Judith Wagner - Academia.edu (original) (raw)
Papers by Judith Wagner
The Annals of Thoracic Surgery, 2001
Background. In today's cost-conscious health care en-clinical trial, methods of analysis, and app... more Background. In today's cost-conscious health care en-clinical trial, methods of analysis, and approach to previronment, obtaining timely and accurate economic in-senting the results. formation regarding new medical technologies has be-Results. The cost-effectiveness of LVRS relative to come extremely important. The National Emphysema medical therapy will be presented as costs per quality-Treatment Trial, a multicenter, randomized controlled adjusted life years gained. Address reprint requests to Dr Ramsey, Fred Hutchinson Cancer Re-relative to outcomes and costs for other medical procesearch Center,
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguis... more The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce M. Alberts is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Wm. A. Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy's purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr. Wm. A. Wulf are chair and vice chair, respectively, of the National Research Council.
Invest Radiol, 1988
Today, computers are used in several important and fast-growing medical imaging modalities, such ... more Today, computers are used in several important and fast-growing medical imaging modalities, such as digital subtraction angiography, positron emission tomography, magnetic resonance imaging, nuclear medicine, and diagnostic ultrasound. The ultimate test for the computer in medical imaging will be its ability to replace traditional film-based radiography as the mechanism for displaying, communicating, and storing imaging information. This transition will require radiologists and other imagers to accept information in digital form. The speed of that acceptance depends on the economic incentives of the health care system. These are changing as a result of cost containment, which is moving away from fee-for-service toward bundled payment. The increase in capitated health plans will encourage the development of digital radiography systems that realistically trade-off the perceived quality needs of radiologists with the costs of producing and operating such systems.
... Leah Mazade edited the manuscript, assisted by Melissa Burman. ... It would set in place an a... more ... Leah Mazade edited the manuscript, assisted by Melissa Burman. ... It would set in place an array of regulatory and public health initiatives designed to limit the Cigars, pipe tobacco, and other tobacco products are not included in the settlement. 1 Page 8. BOXI. ...
A historical Cost/Utilization Data Warehouse developed in SAS® provides Health Services Evaluatio... more A historical Cost/Utilization Data Warehouse developed in SAS® provides Health Services Evaluation researchers with valuable data for analysis. All medical and hospital services provided at the Mayo Clinic and all services provided in Olmsted County from 1987 to 1998 currently populate the warehouse. The volume of data that is now available created some interesting challenges. Distribution of the metadata was
Cancer metastasis reviews
Consideration of cost-effectiveness has guided public and insurers' decisions about preventiv... more Consideration of cost-effectiveness has guided public and insurers' decisions about preventive services for almost 20 years. Legislative decisions on coverage of specific cancer screening tests under Medicare and Medicaid have traditionally followed studies of their cost-effectiveness. This paper reviews the principles of cost-effectiveness analysis in health care. Cost-effectiveness analysis is a stylized form of investment analysis, where the returns on the investment are measured in improvements in health rather than in dollars and consider society as a whole as the relevant investor. Cost-effectiveness studies of screening for two common cancers, cervical and colorectal, illustrate the strengths and weaknesses of cost-effectiveness analysis. Dependence on models of the disease process, which may be sketchy, and uncertainty about costs and benefits of screening are inherent in the methodology. Although economic evaluations of both cervical and colorectal cancer screening have...
Social Science & Medicine, 1983
Journal of Health Politics, Policy and Law, 1996
... Philip T. Polishuk US Congress, Office of Technology Assessment Leah Wolfe US Congress, Offic... more ... Philip T. Polishuk US Congress, Office of Technology Assessment Leah Wolfe US Congress, Office of Technology Assessment Jacqueline A. Corrigan US Congress, Office of Technology Assessment ... 1987; Lewin-VHI 1993; McIntosh and Murray 1994). ...
Journal of Health Economics, 1984
This paper presents new evideuee on the effects of prospective hospital reimbursement on the diff... more This paper presents new evideuee on the effects of prospective hospital reimbursement on the diffusion of uew medical technologies in American hospitals. The probability, speed, and extent of adoption of five specific new technologies in six states, three with prospective reimbursement and three without, are examiued usiug the results of a hospital survey conducted by the American Hospital Association for this study in 1980. The aualysis demonstrates the inthmm of prospective reimbursement on the diffusion of new technologies. %t is clear as well that these effects depend upon the specific attributes of the prospective reimbursemeut program and the characteristics of the technologies themselves. *The research for this paper was supported by a graut from the Heath Care Finamiug Administration to the Urban Institute (QO. 18"F-97113). T opinions expressed in tis p those of the authors and do not repmsent the views of the Urban authors wish to thank Hospital Association, J. Demis Heffley of the responsibility for errors and omissions rests with the au:itors alone.
