Below are all available peer-reviewed research publications authored by Dr. Amol S. Navathe, MD, PhD, The Parity Center, and/or our associated collaborators.
Our Publications
Association between mandatory bundled payments and changes in socioeconomic disparities for joint replacement outcomes
In this retrospective observational study of dual-eligible and non-dual eligible beneficiaries after hospital participation in the Comprehensive Care for Joint Replacement (CJR) program, the authors found that mandatory participation in a bundled payment program was associated with reduced disparities in joint replacement complications for Medicare beneficiaries with low income. To the authors knowledge, this is the first evidence of reduced socioeconomic disparities in outcomes under value-based payments.
Kilaru AS, Liao JM, Wang E, et al. Association between mandatory bundled payments and changes in socioeconomic disparities for joint replacement outcomes. Health Serv Res. 2024; 1-12.
Clinician Perspectives on Virtual Specialty Palliative Care for Patients With Advanced Illnesses
In this multisite qualitative study, the authors found that clinicians believe that automated referrals and virtual palliative care could increase access to the benefits of specialty palliative care. However, virtual palliative care models should give attention to iterative communication with primary clinicians and the perceived need for an initial in-person visit.
Klaiman T, Steckel J, Hearn C, Diana A, Ferrell WJ, Emanuel EJ, et al. Clinician Perspectives on Virtual Specialty Palliative Care for Patients With Advanced Illnesses. Journal of Palliative Medicine. 2024;27(5):630-7.
The Promise and Challenge of Value-Based Payment
Fee-for-service (FFS) systems pay physicians and health care institutions based on the number of services provided, whereas value-based payment (VBP) links payment to quality and outcomes. In 2021, the Centers for Medicare & Medicaid Services (CMS) announced the goal to use VBP for all Medicare beneficiaries’ health care by 2030. Some commercial insurers are also aligning their contracts to VBP. This broad alignment stems from increasing recognition that to reduce health care costs, incentives must be realigned to change practice patterns, prioritizing quality and cost-lowering over quantity of services.
Shenfeld DK, Navathe AS, Emanuel EJ. The Promise and Challenge of Value-Based Payment. JAMA Intern Med. Published online May 20, 2024. doi:10.1001/jamainternmed.2024.1343
Future Bundled Payment Models Need To Engage Physician Group Practices
This article is the latest in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure patient-centered, cost-efficient care under the umbrella of accountable care. Additional articles will be published throughout 2024.
Kilaru, Austin S. Crowley, Aidan P. Huang, Qian. Navathe, Amol S. "Future Bundled Payment Models Need To Engage Physician Group Practices", Health Affairs Forefront, April 4, 2024.
The next decade of Healthcare
In this article the Editors of Healthcare, including Amol Navathe, MD, PhD, discuss the past ten years, and the future, of the journal.
Jennifer P. Stevens, Amol Navathe, Sachin Jain. The next decade of Healthcare. Healthcare, Volume 12, Issue 1, 2024.
Association of Electronic Self-Scheduling and Screening Mammogram Completion
In this retrospective cohort study, using a difference-in-differences design, Kimberly Waddell et al. examined mammogram completion before versus after the implementation of self-scheduling. The authors found that EHR-based self-scheduling was associated with a significant increase in mammogram completion among primary care patients. Self-scheduling can be a low-cost, scalable function for increasing preventive cancer screenings.
Kimberly J. Waddell, Keshav Goel, Sae-Hwan Park, Kristin A. Linn, Amol S. Navathe, Joshua M. Liao, Caitlin McDonald, Catherine Reitz, Jake Moore, Steve Hyland, Shivan J. Mehta. Association of Electronic Self-Scheduling and Screening Mammogram Completion. American Journal of Preventive Medicine. Volume 66, Issue 3, 2024.
Differential Hospital Participation in Bundled Payments in Communities with Higher Shares of Marginalized Populations
In this cross-sectional study, Crowley et al. examine whether communities with higher proportions of marginalized individuals were less likely to be served by a hospital participating in Bundled Payments for Care Improvement Advanced. The authors found communities with greater shares of dual-eligible beneficiaries, but not racial or ethnic minorities, were less likely to be served by a hospital participating in BPCI-Advanced.
Crowley, A.P., Neville, S., Sun, C. et al. Differential Hospital Participation in Bundled Payments in Communities with Higher Shares of Marginalized Populations. J GEN INTERN MED (2024).
Clinician Perspectives on Virtual Specialty Palliative Care for Patients With Advanced Illnesses
Tamar Klaiman, PhD, MPH et al. present this qualitative analysis of clinician perspectives on barriers and facilitators to utilizing virtual tools to increase upstream access to palliative care. The authors' analysis finds that clinicians believe that automated referrals and virtual palliative care could increase access to the benefits of specialty palliative care. However, virtual palliative care models should give attention to iterative communication with primary clinicians and the perceived need for an initial in-person visit.
Klaiman T, Steckel J, Hearn C, Diana A, Ferrell WJ, Emanuel EJ, et al. Clinician Perspectives on Virtual Specialty Palliative Care for Patients With Advanced Illnesses. Journal of Palliative Medicine. 2024.
The role of payment and financing in achieving health equity
In this paper, Eschliman et al. outline the root causes of health inequity and corresponding potential reforms in five domains: (1) the differential distribution of resources between healthcare providers serving different communities, (2) scarcity of financing for populations most in need, (3) lack of integration/accountability, (4) patient cost barriers to care, and (5) bias in provider behavior and diagnostic tools.
Eschliman BH, Pham HH, Navathe AS, Dale KM, Harris J. The role of payment and financing in achieving health equity. Health Serv Res. 2023; 58(Suppl. 3): 311-317.
The AHEAD Model And The Potential To Advance Equity Through Population-Based Care
This article is in the Health Affairs Forefront series, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure patient-centered, cost-efficient care under the umbrella of accountable care. This article is written by Joshua Liao and Amol Navathe in response to the latest developments in policy and research affecting accountable care.
"The AHEAD Model And The Potential To Advance Equity Through Population-Based Care", Health Affairs Forefront, October 30, 2023.