Epstein, Andrew J

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2013 - 20163
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  • Publication
    Effects of Autism Spectrum Disorder Insurance Mandates on the Treated Prevalence of Autism Spectrum Disorder
    (2016-07-25) Mandell, David S; Marcus, Steven C; Barry, Colleen L; Xie, Ming; Epstein, Andrew J; Shea, Kathleen; Mullan, Katherine
    Key Findings: State mandates requiring commercial health plans to cover services for children with autism spectrum disorder increased the number of children diagnosed with the disorder. However, diagnosis rates remain much lower than community estimates, suggesting that many commercially insured children with ASD remain undiagnosed or are insured through public plans.
  • Publication
    Adjuvant Chemotherapy Use and Health Care Costs After Introduction of Genomic Testing in Breast Cancer
    (2016-02-03) Epstein, Andrew J; Wong, Yu-Ning; Mitra, Nandita; Vachani, Anil; Hin, Sakhena; Yang, Lin; Armstrong, Katrina; Smith-McLallen, Aaron; Groeneveld, Peter W
    Genomic testing in patients with early-stage breast cancer is associated with decreased use of chemotherapy and lower costs in younger patients, and slightly increased use of chemotherapy and higher costs in older patients. Genomic testing in actual practice may “rule out” chemotherapy in younger women, and “rule in” chemotherapy in older women.
  • Publication
    Effects of Conflict-of-Interest Policies in Psychiatry Residency on Antidepressant Prescribing
    (2013-01-15) Epstein, Andrew J; Asch, David A; Barry, Colleen
    Concerns about the pharmaceutical industry’s influence in academic medical centers and on medical education have led many medical schools and teaching hospitals to adopt conflict-of-interest (COI) policies. Although the restrictiveness of these policies differs, the goal is the same: to shield physicians-in-training from the persuasive aspects of pharmaceutical promotion. But do these policies work? This Issue Brief examines how COI policies affect the prescribing patterns of antidepressants, one of the most heavily promoted drug classes in the past decade. As such, it provides the first empirical evidence of the effects of COI policies in residency on the subsequent prescribing patterns of practicing physicians.