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Lauren Hersch Nicholas

TitleAssociate Professor
InstitutionUniversity of Colorado Denver - Anschutz Medical Campus
DepartmentSOM-MED

    Collapse Biography 
    Collapse awards and honors
    2019Excellence in Teaching , Johns Hopkins School of Public Health
    2015Delta Omega Honor Society
    2014HCUP Article of the Year Award
    2012AcademyHealth Article of the Year Award
    2009John Heinz Dissertation Award, National Academy of Social Insurance

    Collapse Overview 
    Collapse overview
    Lauren Hersch Nicholas is a health economist whose research focuses on the role of public policy in improving health and healthcare quality for the elderly. Her current research combines survey, administrative, and clinical data to study the interaction between healthcare utilization and economic outcomes. Dr. Nicholas's work uses clinical and econometric approaches to answer questions in medical and health economics, particularly for dementia, surgery and end-of-life care. She has received several awards for her research including the National Academy of Social Insurance John Heinz Dissertation Award, the AcademyHealth Article-of-the-Year Award, and the HCUP Most Outstanding Article Award.

    Collapse Research 
    Collapse research activities and funding
    R56AG065369     (NICHOLAS, LAUREN HERSCH)Sep 30, 2021 - Aug 31, 2022
    NIH
    Does Managed Care Improve End-of-Life Care for Medicare Beneficiaries?
    Role: Principal Investigator
    RF1AG069922     (NICHOLAS, LAUREN HERSCH)Sep 15, 2020 - Aug 31, 2024
    NIH
    Health and Financial Implications of Early-Stage Alzheimer's Disease and Related Dementias
    Role: Principal Investigator
    R01AG059205     (NICHOLAS, LAUREN HERSCH)May 15, 2018 - Apr 30, 2024
    NIH
    Understanding and Respecting End-of-Life Treatment Preferences Among Older Adults with Alzheimer's Disease and Related Dementias
    Role: Principal Investigator
    R21AG053698     (NICHOLAS, LAUREN HERSCH)Sep 1, 2016 - May 31, 2020
    NIH
    Using Consumer Credit Data to Identify Precursors and Consequences of Cognitive Impairment
    Role: Principal Investigator
    R03AG045391     (NICHOLAS, LAUREN HERSCH)Sep 15, 2013 - Aug 31, 2015
    NIH
    Long-Term Health Impacts of Physical and Cognitive Occupational Exposures
    Role: Principal Investigator
    K01AG041763     (NICHOLAS, LAUREN HERSCH)Apr 1, 2012 - Mar 31, 2018
    NIH
    Geographic Variation in the Health and Economic Determinants and Outcomes of Elec
    Role: Principal Investigator
    R36HS016836     (NICHOLAS, LAUREN HERSCH)Sep 4, 2007 - Sep 3, 2008
    NIH
    Medicare Advantage?
    Role: Principal Investigator

    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions.
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    1. Nicholas LH, Polsky D, Darden M, Xu J, Anderson K, Meyers DJ. Is there an advantage? Considerations for researchers studying the effects of the type of Medicare coverage. Health Serv Res. 2024 Feb; 59(1):e14264. PMID: 38043544.
      View in: PubMed
    2. Nicholas LH. Using Address Data to Track Household Financial Burden of Disease. Med Care. 2023 12 01; 61(12 Suppl 2):S92-S94. PMID: 37963026.
      View in: PubMed
    3. Li J, Skinner JS, McGarry K, Nicholas LH, Wang SP, Bollens-Lund E, Kelley AS. Declines in Wealth Among US Older Adults at Risk of Dementia. JAMA Neurol. 2023 Nov 01; 80(11):1250-1252. PMID: 37721762.
      View in: PubMed
    4. Nicholas LH, Halpern SD, Weir DR, Baum MY, Nolan M, Gallo J, Langa KM. Decision Making for Patients With Severe Dementia Versus Normal Cognition Near the End of Life. Innov Aging. 2023; 7(7):igad081. PMID: 37771715.
      View in: PubMed
    5. Matta S, Nicholas LH. Changes in Unemployment Among Health Care Workers Following the COVID-19 Pandemic. JAMA. 2022 10 25; 328(16):1639-1641. PMID: 36121675.
