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Journal articles on the topic 'Claims vs. Washington (State)'

Author: Grafiati

Published: 4 June 2021

Last updated: 29 July 2025

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1

Morenz, Anna M., Jonathan Staloff, Joshua M. Liao, and Edwin S. Wong. "Use of New Audio-Only Telemedicine Claim Modifiers." JAMA Network Open 6, no. 12 (2023): e2348224. http://dx.doi.org/10.1001/jamanetworkopen.2023.48224.

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ImportancePolicymakers at both the state and federal levels face decisions about coverage of audio-only telemedicine amid a dearth of reliable data due to changes and variation in billing practices.ObjectiveTo describe early trends in the use of new audio-only telemedicine claims modifiers 93 and FQ in Washington State, which were introduced to improve the designation and identification of audio-only telemedicine claims.Design, Setting, and ParticipantsThis retrospective cohort study analyzed claims data from the Washington All-Payer Claims Database from January to November 2022. Participants

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2

Shih, Lauren, Qin Sun, Catherine R. Fedorenko, et al. "Molecular testing utilization in patients with advanced non-small cell lung cancer (NSCLC) in Washington (WA) state." Journal of Clinical Oncology 41, no. 16_suppl (2023): 6596. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.6596.

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6596 Background: Therapies targeted at driver mutations (e.g. EGFR, ALK) in NSCLC have contributed to improved patient survival. While current guidelines recommend that all patients diagnosed with stage IV NSCLC undergo molecular testing to determine eligibility for targeted therapies, real-world testing patterns have not been well described. In a retrospective study using cancer registry and insurance claims, we evaluated rates of molecular testing in a population-based sample of NSCLC patients in WA. Methods: We linked WA state cancer registry records from 2017-2019 with claims records for M

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3

Khaki, Ali Raza, Yuan Xu, Catherine R. Fedorenko, et al. "Intensity of end-of-life (EOL) cancer care in Western Washington (WA) versus Alberta (AB), Canada (CA)." Journal of Clinical Oncology 37, no. 27_suppl (2019): 89. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.89.

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89 Background: Aggressive care at the EOL may lead to unnecessary suffering and healthcare costs for patients (pts) with cancer. Despite similar populations and state-of-the-art cancer delivery systems, we hypothesize that EOL care may be more intense in the United States (US) multi-payer system vs the CA single-payer system. Using cancer registry and claims data, we compared EOL cancer care between WA and AB. Methods: Adult pts with AJCC stage II-IV solid tumors who died between 2014 and 2016 were identified from regional population-based cancer registries in WA and AB. Data sources were 1) W

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4

Manohar, Poorni, Catherine R. Fedorenko, Qin Sun, et al. "Real-world practice patterns in the diagnosis of recurrent metastatic breast cancer in Washington state." Journal of Clinical Oncology 40, no. 16_suppl (2022): e13640-e13640. http://dx.doi.org/10.1200/jco.2022.40.16_suppl.e13640.

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e13640 Background: Evidence-based, national guidelines for the diagnosis of recurrent metastatic breast cancer (MBC) recommend confirmation of recurrence with biopsy and reassessment of biomarker status. Real world practice patterns may demonstrate disparities in adherence to guidelines with implications for patients and health systems. Methods: We utilized the Hutchinson Institute for Cancer Outcomes Research (HICOR) data repository that links Washington State cancer registry data to enrollment and claims from the major insurance payers in the state. We identified women > 18 years old diag

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Manohar, Poorni, Catherine R. Fedorenko, Qin Sun, et al. "Real-world practice patterns in the diagnosis of recurrent metastatic breast cancer in Washington state." Journal of Clinical Oncology 40, no. 16_suppl (2022): e13640-e13640. http://dx.doi.org/10.1200/jco.2022.40.16_suppl.e13640.

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e13640 Background: Evidence-based, national guidelines for the diagnosis of recurrent metastatic breast cancer (MBC) recommend confirmation of recurrence with biopsy and reassessment of biomarker status. Real world practice patterns may demonstrate disparities in adherence to guidelines with implications for patients and health systems. Methods: We utilized the Hutchinson Institute for Cancer Outcomes Research (HICOR) data repository that links Washington State cancer registry data to enrollment and claims from the major insurance payers in the state. We identified women > 18 years old diag

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Goulart, Bernardo H. L., Shasank Chennupati, Kathryn Egan, Catherine R. Fedorenko, and Scott David Ramsey. "Predictors of delays in initiation of oral tyrosine kinase inhibitors (TKIs) in EGFR and ALK positive advanced non-small cell lung cancer (NSCLC)." Journal of Clinical Oncology 37, no. 27_suppl (2019): 134. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.134.

