Health Affairs

Article	Citations
Protecting Households From Catastrophic Health Spending	528
Community Use Of Face Masks And COVID-19: Evidence From A Natural Experiment Of State Mandates In The US	494
Does Universal Health Insurance Make Health Care Unaffordable? Lessons From Taiwan	380
It’s The Prices, Stupid: Why The United States Is So Different From Other Countries	364
The Revolving Door Of Rehospitalization From Skilled Nursing Facilities	364
Precision Medicine: From Science To Value	348
The Recent Surge In Nurse Employment: Causes And Implications	257
Costs And Benefits Of Health Information Technology: New Trends From The Literature	245
Insights From Advanced Analytics At The Veterans Health Administration	234
Large Variations In Medicare Payments For Surgery Highlight Savings Potential From Bundled Payment Programs	224
From Volume To Value: Better Ways To Pay For Health Care	201
Substantial Health And Economic Returns From Delayed Aging May Warrant A New Focus For Medical Research	201
Achieving And Sustaining Improved Quality: Lessons From New York State And Cardiac Surgery	200
Performance Measurement: Problems And Solutions	191
Return On Investment From Childhood Immunization In Low- And Middle-Income Countries, 2011–20	181
From Silos To Bridges: Meeting The General Health Care Needs Of Adults With Severe Mental Illnesses	180
Transforming Physician Practices To Patient-Centered Medical Homes: Lessons From The National Demonstration Project	173
Who Isn’t Using Patient Portals And Why? Evidence And Implications From A National Sample Of US Adults	165
Self-Isolation Compliance In The COVID-19 Era Influenced By Compensation: Findings From A Recent Survey In Israel	164
Socioeconomic Status And Readmissions: Evidence From An Urban Teaching Hospital	156
Patient Engagement In Research: Early Findings From The Patient-Centered Outcomes Research Institute	151
The Legal And Ethical Concerns That Arise From Using Complex Predictive Analytics In Health Care	140
What Older People Want From Long-Term Care, And How They Can Get It	139
What Information Do Consumers Want and Need?	137
From The Office Of The National Coordinator: The Strategy For Advancing The Exchange Of Health Information	136

Chronic Conditions Account For Rise In Medicare Spending From 1987 To 2006	132
Europe Sees Mixed Results From Public-Private Partnerships For Building And Managing Health Care Facilities And Services	129
Health Spending Projections Through 2019: The Recession’s Impact Continues	128
Health Information Technology And Patient Safety: Evidence From Panel Data	127
How Many Are Underinsured? Trends Among U.S. Adults, 2003 And 2007	124
Incarceration And Its Disseminations: COVID-19 Pandemic Lessons From Chicago’s Cook County Jail	120
From A National, Centrally Planned Health System To A System Based On The Market: Lessons From China	120
More Offers, Fewer Takers for Employment-Based Health Insurance: 1987 and 1996	116
Are The Benefits Of Newer Drugs Worth Their Cost? Evidence From The 1996 MEPS	116
Qualifying Conditions Of Medical Cannabis License Holders In The United States	116
Health Spending And Outcomes: Trends In OECD Countries, 1960–1998	112
Medication Treatment For Opioid Use Disorders In Substance Use Treatment Facilities	111
Who Bears The Burden Of Medicaid Drug Copayment Policies?	110
Reducing Racial And Ethnic Disparities: The Action Plan From The Department Of Health And Human Services	109
It’s Still The Prices, Stupid: Why The US Spends So Much On Health Care, And A Tribute To Uwe Reinhardt	109
Growth In US Health Spending Remained Slow In 2010; Health Share Of Gross Domestic Product Was Unchanged From 2009	108
Decreases In Readmissions Credited To Medicare’s Program To Reduce Hospital Readmissions Have Been Overstated	106
Lessons From Public Long-Term Care Insurance In Germany And Japan	102
Medicare Prescription Drug Benefit Progress Report: Findings From A 2006 National Survey Of Seniors	101
National Health Care Spending In 2019: Steady Growth For The Fourth Consecutive Year	99
Family Resilience And Connection Promote Flourishing Among US Children, Even Amid Adversity	99