      View in: PubMed
    6. Owsley KM, Langa KM, Macis M, Nicholas LH. Treatment preferences among adults with normal cognition and cognitive impairment. J Am Geriatr Soc. 2022 12; 70(12):3390-3401. PMID: 36094330.
      View in: PubMed
    7. Li J, Wang S, Nicholas LH. Management of Financial Assets by Older Adults With and Without Dementia or Other Cognitive Impairments. JAMA Netw Open. 2022 09 01; 5(9):e2231436. PMID: 36098970.
      View in: PubMed
    8. Shih YT, Owsley KM, Nicholas LH, Yabroff KR, Bradley CJ. Cancer's Lasting Financial Burden: Evidence From a Longitudinal Assessment. J Natl Cancer Inst. 2022 07 11; 114(7):1020-1028. PMID: 35325197.
      View in: PubMed
    9. Nicholas LH, Davidoff AJ, Howard DH, Keating NL, Ritzwoller DP, Yabroff KR, Bradley CJ. Cancer Survivorship and Supportive Care Economics Research: Current Challenges and Next Steps. J Natl Cancer Inst Monogr. 2022 07 05; 2022(59):57-63. PMID: 35788375.
      View in: PubMed
    10. Goda GS, Jackson E, Nicholas LH, Stith SS. The impact of Covid-19 on older workers' employment and Social Security spillovers. J Popul Econ. 2023; 36(2):813-846. PMID: 35814291.
      View in: PubMed
    11. Hussaini SMQ, Gupta A, Anderson KE, Ballreich JM, Nicholas LH, Alexander GC. Utilization of Filgrastim and Infliximab Biosimilar Products in Medicare Part D, 2015-2019. JAMA Netw Open. 2022 03 01; 5(3):e221117. PMID: 35254434.
      View in: PubMed
    12. Beres LK, Mody A, Sikombe K, Nicholas LH, Schwartz S, Eshun-Wilson I, Somwe P, Simbeza S, Pry JM, Kaumba P, McGready J, Holmes CB, Bolton-Moore C, Sikazwe I, Denison JA, Geng EH. The effect of tracer contact on return to care among adult, "lost to follow-up" patients living with HIV in Zambia: an instrumental variable analysis. J Int AIDS Soc. 2021 12; 24(12):e25853. PMID: 34921515.
      View in: PubMed
    13. Baum MY, Gallo JJ, Nolan MT, Langa KM, Halpern SD, Macis M, Nicholas LH. Does it Matter Who Decides? Outcomes of Surrogate Decision-Making for Community-Dwelling, Cognitively Impaired Older Adults Near the End of Life. J Pain Symptom Manage. 2021 12; 62(6):1126-1134. PMID: 34153462.
      View in: PubMed
    14. Friedes C, Hazell SZ, Fu W, Hu C, Voong RK, Lee B, Feliciano JL, Nicholas LH, McNutt TR, Han P, Narang AK, Hales RK. Longitudinal Trends of Financial Toxicity in Patients With Lung Cancer: A Prospective Cohort Study. JCO Oncol Pract. 2021 08; 17(8):e1094-e1109. PMID: 33555936.
      View in: PubMed
    15. Nicholas LH, Langa KM, Bynum JPW, Hsu JW. Financial Presentation of Alzheimer Disease and Related Dementias. JAMA Intern Med. 2021 02 01; 181(2):220-227. PMID: 33252621.
      View in: PubMed
    16. Bozzi DG, Nicholas LH. A Causal Estimate of Long-Term Health Care Spending Attributable to Body Mass Index Among Adults. Econ Hum Biol. 2021 05; 41:100985. PMID: 33529918.
      View in: PubMed
    17. Matta S, Hsu JW, Iwashyna TJ, Baum MY, Langa KM, Nicholas LH. Identifying Cohabiting Couples in Administrative Data: Evidence from Medicare Address Data. Health Serv Outcomes Res Methodol. 2021 Jun; 21(2):238-247. PMID: 34149307.
      View in: PubMed
    18. Maclean JC, Ghimire KM, Nicholas LH. Marijuana legalization and disability claiming. Health Econ. 2021 02; 30(2):453-469. PMID: 33166025.
      View in: PubMed
    19. Nicholas LH, Stith SS. Are Transplant Centers That Meet Insurer Minimum Volume Requirements Better Quality? Med Care Res Rev. 2021 10; 78(5):502-510. PMID: 32418473.
