Experience
Publications
Read their latest work
Article
The evolution of biosimilars in the United States
08 November 2024 - by Jennifer Carioto, Melissa A. Caplen, Hanaa Siddiqi, Benjamin Diner
We answer some FAQs to help employers decide whether to sponsor a market-based cash balance plan.
Article
A 4-year retrospective claims analysis of oral corticosteroid use and health conditions in newly diagnosed Medicare FFS patients with COPD
17 October 2022 - by Bruce S. Pyenson, Melissa A. Caplen, Carol Bazell, Dane Hansen, Maggie Alston, Michael Pollack, Alejandro P Comellas, Sanjay Sethi, Anthony Staresinic, John Styczynski, Norbert Feigler
Using systemic oral corticosteroid (OCS) in treatment of chronic obstructive pulmonary disease (COPD) has risks, highlighting the need for prevention and therapy.
Article
Thromboprophylaxis patterns of care following surgery
10 March 2021 - by Kate Fitch, Christine Ferro, Melissa A. Caplen, David Destephano
Thromboprophylaxis patterns of care following surgery show underutilization with respect to guideline recommendations
Article
Treatment patterns for patients with CAR T-indicated lymphoma diagnoses receiving third or later-line therapy
02 December 2020 - by Maggie Alston, Carol Bazell, Melissa A. Caplen, Mila Shapoval, Annaliese Mugele
Milliman performed a detailed descriptive analysis to identify the characteristics and treatment patterns of potentially chimeric antigen receptor T-cell therapy eligible adult relapsed/refractory disease B-cell lymphoma patients covered by commercial insurance or Medicare fee-for-service.
Article
Hospice Medicare Margins: Analysis of Patient and Hospice Characteristics, Utilization, and Cost
25 November 2019 - by Carol Bazell, Melissa A. Caplen, William Coates, Pamela M. Pelizzari, Bruce S. Pyenson
This report is an analysis of how hospices’ Medicare margins relate to the characteristics of the Medicare patients served and the characteristics of the hospice itself, focusing on hospice ownership status.
Article
Understanding the Part D spending dynamics of heart failure patients
11 June 2019 - by Melissa A. Caplen, Gabriela Dieguez, Jared Hirsch, Amy Kwong
This paper examines the Part D spending of Medicare patients with heart failure.
Article
No apparent workup for most new indeterminate pulmonary nodules in US commercially-insured patients
13 May 2019 - by Carol Bazell, Melissa A. Caplen, Bruce S. Pyenson
This article examines the pattern and cost of indeterminate pulmonary nodule workup in real-world practice using insurer administrative claims for commercially insured individuals.