Current National Health Expenditure Accounts (NHEAs) measure total spending on medical care and divide that spending into payers (Medicare, private insurance, out-of-pocket, etc.) and service providers (hospitals, physicians, pharmaceutical companies, etc.). These divisions are useful but not the only ones of interest. To measure the value of care, we need to relate spending on medical treatments to health outcomes. The most obvious way to do this is at the disease level. To take just one example, it is difficult to determine if spending for breast cancer is worth it without being able to link hospital and pharmaceutical costs for this disease. The central goal of this project is to understand medical spending at the disease level and the level of service category (treatment, screening, or prevention) as an input into detailed analysis of the costs and benefits of medical advance
Publications
Technical Documentation and Results
Cardiovascular Disease
Trends and Racial Differences in First Hospitalization for Stroke and 30-day Mortality in the US Medicare Population.
Yao, J., Ghosh, K, Perraillon, M., Cutler, D.M., Fang, M. In press, Medical Care.
Follow-up compliance after endovascular abdominal aortic aneurysm repair in Medicare beneficiaries.
Schanzer A, Messina LM, Ghosh K, Simons JP, Robinson WP 3rd, Aiello FA, Goldberg RJ, Rosen AB. J Vasc Surg, 2015;61(1):16-22.e1.
Trends in the incidence, treatment, and outcomes of acute lower extremity ischemia in the United States Medicare population.
Baril DT, Ghosh K, Rosen AB. J Vasc Surg, 2014;60(3):669-77.e2.
Trends in stroke rates, risk, and outcomes in the United States, 1988 to 2008.
Fang MC, Coca Perraillon M, Ghosh K, Cutler DM, Rosen AB. Am J Med, 2014;127(7):608-15.
Trends in thrombolytic use for ischemic stroke in the United States.
Fang MC, Cutler DM, Rosen AB. Journal of Hospital Medicine; September 2010; 5:406-409.
Hospitalizations and deaths among adults with cardiovascular disease who underuse medications because of cost: a longitudinal analysis.
Heisler M, Choi HJ, Rosen AB, Vijan S, Kabeto M, Langa KM, Piette JD. Medical Care; February 2010;48(2):87-94.
Cost-Effectiveness Modeling and Exploratory Analysis in Medical Decision Making.
DeFauw MC. Oral Abstract presented at the Institute for Operations Research and the Management Sciences (INFORMS) Annual Meeting, San Diego, CA, October 2009.
The value of coronary heart disease care for the elderly: 1987-2002.
Rosen AB, Cutler DM, Norton DM, Hu HM, Vijan S. Health Aff (Millwood). 2007 Jan-Feb;26(1):111-23.
Sacks, Naomi T, Arlene S Ash, Kaushik Ghosh, Amy K Rosen, John B Wong, David M Cutler, and Allison B Rosen. Forthcoming.
"Recent National Trends in Acute Myocardial Infarction Hospitalizations in Medicare: Shrinking Declines and Growing Disparities." Epidemiology
Langa KM.
Is the risk of Alzheimer's disease and dementia declining? Alzheimers Res Ther. 2015 Mar 26;7(1):34
Antidepressant use and cognitive decline: The Health and Retirement Study.
Saczynski JS, Rosen AB, McCammon RJ, Zivin K, Andrade SE, Langa KM, Vijan S, Pirraglia PA, Briesacher BA. American Journal of Medicine, in press. [Jan 30, 2105, Epub ahead of print]
New insights into the dementia epidemic.
Larson E, Yaffe K, Langa KM. New England Journal of Medicine, 2013; 369(24): 2275-2277.
Trends in depressive symptom burden among older adults in the United States from 1998 to 2008
Zivin K, Pirraglia P, McCammon R, Langa KM, Vijan S. J. of General Internal Medicine, 2013; 28(12): 1611-1619.
Psychological distress and trends in healthcare expenditures and outpatient healthcare use from 1997 to 2004.
Pirraglia PA, Hampton JM, Rosen AB, Witt WP. Am J Managed Care 2011; 17: 319-328. PMCID: PMC3322665
Depression among older adults in the United States and England.
Zivin K, Llewellyn D, Lang I, Vijan S, Kabeto M, Miller E, Langa KM. Am. J. of Geriatric Psychiatry, 2010; 18(11): 1036-1044.
Langa KM, Larson EB, Karlawish JH, Cutler DM, Kabeto MU, Kim SY, Rosen AB.
Trends in the prevalence and mortality of cognitive impairment in the United States: is there evidence of a compression of cognitive morbidity? Alzheimers Dement. 2008 Mar;4(2):134-44. doi: 10.1016/j.jalz.2008.01.001. Epub 2008 Mar 4.
National Cancer Institute Cancer Intervention and Surveillance Modeling Network Lung Cancer Working Group report
Woodward R.M., Brown M.L., Stewart S.T., Cronin K.A., Cutler D.M. (2007).
The value of medical interventions for lung cancer in the elderly : results from SEER-CMHSF. Cancer, 110(11): 2511-2518.
Emergency Department Profits Are Likely To Continue As The Affordable Care Act Expands Coverage.
Cutler DM & Wilson M. Health Affairs, 2014, 33 (5): 792-799.
Hospital and Emergency Department Factors Associated With Variations in Missed Diagnosis and Costs for Patients Age 65 Years and Older With Acute Myocardial Infarction Who Present to Emergency Departments..
Wilson DM, Welch J, Schuur J, O'Laughlin K, & Cutler DM. Acad Emerg Med, 2014;21(10):1101-8.
Marked reduction in 30-day mortality among elderly patients with community-acquired pneumonia.
Ruhnke GW, Coca-Perraillon M, Kitch BT, Cutler DM. Am J Med, 2011;124(2):171-178.
The (Paper) Work of Medicine: Understanding International Medical Costs.
Cutler DM & Ly DP. Journal of Economic Perspectives, 2011, 30(6), 1174-87.
Incidence and mortality of hip fractures in the United States.
Brauer CA, Coca-Perraillon M, Cutler DM, Rosen AB. JAMA, 2009;302(14):1573-9.