      View in: PubMed
    20. Hazell SZ, Fu W, Hu C, Voong KR, Lee B, Peterson V, Feliciano JL, Nicholas LH, McNutt TR, Han P, Hales RK. Financial toxicity in lung cancer: an assessment of magnitude, perception, and impact on quality of life. Ann Oncol. 2020 01; 31(1):96-102. PMID: 31912803.
      View in: PubMed
    21. Nicholas LH, Hanson C, Segal JB, Eisenberg MD. Association Between Treatment by Fraud and Abuse Perpetrators and Health Outcomes Among Medicare Beneficiaries. JAMA Intern Med. 2020 01 01; 180(1):62-69. PMID: 31657838.
      View in: PubMed
    22. Wolff JL, Nicholas LH, Willink A, Mulcahy J, Davis K, Kasper JD. Medicare Spending and the Adequacy of Support With Daily Activities in Community-Living Older Adults With Disability: An Observational Study. Ann Intern Med. 2019 06 18; 170(12):837-844. PMID: 31132789.
      View in: PubMed
    23. Nicholas LH, Segal J, Hanson C, Zhang K, Eisenberg MD. Medicare Beneficiaries' Exposure To Fraud And Abuse Perpetrators. Health Aff (Millwood). 2019 05; 38(5):788-793. PMID: 31059371.
      View in: PubMed
    24. Van Pilsum Rasmussen SE, Zhou S, Thomas AG, Segev DL, Nicholas LH. Transplant community perceptions of the benefits and drawbacks of alternative quality metrics for regulation. Clin Transplant. 2019 04; 33(4):e13500. PMID: 30773685.
      View in: PubMed
    25. Nicholas LH, Done N, Baum M. Lifetime Job Demands and Later Life Disability. J Econ Ageing. 2020 Oct; 17. PMID: 33425675.
      View in: PubMed
    26. Dean LT, Nicholas LH. Using Credit Scores to Understand Predictors and Consequences of Disease. Am J Public Health. 2018 11; 108(11):1503-1505. PMID: 30303720.
      View in: PubMed
    27. Nicholas LH, Wu S. Do Medicare Advantage Rebates Reduce Enrollees' Out-of-Pocket Spending? Med Care Res Rev. 2020 10; 77(5):474-482. PMID: 30382801.
      View in: PubMed
    28. Dean LT, Moss SL, Ransome Y, Frasso-Jaramillo L, Zhang Y, Visvanathan K, Nicholas LH, Schmitz KH. "It still affects our economic situation": long-term economic burden of breast cancer and lymphedema. Support Care Cancer. 2019 May; 27(5):1697-1708. PMID: 30121786.
      View in: PubMed
    29. Zhou S, Holscher CM, Massie AB, Segev DL, Nicholas LH. Correlation Between Kidney Transplant Outcome Metrics and Waitlist Metrics. Transplantation. 2018 08; 102(8):e362-e363. PMID: 29688995.
      View in: PubMed
    30. Van Pilsum Rasmussen SE, Thomas AG, Garonzik-Wang J, Henderson ML, Stith SS, Segev DL, Nicholas LH. Reported effects of the Scientific Registry of Transplant Recipients 5-tier rating system on US transplant centers: results of a national survey. Transpl Int. 2018 10; 31(10):1135-1143. PMID: 29802802.
      View in: PubMed
    31. Bowring MG, Massie AB, Craig-Schapiro R, Segev DL, Nicholas LH. Kidney offer acceptance at programs undergoing a Systems Improvement Agreement. Am J Transplant. 2018 09; 18(9):2182-2188. PMID: 29718565.
      View in: PubMed
    32. Dean LT, Schmitz KH, Frick KD, Nicholas LH, Zhang Y, Subramanian SV, Visvanathan K. Consumer credit as a novel marker for economic burden and health after cancer in a diverse population of breast cancer survivors in the USA. J Cancer Surviv. 2018 06; 12(3):306-315. PMID: 29372485.
      View in: PubMed
    33. Narang AK, Nicholas LH. Out-of-Pocket Spending and Financial Burden Among Medicare Beneficiaries With Cancer. JAMA Oncol. 2017 Jun 01; 3(6):757-765. PMID: 27893028.
