Articles by Christine Vogeli, PhD
High-Risk Care Management Impact on Medicaid ACO Utilization and Spending
ByKathryn Corelli, MD,Erin Duralde, MD,Diya Mathur, BA,Mary Price, MA,Nicole M. Benson, MD, MBI,Nishmi Abeyweera, AB,Vicki Fung, PhD,Christine Vogeli, PhD,Katherine H. Schiavoni, MD, MPP,Maryann M. Vienneau, BS,Mallika L. Mendu, MD, MBA,Lindsay Jubelt, MD, MS,Gregg S. Meyer, MD, MSc,John Hsu, MD, MBA, MSCE In Massachusetts’ largest Medicaid accountable care organization (ACO), high-risk care management significantly reduced spending, emergency department visits, and hospitalizations, demonstrating that targeted strategies can manage health care costs amid budget constraints.
Tacking Upwind: Reducing Spending Among High-risk Commercially Insured Patients
ByNicole M. Benson, MD, MBI,Mary Price, MA,Max Weiss, BA,Christine Vogeli, PhD,Maryann M. Vienneau, BS,Mallika L. Mendu, MD, MBA,Amy Flaster, MD, MBA,Lisa Balentine, BASc,Lindsay Jubelt, MD, MS,Gregg S. Meyer, MD, MSc,John Hsu, MD, MBA, MSCE Although commercial accountable care organization populations are healthy on average, some individuals might benefit from programs for high-risk patients to mitigate high levels of health care utilization.
Population Turnover and Leakage in Commercial ACOs
ByNicole M. Benson, MD, MBI,Mary Price, MA,Christine Vogeli, PhD,Maryann M. Vienneau, BS,Mallika L. Mendu, MD, MBA,Amy Flaster, MD, MBA,Lisa Balentine, BASc,Lindsay Jubelt, MD, MS,Gregg S. Meyer, MD, MSc,John Hsu, MD, MBA, MSCE Payment models that align financial incentives of payers, providers, and patients can mitigate spending growth in thoughtful ways, but the details of the models matter.
Intensive Care Management of a Complex Medicaid Population: A Randomized Evaluation
ByJack S. Rowe, MD, MPH,Joy Gulla, MPH,Maryann Vienneau, BS,Lisa Nussbaum, MA, MBA,Erin Maher, MPH,Mallika L. Mendu, MD, MBA,Lori Wiviott Tishler, MD, MPH,Eric Weil, MD,Sreekanth K. Chaguturu, MD,Christine Vogeli, PhD The authors present findings of a randomized evaluation of Medicaid patients at an academic medical center, which found that intensive care management was associated with reduced total medical expense.
Improving Care Coordination and Reducing ED Utilization Through Patient Navigation
BySalina Bakshi, MD, MPH,Lucas C. Carlson, MD, MPH,Joy Gulla, MPH,Priscilla Wang, MD,Kristy Helscel, MPH,Brian J. Yun, MD, MBA, MPH,Christine Vogeli, PhD,Amy O. Flaster, MD, MBA A navigation program demonstrated decreased odds of repeat emergency department (ED) visits in patients with low baseline ED utilization and increased odds of follow-up primary care appointments.
Implementing a Hybrid Approach to Select Patients for Care Management: Variations Across Practices
ByChristine Vogeli, PhD,Jenna Spirt, MPH,Richard Brand, PhD,John Hsu, MD, MPH,Namita Mohta, MD,Clemens Hong, MD, MPH,Eric Weil, MD,Timothy G. Ferris, MD, MPH Hybrid approaches allow for clinician input into case finding for care management, but training and monitoring is required to protect against unintentional biases.
Clinician Considerations When Selecting High-Risk Patients for Care Management
ByVivian Haime, BS,Clemens Hong, MD, MPH,Laura Mandel, BA,Namita Mohta, MD,Lisa I. Iezzoni, MD, MSc,Timothy G. Ferris, MD, MPH,Christine Vogeli, PhD Clinicians consider a number of patient predisposing and enabling characteristics not typically available in clinical data systems when selecting high-risk patients for care management.
Assessing Outcomes in Child Psychiatry
ByJoseph Gold, MD,Ralph J. Buonopane, PhD,Robert A. Caggiano, EdD,Mark Picciotto, PhD,Christine Vogeli, PhD,Natalie T. Kanner, BA,Rebecca L. Babcock, BS,Zhonghe Li, MA,Michael Jellinek, MD,Stacey J. Drubner, JD, MPH, MSW,Kenneth J. Sklar, EdD,J. Michael Murphy, EdD Two standardized rating scales appeared to be valid and reliable for use at admission and possibly follow-up in a child psychiatry system of care.
