstanding Abstract Award
2004 Miller R, Ortiz E, Hsu J. “Effective E-‐Health Use in Large Integrated Delivery Networks: Are We There Yet?” Academy Health conference (abstract).
2004 Hsu J, Fung V, Soumerai S, Simon S, Paez K, Simpkins J, Uratsu C, Lafata J, Selby J, Rundall T. “The Call for Prescribing Safety: Physician Responses and IT Solutions,” AcademyHealth conference (abstract).
2004 Fung V, Reed M, Fireman B, Hsu J. “Use of e-‐Health Services in Integrated Delivery Systems” HMORN Annual Conference (abstract).
2004 Huang J, Price M, Brand R, Fireman B, Hui R, Newhouse J, Selby J, Hsu J. “Medicare and Prescription Drug Benefit Caps: Impact on Patient Out-‐of-‐Pocket Costs and Drug Consumption” HMORN Annual Conference (abstract).
2004 Fung V, Reed M, Fireman B, Hsu J. “Out-‐of-‐Pocket Prescription Drug Costs for Medicare Enrollees” AHRQ/DIA Scientific Conference (abstract).
2005 Hsu J, Huang J, Price M, Fung V, Fireman B, Brand R, Newhouse J, Selby J. “Prescription
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Drugs and Annual Benefit Caps – Do Patients Anticipate Exceeding the Cap?” ISPOR EC (abstract).
2005 Hsu J, Price M, Brand R, Newhouse JP, Selby JV. “Cost-‐sharing for Emergency Department (ED) Care – Economic Implications of ED Copayments,” International Health Economics Association Meeting (abstract).
2005 Hsu J, Huang J, Price M, Fung V, Brand R, Fireman B, Hui R, Newhouse JP, Selby JV. “Prescription Drug Cost-‐sharing – Unintended Adverse Clinical Effects of Benefit Caps,” International Health Economics Association Meeting (abstract).
2005 Hsu J, Price M, Fireman B, Brand R, Hui R, Newhouse J, Selby J. “Prescription Drug Benefit Caps – Economic Implications.” Academy Health Annual Research Meeting (abstract).
2005 Reed M, Brand R, Newhouse J, Selby J, Hsu J. “Prescription Drug Benefit Caps and Drug Adherence: Quitting When the Money Runs Out.” Academy Health Annual Research Meeting (abstract).
2005 Price M, Brand R, Newhouse J, Selby J, Hsu J. “Copayments and Emergency Departments: Effective Incentives or Effects Unintended?” Academy Health Annual Research Meeting (abstract). Most Outstanding Abstract Award.
2005 Hsu J, Huang J, Price M, Brand R, Fung V, Fireman B, Hui R, Newhouse JP, Selby JV, “Prescription Drug Cost-‐sharing and Anticoagulant Drug Use – Unintended Effects of Thinner Benefits.” International Society for Pharmacoeconomics (ISPOR) Annual Conference (abstract).
2005 Fung V, Huang J, Brand R, Fireman B, Hui R, Newhouse JP, Selby JV, Hsu J, “Adherence to Blood Pressure Medication in a Hypertensive Medicare Population.” HMORN Annual Conference (abstract)
2005 Gunter MJ, Elston-‐Lafata J, Selby JV, Platt R, Hsu J, Soumerai S, Simon SR, Rundall T, Uratsu C, Simpkins J, Schultz L, Faculjak P, Krajenta R, “Evaluation of Physician Group Academic Detailing as a Method to Increase Laboratory Monitoring.” HMORN Annual Conference (abstract).
2005 Hsu J, Huang J, Price M, Fung V, Brand R, Fireman B, Hui R, Newhouse JP, Selby JV. “Paying for Prescription Drugs: Impact of a Benefit Cap in Hypertensive Patients with Medicare Insurance,” Annual AAHP Building Bridges Conference (abstract).
2005 Hsu J, Huang J, Brand R, Fireman B, Hui R, Newhouse JP, Selby JV. “Drug Cost-‐sharing Policies: Adverse Effects in Medicare Patients Taking Statins,” Annual American College of Cardiology Conference (abstract).
2005 Hsu J, Huang J, Brand R, Hui R, Fireman B, Newhouse J, Selby J. “Prescription Drug Benefit Caps in a Diabetic Medicare Population: Adverse Clinical Effects of Limited Coverage,” Bay Area Clinical Research Conference (abstract), Genentech Top Presentation Award.
2005 Hsu J, Frankel R. “Health Information Technology at the Point-‐of-‐Care: Impact on Clinician-‐Patient Communication,” Karolinska Institute Nobel Forum Health Management Conference (abstract).
2005 Hsu J, Huang J, Brand R, Fireman B, Newhouse J, Selby J. “Drug Therapy in CHF Patients: Association between BB Adherence and Health Outcomes,” AHA Scientific Forum on Quality of Care and Outcomes Research in Cardiovascular Disease and Stroke (abstract).
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2005 Hsu J Huang J, Frankel R. “Decision-‐Making in Ambulatory Care.” European Society of Medical Decision Making Annual Conference, June 2004.
2005 Hsu J, Price M, Brand R, Fireman B, Ray T, Newhouse J, Selby J. “Cost-‐Sharing on Emergency Care: Is it Safe? Results From The Safety And Financial Ramifications Of ED Copayments (SAFE) Study,” Academy Health conference (abstract).
2005 Price M, Brand R, Fireman B, Newhouse J, Selby J, Hsu J. “Influencing Demand While Controlling Supply: The Impact of Office Copayments in a Prepaid, Integrated Delivery Environment,” Academy Health conference (abstract).
2005 Reed M, Fung V, Fireman B, Hsu J. “Self-‐reported Effects of Prescription Drug Cost-‐sharing: decreased Adherence and Increased Financial Burden,” Academy Health conference, (abstract). Most Outstanding Abstract Award.
2006 Benedetti N, Fung V, Reed R, Brand R, Newhouse J, Hsu J. “Cost-‐sharing for Doctor’s Office Visits: Patient Knowledge, Behavioral Responses, and Cost Discussions with Providers,” Bay Area Clinical Research Conference (abstract). Finalist for Best Presentation by a Junior Researcher.