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134 Background: Molecular testing practices and cost-sharing policies may result in delayed initiation of TKI therapy. We assessed predictors of delayed initiation of TKIs in metastatic EGFR+ or ALK+ NSCLC. Methods: We identified patients with EGFR+ and ALK+ NSCLC diagnosed between 01/01/2010 and 12/31/2016 in the Washington State SEER registry using validated natural language processing methods. We linked registry records to commercial and Medicare (including part D) claims. Eligible patients had stage IV NSCLC, sensitizing EGFR mutations or ALK+ by FISH, ≥ 1 pharmacy claims for EGFR or ALK T

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7

Ramsey, S. D., S. D. Sullivan, J. Malin, D. K. Blough, L. Clarke, and J. S. McCune. "Colony stimulating factor use and outcomes for breast, lung, and colorectal cancer patients in Washington State." Journal of Clinical Oncology 25, no. 18_suppl (2007): 6616. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.6616.

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6616 Background: Guidelines recommend colony stimulating factor (CSF) primary prophylaxis (PP) with chemotherapy if febrile neutropenia risk (FN) is =20%. Use of and outcomes for persons receiving CSF in clinical practice are relatively unknown. Methods: Using claims for Medicare and Medicaid enrollees linked to the Puget Sound SEER registry, breast (BCa), lung (LCa) and colorectal cancer (CRCa) patients diagnosed 2002–04 who received chemotherapy were categorized as: CSF at the start of chemotherapy (PP); other CSF; no CSF. Logistic regression was used to determine predictors of CSF PP and ho

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8

Shih, Lauren, Qin Sun, Catherine R. Fedorenko, et al. "End of life (EOL) care in head and neck squamous cell carcinoma (HNSCC) compared to other solid tumors (OST) in Washington (WA) State." Journal of Clinical Oncology 42, no. 16_suppl (2024): 11147. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.11147.

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11147 Background: Real world data describing EOL care in HNSCC is limited. We performed a retrospective study evaluating EOL in HNSCC vs OST in a population-based sample of patients in WA. Methods: We used a database linking WA state cancer registry records with claims records from Medicare, Medicaid, and two large commercial insurers. Patients with HNSCC (oral cavity, oropharynx, hypopharynx, or larynx) were compared to OST (any solid tumor diagnosis). Adults with AJCC stage II-IV or SEER stage Regional/Distant who died in 2011-2021 with continuous insurance enrollment 6 months before death w

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9

Manohar, Poorni, Hannah M. Linden, Joshua A. Roth, et al. "Real-world practice patterns in treatment of metastatic breast cancer in Washington State." Journal of Clinical Oncology 39, no. 15_suppl (2021): e13038-e13038. http://dx.doi.org/10.1200/jco.2021.39.15_suppl.e13038.

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e13038 Background: Evidence-based, national guidelines for the management of metastatic breast cancer (MBC) recommend numerous treatment options that do not capture the nuances of real-world practice. Disparities may exist across Washington State with financial implications for patients and health systems. The objective of this study was to assess practice patterns around treatment of ER+/HER2- MBC in actual clinical practice. Methods: We collaborated with Hutchinson Institute for Cancer Outcomes Research (HICOR) to link enrollment and insurance claims records with Washington State cancer regi

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10

Goulart, Bernardo H. L., Joseph M. Unger, Shasank Chennupati, Kathryn Egan, Catherine R. Fedorenko, and Scott David Ramsey. "Effect of high patient out-of-pocket (OOP) cost for oral tyrosine kinase inhibitors (TKIs) on survival in EGFR and ALK positive stage IV non-small cell lung cancer (NSCLC)." Journal of Clinical Oncology 37, no. 27_suppl (2019): 3. http://dx.doi.org/10.1200/jco.2019.37.27_suppl.3.

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3 Background: Patients with EGFR+ or ALK+ NSCLC benefit from oral TKIs, but high patient OOP TKI costs could negatively impact survival by reducing likelihood of continuing TKI therapy. We assessed the association of high OOP TKI costs with overall survival (OS), medication possession ratio (MPR) and duration of TKI therapy (DOT) in patients with metastatic EGFR+ and ALK+ NSCLC. Methods: We identified patients with EGFR+ and ALK+ NSCLC diagnosed between 01/01/2010 and 12/31/2016 in the Washington State SEER registry using natural language processing, followed by manual confirmation of molecula

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Merkhofer, Cristina, Shasank Chennupati, Qin Sun, et al. "Cost implications of clinical trial (CT) participation in metastatic non-small cell lung cancer (NSCLC)." Journal of Clinical Oncology 38, no. 15_suppl (2020): 7084. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.7084.