Rural-Urban Differences In Severe Maternal Morbidity And Mortality In The US, 2007–15	98
Physicians’ Well-Being Linked To In-Basket Messages Generated By Algorithms In Electronic Health Records	95
Medicare’s Public Reporting Initiative On Hospital Quality Had Modest Or No Impact On Mortality From Three Key Conditions	93
Prescription Drug Coverage And Seniors: Findings From A 2003 National Survey	92
What Is Rural? Challenges And Implications Of Definitions That Inadequately Encompass Rural People And Places	91
Daily Nursing Home Staffing Levels Highly Variable, Often Below CMS Expectations	88
Early Results From Adoption Of Bundled Payment For Diabetes Care In The Netherlands Show Improvement In Care Coordination	87
Policy Changes Key To Promoting Sustainability And Growth Of The Specialty Palliative Care Workforce	87
National Health Expenditure Projections, 2018–27: Economic And Demographic Trends Drive Spending And Enrollment Growth	86
Children's Health Insurance, Access To Care, And Health Status: New Findings	85
Physician Consolidation: Rapid Movement From Small To Large Group Practices, 2013–15	84
Transforming Primary Care: From Past Practice To The Practice Of The Future	84
From ‘Soak The Rich’ To ‘Soak The Poor’: Recent Trends In Hospital Pricing	81
The Impact Of Bundled Payment On Health Care Spending, Utilization, And Quality: A Systematic Review	79
Higher US Rural Mortality Rates Linked To Socioeconomic Status, Physician Shortages, And Lack Of Health Insurance	78
The Effects Of Specialist Supply On Populations’ Health: Assessing The Evidence	77
Competition, Cooperation, Or Control? Tales From The British National Health Service	77
Reducing Variation In Hospital Admissions From The Emergency Department For Low-Mortality Conditions May Produce Savings	77
Ability To Obtain Health Care: Recent Estimates From the Robert Wood Johnson Foundation National Access to Care Survey	76
Lessons From Tele-Emergency: Improving Care Quality And Health Outcomes By Expanding Support For Rural Care Systems	75
Advancing Evidence-Based Care For Diabetes: Lessons From The Veterans Health Administration	75
National Health Expenditure Projections, 2019–28: Expected Rebound In Prices Drives Rising Spending Growth	75
Education Policy Initiatives To Address The Nurse Shortage In The United States	75
Lack Of Access To Specialists Associated With Mortality And Preventable Hospitalizations Of Rural Medicare Beneficiaries	74
Attention To Surgeons And Surgical Care Is Largely Missing From Early Medicare Accountable Care Organizations	73
From Tasks To Processes: The Case For Changing Health Information Technology To Improve Health Care	73
Home Health Care For Children With Medical Complexity: Workforce Gaps, Policy, And Future Directions	71
Long-Term Care Insurance Demand Limited By Beliefs About Needs, Concerns About Insurers, And Care Available From Family	70
Universal Coverage In The Land Of Smiles: Lessons From Thailand’s 30 Baht Health Reforms	70

Reducing Health Care Hazards: Lessons From The Commercial Aviation Safety Team	69
Racial And Ethnic Inequities In Children’s Neighborhoods: Evidence From The New Child Opportunity Index 2.0	69
Twenty Years Of School-Based Health Care Growth And Expansion	69
Higher US Branded Drug Prices And Spending Compared To Other Countries May Stem Partly From Quick Uptake Of New Drugs	68
Structural Urbanism Contributes To Poorer Health Outcomes For Rural America	68
Even As Mortality Fell In Most US Counties, Female Mortality Nonetheless Rose In 42.8 Percent Of Counties From 1992 To 2006	67
Ten Strategies To Lower Costs, Improve Quality, And Engage Patients: The View From Leading Health System CEOs	65
Medicaid's Problem Children: Eligible But Not Enrolled	64
Korea’s National Health Insurance—Lessons From The Past Three Decades	64
Impact Of Physicians, Nurse Practitioners, And Physician Assistants On Utilization And Costs For Complex Patients	63
Variations In Practice Quality In Five Low-Income Countries: A Conceptual Overview	63
Prescription Drug Monitoring Program Mandates: Impact On Opioid Prescribing And Related Hospital Use	63