2006 Yih WK, Abrams A, Hsu J, Kleinman K, Kuldorff M, Platt R. A Comparison of Ambulatory Care and Emergency Department Encounters as Data Sources for Detection of Clusters of Lower Gastrointestinal Illness. International Society for Disease Surveillance 2006 and Advances in Disease Surveillance (abstract); 1: 75. [published abstract]
2006 Selby J, Fung V, Price M, Brand R, Newhouse J, Hsu J. “New Benefit Plans: Implications for Employers” IBI/NBGM Joint Forum.
2006 Yih WK, Daniel J, Helsey-‐Grove D, Hsu J, Nordin K, Ritzwoller D, Sherwood E, Platt R. Assessing the Impact of Syndromic Surveillance Systems on Routine Public Health Practice. Identifying and Evaluating Syndromic Signals. International Society for Disease Surveillance 2006 and Advances in Disease Surveillance (abstract); 1: 74. [published abstract]
2006 Hsu J. “Knowing What You Are Paying For: Benefit Design in Changing Market,” AcademyHealth Annual Research Meeting. Selected for KFF Webcast. One of two sessions selected for reprint in HSR.
2006 Reed M, Brand R, Newhouse J, Selby J, Hsu J. “Deductible-‐based Cost-‐sharing: Informed Consumers or Increased Confusion?” AcademyHealth Annual Research Meeting (abstract).
2006 Price M, Brand R, Newhouse J, Selby J, Hsu J. “Emergency Department Visits: Is This the Right Place?” AcademyHealth Annual Research Meeting (abstract).
2007 Yih WK, Fuller C, Helsey-‐Grove D, Hsu J, Kruskal BA, Leach M, Nordin J, Patton-‐Levine J, Puga E, Sherwood E, Shui I, Platt R. Evaluating Syndromic Signals from Ambulatory Care Data in Four States. International Society for Disease Surveillance Conference, and Advances in Disease Surveillance (abstract); 4: 210. [published abstract]
2007 Hsu J. Patient Cost-‐sharing Effects on ED Visits: Incentives and Alternatives. APHA. Selected for KFF Webcast.
2007 Hsu J. HIT Return on Investment: Evaluating Progress in a Sea of Change. AHRQ Annual Conference.
2007 Hsu J. Health Information Technology for Ambulatory Care: Decision Support. AHRQ
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Annual Conference. 2007 Hsu J. Mental Health Session Chair, IHEA, 2007. 2007 Hsu J, Price M, Huang J, Brand R, Fung V, Fireman B, Hui R, Newhouse J, Selby J. “Drug
Benefit Restrictions: Economic Effects of Generic-‐only Coverage for Patients on Statin Drugs,” IHEA Conference, Copenhagen, 2007.
2007 Frolich A, Schiotz M, Strandberg-‐Larsen M, Krasnik A, Hsu J, Bellows J, Diderichsen F, Sogaard J, White K. “Comparison of the Danish Healthcare System with Kaiser Permanente,” IHEA Conference, Copenhagen.
2007 Fung, Price M, Brand R, Newhouse R, Hsu J. “Patient Cost-‐sharing Effects on Emergency Department Visits,” (abstract) HCQO5 Oral Presentation, Top Ranked Abstract
2007 Hsu J. Health Policy Session, Chair. SGIM Annual Meeting. 2007 Hsu J, Price M, Brand R, Fung V, Fireman B, Selby J, Newhouse J. “Patient Cost-‐sharing
Effects on Emergency Department Visits: What Other Choices Do I Have?” APHA Conference.
2007 Hsu J. Article-‐of-‐the-‐Year Presentation. AcademyHealth Annual Research Meeting. 2007 Hsu J. Health Information Technology Panel. AcademyHealth Annual Research Meeting. 2007 Hsu J, Price M, Fung V, Brand R, Newhouse J. “Integrated Mental Health Care for a Price:
Copayments and Emergency Visits with Psychiatric Diagnoses.” ICMPE Conference, Venice (abstract).
2007 Huang J, Hsu J. “Automated Medical Records and Quality of Care for Patients with Diabetes.” HMORN Annual Conference, Portland (abstract).
2007 Fung V, Huang J, Brand R, Fireman B, Newhouse J, Selby J, Hsu J. “Racial/Ethnic Disparities in Hypertension Medication Adherence and Blood Pressure Control.” HMORN Annual Conference, Portland (abstract).
2007 Hsu J. Presentation to Staff, Medicare Payment Advisory Committee 2007 Hsu J. Health Services Research Seminar, Centers for Medicare and Medicaid Services 2007 Hsu J. Health Services Research Seminar, University of California, Berkeley 2007 Hsu J. Health Services Research Seminar, Stanford University 2008 Brand R, Huang J, Kleinman K, Platt R, Hsu J. An Empirical Study of the Effect of Sentinel
Sample Size in Syndromic Surveillance Using a Space-‐Time Permutation Method. International Syndromic Surveillance annual conference
2008 Hsu J. Care for Chronic Conditions – Bridging Clinicians, Settings, and Systems. ISQual 2008 Hsu J. Medicare Part D Drug Use and Costs. Centers for Medicare and Medicaid Services
Part D Forum, June 2008 Hsu J. Chair. Critical Aspects of Hospital Quality. AcademyHealth ARM 2008 Hsu J, Huang J, Fung V, Brand R, Fireman B, Hui R, Bertko J, Newhouse J. Spending $800
Billion on Outpatient Prescription Drugs: An Early Assessment of the Part D Risk Adjustment Approach for Paying Private Part D Plans. AcademyHealth ARM (abstract).
2008 Reed M, Price M, Brand R, Derose S, Newhouse J, Hsu J. Deductible-‐based Health Insurance Plans: Little Knowledge But Much Change. AcademyHealth ARM (abstract). Selected as ARM 2008 Best Abstracts (one of three top abstracts among all submissions).
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2008 Huang J, Brand R, Kleinman, Platt R, Hsu J. Identifying Unusual Clusters of Acute Respiratory Illness: Does Adding More Hay to the Stack Change the Number of Needles? AcademyHealth ARM (abstract).
