Alyna T. Chien

Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018. Health Serv Res. 2025 Apr; 60(2):e14432. View Insurance gaps at age-19 and age-26 health insurance eligibility thresholds by childhood-onset condition severity, Colorado 2014-2018. Abstract

Pediatric Practices' Experiences With Massachusetts' Medicaid Accountable Care Organizations. Acad Pediatr. 2025 May-Jun; 25(4):102601. View Pediatric Practices' Experiences With Massachusetts' Medicaid Accountable Care Organizations. Abstract

A National Analysis of General Pediatric Inpatient Unit Closures and Openings, 2011-2018. Hosp Pediatr. 2024 Nov 01; 14(11):899-908. View A National Analysis of General Pediatric Inpatient Unit Closures and Openings, 2011-2018. Abstract

Neurodevelopmental and Mental Health Conditions in Children With Medical Complexity. Pediatrics. 2024 Sep 01; 154(3). View Neurodevelopmental and Mental Health Conditions in Children With Medical Complexity. Abstract

Impairment Types and Combinations Among Adolescents and Young Adults with Disabilities: Colorado 2014-2018. Acad Pediatr. 2024 May-Jun; 24(4):587-595. View Impairment Types and Combinations Among Adolescents and Young Adults with Disabilities: Colorado 2014-2018. Abstract

Specialist use among privately insured children with disabilities. Health Serv Res. 2024 08; 59(4):e14199. View Specialist use among privately insured children with disabilities. Abstract

Value-Based Purchasing Design And Effect: A Systematic Review And Analysis. Health Aff (Millwood). 2023 06; 42(6):813-821. View Value-Based Purchasing Design And Effect: A Systematic Review And Analysis. Abstract

Diabetes-Focused Health Care Utilization Among Adolescents and Young Adults With Type 1 Diabetes. Acad Pediatr. 2024 Jan-Feb; 24(1):59-67. View Diabetes-Focused Health Care Utilization Among Adolescents and Young Adults With Type 1 Diabetes. Abstract

Exploring system features of primary care practices that promote better providers' clinical work satisfaction: A qualitative comparative analysis. Health Care Manage Rev. 2022 Oct-Dec 01; 47(4):360-368. View Exploring system features of primary care practices that promote better providers' clinical work satisfaction: A qualitative comparative analysis. Abstract

Effect of an Intensive Nurse Home Visiting Program on Adverse Birth Outcomes in a Medicaid-Eligible Population: A Randomized Clinical Trial. JAMA. 2022 07 05; 328(1):27-37. View Effect of an Intensive Nurse Home Visiting Program on Adverse Birth Outcomes in a Medicaid-Eligible Population: A Randomized Clinical Trial. Abstract

Childbirths at home and in birthing centers rose during COVID-19: Oregon 2020 vs prior years. Am J Obstet Gynecol. 2022 07; 227(1):108-111. View Childbirths at home and in birthing centers rose during COVID-19: Oregon 2020 vs prior years. Abstract

Difficulty Obtaining Behavioral Health Services for Children: A National Survey of Multiphysician Practices. Ann Fam Med. 2022 Jan-Feb; 20(1):42-50. View Difficulty Obtaining Behavioral Health Services for Children: A National Survey of Multiphysician Practices. Abstract

Increases in Inpatient Psychiatry Beds Operated by Systems, For-Profits, and Chains, 2010-2016. Psychiatr Serv. 2022 05; 73(5):561-564. View Increases in Inpatient Psychiatry Beds Operated by Systems, For-Profits, and Chains, 2010-2016. Abstract

Patterns of Use of a Price Transparency Tool for Childbirth Among Pregnant Individuals With Commercial Insurance. JAMA Netw Open. 2021 08 02; 4(8):e2121410. View Patterns of Use of a Price Transparency Tool for Childbirth Among Pregnant Individuals With Commercial Insurance. Abstract

Availability of Pediatric Inpatient Services in the United States. Pediatrics. 2021 07; 148(1). View Availability of Pediatric Inpatient Services in the United States. Abstract

Pediatric Primary Care-Based Social Needs Services and Health Care Utilization. Acad Pediatr. 2021 Nov-Dec; 21(8):1331-1337. View Pediatric Primary Care-Based Social Needs Services and Health Care Utilization. Abstract

Protocol for a randomized controlled trial evaluating the impact of the Nurse-Family Partnership's home visiting program in South Carolina on maternal and child health outcomes. Trials. 2020 Dec 04; 21(1):997. View Protocol for a randomized controlled trial evaluating the impact of the Nurse-Family Partnership's home visiting program in South Carolina on maternal and child health outcomes. Abstract