Does Funding From Donors Displace Government Spending For Health In Developing Countries?	63
Evolving Public Views On The Likelihood Of Violence From People With Mental Illness: Stigma And Its Consequences	63
COVID-19 Vaccine To Vaccination: Why Leaders Must Invest In Delivery Strategies Now	63
Transitions Clinic Network: Challenges And Lessons In Primary Care For People Released From Prison	62
Challenges To The Pharmacist Profession From Escalating Pharmaceutical Demand	62
Communication-And-Resolution Programs: The Challenges And Lessons Learned From Six Early Adopters	62
In Rural Areas, Buprenorphine Waiver Adoption Since 2017 Driven By Nurse Practitioners And Physician Assistants	62
Job Satisfaction And Morale In The Ugandan Health Workforce	62
Exempting Schoolchildren From Immunizations: States With Few Barriers Had Highest Rates Of Nonmedical Exemptions	62
Regulating U.S. Nursing Homes: Are We Learning From Experience?	60
Spousal Caregivers Are Caregiving Alone In The Last Years Of Life	58
From ‘Solution Shop’ Model To ‘Focused Factory’ In Hospital Surgery: Increasing Care Value And Predictability	58
Profiling The Quality Of Care In Twelve Communities: Results From The CQI Study	57
Prices And Availability Of Pharmaceuticals: Evidence From Nine Countries	57
Readmissions To New York Hospitals Fell For Three Target Conditions From 2008 To 2012, Consistent With Medicare Goals	57
Medical Savings Accounts: Lessons From China	57
The Children's Hour: The State Children's Health Insurance Program	56
ParkinsonNet: A Low-Cost Health Care Innovation With A Systems Approach From The Netherlands	55
Health At School: A Hidden Health Care System Emerges From The Shadows	55
The Growth Of Physician Medical Malpractice Payments: Evidence From The National Practitioner Data Bank	54
National Health Care Spending In 2017: Growth Slows To Post–Great Recession Rates; Share Of GDP Stabilizes	54
The Prevalence Of Physician Self-Referral Arrangements After Stark II: Evidence From Advanced Diagnostic Imaging	54
Insights From Transformations Under Way At Four Brookings-Dartmouth Accountable Care Organization Pilot Sites	54
Top-Funded Digital Health Companies And Their Impact On High-Burden, High-Cost Conditions	54
The Value From Investments In Health Information Technology At The U.S. Department Of Veterans Affairs	52
Health Care Spending Growth: How Different Is The United States From The Rest Of The OECD?	52
The Rise Of Nursing Home Litigation: Findings From A National Survey Of Attorneys	51
Writing The New Playbook For U.S. Health Care: Lessons From Wisconsin	51
Learning From Patients’ Experiences Related To Diagnostic Errors Is Essential For Progress In Patient Safety	51
Twenty Years Of Antiretroviral Therapy For People Living With HIV: Global Costs, Health Achievements, Economic Benefits	51
Estimating The Potential Cost Savings From The New York University Caregiver Intervention In Minnesota	50
Taking Stock Of Pay-For-Performance: A Candid Assessment From The Front Lines	50
The Affordable Care Act Reduces Emergency Department Use By Young Adults: Evidence From Three States	50
Loss Of SNAP Is Associated With Food Insecurity And Poor Health In Working Families With Young Children	49
How The Avahan HIV Prevention Program Transitioned From The Gates Foundation To The Government Of India	49
Decline In Economic Returns From New Drugs Raises Questions About Sustaining Innovations	49
Identifying Hospitals That May Be At Most Financial Risk From Medicaid Disproportionate-Share Hospital Payment Cuts	48
Hospital Prices Grew Substantially Faster Than Physician Prices For Hospital-Based Care In 2007–14	48
Parity For Whom? Exemptions And The Extent Of State Mental Health Parity Legislation	48
Informal Payments In The Health Sector: A Case Study From Turkey	48
Perspective: Virtually Exposed: Privacy And E-Health	48
Soviet Health Care from Two Perspectives	48
Health Plan Switching: Choice Or Circumstance?	47
The Effects Of Violence On Health	47
Mobile Clinic In Massachusetts Associated With Cost Savings From Lowering Blood Pressure And Emergency Department Use	47