2008 Graetz I, Reed M, Brand R, Rundall T, Hsu J. Care Coordination Across Clinicians and Health Information Technology: Connecting the Medical Home with the Rest of the Village. AcademyHealth ARM (abstract).
2008 Wang W, Huang J, Fung V, Hsu J. The Effects of Differential Copayments on Oral Antidiabetic Drug Use and Expenditures: A Natural Experiment (2001-‐2005). AcademyHealth ARM (abstract).
2008 Fung V, Price M, Hsu J. The Medicare Part D Program: Are Beneficiaries Talking About Prescription Drug Costs with Doctors or Pharmacists? AcademyHealth ARM (abstract).
2008 Price M, Fung V, Fireman B, Hui R, Brand R, Newhouse J, Hsu J. ““Navigating the Medicare Part D Program: Beneficiary Confusion and Satisfaction." AcademyHealth ARM (abstract).
2008 Frolich A, Schiotz ML, Strandberg-‐Larsen M, Krasnik A, Hsu J, Bellows J, Sogaard J, White K. Learning from a Comparison of Apples and Oranges: Health Care in Denmark and Kaiser Permanente California. AcademyHealth ARM (abstract).
2008 Schiotz ML, Strandberg-‐Larsen M, Frolich A, Krasnik A, Bellows J, Kristensen JK, Vedsted P, Guidberg TL, Vagner H, Eskildsen P, Bech-‐Neilsen H, Nielsen MB, Hsu J. Access to and Disparities in Use of Self-‐Management Support in the Treatment of Diabetes. AcademyHealth ARM (abstract).
2008 Fung V, Huang J, Hsu J. The Effects of Generic-‐Only Drug Coverage on Inhaled Corticosteroid Expenditures and Drug Use Among Medicare Beneficiaries with Asthma. ASHE Conference (abstract).
2008 Costa MA, Kuldorff M, Kleinman K, Yih K, Platt R, Brand R, Hsu J. Comparing the Utility of Ambulatory Care and Emergency Room Data for Disease Outbreak Detection. International Society for Disease Surveillance Conference, (abstract) and Advances in Disease Surveillance 2007; 4: 243. [published abstract]
2008 Hsu J. Evaluation of the Part D Risk Adjustment Approach. Medicare Payment Advisory Committee
2008 Hsu J. Preliminary Findings from the Medicare Part D Program. Centers for Medicare and Medicaid Services, Part D Symposium
2008 Hsu J. Health Information Technology and Care Coordination. CCS-‐HIT Conference 2009 Hsu J, Huang J, Fung V, Brand R, Dow W, Newhouse KP. Perverse Incentives in the
Medicare Part D Prescription Drug Plan Market. AcademyHealth Annual Research Meeting (abstract).
2009 Wang H, Dow W, Huang J, Fung V, Price M, Brand R, Fireman B, Hui R, Newhouse JP, Hsu J. Cost-‐sharing Effects Among the Near-‐Poor in the Medicare Prescription Drug Program. International Health Economics Association Conference (abstract).
2009 Huang J, Brand R, Fung V, Dow W, Hui R, Fireman B, Newhouse KP, Hsu J. Estimating SES Gradients in Large Database Studies: Importance of Geographic Heterogeneity. International Health Economics Association Conference (abstract).
2009 Fung V, Hsu J. Do Medicare Part D Beneficiaries Anticipate Reaching the Coverage Gap? Knowledge of and Responses to Gap Proximity. International Health Economics
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Association Conference (abstract).
2009 Hsu J, Huang J, Fung V, Price M, Brand R, Dow W, Fireman B, Hui R, Bertko J, Newhouse JP. Prospective Payments for Medicare Drug Benefits – Risk Adjustment Performance and Perverse Market Incentives. International Health Economics Association Conference (abstract).
2009 Price M, Huang J, Brand R, Fung V, Fireman B, Hui R, Newhouse JP, Hsu J. The Effect of Drug Coverage Limitations on Medicare Beneficiaries Using Antidepressants. International Health Economics Association Conference (abstract).
2009 Schiotz M, Price M, Frolich A, Sogaard J, Ross M, Hsu J. Resource Use for Chronic Condition Management: Substantial Differences Between the Danish and Kaiser Health Systems. International Health Economics Association Conference (abstract).
2009 Greene S, Huang J, Brand R, Kleinman K, Kuldorff M, Platt R, Hsu J. Early detection of influenza outbreaks in northern California with patient care, prescription, and laboratory data streams. CDC Symposium on Statistical Methods (abstract).
2009 Hsu J, Price M, Fung V. Prescription Drug Cost-‐sharing and Antipsychotic Drug Treatment – Unintended Clinical Consequences. World Psychiatric Association annual conference (abstract).
2009 Hsu J. Chair. Session on New Research Session. World Psychiatric Association annual research conference.
2009 Hsu J, Price M, Fung V. Antipsychotic Drug Use and Adherence – Treatment for the Elderly Under the Medicare Part D Program. International Conference on Mental Health Policy and Economics (abstract).
2009 Fung V, Hsu J. Self-‐Reported Responses to Medicare Part D Prescription Drug Costs Among Beneficiaries with Antidepressant Use. International Conference on Mental Health Policy and Economics (abstract).
2009 Hsu J. Chair. Health Policy. Society for General Internal Medicine Annual Conference 2009 Hsu J, Price M, Fung V, Brand R, Newhouse J. Prescription Drug Formularies And
Coverage: Does A Drug By Any Other Name Smell As Sweet? ISPOR European Congress. 2009 Green S, Huang J, Brand R, Kleinman K, Kuldorff M, Hsu J, Platt R. Timely Detection of
Localized Excess Influenza Activity across Multiple Data Streams. International Society for Disease Surveillance.
2009 Hsu J, Green S, Huang J, Brand R, Kleinman K, Kuldorff M, Platt R. Patterns of Medical Care for Patients with Influenza-‐Like Illness. International Society for Disease Surveillance.