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7084 Background: To assess the value of CTs in advanced NSCLC from the payer perspective, we compared insurance-related total direct medical costs for NSCLC patients who enrolled in CTs vs. those who did not. Methods: After linking electronic health records with tumor registry and claims data, we identified 101 patients with metastatic NSCLC diagnosed between 1/1/2007 and 12/31/2015 and treated at the Seattle Cancer Care Alliance. Eligibility criteria included 60-day minimum survival, claims for ≥ 1 anti-cancer drug within 180 days of diagnosis and insurance enrollment for the first 12 months

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12

Manohar, Poorni, Hannah Linden, Veena Shankaran, et al. "Abstract P4-07-47: Real-world practice patterns in the management of metastatic breast cancer in Washington State." Cancer Research 83, no. 5_Supplement (2023): P4–07–47—P4–07–47. http://dx.doi.org/10.1158/1538-7445.sabcs22-p4-07-47.

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Abstract Background: Evidence-based recommendations for the management of metastatic breast cancer (MBC) endorse confirmation of recurrence with biopsy and reassessment of biomarker status. National guidelines support numerous treatment options and do not capture the nuances of real-world practice. Real world data may demonstrate disparities in adherence to guidelines. Methods: We collaborated with Hutchinson Institute for Cancer Outcomes Research (HICOR) to link enrollment and insurance claims records with Washington State cancer registries from 2008-2017. Our cohort comprised of women &g

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13

Khaki, Ali Raza, Yuan Xu, Shasank R. Chennupati, et al. "Intensity of End of Life Care for Hematologic Malignancy Patients in Western Washington, United States and Alberta, Canada." Blood 136, Supplement 1 (2020): 21. http://dx.doi.org/10.1182/blood-2020-134825.

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Background: Aggressive care at the end of life (EOL) leads to unnecessary suffering and healthcare costs for patients with cancer. We have previously shown that among patients with solid tumor malignancies, EOL utilization of chemotherapy, intensive care unit (ICU) admissions and &gt;1 emergency department (ED) visits are higher in Washington State vs Alberta (AB). In this study, we use cancer registry and claims data to compare EOL care among patients with hematological malignancies between western Washington (WW) and AB. Methods: Adult patients with hematological malignancies diagnosed b

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14

Gao, Yongwen, Joseph Gilbertson, and Hongyan Zhang. "The isotopic differences and implications for Pacific razor clams along the Washington coast." E3S Web of Conferences 98 (2019): 12005. http://dx.doi.org/10.1051/e3sconf/20199812005.

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The Pacific razor clam fishery in Washington State has been co-managed by the coastal Indian Tribes and the state, but little is known about the growth and population structure of the clams due to difficulties of tagging and monitoring. Here we report the results of a pilot study using stable isotope ratios (δ13C and δ18O) of razor clam shells collected in two groups (juvenile vs. adult) and from two sites (Kalaloch Beach and Roosevelt Beach) where distinct biological differences in clam growth and survival rates were observed. The δ13C values of razor clam shells ranged from -2.9 to -0.3‰, wh

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15

Li, Li, Catherine R. Fedorenko, Karma L. Kreizenbeck, Veena Shankaran, and Scott David Ramsey. "Measuring substance use disorder (SUD) in commercial and Medicaid insured patients with cancer in Washington state." JCO Oncology Practice 19, no. 11_suppl (2023): 177. http://dx.doi.org/10.1200/op.2023.19.11_suppl.177.

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177 Background: Studies have shown that SUDs not only impact cancer risk, treatment, and survivorship but also increase ED and hospital use. We sought to characterize SUD within Medicaid enrollees diagnosed with cancer in Washington state, hypothesizing thatMedicaid enrollees were more likely to be diagnosed with SUDs than commercial enrollees, and that patients with an SUD experienced higher rates of emergency department (ED) visits or inpatient (IP) stays during initial cancer treatment. Methods: We linked Washington State cancer registry records with claims data from two large commercial in

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16

Lee, H. H., L. Faundez, C. Yarbrough, C. W. Lewis, and A. T. LoSasso. "Patterns in Pediatric Dental Surgery under General Anesthesia across 7 State Medicaid Programs." JDR Clinical & Translational Research 5, no. 4 (2020): 358–65. http://dx.doi.org/10.1177/2380084420906114.

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Objectives: Children’s access to dental general anesthesia (DGA) is limited, with highly variable wait times. Access factors occur at the levels of facility, dental provider, and anesthesia provider. It is unknown if these factors also influence utilization of dental surgery. We characterized patterns in DGA utilization by system, provider, population, and individual disease levels to explain variation. Methods: We conducted a cross-sectional analysis of Medicaid-enrolled children (≤9 y) who received DGA in Massachusetts, Maryland, Texas, Connecticut, Washington, Illinois, and Florida from 201

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Su, Christopher T., Rahul Banerjee, Li Li, et al. "Associations of Long-Term Financial Hardship with Autologous Transplant and Overall Survival in Patients with Multiple Myeloma." Blood 144, Supplement 1 (2024): 3661. https://doi.org/10.1182/blood-2024-211677.