A Trade Agreement's Impact On Access To Generic Drugs	47
Opioid Prescription Rates And Child Removals: Evidence From Florida	47
The Growing Power Of Some Providers To Win Steep Payment Increases From Insurers Suggests Policy Remedies May Be Needed	46
Uncertainty About DACA May Undermine Its Positive Impact On Health For Recipients And Their Children	46
Bankruptcy Is The Tip Of A Medical-Debt Iceberg	46
From The Field: The Politics Of The Health Insurance Portability And Accountability Act	46
A Transitioning Epidemic: How The Opioid Crisis Is Driving The Rise In Hepatitis C	46
National Health Spending Projections: The Estimated Impact Of Reform Through 2019	46
Home And Community-Based Workforce For Patients With Serious Illness Requires Support To Meet Growing Needs	46
Small Physician Practices In New York Needed Sustained Help To Realize Gains In Quality From Use Of Electronic Health Records	45
Primary Care Physicians’ Role In Coordinating Medical And Health-Related Social Needs In Eleven Countries	45
Job-Based Health Insurance In 2000: Premiums Rise Sharply While Coverage Grows	45
Medical Savings Accounts: Lessons from Singapore	45
Hospital Pricing And The Uninsured: Do The Uninsured Pay Higher Prices?	45
Vulnerable And Less Vulnerable Women In High-Deductible Health Plans Experienced Delayed Breast Cancer Care	45
Renewing Primary Care: Lessons Learned From The Spanish Health Care System	44
Characteristics And Spending Patterns Of Persistently High-Cost Medicare Patients	44
Beyond Functional Support: The Range Of Health-Related Tasks Performed In The Home By Paid Caregivers In New York	44
Do Nonprofit Hospitals Pay Their Way?	44
US Cardiologist Workforce From 1995 To 2007: Modest Growth, Lasting Geographic Maldistribution Especially In Rural Areas	43
Technological Change Around The World: Evidence From Heart Attack Care	43
Managed Care Rebound? Recent Changes In Health Plans' Cost Containment Strategies	43
Understanding What Information Is Valued By Research Participants, And Why	43

Physicians May Need More Than Higher Reimbursements To Expand Medicaid Participation: Findings From Washington State	43
Mortality Rates From COVID-19 Are Lower In Unionized Nursing Homes	42
Low Costs Of Defensive Medicine, Small Savings From Tort Reform	42
Results From A Patient-Centered Medical Home Pilot At UPMC Health Plan Hold Lessons For Broader Adoption Of The Model	42
Visits To Retail Clinics Grew Fourfold From 2007 To 2009, Although Their Share Of Overall Outpatient Visits Remains Low	42
Early Results From Thailand's 30 Baht Health Reform: Something To Smile About	42
Early Lessons From Four ‘Aligning Forces For Quality’ Communities Bolster The Case For Patient-Centered Care	42
ACO-Affiliated Hospitals Reduced Rehospitalizations From Skilled Nursing Facilities Faster Than Other Hospitals	42
Medicaid Incentive Programs To Encourage Healthy Behavior Show Mixed Results To Date And Should Be Studied And Improved	42
Early Lessons From An Initiative On Chicago’s South Side To Reduce Disparities In Diabetes Care And Outcomes	41
Trends In Buprenorphine Prescribing By Physician Specialty	41
From Policy To Patients And Back: Surgical Treatment Decision Making For Patients With Breast Cancer	41
When Rural Hospitals Close, The Physician Workforce Goes	41
Lesson From Canada’s Universal Care: Socially Disadvantaged Patients Use More Health Services, Still Have Poorer Health	40
Marketwatch: Medicaid Managed Care: Lessons From Five States	40
Despite Resources From The ACA, Most States Do Little To Help Addiction Treatment Programs Implement Health Care Reform	40
The Culture Of Health In Early Care And Education: Workers’ Wages, Health, And Job Characteristics	40
Return On Investment From Immunization Against 10 Pathogens In 94 Low- And Middle-Income Countries, 2011–30	39
Can Medicaid Expansion Prevent Housing Evictions?	39
Nationwide Mortality Studies To Quantify Causes Of Death: Relevant Lessons From India’s Million Death Study	39
The Large Social Value Resulting From Use Of Statins Warrants Steps To Improve Adherence And Broaden Treatment	38