2009 Graetz I, Reed M, Brand R, Rundall T, Hsu J. Care Coordination and Electronic Health Records: Connecting Clinicians in a System. American Medical Informatics Association Annual Conference.
2011 Fung V, Huang J, Hsu J. Assessing the Effects of Medicare Part D Cost-‐sharing on Low Income and Near-‐Poor Beneficiaries: Census-‐based vs. Self-‐reported Measures of Financial Status. International Health Economics Association.
2012 Hsu J. Medicare Policy – Brown University 2015 Hsu J. Health Care Reform in the United States. The Dartmouth Institute
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International
2015 Invited Presentation, University of Copenhagen, Denmark 2014 Invited Presentation, University of Oslo, Norway 2010 Invited Keynote Speaker, Norwegian Health Economics Conference 2010 Invited Presentation on Care Coordination, Danish Ministry of Health 2009 Invited Presentation, Unintended Consequences of Drug Benefit Changes, Taiwan
National Bureau of Insurance 2009 Invited Presentation on Care Coordination, Norwegian Health Minister 2008 Invited Presentation on Health Services Research, UK National Primary Care Research and
Development Centre (NPCRDC) at The University of Manchester 2008 Invited Presentation on Chronic Disease Care, National Board of Health, Denmark 2008 Invited Presentation on Integrated Cancer Care, National Cancer Society, Denmark 2007 Invited Presentation on Health Information Technology, University of Copenhagen,
School of Public Health 2006 Invited Presentation on Clinical Effects of Health Information Technology, Helsinki
TEKES/FINWELL 2006 Invited Presentation on Opportunities in Health Information Technology, CITRIS in Europe Report of Clinical Activities and Innovations
Present Licensure and Certification
2015-‐ Massachusetts Medical License – application in process 1999-‐ State of California Medical License 1999-‐ Drug Enforcement Agency License 1998 Board Certified, American Board of Internal Medicine Report of Scholarship
Publications Peer reviewed publications in print or other media Research Investigations: 1. Hsu J, Lanza DC, Kennedy DW, “Antimicrobial Resistance In Bacterial Chronic Sinusitis,”
American Journal of Rhinology 1998; 12(4): 243-‐8. 2. Hsu J, Uratsu C, Truman A, Quesenberry C, McDonald KM, Hlatky MA, Selby J. “Life after
a ventricular arrhythmia,” American Heart Journal 2002; 144: 404-‐12. 3. Sittig DF, Hazelhurst BL, Palen T, Hsu J, Jimison H, Hornbrook MC. “A Clinical Information
System Research Landscape,” Permanente Journal 2002; 6; 62-‐68. 4. Sittig DF, Hazelhurst BL, Palen T, Hsu J, Jimison H, Hornbrook MC. “A Clinical Information
System Research Agenda for Kaiser Permanente,” Permanente Journal 2002; 6; 41-‐44.
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5. Hsu J, Schmittdiel J, Fireman B, Krupat E, Thom D, Selby J, “Improving Patient Choice of a Primary Care Provider: A Randomized Controlled Trial,” Journal of General Internal Medicine 2003; 18: 319-‐25.
6. Hsu J, Reed M, Brand R, Fireman B, Newhouse J, Selby J. “Cost-‐Sharing: Patient Awareness and Delayed Care,” Medical Care 2004; 42(3): 290-‐296.
7. Krupat E, Hsu J, Irish J, Schmittdiel JA, Selby J. “Matching patients and practitioners based on beliefs about care: results of a randomized controlled trial,” American Journal of Managed Care 2004 Nov;10(11 Pt 1):814-‐22.
8. Rundall T, Fung V, Soumerai S, Simon S, Paez K, Simpkins J, Uratsu C, Lafata J, Selby J, Hsu J. “Ambulatory Care Prescribing Safety: Physician Perceptions,” Publication in AHRQ/DoD Patient Safety. Feb 2005.
9. Hsu J, Huang J, Kinsman J, Fireman B, Miller R, Selby J, Ortiz E. “Use of e-‐Health services between 1999 and 2002: a growing digital divide,” Journal of the American Medical Informatics Association 2005 Mar-‐Apr;12(2):164-‐71. Epub 2004 Nov 23.
10. Reed M, Fung V, Brand R, Fireman B, Newhouse JP, Selby JV, Hsu J. “Care-‐seeking behavior in response to emergency department copayments,” Medical Care. 2005 Aug;43(8):810-‐6.
11. Hsu J, Huang J, Fung V, Robertson N, Jimison H, Frankel R. “Health information technology and physician-‐patient interactions: impact of computers on communication during outpatient primary care visits,” Journal of the American Medical Informatics Association 2005 Jul-‐Aug;12(4):474-‐80. Epub 2005 Mar 31.
12. Frankel R, Altschuler A, George S, Kinsman J, Jimison H, Robertson NR, Hsu J. “Effects of exam-‐room computing on clinician-‐patient communication: a longitudinal qualitative study,” Journal of General Internal Med. 2005 Aug;20(8):677-‐82. Editor’s Choice for Best of JGIM 2006.
13. Roblin DW, Platt R, Goodman MJ, Hsu J, Nelson WW, Smith DH, Andrade SE, Soumerai SB. “Effect of increased cost-‐sharing on oral hypoglycemic use in five managed care organizations: how much is too much?” Medical Care. 2005 Oct;43(10):951-‐9.
14. Scott JT, Rundall TG, Vogt TM, Hsu J. “Kaiser Permanente's experience of implementing an electronic medical record: a qualitative study,” British Medical Journal. 2005; 331: 1313-‐16.
15. Frankel RM, Sung SH, Hsu J. “Patients, Doctors, and Videotape: A Prescription for Creating Optimal Healing Environments?” J Altern Complement Med. 2005;11(supplement 1):s31-‐s39.
16. Fung V, Ortiz E, Huang J, Fireman B, Miller R, Selby JV, Hsu J. “Early Experiences with e-‐Health Services (1999-‐2002): Promise, Reality, and Implications,” Medical Care 2006; 44(5): 491-‐496.