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Background Financial fragility at the time of multiple myeloma (MM) diagnosis, defined by adverse financial events such as delinquent debt or bankruptcy, is associated with delays in treatment initiation and decreased rates of autologous stem cell transplant (ASCT). Chronic MM treatment is associated with significant out-of-pocket (OOP) expenses which can further worsen patient finances and cause long-term financial hardship. Little is known about patients with MM and long-term financial hardship, including rates of ASCT and overall survival (OS). Using a novel database of linked credit report

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18

Selyanin, Yaroslav V. "U.S. vs. Russia: Cyber «Drang nach Osten»." USA & Canada Economics – Politics – Culture, no. 9 (December 15, 2024): 62–77. http://dx.doi.org/10.31857/s2686673024090058.

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In June 2022, the commander of U.S. Cyber Command, Paul Nakasone, disclosed that his soldiers had conducted offensive cyberattacks against Russia before the Special military operation in Ukraine began. These so-called “hunt forward” operations are part of USCYBERCOM’s doctrine of persistent engagement. This doctrine involves the personnel of the Cyber Nation Mission Forces deploying to partner countries to work with their cyber defenders in their most critical networks and computer systems. Their mission is to search for and degrade enemy activities, while also researching their tools and tact

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Su, Christopher, Rahul Banerjee, Li Li, et al. "Association between financial fragility and treatment patterns in multiple myeloma." Journal of Clinical Oncology 42, no. 16_suppl (2024): 11085. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.11085.

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11085 Background: Multiple myeloma (MM) drugs are associated with significant out-of-pocket costs. We hypothesize that patients with financial fragility (FF) may receive suboptimal MM treatment, as they might be less likely to be able to access and afford these medications compared to patients in good financial standing. We examined the association between FF and MM treatment by using a novel database that links patient-level credit records to cancer and claims data in Washington (WA) state. Methods: We conducted a retrospective analysis of newly diagnosed patients with MM (2012-2020) with Med

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Kwendakwema, Chipo Natasha, Li Li, Kaiyue Yu, et al. "The impact of adverse financial events on healthcare utilization and treatment costs at the end of life." Journal of Clinical Oncology 41, no. 16_suppl (2023): 6517. http://dx.doi.org/10.1200/jco.2023.41.16_suppl.6517.

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6517 Background: Patients with cancer are at higher risk of bankruptcy and other adverse financial events (AFEs) compared to similar individuals without cancer. However, little is known about how AFEs affect cancer care, particularly at the end of life (EOL). We investigated the association between AFEs, healthcare utilization, and healthcare costs at the EOL among patients with cancer. Methods: Western Washington Surveillance Epidemiology and End Results (SEER) cancer registry cases were linked to credit records from TransUnion and to claims from commercial payers and Medicare. Patients with

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21

Simonton, Kevin J. "Washington State Summary of Work-Related Musculoskeletal Disorders by Industry." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 41, no. 1 (1997): 614–18. http://dx.doi.org/10.1177/1071181397041001135.

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An analysis of work-related musculoskeletal disorders (MSDs) in Washington State using workers' compensation claims and Bureau of Labor Statistics (BLS) data was conducted in order to identify high risk industries. All claims and BLS cases from 1992–1994 were searched using a specific MSD selection criteria and grouped by risk classification and standard industrial classification (SIC). Twenty-seven percent of all State Fund claims were classified as MSDs. The mean annual cost of MSDs was $166.8 million. Incidence rate claims data showed clerical offices ranked 286 out of 303 risk classes with

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22

Lipscomb, Hester J., John Kalat, and John M. Dement. "Workers' Compensation Claims of Union Carpenters 1989–1992: Washington State." Applied Occupational and Environmental Hygiene 11, no. 1 (1996): 56–63. http://dx.doi.org/10.1080/1047322x.1996.10389123.

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23

Hofmann, Jonathan, Karen Snyder, and Matthew Keifer. "A descriptive study of workers' compensation claims in Washington State orchards." Occupational Medicine 56, no. 4 (2006): 251–57. http://dx.doi.org/10.1093/occmed/kql018.

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24

Ramsey, Scott David, Karma L. Kreizenbeck, Laura Elizabeth Panattoni, et al. "The Washington State Community Cancer Care Report: A multi-stakeholder effort to characterize quality of care and costs for Washington State oncology practices." Journal of Clinical Oncology 36, no. 30_suppl (2018): 31. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.31.

