Research
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From Vision to Design in Advancing Medicare Payment Reform: A Blueprint for Population-Based Payments
With Medicare spending growth over the next decade expected to exceed GDP growth, the trust fund projected to be depleted in 2026, and evidence of persistent and pervasive waste and disparities in health care, attention has returned to the role of payment reform in controlling Medicare spending growth and driving more efficient and equitable care delivery.
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Private Equity Investment as a Divining Rod for Market Failure: Policy Responses to Harmful Physician Practice Acquisitions
It is unclear whether private equity investment is itself a problem or whether, in the absence of private equity, other sources of capital—such as public equity, venture capital, health systems, and insurers—would similarly exploit existing market failures and legal loopholes in the healthcare system.
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Sex Differences in the Association Between Metabolic Dysregulation and Cognitive Aging: The Health and Retirement Study
Dysregulation of some metabolic factors increases the risk of dementia. It remains unclear if overall metabolic dysregulation, or only certain components, contribute to cognitive aging and if these associations are sex specific.
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The Costs of Developing Treatments for Alzheimer’s Disease: A Retrospective Exploration
In over 26 years of research and development in Alzheimer’s disease, only six novel drugs have reached FDA approval.
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The Social Value of Disseminating Transcatheter Aortic Valve Replacement
Transcatheter aortic valve replacement (TAVR) has facilitated treatment of aortic stenosis in patients otherwise ineligible for corrective surgery or who are reluctant to undergo open-heart surgery. Schaeffer Center experts estimate the social value of past and future TAVR procedures.
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Early Transplantation Maximizes Survival in Severe Acute-On-Chronic Liver Failure: Results of a Markov Decision Process Model
The researchers create a Markov decision process model to maximize overall survival among patients listed for liver transplantation with grade three acute-on-chronic liver failure (ACLF-3) within the first 7 days of listing
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Claims-Based Measures of Prescription Opioid Utilization: A Practical Guide for Researchers
Given the increased attention to the opioid epidemic and the role of inappropriate prescribing, there has been a marked increase in the number of studies using claims data to study opioid use and policies designed to curb misuse.
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Measuring the COVID-19 Mortality Burden in the United States
A team from the USC Schaeffer Center undertook a full assessment of the first year of the pandemic’s mortality burden by measuring years of life lost and accounting for quality-of-life differences, factoring in age, sex, race/ethnicity and comorbidities.
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Cost-effectiveness of a Digital Health Intervention for Acute Myocardial Infarction Recovery
Acute myocardial infarction is a common cause of hospital admissions, readmissions, and mortality worldwide. Digital health interventions that promote self-management, adherence to guideline-directed therapy, and cardiovascular risk reduction may improve health outcomes in this population.
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Changes in Emergency Department Encounters for Vomiting After Cannabis Legalization in Colorado
Cannabis hyperemesis syndrome is an emerging clinical issue associated with cannabis use. Legalization of cannabis has led to an increase in vomiting-related illnesses in health care settings.
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