17. Hsu J, Price M, Brand R, Ray T, Fireman B, Newhouse J, Selby J. “Safety of Cost-‐sharing for Emergency Care: Effects on Adverse Health Outcomes from the Safety and Financial Ramifications of ED Copayments Study (SAFE),” Health Services Research 2006; 41: 1801-‐20.
18. Hsu J, Price M, Huang J, Fung V, Brand R, Hui R, Fireman B, Newhouse J, Selby J. “Unintended Consequences of Caps on Medicare Drug Benefits,” New England Journal Of Medicine 2006; 354: 2349-‐59.
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19. Elston Lafata J, Gunter M, Hsu J, Katz S, Krajenta R, Platt R, Schultz L, Selby JV, Simon SR, Simpkins J, Soumerai SB, Uratsu C. “Academic Detailing to Improve Laboratory Testing among Outpatient Medication Users,” Medical Care, 2007; 45: 966-‐972.
20. Fung V, Huang J, Brand R, Newhouse J, Hsu J. “Hypertension Treatment in a Medicare Population: Adherence and Systolic Blood Pressure Control,” Clinical Therapeutics, 2007; 29 (5): 972-‐984.
21. Go A, Yang J, Gurwitz JH, Hsu J, Lane K, Platt R. “Comparative Effectiveness of Beta-‐adrenergic Antagonists on the Risk of Rehospitalization in Adults with Heart Failure,” American Journal of Cardiology 2007; 100: 690-‐696.
22. Rundall T, Martelli P, Arroyo L, McCurdy R, Graetz I, Neuwirth E, Curtis P, SM, Hsu J. “The Informed Decisions Toolbox: Tools for Pushing Back the Boundaries of Rationality.” Journal of Healthcare Management, 2007; 52: 325-‐341.
23. Reed M, Brand R, Newhouse JP, Selby JV, Hsu J. “Coping with Prescription Drug Cost-‐sharing: Knowledge, Adherence, and Financial Burden,” Health Services Research 2008; 43: 785-‐797.
24. Benedetti N, Fung B, Reed M, Price M, Brand R, Newhouse JP, Hsu J. “Office Visit Copayments: Patient Knowledge, Response, and Communication with Providers,” Medical Care 2008; 46: 403-‐409.
25. Hsu J, Fung V, Price M, Huang J, Brand R, Hui R, Fireman B, Newhouse JP. “Medicare Beneficiaries’ Knowledge of Part D Prescription Drug Program Benefits and Responses to Drug Costs,” Journal of the American Medical Association 2008; 299: 1929-‐1936.
26. Ballard D, Reed M, Wang H, Arroyo L, Benedetti N, Hsu J. “Impact of Patient Costs and Requests on Emergency Physician Behavior,” Annals of Emergency Medicine 2008; 52: 643-‐650.
27. Rundall TG, Martelli P, McCurdy R, Graetz I, Arroyo L, Neuwirth EB, Curtis P, Schmittdiel J, Gibson M, Hsu J. “Using Evidence When Making Decisions: Views of Health Services Managers and Policy Makers.” In Kovner A, D’Aquilla, and Fine D (eds). The Practice of Evidence-‐based Management. Health Administration Press, Chicago, 2008.
28. Go A, Yang J, Gurwitz J, Hsu J, Lane, K, Platt R. Comparative Effectiveness of Different β-‐adrenergic Antagonists on Mortality Among Adults with Heart Failure in Clinical Practice. Archives of Internal Medicine 2008; 168: 2415-‐2421.
29. Fung V, Tager IB, Brand R, Newhouse JP, Hsu J. The impact of generic-‐only drug benefits on patients' use of inhaled corticosteroids in a Medicare population with asthma. BMC Health Services Research 2008;8:151-‐60.
30. Hsu J, Huang J, Fung V, Price M, Brand R, Hui R, Fireman B, Bertko J, Newhouse JP. Distributing $800 Billion: An Early Assessment of the Medicare Part D Risk Adjustment Approach. Health Affairs 2009; 28: 215-‐225.
31. Schmittdiel J, Ettner S, Fung , Huang J, Turk N, Swain B, Hsu J, Mangione C. Entering and Exiting the Coverage Gap by Medicare Part D Beneficiaries with Diabetes. American Journal of Managed Care 2009 Mar;15(3):189-‐93.
32. Frolich A, Schiotz ML, Strandberg-‐Larsen M, Hsu J, Krasnik A, Diderichsen F, Bellows J, Soggard J, White K. Learning from a Comparison of Health Care in Denmark and in Kaiser Permanente. BMC Health Services Research 2008; 8: 252.
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33. Bardach NS, Huang J, Brand RJ, Hsu J. Evolving health information technology and the timely availability of visit diagnoses from ambulatory visits: a natural experiment in an integrated delivery system. BMC Medical Informatics and Decision Making 2009 Jul 17;9:35.
34. Reed M, Price M, Brand R, Benedetti, Derose SF, Newhouse JP, Hsu J. Deductible-‐based Health Insurance: Sharpening a Blunt Instrument. Health Affairs 2009 Jul-‐Aug;28(4):1145-‐54.
35. Graetz I, Reed M, Rundall T, Bellows J, Brand J, Hsu J. Care Coordination and Electronic Health Records: Connecting Clinicians. Proceedings of the American Medical Informatics Association Annual Symposium 2009; 208-‐12.
36. Fung V, Mangione CM, Huang J, Turk N, Quiter ES, Schmittdiel JA, Hsu J. Falling into the Coverage Gap: Part D Drug Costs and Adherence for Medicare Advantage Prescription Drug Plan Beneficiaries with Diabetes. Health Serv Res. 2009 Dec 30. [Epub ahead of print]
37. Yih K, Deshpande S, Fuller C, Heisey-‐Grove D, Hsu J, Kruskal BA, Leach M, Nordin, Patton-‐Levine J, Puga E, Sherwood E, Shui I, Platt R. Evaluating Real-‐Time Syndromic Surveillance Signals from Ambulatory Care Data in Four States. Public Health Reports 2010; 125: 111-‐20.
