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A. Marshall McBean
University of Minnesota
VaccinationPopulationFamily medicineDiabetes mellitusMedicine
28Publications
18H-index
2,301Citations
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Publications 33
Newest
#1Jeah JungH-Index: 2
#2Roger D FeldmanH-Index: 21
Last. Marshall McBean (UMN: University of Minnesota)H-Index: 12
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Specialty drugs can bring substantial benefits to patients with debilitating conditions, such as cancer, but their costs are very high. Insurers/payers have increased patient cost-sharing for specialty drugs to manage specialty drug spending. We utilized Medicare Part D plan formulary data to create the initial price (cost-sharing in the initial coverage phase in Part D), and estimated the total demand (both on- and off-label uses) for specialty cancer drugs among elderly Medicare Part D enrolle...
2 CitationsSource
#1Kyoungrae Jung (PSU: Pennsylvania State University)H-Index: 6
#2Roger D FeldmanH-Index: 21
Last. Alexander M McBeanH-Index: 3
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Pharmacy coverage is an essential benefit in health insurance programs because prescription drugs are cost-effective treatments for many health conditions. However, like other health benefits, drug benefits include consumer cost-sharing mechanisms to control moral hazard. Cost-sharing can be designed in various ways, but it often involves a nonlinear price schedule in which the drug price varies depending on consumers' accumulated drug expenditures. With a deductible, consumers experience a decr...
6 CitationsSource
#1Bahaa S. Malaeb (UMN: University of Minnesota)H-Index: 10
#2Xinhua Yu (U of M: University of Memphis)H-Index: 16
Last. Sean P. Elliott (UMN: University of Minnesota)H-Index: 29
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Objective To report an update of the change in usage trends for different surgical treatments of benign prostatic hyperplasia (BPH) among the United States Medicare population data from 2000-2008. The rate of usage of thermotherapy and laser therapy in the surgical treatment of BPH has been changing over the past decade in conjunction with a steady decrease of transurethral resection of the prostate (TURP). Methods Using the 100% Medicare carrier file for the years 2000-2008, we calculated count...
80 CitationsSource
#1Kyoungrae Jung (PSU: Pennsylvania State University)H-Index: 6
#2A. Marshall McBeanH-Index: 18
Last. Jee Ae Kim (UMN: University of Minnesota)H-Index: 1
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BACKGROUND: Medicare Part D, which provides prescription drug coverage to Medicare beneficiaries, is delivered through either Medicare Advantage prescription drug (MA-PD) plans or stand-alone prescription drug plans (PDPs). MA-PD plans cover both drug therapy and other medical services, whereas PDPs provide prescription drug coverage only. Because of the potential substitutability between prescription drugs and other medical services, MA-PD plans may make greater efforts to improve enrollees’ ad...
14 CitationsSource
#1Harry F. HullH-Index: 3
#2A. Marshall McBean (UMN: University of Minnesota)H-Index: 18
Last. Heidi O'Connor (UMN: University of Minnesota)H-Index: 7
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Abstract Immunizing children could reduce influenza in the elderly. We compared pneumonia and influenza hospitalizations (P&I) and medically attended acute respiratory infections (MAARI) in the Medicare populations in 1 Tennessee and 3 Minnesota counties that immunized school children with live, attenuated influenza vaccine with 4 comparison counties. The P&I rate ratio (RR) of intervention county/comparison county in Tennessee in 2005-06 was 0.74 (95% CI 0.61 – 0.87 which was significantly lowe...
4 CitationsSource
#1Beth A VirnigH-Index: 49
#2Nicole LurieH-Index: 50
Last. Bryan E DowdH-Index: 32
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This paper examines racial variation in quality of and access to care experi- enced by elderly persons enrolled in Medicare+Choice plans. We used eight individual-level Health Plan Employer Data and Information Set (HEDIS) measures to compare whites with blacks, Asians, Hispanics, and Native Americans. Across all measures, black enrollees re- ceived lower-quality care. Hispanics and Native Americans were less likely to receive some types of care but were as likely or more likely to receive other...
#1Freda W Cooner (UMN: University of Minnesota)H-Index: 1
#2Xinhua Yu (UMN: University of Minnesota)H-Index: 16
Last. A. Marshall McBean (UMN: University of Minnesota)H-Index: 18
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This paper considers modelling data arising in post-treatment preventive care settings, where cancer patients who have undergone disease-directed treatment discontinue seeking preventive care services. Clinicians and public health researchers are interested in explaining such behavioural patterns by modelling the time-to-receiving care while accounting for several patient and treatment attributes. A key feature of such data is that a noticeable number of patients would never return for screening...
1 CitationsSource
#1A. Marshall McBean (UMN: University of Minnesota)H-Index: 18
#2Xinhua Yu (UMN: University of Minnesota)H-Index: 16
Last. Beth A Virnig (UMN: University of Minnesota)H-Index: 49
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Introduction Colorectal cancer survivors remain at risk for breast cancer. Thus, it is important to determine if screening mammography rates are reduced by the diagnosis and treatment of incident colorectal cancer.
9 CitationsSource
#1Xinhua Yu (UMN: University of Minnesota)H-Index: 16
#2Sean P. Elliott (UMN: University of Minnesota)H-Index: 29
Last. A. Marshall McBean (UMN: University of Minnesota)H-Index: 18
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Purpose: We describe the trends in transurethral prostatectomy and minimally invasive surgical treatments for benign prostate hyperplasia from 1999 through 2005 among elderly male Medicare beneficiaries.Materials and Methods: Benign prostatic hyperplasia surgeries were identified using the annual 100% Medicare carrier files which contain physician claims for services reimbursed under Medicare Part B. The annual age group specific procedure rates as well as the age adjusted rates by race and perc...
128 CitationsSource
#1A. Marshall McBean (UMN: University of Minnesota)H-Index: 18
#2Xinhua Yu (UMN: University of Minnesota)H-Index: 16
Last. Beth A Virnig (UMN: University of Minnesota)H-Index: 49
view all 3 authors...
Objective The purpose of the study was to determine whether women who survived uterine cancer received 4 recommended preventive services (mammography, colorectal cancer screening, influenza immunization, and bone density testing) at the same rates as women with no history of cancer. Study Design We used the Surveillance, Epidemiology, and End Results–Medicare database to compare the rates among survivors aged 67 years or older with a matched group of women with no history of cancer. Results Surv...
24 CitationsSource
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