JAMA: The Journal of the American Medical Association, 1990
Evaluation of the Oregon Medicaid Proposal: On August 16,1991, the state ofOregon appliedto the U... more Evaluation of the Oregon Medicaid Proposal: On August 16,1991, the state ofOregon appliedto the US Health Care Financing Administration for permis¬ sion to make major revisions in its Medicaid program. While the federal ad¬ ministration was considering Oregon's waiver application, ...
International Journal of Technology Assessment in Health Care, 1987
Today, computers are used in several important and fast-growing medical imaging modalities, such ... more Today, computers are used in several important and fast-growing medical imaging modalities, such as digital subtraction angiography, positron emission tomography, magnetic resonance imaging, nuclear medicine, and diagnostic ultrasound. The ultimate test for the computer in medical imaging will be its ability to replace traditional film-based radiography as the mechanism for displaying, communicating, and storing imaging information. This transition will require radiologists and other imagers to accept information in digital form. The speed of that acceptance depends on the economic incentives of the health care system. These are changing as a result of cost containment, which is moving away from fee-for-service toward bundled payment. The increase in capitated health plans will encourage the development of digital radiography systems that realistically trade-off the perceived quality needs of radiologists with the costs of producing and operating such systems.
Hepatology, 1998
In June 1996, the American Association for the Study of Liver Diseases sponsored a single topic w... more In June 1996, the American Association for the Study of Liver Diseases sponsored a single topic workshop combining a two-day symposium on liver microcirculation in health and diseases1 followed by a two day consensus workshop on portal hypertension and variceal bleeding. ...
Health Affairs, 1991
One of the most striking pieces of medical news in the 1980s revealed the connection between high... more One of the most striking pieces of medical news in the 1980s revealed the connection between high blood cholesterol and a person's likelihood of developing coronary artery disease. In 1985,
Cancer Investigation, 1986
Page 1. Cancer Investigation, 4( l), 61-67 (1986) REPORT FROM CONGRESS Editor: Roger C. Herdman, ... more Page 1. Cancer Investigation, 4( l), 61-67 (1986) REPORT FROM CONGRESS Editor: Roger C. Herdman, MD Diagnosis-Related Groups (DRG) Payment and Clinical Research: In Search of the Problem Judith L. Wagner, Ph ...
Cancer Investigation, 1996
Arthritis Care & Research, 1997
The Annals of Thoracic Surgery, 2001
Background. In today's cost-conscious health care en-clinical trial, methods of analysis, and app... more Background. In today's cost-conscious health care en-clinical trial, methods of analysis, and approach to previronment, obtaining timely and accurate economic in-senting the results. formation regarding new medical technologies has be-Results. The cost-effectiveness of LVRS relative to come extremely important. The National Emphysema medical therapy will be presented as costs per quality-Treatment Trial, a multicenter, randomized controlled adjusted life years gained. Address reprint requests to Dr Ramsey, Fred Hutchinson Cancer Re-relative to outcomes and costs for other medical procesearch Center,
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguis... more The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Bruce M. Alberts is president of the National Academy of Sciences. The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Wm. A. Wulf is president of the National Academy of Engineering. The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine. The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy's purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Bruce M. Alberts and Dr. Wm. A. Wulf are chair and vice chair, respectively, of the National Research Council.
Invest Radiol, 1988
Today, computers are used in several important and fast-growing medical imaging modalities, such ... more Today, computers are used in several important and fast-growing medical imaging modalities, such as digital subtraction angiography, positron emission tomography, magnetic resonance imaging, nuclear medicine, and diagnostic ultrasound. The ultimate test for the computer in medical imaging will be its ability to replace traditional film-based radiography as the mechanism for displaying, communicating, and storing imaging information. This transition will require radiologists and other imagers to accept information in digital form. The speed of that acceptance depends on the economic incentives of the health care system. These are changing as a result of cost containment, which is moving away from fee-for-service toward bundled payment. The increase in capitated health plans will encourage the development of digital radiography systems that realistically trade-off the perceived quality needs of radiologists with the costs of producing and operating such systems.
... Leah Mazade edited the manuscript, assisted by Melissa Burman. ... It would set in place an a... more ... Leah Mazade edited the manuscript, assisted by Melissa Burman. ... It would set in place an array of regulatory and public health initiatives designed to limit the Cigars, pipe tobacco, and other tobacco products are not included in the settlement. 1 Page 8. BOXI. ...