38. Ballard D, Price M, Fung V, Brand R, Reed ME, Fireman B, Newhouse JP, Hsu J. Validation of an Algorithm for Categorizing the Severity of Hospital Emergency Department Visits. Medical Care 2010; 48: 58-‐63.
39. Selby JV, Schmittdiel JA, Lee J, Fung V, Smider N, Thomas S, Crosson FJ, Hsu J, Fireman B. What Does Variation in Quality Tell Us About Improving Quality? Medical Care 2010; 48: 133-‐139.
40. Fung V, Sinclair F, Wang H, Dailey D, Hsu J, Shaber R. “Patient Perspectives of Non-‐Adherence to Statin Therapy: A Focus Group Study.” Permanente Journal 2010; 14: 4-‐10.
41. Reed ME, Benedetti N, Brand R, Newhouse JP, Hsu J. Perspectives from Deductible Plan Enrollees: Plan Knowledge and Anticipated Care-‐seeking Changes. BMC Health Serv Res. 2009 Dec 29;9(1):244. [Epub ahead of print]
42. Fung V, Schmittdiel JA, Fireman B, Meer A, Thomas S, Smider N, Hsu J, Selby JV. Meaningful Variation in Performance: A Systematic Literature Review. Medical Care 2010; 48: 140-‐148.
43. Duru OK, Mangione C, Hsu J, Steers N, Quiter E, Turk N, Schmittdiel J, Tseng CW. Generic-‐only Drug Coverage in the Medicare Part D Gap and Impact on Medication Cost-‐Cutting Behaviors for Patients With Diabetes: The Translating Research into Action for Diabetes (TRIAD) Study. Journal of the American Geriatrics Society 2010; 58(5): 822-‐828.
44. Strandberg-‐Larson M, Schiotz ML, Silver JD, Frolich A, Andersen JS, Graetz I, Reed M, Bellows J, Krasnik A, Rundall T, Hsu J. Is the Kaiser Permanente model superior in terms of clinical integration: A comparative study of Kaiser Permanente, Northern California and the Danish Healthcare System. BioMed Central Health Services Research 2010; 10; 91.
45. Schmittdiel JA, Steers N, Duru OK, Ettner SL, Brown AF, Fung V, Hsu J, Quiter E, Tseng CW, Mangione CM. Patient-‐provider communication regarding drug costs in Medicare Part D beneficiaries with diabetes: a TRIAD Study. BMC Health Serv Res. 2010 Jun 14;10:164.
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46. Hsu J, Fung V, Huang J, Bertko J, Dow W, Brand R, Newhouse JP. Fixing flaws in Medicare drug coverage that prompt insurers to avoid low-‐income patients. Health Affairs 2010; 29: 2335-‐43.
47. Greene SK, Kulldorff M, Huang J, Brand RJ, Kleinman K, Hsu J, Platt R. Timely detection of localized excess influenza activity in northern California across patient care, prescription, and laboratory data. Statistics in Medicine 2011; 30(5):549-‐559.
48. Newhouse JP, Huang J, Brand RJ, Fung V, Hsu J. The Structure of Risk Adjustment for Private Plans in Medicare. American Journal of Managed Care. 2011; 17(6 Spec No.):e231-‐40.
49. Fung V, Brand R, Newhouse R, Hsu J. Using Medicare Data for Comparative Effectiveness Research – Opportunities and Challenges. American Journal of Managed Care. 2011; 17: 489-‐96.
50. Ballard DW, Reed ME, Huang J, Kramer BJ, Hsu J, Chettipally U. Does primary stroke center change ED diagnosis, utilization, and disposition of patients with acute stroke. American Journal of Emergency Medicine. 2012; 30: 1152-‐62. [Epub ahead of print].
51. Reed ME, Graetz I, Fung V, Newhouse JP, Hsu J. Consumer Directed Health Plans with Health Savings Accounts: Whose Skin is in the Game and how do Costs affect Care-‐seeking? Medical Care 2012; 50: 585-‐90. [Epub ahead of print]
52. Schiøtz M, Price M, Frølich A, Kristensen JK, Krasnik A, Ross MN, Diderichsen F, Hsu J. Something Is Amiss in Denmark: A Comparison of Preventable Hospitalizations and Readmissions For Chronic Medical Conditions In The Danish Healthcare System and Kaiser Permanente. BMC Health Services Research 2011; 11: 347.
53. Graetz I, Reed M, Fung V, Dow WH, Newhouse JP, Hsu J. COBRA ARRA Subsidies: Was the Carrot Enticing Enough? Health Services Research 2012; 47 (5): 1980-‐98 , published online 19 April 2012.
54. Schiøtz M, Price M, Frølich A, Kristensen JK, Krasnik A, Ross MN, Diderichsen F, Hsu J. Self-‐Management Support to People with Type 2 Diabetes -‐ A comparative study of Kaiser Permanente and the Danish Healthcare System. BMC Health Services Research 2012 12:160.
55. Selby JV, Schmittdiel JA, Fireman B, Jaffe M, Ransom LJ, Dyer W, Uratsu CS, Reed ME, Keer EA, Hsu J. Improving Treatment Intensification to Reduce Cardiovascular Disease Risk: A Cluster Randomized Trial. BMC Health Services Research 2012; 2012: 12: 183.
56. Schiøtz M, Frølich A, Krasnik A, Taylow W, Hsu J. Social organization of self-‐managemetn support of persons with diabetes: a health systems comparison. Scand J Prim Health Care. 2012: 30: 189-‐94. Epub 2012 Jul 30.
57. Reed ME, Huang J, Graetz I, Brand R, Hsu J, Fireman B, Jaffe M. Outpatient electronic health records and the clinical care and outcomes of patients with diabetes mellitus. Annals of Internal Medicine 2012; 157; 482-‐89.
58. McWilliams JM, Hsu J, Newhouse JP. Improved Risk Adjustment has been associated with reduced favorable selection in Medicare Advantage. Health Affairs 2012; 31: 2630-‐40.
59. Newhouse JP, Price M, Huang J, McWilliams JM, Hsu J. Risk selection has fallen in Medicare Advantage. Health Affairs 2012; 31: 2618-‐28.