Cooling The Hot Spots Where Child Hospitalization Rates Are High: A Neighborhood Approach To Population Health	38
Does Dissatisfaction With Health Plans Stem From Having No Choices?	38
Socioeconomic Status And Quality Of Care In Rural India: New Evidence From Provider And Household Surveys	37
Patient Readmission Rates For All Insurance Types After Implementation Of The Hospital Readmissions Reduction Program	37
From Movement To Industry: The Growth Of HMOs	37
Financial Incentives Increase Purchases Of Fruit And Vegetables Among Lower-Income Households With Children	37
Reinventing Primary Care: Lessons From Canada For The United States	37
The Decline In Rural Medical Students: A Growing Gap In Geographic Diversity Threatens The Rural Physician Workforce	37
Consumers' Reports On The Health Effects Of Direct-To-Consumer Drug Advertising	36
Disruptive Innovation: Can Health Care Learn From Other Industries? A Conversation With Clayton M. Christensen	36
An Alternative Payment Model To Support Widespread Use Of Collaborative Dementia Care Models	35
How Have ACA Insurance Expansions Affected Health Outcomes? Findings From The Literature	35
Lessons From Major Initiatives To Improve Primary Care In The United Kingdom	35
An Analysis Of Survey Data From Eleven Countries Finds That ‘Satisfaction’ With Health System Performance Means Many Things	34
Does Health Information Exchange Improve Patient Outcomes? Empirical Evidence From Florida Hospitals	34
Preventing Pregnancy-Related Mental Health Deaths: Insights From 14 US Maternal Mortality Review Committees, 2008–17	34
In Low- And Middle-Income Countries, Is Delivery In High-Quality Obstetric Facilities Geographically Feasible?	34
US Hospice Industry Experienced Considerable Turbulence From Changes In Ownership, Growth, And Shift To For-Profit Status	34
The Contribution Of New Product Entry Versus Existing Product Inflation In The Rising Costs Of Drugs	34
Behavioral Health Information Technology: From Chaos To Clarity	33
Rural Counties With Majority Black Or Indigenous Populations Suffer The Highest Rates Of Premature Death In The US	33
Learning Collaboratives: Insights And A New Taxonomy From AHRQ’s Two Decades Of Experience	33
Cost-Effectiveness Of The Sugar-Sweetened Beverage Excise Tax In Mexico	33
Product Development Partnerships Hit Their Stride: Lessons From Developing A Meningitis Vaccine For Africa	33
Knowledge Of Practicing Physicians About Their Legal Obligations When Caring For Patients With Disability	33
Implementing Community Resource Referral Technology: Facilitators And Barriers Described By Early Adopters	33
Gavi’s Transition Policy: Moving From Development Assistance To Domestic Financing Of Immunization Programs	32
Multimorbidity And Health Outcomes In Older Adults In Ten European Health Systems, 2006–15	32
Moving For Medicaid? Recent Eligibility Expansions Did Not Induce Migration From Other States	32
Patient-Centered Care, Yes; Patients As Consumers, No	32
AHCPR And The Changing Politics Of Health Services Research	32
A National Examination Of Long-Term Care Setting, Outcomes, And Disparities Among Elderly Dual Eligibles	32
How Much Medical Care Do The Uninsured Use, And Who Pays For It?	31
The Forgotten Middle: Many Middle-Income Seniors Will Have Insufficient Resources For Housing And Health Care	31
Gun Violence, Mental Illness, And Laws That Prohibit Gun Possession: Evidence From Two Florida Counties	31
Care For America’s Elderly And Disabled People Relies On Immigrant Labor	31
Insurance Matters For Low-Income Adults: Results From a Five-State Survey	31
Given Financial Constraints, It Would Be Unethical To Divert Antiretroviral Drugs From Treatment To Prevention	31
Have State Caps On Malpractice Awards Increased The Supply Of Physicians?	30
Medical Group Responses To Global Payment: Early Lessons From The ‘Alternative Quality Contract’ In Massachusetts	30
Access, Quality, And Financial Performance Of Rural Hospitals Following Health System Affiliation	30
Closing The Schools: Lessons From The 1918–19 U.S. Influenza Pandemic	30
Physician Organization And Care Management In California: From Cottage To Kaiser	30