Pediatric Hospital Services Within a One-Hour Drive: A National Study. Pediatrics. 2020 11; 146(5). View Pediatric Hospital Services Within a One-Hour Drive: A National Study. Abstract

Working around hierarchy: Resident and medical assistant teaming. Health Care Manage Rev. 2020 Jul/Sep; 45(3):232-244. View Working around hierarchy: Resident and medical assistant teaming. Abstract

Did the Rising Tide Float All Boats? J Pediatr. 2020 11; 226:9-10. View Did the Rising Tide Float All Boats? Abstract

Women's Coverage, Utilization, Affordability, And Health After The ACA: A Review Of The Literature. Health Aff (Millwood). 2020 03; 39(3):387-394. View Women's Coverage, Utilization, Affordability, And Health After The ACA: A Review Of The Literature. Abstract

Suitability of elderly adult hospital readmission rates for profiling readmissions in younger adult and pediatric populations. Health Serv Res. 2020 04; 55(2):277-287. View Suitability of elderly adult hospital readmission rates for profiling readmissions in younger adult and pediatric populations. Abstract

Physician and facility drivers of spending variation in locoregional prostate cancer. Cancer. 2020 04 15; 126(8):1622-1631. View Physician and facility drivers of spending variation in locoregional prostate cancer. Abstract

Team-Based Primary Care Practice Transformation Initiative and Changes in Patient Experience and Recommended Cancer Screening Rates. Inquiry. 2020 Jan-Dec; 57:46958020952911. View Team-Based Primary Care Practice Transformation Initiative and Changes in Patient Experience and Recommended Cancer Screening Rates. Abstract

Adult-Oriented Health Reform and Children's Insurance and Access to Care: Evidence from Massachusetts Health Reform. Matern Child Health J. 2019 Aug; 23(8):1008-1024. View Adult-Oriented Health Reform and Children's Insurance and Access to Care: Evidence from Massachusetts Health Reform. Abstract

Intentional or Not: Teamwork Learning at Primary Care Clinics. Med Sci Educ. 2019 Dec; 29(4):969-975. View Intentional or Not: Teamwork Learning at Primary Care Clinics. Abstract

Mental Illness Among Youth With Chronic Physical Conditions. Pediatrics. 2019 07; 144(1). View Mental Illness Among Youth With Chronic Physical Conditions. Abstract

Comparing Diagnostic Evaluations for Rectal Bleeding and Breast Lumps in Primary Care: a Retrospective Cohort Study. J Gen Intern Med. 2019 07; 34(7):1146-1153. View Comparing Diagnostic Evaluations for Rectal Bleeding and Breast Lumps in Primary Care: a Retrospective Cohort Study. Abstract

Association of Team-Based Primary Care With Health Care Utilization and Costs Among Chronically Ill Patients. JAMA Intern Med. 2019 01 01; 179(1):54-61. View Association of Team-Based Primary Care With Health Care Utilization and Costs Among Chronically Ill Patients. Abstract

Relationship among team dynamics, care coordination and perception of safety culture in primary care. Fam Pract. 2018 12 12; 35(6):718-723. View Relationship among team dynamics, care coordination and perception of safety culture in primary care. Abstract

What drives variation in spending for breast cancer patients within geographic regions? Health Serv Res. 2019 02; 54(1):97-105. View What drives variation in spending for breast cancer patients within geographic regions? Abstract

Assessment of Hospitalist-Subspecialist Agreement About Who Should Be in Charge and Comparison With Actual Assignment Practices. Hosp Pediatr. 2018 08; 8(8):479-485. View Assessment of Hospitalist-Subspecialist Agreement About Who Should Be in Charge and Comparison With Actual Assignment Practices. Abstract

Racial disparities in fifth-grade sun protection: Evidence from the Healthy Passages study. Pediatr Dermatol. 2018 Sep; 35(5):588-596. View Racial disparities in fifth-grade sun protection: Evidence from the Healthy Passages study. Abstract

Care Quality and Spending Among Commercially Insured Children With Disabilities. Acad Pediatr. 2019 04; 19(3):291-299. View Care Quality and Spending Among Commercially Insured Children With Disabilities. Abstract

A Cost Analysis of Universal versus Targeted Cholesterol Screening in Pediatrics. J Pediatr. 2018 05; 196:201-207.e2. View A Cost Analysis of Universal versus Targeted Cholesterol Screening in Pediatrics. Abstract

