Associate Professor of Pharmaceutical and Health Economics | Pharmaceutical and Health Economics
Los Angeles, CA, UNITED STATES
John Romley is an expert in health care costs, public health, and health insurance markets and benefits design.
Rev Cycle Intelligrance online
“Hospitalization-based bundling offers a significant opportunity for improved performance within the healthcare system, especially for episodes for which a substantial share of the care associated with an episode is typically delivered after the hospitalization, particularly at PAC facilities,” wrote John A. Romley, Visiting Associate Professor at the Schaeffer Center for Health Policy & Economics at the University of Southern California, and Paul B. Ginsburg, Director of the Center for Health Policy at the USC-Brookings Schaeffer Initiative for Health Policy.view more
The findings, from a retrospective Medicare database analysis of adults aged 65 and older, were published December 7, 2015 in the BMJ by John A Romley, PhD, associate professor at the Leonard D Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, and colleagues.view more
Harvard Business Review online
In fact, one study, conducted by Professor Dana Goldman and Associate Professor (Research) John A. Romley at the Schaeffer Center for Health Policy and Economics at the University of Southern California, showed that amenities are a larger factor in driving traffic to hospitals than clinical quality.view more
AD Hackbarth, JA Romley, DP Goldman
This study investigates racial and ethnic disparities in hospital admission and emergency room visit rates resulting from exposure to ozone and fine particulate matter levels in excess of federal standards ("excess attributable risk"). We generate zip code-level ambient pollution exposures and hospital event rates using state datasets, and use pollution impact estimates in the epidemiological literature to calculate excess attributable risk for racial/ethnic groups in California over 2005-2007. We find that black residents experienced roughly 2.5 times the excess attributable risk of white residents. Hispanic residents were exposed to the highest levels of pollution, but experienced similar excess attributable risk to whites. Asian/Pacific Islander residents had substantially lower excess attributable risk compared to white. We estimate the distinct contributions of exposure and other factors to these results, and find that factors other than exposure can be critical determinants of pollution-related disparities.
John A. Romley, Anupam B. Jena, Dana P. Goldman
To determine the association between hospital spending and risk-adjusted inpatient mortality.
JA Romley et al.
Pharmaceutical companies and generic drug manufacturers have long been at odds over "data exclusivity" regulations. These rules require a waiting period of at least five years before generic drug companies can access valuable clinical trial data necessary to bring less expensive forms of innovative drugs to market. Pharmaceutical companies want the data exclusivity period lengthened to protect their investment. Generic manufacturers want the period shortened so that they can bring less expensive versions of drugs to patients sooner. We examine the long-term effect of extending the data exclusivity period for conventional "small-molecule" drugs to twelve years--the same exclusivity period already extended to large-molecule biologic drugs under the Affordable Care Act. We conclude that Americans would benefit from a longer period of data exclusivity.
JA Romley et al.
In crowded hospital markets, hotel-like amenities for patients play an increasing role in the competition for market share. This development raises important questions about the definition of hospital quality and its benefits and costs to patients and society.