Source: Medcity News, February 6, 2013
Kevin Volpp and David Asch's CMMI project was cited as one of the five ways that Independence Blue Cross is improving patient centered care. The collaboration between IBX and the Penn Medicine Innovation Center is designed to increase medication adherence for patients who were admitted for acute myocardial infarction.
A new study comparing different types of advanced directives conducted by Scott Halpern finds that while most seriously ill patients prefer comfort-oriented care, the default option that was checked on their advance directive dramatically influenced their choice. Halpern comments that this finding makes sense because patients can't be expected to have deep-seated preferences about choices that are rarely encountered and difficult to contemplate.
Source: New York Times, January 10, 2013
In a recent op-ed by New York Times columnist David Brooks on the importance of behavioral economic approaches to informing public policy, work by CHIBE researchers Kevin Volpp, George Loewenstein and Leslie John in contributing to a recent the book on the behavioral foundations of public policy was highlighted with description of a weight loss study we conducted that was published in JAMA in which people trying to lose weight were made eligible for daily sweepstakes and lost three times as much weight as those who were in a control group.
Based on a 2009 IOM report recommending protected sleep periods for residents who work up to 30 hours, Kevin Volpp and colleagues wanted to evaluate the feasibility of a 5 hour protected sleep period for interns. The results show that a protected period of sleep for interns is feasible and can result in an increase in overnight sleep duration and improved alertness the next morning. The study was the first to show that protected sleep periods may provide a reasonable alternative to the intern duty hour reduction that went into effect in July 2011.
Source: Forbes, November 26, 2012
A recent study sponsored by Aetna showed that waiving drug co-pays for heart-attack patients only resulted in a a small improvement in adherence. Kevin Volpp offers his thoughts stating "we need serious rethinking about what happens when medication is dispensed." Volpp and others are experimenting with approaches that offer incentives to patients for taking their medications.
Abu Dhabi is offering the world's first state-sponsored health incentives program. The government will encourage disease-management companies to offer incentives such as airline miles, grocery discounts and cash to those who take steps to lower their risk of diabetes. Kevin Volpp comments that this could be difficult for a wealthy population and the success of the program depends on the design of the program along with the frequency of rewards and whether they take the form of penalties, incentives, discounts or checks in the mail.
Scott Halpern is honored as one of ten recipients of the Robert Wood Johnson Foundation's first ever RWJF Young Leader Awards. This award recognizes leaders under 40 for their exceptional contributions to improving the nation's health care.
"During the relatively short period that our foundation has been operational, these impressive men and women were born and raised and started doing amazing things that can potentially improve the health of all Americans. We're proud to acknowledge their early success, and inspired by the potential they have to improve U.S. health and health care." states the President and CEO of the foundation.
David Asch was one of four Penn experts to participate in a roundtable discussion about the management of health-care related innovation programs. Asch pointed out that "innovation in a health care setting is a highly disciplined enterprise involving scientific rigor, testing and implementation." As executive director of the Penn Medicine Center for Innovation, Asch's vision begins with a focus on how proven techniques from other fields may offer solutions not obvious to traditional clinical thinking.
David Asch, Kevin Volpp and George Loewenstein authored a JAMA Viewpoint article entitled "Choosing Wisely: Low-Value Services, Utilization and Patient Cost Sharing" The article follows the launch of the "Choosing Wisely" initiative which identifies procedures and tests that add little value and may be unnecessary or even cause harm. The authors suggest that the "value-based" strategies that have been proposed to discourage the use of low-value services could be designed more effectively by incorporating insights from psychology and behavioral economics.
As a follow-up to their 2011 paper, "False Positive Psychology," Uri Simonsohn and colleague Leif Nelson developed a 21 word solution to the research transparency problem. Researchers should use the following statement as a disclosure when reporting results of a study:"We report how we determined our sample size, all data exclusions (if any), all manipulations, and all measures in the study." Simonsohn and Nelson hope that by use of the disclosure statement, the field of psychology research will become more transparent.
Dan Polsky has been named executive director of the Leonard Davis Institute at Penn after successor and mentor David Asch stepped down and was appointed executive director of the Penn Medicine Center for Innovation. Poslky has been the director of research at LDI since 2008 and remarks that "it is both an honor and an exciting challenge to lead LDI at a time of such great change across all of health care"
Scott Halpern was named the recipient of this year's Marjorie A. Bowman New Investigator Research Award. As part of the Penn Medicine Awards of Excellence, awardees exemplify the medical profession's highest values: scholarship, innovation, commitment to service, leadership and dedication to patient care.
Kevin Volpp is among one of 70 new members to be elected to the Institute of Medicine. This is considered one of the highest honors in the fields of health and medicine and recognizes individuals who have demonstrated outstanding professional achievement and commitment to service.
Philadelphia Business Journal and UnitedHealthcare are announcing the top winners of their annual Health Care Innovation Awards on November 8th to recognize sources of the most meaningful innovations throughout the Philadelphia metro regions health care community. This year, David Asch and Kevin Volpp have been named finalists for the "Health Improvement" category.
Mark Pauly of the Leonard Davis Institute and colleague Howard Kunreuther collaborated on a new book entitled "Insurance and Behavioral Economics: Improving Decisions in the Most Misunderstood Industry." In an interview for the LDI Health Economist, Mark Pauly notes that the book's target audience is scholars as well as those in the insurance industry, with the goal of making them think more carefully about what they do.
Source: MedCity News, September 27, 2012
A new study funded by the Centers for Medicare and Medicaid Services will offer patients recovering from a heart attack with financial incentives for adhering to their medication regimen. David Asch, who leads this study with Kevin Volpp comments that "we want to find new ways to help people stay on track with their care. So many of our health outcomes depend on … what we do when we are at home or at work, and whether we take our medications, exercise and follow healthy diets."
Researchers from CHIBE and Carnegie Mellon's Center for Behavioral Decision Research convened at Congress Hall in Cape May on September 13-14 for the annual Penn-CMU Roybal Retreat. A mix of presentations, group activities and team building exercises on the beach made for both an informative and exciting opportunity for the two Roybal Centers.
A recent study conducted by Tanja Kral of Penn nursing suggests that some children are less responsive to their internal cues of hunger and fullness, leading to obesity. Tanja suggests “future studies should test whether teaching children to focus on internal satiety cues and structuring the home food environment in a healthy way may prevent at-risk children from overeating.”
LDI's Health Insurance Exchange group members Mark Duggan and Tom Baker recently took part in a roundtable discussion about the issues facing the officials that are designing the new network of health insurance exchanges.
Wharton professors Karen Glanz, David Asch and Mark Pauly weigh in on New York's "soda ban" and the soda excise taxes on ballots in California. They comment that this legislation could convince some consumers to change their habits but could also have unintended consequences such as including increased prices for healthier items and fewer choices for populations that already have limited food options.