Establishing Teams: How Does It Change Practice Configuration, Size, and Composition? J Ambul Care Manage. 2018 Apr/Jun; 41(2):146-155. View Establishing Teams: How Does It Change Practice Configuration, Size, and Composition? Abstract

Team-based primary care: The medical assistant perspective. Health Care Manage Rev. 2018 Apr/Jun; 43(2):115-125. View Team-based primary care: The medical assistant perspective. Abstract

Diagnostic Evaluation of Patients Presenting to Primary Care with Rectal Bleeding. J Gen Intern Med. 2018 04; 33(4):415-422. View Diagnostic Evaluation of Patients Presenting to Primary Care with Rectal Bleeding. Abstract

Feeling inadequate: Residents' stress and learning at primary care clinics in the United States. Med Teach. 2018 09; 40(9):920-927. View Feeling inadequate: Residents' stress and learning at primary care clinics in the United States. Abstract

Socioeconomic Background and Commercial Health Plan Spending. Pediatrics. 2017 Nov; 140(5). View Socioeconomic Background and Commercial Health Plan Spending. Abstract

Achieving the Promise of Price Transparency. JAMA Intern Med. 2017 07 01; 177(7):946-947. View Achieving the Promise of Price Transparency. Abstract

Quality of Primary Care for Children With Disabilities Enrolled in Medicaid. Acad Pediatr. 2017 May - Jun; 17(4):443-449. View Quality of Primary Care for Children With Disabilities Enrolled in Medicaid. Abstract

The Effect of Price Information on the Ordering of Images and Procedures. Pediatrics. 2017 Feb; 139(2). View The Effect of Price Information on the Ordering of Images and Procedures. Abstract

Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study. Health Care Manage Rev. 2017 Jan/Mar; 42(1):28-41. View Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: A mixed methods study. Abstract

A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates. J Gen Intern Med. 2017 Apr; 32(4):434-448. View A Randomized Trial of Displaying Paid Price Information on Imaging Study and Procedure Ordering Rates. Abstract

How Primary Care Physicians Integrate Price Information into Clinical Decision-Making. J Gen Intern Med. 2017 01; 32(1):81-87. View How Primary Care Physicians Integrate Price Information into Clinical Decision-Making. Abstract

To Risk Adjust or Not to Risk Adjust: Should That Be the Question? JAMA Pediatr. 2016 Apr; 170(4):319-20. View To Risk Adjust or Not to Risk Adjust: Should That Be the Question? Abstract

How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality Contract. Acad Pediatr. 2016 Mar; 16(2):200-7. View How Accountable Care Organizations Responded to Pediatric Incentives in the Alternative Quality Contract. Abstract

Development of the Children With Disabilities Algorithm. Pediatrics. 2015 Oct; 136(4):e871-8. View Development of the Children With Disabilities Algorithm. Abstract

Recognizing Differences in Hospital Quality Performance for Pediatric Inpatient Care. Pediatrics. 2015 Aug; 136(2):251-62. View Recognizing Differences in Hospital Quality Performance for Pediatric Inpatient Care. Abstract

The role of states in improving price transparency in health care. JAMA Intern Med. 2015 Jun; 175(6):886-7. View The role of states in improving price transparency in health care. Abstract

Development and validation of the primary care team dynamics survey. Health Serv Res. 2015 Jun; 50(3):897-921. View Development and validation of the primary care team dynamics survey. Abstract

Massachusetts health reform and access for children with special health care needs. Pediatrics. 2014 Aug; 134(2):218-26. View Massachusetts health reform and access for children with special health care needs. Abstract

Physician financial incentives and care for the underserved in the United States. Am J Manag Care. 2014 Feb; 20(2):121-9. View Physician financial incentives and care for the underserved in the United States. Abstract

Two-year impact of the alternative quality contract on pediatric health care quality and spending. Pediatrics. 2014 Jan; 133(1):96-104. View Two-year impact of the alternative quality contract on pediatric health care quality and spending. Abstract

Medicare's physician value-based payment modifier--will the tectonic shift create waves? N Engl J Med. 2013 Nov 28; 369(22):2076-8. View Medicare's physician value-based payment modifier--will the tectonic shift create waves? Abstract

Parity and out-of-pocket spending for children with high mental health or substance abuse expenditures. Pediatrics. 2013 Mar; 131(3):e903-11. View Parity and out-of-pocket spending for children with high mental health or substance abuse expenditures. Abstract

Disparities in unmet need for care coordination: the national survey of children's health. Pediatrics. 2013 Feb; 131(2):217-24. View Disparities in unmet need for care coordination: the national survey of children's health. Abstract