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31 Background: Although many quality measures exist in oncology, there have been few efforts to prioritize, measure, and report quality and costs for an entire region. Here, we report the results of a multi-year, multi-stakeholder effort aimed at public reporting of nationally recognized quality metrics for oncology practices in Washington State. Methods: Quality metrics were selected from nationally-recognized measures through a structured process involving oncology providers, health insurance leaders, patient advocates, and policy experts. Cancer registry records from 2014 to 2016 were linke

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Shah, Syed M., David Bonauto, Barbara Silverstein, and Michael Foley. "Workers' Compensation Claims for Needlestick Injuries Among Healthcare Workers in Washington State, 1996-2000." Infection Control & Hospital Epidemiology 26, no. 9 (2005): 775–81. http://dx.doi.org/10.1086/502616.

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AbstractObjectives:To characterize accepted workers' compensation claims for needlestick injuries filed by healthcare workers (HCWs) in non-hospital compared with hospital settings in Washington State.Design:Descriptive study of all accepted workers' compensation claims filed between 1996 and 2000 for needlestick injuries.Participants:All Washington State HCWs eligible to file a state fund workers' compensation claim and those who filed a workers' compensation claim for a needlestick injury.Results:There were 3,303 accepted state fund HCW needlestick injury claims. The incidence of needlestick

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26

Mandal, Bidisha. "Avoidable Emergency Department Visits: Differences between Texas and Washington Medicaid Enrollees." Journal of Health and Human Services Administration 42, no. 2 (2019): 142–65. http://dx.doi.org/10.1177/107937391904200201.

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Administrative claims data from 2012 are used from Texas and Washington State to understand state differences in the likelihood of non-urgent emergency department utilization prior to the implementation of the Affordable Care Act. Texas is currently the largest state that has opted to not expand Medicaid. Washington State has expanded Medicaid, and it had more generous pre-expansion Medicaid income eligibility criterion compared to Texas. I find that emergency department use for non-urgent reasons was higher in Texas compared to the state of Washington in 2012. Additionally, in Texas, there wa

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27

Jacobson, Alex. "An assessment of limited and comprehensive orthodontic insurance claims in Washington state." American Journal of Orthodontics and Dentofacial Orthopedics 129, no. 1 (2006): 81. http://dx.doi.org/10.1016/j.ajodo.2005.05.023.

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28

Yglesias, Caren. "To Build a Metaphor: L’Enfant’s Design for the City of Washington." Journal of Planning History 18, no. 3 (2018): 172–95. http://dx.doi.org/10.1177/1538513218798346.

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Recent scholarship provides evidence for reconsidering the original urban plan for Washington, DC, one of the world’s few planned cities. Commissioned by President George Washington in 1791, Pierre L’Enfant did not, as some scholarship claims, simply follow baroque urban design concepts with associated geometric patterns for his design. Rather, the character of the land guided the location of public squares, each for a state with a “reciprocity of sight” along communicating avenues. L’Enfant conceived of these individual but visually linked state districts as a metaphor that demonstrated a new

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29

Ramsey, Scott David, Qin Sun, Catherine R. Fedorenko, Karma L. Kreizenbeck, and Veena Shankaran. "BRCA1/2 germline testing among eligible persons with breast cancer in Washington state: A retrospective study using state cancer registry and claims data." JCO Oncology Practice 19, no. 11_suppl (2023): 154. http://dx.doi.org/10.1200/op.2023.19.11_suppl.154.

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154 Background: Clinical practice guidelines have recommended germline testing certain groups of breast cancer patients (men, younger women, and triple negative) for pathogenic BRCA1/2 mutations since 1996. We linked cancer registry records with enrollment and claims records from public and commercial insurers in Washington state to assess factors associated with BRCA1/2 testing among eligible persons with breast cancer. Methods: The database consisted of Washington SEER and state cancer registry records linked with claims records from commercial insurers (Premera Blue Cross, Regence Blue Shie

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30

Davis, Dale A., Dean C. Smith, and Dan Doty. "Beyond Natural Resource Damage Assessment: A Navy/State of Washington Oil Spill Restoration Partnership." International Oil Spill Conference Proceedings 1999, no. 1 (1999): 1203–4. http://dx.doi.org/10.7901/2169-3358-1999-1-1203.

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ABSTRACT Money from oil spill natural resource damage claims in Washington State is used primarily to fund environmental restoration and enhancement projects, but all parties liable for oil spills in the state are invited to propose and perform resource restoration projects in lieu of monetary compensation. As a result of numerous oil spills from Naval vessels and facilities in Washington and the high probability of future spills, Naval Base Seattle developed a comprehensive restoration program that lists potential restoration projects for Navy facilities throughout Washington, and supports re

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31

McDermott, Cara L., Catherine R. Fedorenko, Qin Sun, et al. "Polypharmacy and medication costs at end of life among commercially insured adults age 65 and older with cancer." Journal of Clinical Oncology 36, no. 34_suppl (2018): 65. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.65.

