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
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.
Pneumonia is not just pneumonia: Differences in utilization and costs with common comorbidities
In this retrospective cohort study, the authors sought to explore the heterogeneity among patients hospitalized with pneumonia, a condition targeted in payment reform. They found that compared to patients with pneumonia only, patients with COPD and/or heart failure had higher episode payments.
Lee JT, Navathe AS, Werner RM. Pneumonia is not just pneumonia: Differences in utilization and costs with common comorbidities. J Hosp Med. 2023; 18: 1004-1007. doi:10.1002/jhm.13215
Spending Patterns Among Commercially Insured Individuals During the COVID-19 Pandemic
In this cross-sectional study, Parikh et al. describe trends in US health care spending in a large, national, and commercially insured population during the COVID-19 pandemic. The authors report the COVID-19 pandemic induced a spending shock in 2020, and health care spending did not recover to near baseline until mid-2021, with some emerging evidence of pent-up demand. The observed spending below baseline through the end of 2021 will pose challenges to setting spending benchmarks for alternative payment and shared savings models.
Parikh, Ravi B.; Emanuel, Ezekiel J.; Yueming Zhao; Pagnotti, David R.; Hagen, Stuart; Pizza, David A.; Navathe, Amol S. Spending Patterns Among Commercially Insured Individuals During the COVID-19 Pandemic. American Journal of Managed Care, 2023, Vol 29, Issue 10, p517
Embedding Equity In Financial Benchmarks: Changes To The Health Equity Benchmark Adjustment
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.
Navathe, Amol S. Liao, Joshua M. "Embedding Equity In Financial Benchmarks: Changes To The Health Equity Benchmark Adjustment", Health Affairs Forefront, September 28, 2023.
Association of High‐Deductible Health Plans With Health Care Use and Costs for Patients With Cardiovascular Disease
In this longitudinal cohort study, Gupta et al. found that among commercially insured patients with chronic cardiovascular disease, switching to an HDHP was not associated with a change in health care use but was associated with an increase in out‐of‐pocket costs. Although health care use by individuals with chronic cardiovascular disease may not be sensitive to higher cost sharing associated with HDHP enrollment, there may be a significant increase in patients' financial burden.
Gupta R, Yang L, Lewey J, Navathe AS, Groeneveld PW, Khatana SAM. Association of High‐Deductible Health Plans With Health Care Use and Costs for Patients With Cardiovascular Disease. Journal of the American Heart Association. 2023;12(19):e030730.
Distinctive Features In The Making Care Primary Model
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.
Liao JM, Navathe AS. "Distinctive Features In The Making Care Primary Model", Health Affairs Forefront, August 21, 2023.
Principles to Inform Risk Adjustment: Policy Reflection From the Front Lines
Amol Navathe and Daniel M. Horn give a reflection from the front lines and practicing clinicians and clinical leaders.
Horn DM, Navathe AS. Principles to Inform Risk Adjustment Policy: Reflection From the Front Lines. JAMA. Published online August 11, 2023. doi:10.1001/jama.2023.12830