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60. Reed M, Graetz I, Fung V, Newhouse J, Hsu J. Preventive Care in Consumer Directed Health Plans: Do Consumers Avoid Deductible Exempt Care? Health Affairs, 2012; 31: 2641-‐48.
61. Fung V, Price M, Busch A, Fireman B, Hui R, Dow W, Landrum MB, Frank R, Nierenberg A, Newhouse JP, Hsu J. Adverse clinical events among Medicare beneficiaries using antipsychotic drugs: linking health insurance benefits and clinical needs. Medical Care 2013 Jul;51(7):614-‐21.
62. Reed MA, Huang J, Brand R, Graetz I, Neugebauer R, Fireman B, Jaffe M, Ballard DW, Hsu J. Implementation of an Outpatient Electronic Health Record and Emergency Department Visits, Hospitalizations, and Office Visits Among Patients With Diabetes. JAMA. 2013;310(10):1060-‐1065.
63. Fung V, Price M, Reed M, Brand R, Dow W, Newhouse JP, Hsu J. Responses to Medicare Drug Costs Among Near-‐Poor versus Subsidized Beneficiaries. Health Services Research, 2013 Oct;48(5):1653-‐68.
64. Graetz I, Reed M, Shortell SM, Rundall T, Bellows J, Hsu J. The association between EHRs and care coordination varies by team cohesion. Health Services Research 2014 Feb;49(1 Pt 2):438-‐52.
65. Newhouse JP, McWilliams JM, Price M, Huang J, Fireman B, Hsu J. Do Medicare Advantage plans select enrollees in higher margin clinical categories? Journal of Health Economics 2013 Dec;32(6):1278-‐88.
66. Fung V, Graetz I, Gailbraith A, Hamity C, Huang J, Vollmer WM, Hsu J, Wu A. Cost-‐sharing, income, and financial barriers to care among children with asthma. JAMA Pediatrics. 2014 May 19. [epub ahead of print]
67. Newhouse JP, Price M, McWilliams JM, Hsu J, McGuire T. How much favorable selection is left in Medicare Advantage? American Journal of Health Economics, in press.
68. Graetz I, Reed M, Shortell SM, Rundall T, Bellows J, Hsu J. The Next Step Towards Making Use Meaningful: Electronic Information Exchange and Care Coordination Across Clinicians and Delivery Site. Medical Care, 2014; 52: 1037-‐41
69. Saulsberry L, Hsu J. Insurance Coverage and Whither Thou Goest for Health Information. Medicare & Medicaid Research Review 2014; 4 (4).
70. Frank M, Hsu J, Landrum MB, Chernew M. Tiered Networks and Hospital Choice. Health Services Research. In press
71. Ogbechie OA, Hsu J. Systematic review of benefit designs with differential cost-‐sharing for prescription drugs. American Journal of Managed Care. In Press
72. Barnett ML, Hsu J, McWilliams JM. Contribution of patient characteristics to differences in readmission rates. JAMA Internal Medicine, in press.
73. Graetz I, Reed M, Shortell SM, Rundall T, Bellows J, Hsu J. The Impact of Electronic Health Records and Teamwork on Quality of Diabetes Care. American Journal of Managed Care, in press.
74. Fung V, Price M, Busch A, Landrum MB, Nierenberg A, Fireman B, Newhouse JP, Hsu J. The Introduction of Generic Risperidone in Medicare Part D. Am J Manag Care. In Press.
75. Ballard DB, Mark DR, Iskin HR, Reed ME, Kim A, Hsu J, Huang J, Park D, Chettipally U, Kene M. Implementation of Computerized Physician Order Entry is Associated With Improved
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Outcomes for Patients Admitted With Acute Ischemic Stroke. Annuals of Emergency Medicine, in press.
Other peer-‐reviewed publications:
1. Graetz I, Hsu J, Reed M. “EMR and Care Coordination: Lessons from the Danish Healthcare System.” In A. Frolich. Hvad kan det danske sundhedsvæsen lære af Kaiser Permanente? [What Can the Danish Healthcare Learn from Kaiser Permanente?] Denmark, 2011. University Press.
2. Chernew M, Baicker K, Hsu J. The Specter of Fiscal Armageddon: Health Care and the Federal Budget in the United States. New England Journal of Medicine 2010; 362: 1166-‐68, published online 17 March 2010.
3. Hsu J, Arroyo L, Graetz I, Neuwirth EB, Schmittdiel J, Rundall TG, Martelli PF, McCurdy R, Gibson M, Curtis P. "Methods for Developing Actionable Evidence for Consumers of Health Services Research." In A. Kovner, R. D’Aquila and D. Fine (Eds.) Evidence-‐Based Management in Healthcare. Chicago: Health Administration Press. Pgs. 83-‐95.
4. Shortell SM, Rundall TG, Hsu J. “Improving Patient Care by Linking Evidence-‐Based Medicine and Evidence-‐Based Management,” Journal of the American Medical Association 2007; 298: 673-‐676.
5. Rundall TG, Hsu J, Lafata JE, Fung V, Paez KA, Simpkins J, Simon SR, Robinson SB, Uratsu C, Gunter MJ, Soumerai SB, Selby JV. In: Henriksen K, Battles JB, Marks ES, Lewin DI, editors. Advances in Patient Safety: From Research to Implementation (Volume 1: Research Findings). Rockville (MD): Agency for Healthcare Research and Quality (US); 2005 Feb.
6. Hsu J, Reed M. “Financial Consequences of Drug Benefit Plans,” [letter to the editor] Journal of the American Medical Association 2003; 289; 423.
7. Hsu J, Go A, Selby J. “Overuse of Administrative Data to Measure Underuse Of Care, “ [letter to the editor], Journal of the American Medical Association, 2001; 285(6): 735.
8. Hsu J, Go AS, Selby J. “Factors affecting patients' self-‐referral to specialists,” [letter to the editor] Journal of the American Medical Association 2001; 286: 672-‐3.
9. Hsu J, "Rating The Appropriateness Of Coronary Angiography," [letter to the editor], New England Journal of Medicine 1998; 39(20): 1479.