Waste not, want not: promoting efficient use of health care resources. Ann Intern Med. 2013 Jan 01; 158(1):67-8. View Waste not, want not: promoting efficient use of health care resources. Abstract

Impact of a pay for performance program to improve diabetes care in the safety net. Prev Med. 2012 Nov; 55 Suppl:S80-5. View Impact of a pay for performance program to improve diabetes care in the safety net. Abstract

Can pay for performance improve the quality of adolescent substance abuse treatment? Arch Pediatr Adolesc Med. 2012 Oct; 166(10):964-5. View Can pay for performance improve the quality of adolescent substance abuse treatment? Abstract

Racial/ethnic disparities in health-related quality of life and health in children are largely mediated by family contextual differences. Acad Pediatr. 2012 Nov-Dec; 12(6):532-8. View Racial/ethnic disparities in health-related quality of life and health in children are largely mediated by family contextual differences. Abstract

Marital conflict and fifth-graders' risk for injury. Accid Anal Prev. 2012 Jul; 47:30-5. View Marital conflict and fifth-graders' risk for injury. Abstract

Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures? J Gen Intern Med. 2012 May; 27(5):548-54. View Do physician organizations located in lower socioeconomic status areas score lower on pay-for-performance measures? Abstract

The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates. Arch Pediatr Adolesc Med. 2011 May; 165(5):429-34. View The impact of statistical choices on neonatal intensive care unit quality ratings based on nosocomial infection rates. Abstract

Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptions. Med Care. 2010 Dec; 48(12):1050-6. View Positive and negative spillovers of the Health Disparities Collaboratives in federally qualified health centers: staff perceptions. Abstract

Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement. Breastfeed Med. 2011 Feb; 6(1):31-5. View Breastfeeding rates differ significantly by method used: a cause for concern for public health measurement. Abstract

Improving timely childhood immunizations through pay for performance in Medicaid-managed care. Health Serv Res. 2010 Dec; 45(6 Pt 2):1934-47. View Improving timely childhood immunizations through pay for performance in Medicaid-managed care. Abstract

Small numbers limit the use of the inpatient pediatric quality indicators for hospital comparison. Acad Pediatr. 2010 Jul-Aug; 10(4):266-73. View Small numbers limit the use of the inpatient pediatric quality indicators for hospital comparison. Abstract

African American adolescent males' views on doctors and the health care system. J Natl Med Assoc. 2010 Apr; 102(4):312-20. View African American adolescent males' views on doctors and the health care system. Abstract

Hospital executives' perspectives on pay-for-performance and racial/ethnic disparities in care. Med Care Res Rev. 2010 Oct; 67(5):574-89. View Hospital executives' perspectives on pay-for-performance and racial/ethnic disparities in care. Abstract

Qualitative insights into how pediatric pay-for-performance programs are being designed. Acad Pediatr. 2009 May-Jun; 9(3):185-91. View Qualitative insights into how pediatric pay-for-performance programs are being designed. Abstract

Incorporating disparity reduction into pay-for-performance. J Gen Intern Med. 2009 Jan; 24(1):135-6. View Incorporating disparity reduction into pay-for-performance. Abstract

A pediatric-focused review of the performance incentive literature. Curr Opin Pediatr. 2007 Dec; 19(6):719-25. View A pediatric-focused review of the performance incentive literature. Abstract

Pay for performance, public reporting, and racial disparities in health care: how are programs being designed? Med Care Res Rev. 2007 Oct; 64(5 Suppl):283S-304S. View Pay for performance, public reporting, and racial disparities in health care: how are programs being designed? Abstract

Pay-for-performance in pediatrics: proceed with caution. Pediatrics. 2007 Jul; 120(1):186-8. View Pay-for-performance in pediatrics: proceed with caution. Abstract

Community health center quality improvement: a systematic review and future directions for research. Prog Community Health Partnersh. 2007; 1(1):105-16. View Community health center quality improvement: a systematic review and future directions for research. Abstract

What do pediatric primary care providers think are important research questions? A perspective from PROS providers. Ambul Pediatr. 2006 Nov-Dec; 6(6):352-5. View What do pediatric primary care providers think are important research questions? A perspective from PROS providers. Abstract

Reducing racial and ethnic disparities in health care: an integral part of quality improvement scholarship. Qual Saf Health Care. 2006 Apr; 15(2):79-80. View Reducing racial and ethnic disparities in health care: an integral part of quality improvement scholarship. Abstract