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65 Background: Polypharmacy, or the concurrent use of multiple medications, may expose patients to drug-drug interactions and excessive costs. There are limited data on polypharmacy for commercially insured older adults, primarily Medicare Advantage patients, that may have better access to medication management services than Medicare fee-for-service patients. We characterized medication use and out-of-pocket (OOP) medication costs in the last month of life among patients age 65+ who did not enroll in hospice to examine medication use in this population. Methods: We linked enrollment and claims

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32

Horwitz, Irwin B., and John D. Kammeyer-Mueller. "Natural Rubber Latex Allergy Workers' Compensation Claims: Washington State Healthcare Workers, 1991-1999." Applied Occupational and Environmental Hygiene 17, no. 4 (2002): 267–75. http://dx.doi.org/10.1080/10473220252826574.

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33

Fedorenko, Catherine R., Laura Elizabeth Panattoni, Julia Rose Walker, Li Li, Karma L. Kreizenbeck, and Scott David Ramsey. "Comparing quality of care for Medicaid and commercially insured patients with cancer in Washington State." Journal of Clinical Oncology 36, no. 30_suppl (2018): 75. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.75.

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75 Background: Uniformity in receipt of high quality cancer care is imperative to reduce health care disparities. In order to help prioritize efforts aimed at reducing disparities in care, we compared several quality metrics for Washington State cancer patients enrolled in Medicaid and commercial insurance plans. Methods: We linked 2014-2016 Washington state cancer registry records for cancer patients under the age of 65 with enrollment and claims records for the two largest commercial insurers in the state and Medicaid. We then generated thirteen nationally recognized quality measures. Outcom

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34

Dionne, C. E., M. Söderström, and S. M. Schwartz. "Seasonal Variation of Twin Births in Washington State." Acta geneticae medicae et gemellologiae: twin research 42, no. 2 (1993): 141–49. http://dx.doi.org/10.1017/s0001566000002038.

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AbstractTwin births are known to vary across seasons in several countries. It has been hypothesized that this variation may be due to seasonal changes in luminosity leading to pineal gland-mediated multiovulation among susceptible mothers. To describe seasonal variation of twin births in Washington State, all mothers residing in Washington State who gave birth to both a pair of twins and a singleton baby between 1984-1990 (n = 1168) were identified through linkage of computerized State birth certificates. Using a “matched-on-mother” case-control design, the estimated month of conception of twi

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35

McDermott, Cara L., Catherine R. Fedorenko, Mikael Anne Greenwood-Hickman, et al. "Polypharmacy and out-of-pocket medication costs in the last month of life among commercially insured patients with advanced cancer: Insights from linking a regional cancer registry and insurance claims." Journal of Clinical Oncology 35, no. 31_suppl (2017): 79. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.79.

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79 Background: Polypharmacy, defined as the concurrent use of multiple medications, may expose patients to drug-drug interactions and excessive medication costs. Patients with advanced cancer may benefit from medication discontinuation when faced with life-limiting illness. While polypharmacy prevalence has been explored in older patients, there are limited data for younger patients with advanced malignancy. To better understand medication use in this population, we characterized medication use and associated out-of-pocket (OOP) costs in the last month of life among commercially insured subjec

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36

Dark, Alx. "Landscape and Politics on the Olympic Peninsula: Social Agendas and Contested Practices in Scientific Forestry." Journal of Political Ecology 4, no. 1 (1997): 1. http://dx.doi.org/10.2458/v4i1.21343.

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Land managers have recently shifted scientific practice and management discourse to depoliticize and suppress social conflicts over the environment. The transformation of the landscape of the Olympic Peninsula, particularly the logging of old-growth forests, has involved residents in challenging these developments, reordering the landscape to create contradictory, cultural claims to the future of the peninsula and its resources.Keywords: Forestry, natural resource management, science, environmentalism, Washington State.

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37

Khaki, Ali Raza, Yuan Xu, Winson Y. Cheung, et al. "Comparison of Health Care Utilization at the End of Life Among Patients With Cancer in Alberta, Canada, Versus Washington State." JCO Oncology Practice 16, no. 12 (2020): e1543-e1552. http://dx.doi.org/10.1200/op.20.00217.

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PURPOSE: Aggressive care at the end of life (EOL) can lead to unnecessary suffering and health care costs for patients with cancer. Despite geographic proximity and cultural similarities, we hypothesize that EOL care is more intense in the United States multipayer system versus the Canadian single-payer system. We compared health care utilization at EOL among patients with cancer in Alberta, Canada, with those in Washington state in the United States. METHODS: Adult patients with American Joint Committee on Cancer stage II to IV solid tumors who died between 2014 and 2016 in Alberta and betwee

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Mustoe, George E. "Nephrite Jade and Related Rocks from Western Washington State, USA: A Geologic Overview." Minerals 14, no. 12 (2024): 1186. http://dx.doi.org/10.3390/min14121186.

