Articles by Bruce Leff, MD

Attributes Common to Programs That Successfully Treat High-Need, High-Cost Individuals
ByGerard F. Anderson, PhD,Jeromie Ballreich, MHS,Sara Bleich, PhD,Cynthia Boyd, MD,Eva DuGoff, PhD,Bruce Leff, MD,Claudia Salzburg, PhD,Jennifer Wolff, PhD Many programs attempting to effectively treat high-need, high-cost individuals have not been able to lower spending, improve outcomes, or increase
satisfaction. This paper suggests 8 attributes that many successful programs share.

Innovative Care Models for High-Cost Medicare Beneficiaries: Delivery System and Payment Reform to Accelerate Adoption
ByKaren Davis, PhD, APN,Christine Buttorff, PhD,Bruce Leff, MD,Quincy M. Samus, PhD,Sarah Szanton, PhD, APN,Jennifer L. Wolff, PhD,Farhan Bandeali, MSPH This paper illustrates how Medicare Advantage plans and accountable care organizations could benefit from adopting innovative care delivery models, and suggests policy changes to accelerate spread.

Performance Measurement for People With Multiple Chronic Conditions: Conceptual Model
ByErin R. Giovannetti, PhD,Sydney Dy, MD,Bruce Leff, MD,Christine Weston, PhD,Karen Adams, PhD, MT,Tom B. Valuck, MD, JD,Aisha T. Pittman, MPH,Caroline S. Blaum, MD,Barbara A. McCann, MSW,Cynthia M. Boyd, MD, MPH The Performance Measurement for People with Multiple Chronic Conditions conceptual model can facilitate development and refinement of quality measures for a medically complex population.

Guided Care and the Cost of Complex Healthcare: A Preliminary Report
ByBruce Leff, MD,Lisa Reider, MHS,Kevin D. Frick, PhD,Daniel O. Scharfstein, ScD,Cynthia M. Boyd, MD, MPH,Katherine Frey, MPH,Lya Karm, MD,Chad Boult, MD, MPH, MBA The early months of a cluster-randomized trial suggest that Guided Care is associated with a trend toward a net reduction in total healthcare expenditures.

Substitutive Hospital at Home for Older Persons: Effects on Costs
ByKevin D. Frick, PhD,Lynda C. Burton, ScD,Rebecca Clark, BA,Scott I. Mader, MD,W. Bruce Naughton, MD,Jeffrey B. Burl, MD,William B. Greenough, III, MD,Donald M. Steinwachs, PhD,Bruce Leff, MD Substitutive Hospital at Home care for 4 common conditions is associated with cost savings.

Health of Medicare Advantage Plan Enrollees at 1 Year After Hurricane Katrina
ByLynda C. Burton, ScD,Elizabeth A. Skinner, MSW,Lori Uscher-Pines, PhD,Richard Lieberman, BA,Bruce Leff, MD,Rebecca Clark, BA,Qilu Yu, PhD,Klaus W. Lemke, PhD,Jonathan P. Weiner, DrPH At 1 year after Hurricane Katrina, the health burden of enrollees increased significantly more versus a comparison group. Emergency department visits and hospitalizations remained elevated.