10. Hsu J, "Corporate Gifts To Academic Researchers," [letter to the editor], Journal of the American Medical Association 1998; 280(10): 883.
Non-‐peer reviewed scientific or medical publications/materials in print or other media 1. Scott T, Rundall TG, Vogt TM, Hsu J. Implementing an Electronic Medical Record System:
Successes, Failures, Lessons. Radcliffe Publishing, Seattle, 2007.
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Abstracts, Poster Presentations and Exhibits Presented at Professional Meetings 1. Fung V, Brand R, Newhouse J, Hsu J. “Loss of Brand-‐Name Drug Coverage: Inhaled Steroid
Use by Medicare Beneficiaries with Asthma.” AcademyHealth Annual Research Meeting 2006.
2. Benedetti N, Fung V, Reed R, Brand R, Newhouse J, Hsu J. “Patient Knowledge of Deductible Health Plans and the Effect of Deductibles on Health Care Utilization.” HMORN Annual Conference, 2007
3. Fung V, Huang J, Brand R, Fireman B, Newhouse J, Selby J, Hsu J. “Racial/Ethnic Disparities in Hypertension Medication Adherence and Blood Pressure Control.” HMORN Annual Conference, Portland, 2007.
4. Graetz I, Fung V, Hsu J. “Electronic Communication with Patients: Who’s Talking?” HMORN Annual Conference, Portland, 2007.
5. Arroyo L, Price M, Fung V, Benedetti N, Hsu J. “Deductible-‐based Health Plans: Health, Wealthy, and Wise… Or Not?” HMORN Annual Conference, Portland, 2007.
6. Wang H, Huang J, Fung V, Hsu J. “Switching to Generic Statins: A Natural Experiment.” HMORN Annual Conference, Portland, 2007.
7. Brown J, Crown W, Harrold L, Zhang F, Hsu J, Herrinton L. “Use of Biologic Agents Among A Cohort of Rheumatoid Arthritis Patients.” HMORN Annual Conference, Portland, 2007.
8. Huang J, Hsu J. “Automated Medical Records and Quality of Care for Patients with Diabetes.” HMORN Annual Conference, Portland, 2007.
9. Fung V, Huang J, Brand R, Hsu J. “Racial/Ethnic Differences in Adherence to Hypertension Medication and Treatment Intensification and Blood Pressure Control in Medicare Enrollees.” AcademyHealth Annual Research Meeting 2007.
10. Wang H, Huang J, Fung V, Hsu J. Diminishing Incentives: Drug Copayment Effects Over a Four Year Period. HMORN Conference 2008.
11. Fung V, Price M, Hsu J. Patient-‐provider Communication About Prescription Drug Costs Among Medicare Part D Beneficiaries. Presented at the HMORN Conference 2008.
12. Bardach N, Huang J, Brand R, Hsu J. "Clinical Data Quality and Health Information Technology: Is More Technology Associated with Better Data?" AcademyHealth ARM 2008.
13. Strandberg-‐Larsen M, Schiotz ML, Nielsen MB, Andersen JS, Graetz I, Reed M, Krasnik A, Bellows J, Rundall T, Frolich A, Hsu J. Facilitating Factors for Achieving Clinical Integration. AcademyHealth ARM 2008.
14. Price M, Fung V, Fireman B, Hui R, Brand R, Newhouse J, Hsu J. “Navigating the Medicare Part D Program: Beneficiary Confusion and Satisfaction." AcademyHealth ARM 2008.
Narrative Report (limit to 500 words) I study innovations in health care financing and delivery, and their effects on medical quality and spending. As a physician with an MBA in health care finance and management and training
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as an internist and health services researcher, I apply both clinical and business perspectives to my research. I have worked within integrated delivery systems, which are excellent laboratories for studying payment and delivery system changes and their effects on clinical episodes within individual patients to a large population served by the systems or living within the same market. Initially I started with the Kaiser Permanente systems that serve an estimated 8.5 million member, and now have added the Partners Healthcare System as well as other systems, e.g., Banner Health. In all of these efforts, I have formed close collaborations with organizational leaders to inform my research and help implement changes based on the findings. I have taught and mentored numerous students and junior faculty at U.C. Berkeley’s School of Public Health, UCSF’s School of Medicine, Harvard Medical School, and the Massachusetts General Hospital. I currently teach HMS students in their required Health Policy course, HMS-‐HBS combined degree students, Health Policy PhD students, MGH internal medicine residents, and Harvard General Internal Medicine fellows. My research activities occupy approximately 80 percent of my time, while my organizational, teaching, and mentoring efforts occupy the remaining 20 percent. My research targets major policy questions for which empirical information can shape the solutions or narrow the options. For example, finding methods for reducing health care costs while maintaining quality is a persistent challenge; increasing patient cost-‐sharing has been one common approach. My 2006 NEJM article demonstrated that limiting prescription drug benefits with an annual drug benefit cap results not only in lower drug use and spending, but also poorer physiologic outcomes, higher unfavorable clinical event rates, and no reduction in total spending. In other words, there was a significant unintended effect on treatment adherence and clinical event rates, without having the intended effect of lowering overall spending. This was one of the first articles to demonstrate changes throughout the pathway from a financing policy to clinical outcomes and total spending, and won two article-‐of-‐the-‐year awards in 2007. An example of my research on health care financing at the market level finds that within the Medicare Part D program, private plans have a strong incentive to increase their plan bids each year to avoid receiving an allocation of auto-‐assigned beneficiaries receiving a low income subsidy (LIS). This perverse incentive stems from erroneous assumptions underlying the risk adjustment and prospective payment structures, and helps explain the retreat of Part D plans from the LIS market, which has resulted in the forced re-‐assignment of millions of LIS beneficiaries. With the ongoing reform efforts in Massachusetts and nationally, there will be need for similar rigorous, empirical work examining changes in payment and delivery. My studies have several common elements: 1) a multidisciplinary research team with methods and content experts; 2) collaborations with organizational decision-‐makers, and policy makers; 3) use of large datasets and natural experiments; and 4) focus on both clinical and behavioral economics perspectives in the study design.