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The geologic framework of western Washington, USA, is the result of collisional tectonics, where oceanic plate materials were subducted beneath the continental margin. As part of this process, fragments of mantle peridotites were transported into the upper crust along deep faults. The hydration of these ultramafic materials produced bodies of serpentinite. Subsequent regional metamorphism caused metasomatism of the serpentinite to produce a variety of minerals, which include nephrite jade, grossular, chlorite, diopside, vesuvianite, and pumpellyite. Many of the nephrite-bearing rocks are locat

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Scheibal, William. "AFSCME v. Washington: The Continued Viability of Title VII Comparable Worth Actions." Public Personnel Management 17, no. 3 (1988): 315–22. http://dx.doi.org/10.1177/009102608801700307.

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The recent AFSCME v. Washington comparable worth case attracted significant public attention when plaintiffs won an initial $800 million judgment against the State of Washington, only to see the award overturned on appeal. This paper reviews the legal theories used by the trial court and the Ninth Circuit Court of Appeals. The current legal status of comparable worth is discussed, with particular emphasis on the applicability and precedential value of the Ninth Circuit's opinion for comparable worth cases in other jurisdictions. Analysis indicates that conflicts between the Ninth Circuit holdi

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Kreizenbeck, Karma L., Catherine R. Fedorenko, Erin E. Hughes, et al. "Measuring adherence to 2012 Choosing Wisely recommendations: SEER Registry linked with health plan data." Journal of Clinical Oncology 32, no. 30_suppl (2014): 178. http://dx.doi.org/10.1200/jco.2014.32.30_suppl.178.

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178 Background: The ASCO Choosing Wisely campaign aims to reduce the use of interventions that lack evidence of benefit in cancer care. This project characterized adherence to the 2012 ASCO Choosing WiselyRecommendations by linking health plan claims data to a regional cancer registry in order to identify areas for research interventions to improve adherence. Methods: Surveillance, Epidemiology, and End Results (SEER) records for patients diagnosed with cancer in Western Washington state between 2007 and 2013 were linked with enrollment and claims from a large regional commercial insurance pla

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Silverstein, B., E. Welp, N. Nelson, and J. Kalat. "Claims incidence of work-related disorders of the upper extremities: Washington state, 1987 through 1995." American Journal of Public Health 88, no. 12 (1998): 1827–33. http://dx.doi.org/10.2105/ajph.88.12.1827.

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Kucera, Kristen L., Hester J. Lipscomb, and Barbara Silverstein. "Medical care surrounding work-related back injury claims among Washington State Union Carpenters, 1989--2003." Work 39, no. 3 (2011): 321–30. http://dx.doi.org/10.3233/wor-2011-1180.

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Fedorenko, Catherine R., Karma L. Kreizenbeck, Laura Panattoni, et al. "Out of system (OOS) costs for oncology clinics treating patients with breast, colorectal, and non-small cell lung cancer in Washington state." Journal of Clinical Oncology 35, no. 8_suppl (2017): 5. http://dx.doi.org/10.1200/jco.2017.35.8_suppl.5.

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5 Background: As payers move from fee-for-service to episode-based reimbursement, there is a need for oncology providers to accurately measure in- and out-of-system resource use and cost for patients under their care. Medicare assigns management of a patient to only one provider, yet delivery systems may assume contractual responsibility for a patient with cancer’s entire episode costs, including care received outside of their system. Accordingly, the goal of this study was to estimate OOS care for patients with breast, colorectal (CRC), and non-small cell lung cancer (NSCLC). Methods: Cancer

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Muñoz, Vincent Phillip. "George Washington on Religious Liberty." Review of Politics 65, no. 1 (2003): 11–34. http://dx.doi.org/10.1017/s0034670500036512.

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Despite the Supreme Court's repeated invocations of America's Founding Fathers for First Amendment religion jurisprudence, George Washington's political thought regarding religious freedom has received almost no scholarly attention. This is unfortunate, for Washington's words and actions speak to contemporary Establishment Clause and Free Exercise issues. Washington, moreover, offers an alternative to Jefferson's and Madison's approach to church-state matters. The scholarly exclusion of Washington thus has led to a narrow view of the Founders' thought on religious liberty. This article sets fo

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Yezefski, Todd, Dan Le, Leo Chen, et al. "Comparison of chemotherapy use, cost, and survival in patients with metastatic colorectal cancer in Western Washington and British Columbia." Journal of Clinical Oncology 36, no. 18_suppl (2018): LBA3579. http://dx.doi.org/10.1200/jco.2018.36.18_suppl.lba3579.