Homelessness Contributes To Pregnancy Complications	30
Cost-Effectiveness And Evidence Evaluation As Criteria For Coverage Policy	30
In Hospitals With More Nurses Who Have Baccalaureate Degrees, Better Outcomes For Patients After Cardiac Arrest	30
Medical Group Structural Integration May Not Ensure That Care Is Integrated, From The Patient’s Perspective	29
Lessons from the Program on Chronic Mental Illness	29
Veterans Health Administration Investments In Primary Care And Mental Health Integration Improved Care Access	29
Patients Are Not Given Quality-Of-Care Data About Skilled Nursing Facilities When Discharged From Hospitals	29
Insights Into Collaborative Networks Of Nonprofit, Private, And Public Organizations That Address Complex Health Issues	29
News Media Reporting On Medication Treatment For Opioid Use Disorder Amid The Opioid Epidemic	29
Uncovering The Health Challenges Facing People With Disabilities: The Role Of Health Insurance	29
Lessons From Eight Countries On Diffusing Innovation In Health Care	29
Assessing The Capacity Of Local Social Services Agencies To Respond To Referrals From Health Care Providers	29
The Role Of Social, Cognitive, And Functional Risk Factors In Medicare Spending For Dual And Nondual Enrollees	29
The Growth Of Private Equity Investment In Health Care: Perspectives From Ophthalmology	28
Effects Of The Malpractice Crisis On Access To And Incidence Of High-Risk Procedures: Evidence From Florida	28
Violence In Older Adults: Scope, Impact, Challenges, And Strategies For Prevention	28
The View From Managed Care Pharmacy	28
Challenges For Managed Competition From Chronic Illness	28
Retrospective: Lessons Learned From The Santa Barbara Project And Their Implications For Health Information Exchange	28
Transitions In Insurance Coverage From Before Pregnancy Through Delivery In Nine States, 1996–1999	28
Technology-Enabled Consumer Engagement: Promising Practices At Four Health Care Delivery Organizations	28
Waiting In The Wings: Eligibility And Enrollment In The State Children's Health Insurance Program	27
Care Management For Older Adults: The Roles Of Nurses, Social Workers, And Physicians	27
Physician Practice Size And Variations In Treatments And Outcomes: Evidence From Medicare Patients With AMI	27
Medicaid Investments To Address Social Needs In Oregon And California	27
Lessons From India In Organizational Innovation: A Tale Of Two Heart Hospitals	27
Accumulation Of Chronic Conditions At The Time Of Death Increased In Ontario From 1994 To 2013	26
Early Results Of China’s Historic Health Reforms: The View From Minister Chen Zhu	26
Potential Unintended Consequences Of Recent Shared Decision Making Policy Initiatives	26
The Managed Care Backlash And The Task Force In California	26
On Constant Alert: Lessons To Be Learned From Israel’s Emergency Response To Mass-Casualty Terrorism Incidents	26
Extracting Knowledge From Science: A Conversation With Elias Zerhouni	26
Creating Safe And Healthy Neighborhoods With Place-Based Violence Interventions	26
Global Drug Discovery: Europe Is Ahead	26
The State of PPOs: Results from A National Survey	26
Trends In Public Opinion On US Gun Laws: Majorities Of Gun Owners And Non–Gun Owners Support A Range Of Measures	26
Keeping Your Guard Up: Hypervigilance Among Urban Residents Affected By Community And Police Violence	26
Improving The Quality Of Medicaid Personal Assistance Through Consumer Direction	25
Lessons Learned From Flame Retardant Use And Regulation Could Enhance Future Control Of Potentially Hazardous Chemicals	25
Medicare Advantage And Commercial Prices For Mental Health Services	25
Effects Of Maternity-Stay Legislation On ‘Drive-Through Deliveries’	25
Public-Private Partnerships And Antiretroviral Drugs For HIV/AIDS: Lessons From Botswana	25
COVID-19 Mortality Rates Among Nursing Home Residents Declined From March To November 2020	25
Risk Selection Threatens Quality Of Care For Certain Patients: Lessons From Europe’s Health Insurance Exchanges	25
Healthy People 2020: Rural Areas Lag In Achieving Targets For Major Causes Of Death	25