A historical Cost/Utilization Data Warehouse developed in SAS® provides Health Services Evaluatio... more A historical Cost/Utilization Data Warehouse developed in SAS® provides Health Services Evaluation researchers with valuable data for analysis. All medical and hospital services provided at the Mayo Clinic and all services provided in Olmsted County from 1987 to 1998 currently populate the warehouse. The volume of data that is now available created some interesting challenges. Distribution of the metadata was
Cancer metastasis reviews
Consideration of cost-effectiveness has guided public and insurers' decisions about preventiv... more Consideration of cost-effectiveness has guided public and insurers' decisions about preventive services for almost 20 years. Legislative decisions on coverage of specific cancer screening tests under Medicare and Medicaid have traditionally followed studies of their cost-effectiveness. This paper reviews the principles of cost-effectiveness analysis in health care. Cost-effectiveness analysis is a stylized form of investment analysis, where the returns on the investment are measured in improvements in health rather than in dollars and consider society as a whole as the relevant investor. Cost-effectiveness studies of screening for two common cancers, cervical and colorectal, illustrate the strengths and weaknesses of cost-effectiveness analysis. Dependence on models of the disease process, which may be sketchy, and uncertainty about costs and benefits of screening are inherent in the methodology. Although economic evaluations of both cervical and colorectal cancer screening have...
Social Science & Medicine, 1983
Journal of Health Politics, Policy and Law, 1996
... Philip T. Polishuk US Congress, Office of Technology Assessment Leah Wolfe US Congress, Offic... more ... Philip T. Polishuk US Congress, Office of Technology Assessment Leah Wolfe US Congress, Office of Technology Assessment Jacqueline A. Corrigan US Congress, Office of Technology Assessment ... 1987; Lewin-VHI 1993; McIntosh and Murray 1994). ...
Journal of Health Economics, 1984
This paper presents new evideuee on the effects of prospective hospital reimbursement on the diff... more This paper presents new evideuee on the effects of prospective hospital reimbursement on the diffusion of uew medical technologies in American hospitals. The probability, speed, and extent of adoption of five specific new technologies in six states, three with prospective reimbursement and three without, are examiued usiug the results of a hospital survey conducted by the American Hospital Association for this study in 1980. The aualysis demonstrates the inthmm of prospective reimbursement on the diffusion of new technologies. %t is clear as well that these effects depend upon the specific attributes of the prospective reimbursemeut program and the characteristics of the technologies themselves. *The research for this paper was supported by a graut from the Heath Care Finamiug Administration to the Urban Institute (QO. 18"F-97113). T opinions expressed in tis p those of the authors and do not repmsent the views of the Urban authors wish to thank Hospital Association, J. Demis Heffley of the responsibility for errors and omissions rests with the au:itors alone.
JAMA: The Journal of the American Medical Association, 1990
Evaluation of the Oregon Medicaid Proposal: On August 16,1991, the state ofOregon appliedto the U... more Evaluation of the Oregon Medicaid Proposal: On August 16,1991, the state ofOregon appliedto the US Health Care Financing Administration for permis¬ sion to make major revisions in its Medicaid program. While the federal ad¬ ministration was considering Oregon's waiver application, ...
International Journal of Technology Assessment in Health Care, 1987
Today, computers are used in several important and fast-growing medical imaging modalities, such ... more Today, computers are used in several important and fast-growing medical imaging modalities, such as digital subtraction angiography, positron emission tomography, magnetic resonance imaging, nuclear medicine, and diagnostic ultrasound. The ultimate test for the computer in medical imaging will be its ability to replace traditional film-based radiography as the mechanism for displaying, communicating, and storing imaging information. This transition will require radiologists and other imagers to accept information in digital form. The speed of that acceptance depends on the economic incentives of the health care system. These are changing as a result of cost containment, which is moving away from fee-for-service toward bundled payment. The increase in capitated health plans will encourage the development of digital radiography systems that realistically trade-off the perceived quality needs of radiologists with the costs of producing and operating such systems.
Hepatology, 1998
In June 1996, the American Association for the Study of Liver Diseases sponsored a single topic w... more In June 1996, the American Association for the Study of Liver Diseases sponsored a single topic workshop combining a two-day symposium on liver microcirculation in health and diseases1 followed by a two day consensus workshop on portal hypertension and variceal bleeding. ...
Health Affairs, 1991
One of the most striking pieces of medical news in the 1980s revealed the connection between high... more One of the most striking pieces of medical news in the 1980s revealed the connection between high blood cholesterol and a person's likelihood of developing coronary artery disease. In 1985,
Cancer Investigation, 1986
Page 1. Cancer Investigation, 4( l), 61-67 (1986) REPORT FROM CONGRESS Editor: Roger C. Herdman, ... more Page 1. Cancer Investigation, 4( l), 61-67 (1986) REPORT FROM CONGRESS Editor: Roger C. Herdman, MD Diagnosis-Related Groups (DRG) Payment and Clinical Research: In Search of the Problem Judith L. Wagner, Ph ...
Cancer Investigation, 1996
Arthritis Care & Research, 1997