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LBA3579 Background: Few studies have directly compared health care utilization, costs, and outcomes between geographically similar patients (pts) treated in the U.S.’ multi-payer health system versus Canada’s single-payer system. Using cancer registry and claims data, we assessed systemic therapy (ST) use, cost, and survival for metastatic colorectal cancer (mCRC) pts in Western Washington (WW) and British Columbia (BC). Methods: Pts age ≥ 18 diagnosed with mCRC in 2010 and later were identified from 1) the BC Cancer Agency database and 2) a regional database linking WW SEER to claims from two

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Garcia, Jewel L., Yennifer A. Gaspar, Angelique Djekoundade, et al. "Fishy business in Seattle: Salmon mislabeling fraud in sushi restaurants vs grocery stores." PLOS ONE 19, no. 11 (2024): e0311522. http://dx.doi.org/10.1371/journal.pone.0311522.

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Salmon is the most commonly consumed finfish in the United States of America (USA), and the mislabeling of salmon is a widespread problem. Washington State is a global supplier of wild-caught Pacific salmon and local salmon mislabeling results in substantial economic, ecological, and cultural impacts. Previous studies in Washington State identified high levels of mislabeled salmon in both markets and restaurants, resulting in local legislation being passed that requires proper labeling of salmon products, including identifying it as wild-caught or farm-raised. To investigate whether recent leg

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Panattoni, Laura Elizabeth, Qin Sun, Catherine R. Fedorenko, Karma L. Kreizenbeck, and Scott David Ramsey. "Washington State Community Cancer Care Report: Implications for value-based purchasing." Journal of Clinical Oncology 36, no. 30_suppl (2018): 104. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.104.

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104 Background: As quality reports are released for regions and individual clinics, an important question is whether those reports can be used for value based purchasing, particularly for community oncology clinics. We evaluated the reliability of select quality measures and estimated the likelihood that a clinic’s performance would be incorrectly categorized (misclassified) in the top quartile. Methods: We linked 2014-2016 cancer registry records for patients with enrollment and claims from Medicare and two major commercial insurers in Washington State. We calculated risk standardized rates (

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Bennett, James F., Dick Logan, and Paul Heimowitz. "STATE-OF-THE-ART OR JUNK SCIENCE? THE NATURAL RESOURCE DAMAGE ASSESSMENT MODELS1." International Oil Spill Conference Proceedings 1997, no. 1 (1997): 835–40. http://dx.doi.org/10.7901/2169-3358-1997-1-835.

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ABSTRACT In May 1996, the Department of the Interior (Interior) issued final natural resource damage assessment (NRDA) regulations enabling trustees to use new computer models in determining claims against parties responsible for spills. The new regulations incorporate a number of advances in the fields of computer technology, data management, data visualization, and graphic user interfaces. The models integrate spill simulation capability with a national coastal geographic information system (GIS) and expansive databases of chemical and petroleum characteristics, resource valuation, and resto

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Snider, Jeremy Williams, Catherine R. Fedorenko, Greg S. Warnick, et al. "Treatment patterns of metastatic colorectal cancer (mCRC) in commercially-insured populations in Washington state." Journal of Clinical Oncology 35, no. 15_suppl (2017): e15011-e15011. http://dx.doi.org/10.1200/jco.2017.35.15_suppl.e15011.

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e15011 Background: Few studies have examined patterns of care relating to guideline-recommended therapies for metastatic colorectal cancer (mCRC) in real-world settings. The goal of this study was to investigate treatment patterns for initial and subsequent therapies for mCRC patients in two large commercial plans in Washington State, USA. Methods: We utilized the Hutchinson Institute for Cancer Outcomes Research linkage of Western Washington Cancer Surveillance System (CSS) SEER data with claims from Regence BlueShield and Premera BlueCross (representing 20% of the WA insured population) for

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Iverson, Andrew, Brian F. French, Paul S. Strand, Chad M. Gotch, and Carl McCurley. "Understanding School Truancy: Risk–Need Latent Profiles of Adolescents." Assessment 25, no. 8 (2016): 978–87. http://dx.doi.org/10.1177/1073191116672329.

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Washington state requires school districts to file court petitions on students with excessive unexcused absences resulting in thousands of youth becoming involved in the court system. Once in the system, decisions are made about the level of risk each youth has for maladaptive behaviors. The Washington Assessment of the Risks and Needs of Students was created to assist youth service providers, courts, and schools to identify an adolescent’s needs for social, emotional, or educational intervention. However, the profile-based decisions advocated for by test developers lack empirical justificatio

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