      View in: PubMed
    34. Henke RM, Karaca Z, Gibson TB, Cutler E, Barrett ML, Levit K, Johann J, Nicholas LH, Wong HS. Medicare Advantage and Traditional Medicare Hospitalization Intensity and Readmissions. Med Care Res Rev. 2018 08; 75(4):434-453. PMID: 29148332.
      View in: PubMed
    35. de Souza JA, Yap BJ, Wroblewski K, Blinder V, Ara?jo FS, Hlubocky FJ, Nicholas LH, O'Connor JM, Brockstein B, Ratain MJ, Daugherty CK, Cella D. Measuring financial toxicity as a clinically relevant patient-reported outcome: The validation of the COmprehensive Score for financial Toxicity (COST). Cancer. 2017 02 01; 123(3):476-484. PMID: 27716900.
      View in: PubMed
    36. Courtright KR, Madden V, Gabler NB, Cooney E, Small DS, Troxel A, Casarett D, Ersek M, Cassel JB, Nicholas LH, Escobar G, Hill SH, O'Brien D, Vogel M, Halpern SD. Rationale and Design of the Randomized Evaluation of Default Access to Palliative Services (REDAPS) Trial. Ann Am Thorac Soc. 2016 09; 13(9):1629-39. PMID: 27348271.
      View in: PubMed
    37. Fischbein R, Meeker J, Saling JR, Chyatte M, Nicholas L. Identifying families' shared disease experiences through a qualitative analysis of online twin-to-twin transfusion syndrome stories. BMC Pregnancy Childbirth. 2016 07 15; 16(1):163. PMID: 27422614.
      View in: PubMed
    38. Oddo VM, Nicholas LH, Bleich SN, Jones-Smith JC. The impact of changing economic conditions on overweight risk among children in California from 2008 to 2012. J Epidemiol Community Health. 2016 Sep; 70(9):874-80. PMID: 27251405.
      View in: PubMed
    39. Ahmed R, Chow EK, Massie AB, Anjum S, King EA, Orandi BJ, Bae S, Nicholas LH, Lonze BE, Segev DL. Where the Sun Shines: Industry's Payments to Transplant Surgeons. Am J Transplant. 2016 Jan; 16(1):292-300. PMID: 26317315.
      View in: PubMed
    40. Narang AK, Wright AA, Nicholas LH. Trends in Advance Care Planning in Patients With Cancer: Results From a National Longitudinal Survey. JAMA Oncol. 2015 Aug; 1(5):601-8. PMID: 26181909.
      View in: PubMed
    41. Schwartz DA, Shah AA, Zogg CK, Nicholas LH, Velopulos CG, Efron DT, Schneider EB, Haider AH. Operative delay to laparoscopic cholecystectomy: Racking up the cost of health care. J Trauma Acute Care Surg. 2015 Jul; 79(1):15-21. PMID: 26091309.
      View in: PubMed
    42. Nicholas LH, Dimick JB. Evaluating Changes in Health Care Policy: Methods Matter. JAMA Surg. 2015 Jul; 150(7):649. PMID: 25993331.
      View in: PubMed
    43. Moon M, Hollin IL, Nicholas LH, Schoen C, Davis K. Serving Older Adults with Complex Care Needs: A New Benefit Option for Medicare. Issue Brief (Commonw Fund). 2015 Jul; 23:1-11. PMID: 26219118.
      View in: PubMed
    44. Kucirka LM, Bowring MG, Massie AB, Luo X, Nicholas LH, Segev DL. Landscape of Deceased Donors Labeled Increased Risk for Disease Transmission Under New Guidelines. Am J Transplant. 2015 Dec; 15(12):3215-23. PMID: 26018059.
      View in: PubMed
    45. Schold JD, Nicholas LH. Considering potential benefits and consequences of hospital report cards: what are the next steps? Health Serv Res. 2015 Apr; 50(2):321-9. PMID: 25756733.
      View in: PubMed
    46. Osborne NH, Nicholas LH, Ryan AM, Thumma JR, Dimick JB. Association of hospital participation in a quality reporting program with surgical outcomes and expenditures for Medicare beneficiaries. JAMA. 2015 Feb 03; 313(5):496-504. PMID: 25647205.
      View in: PubMed
    47. Sakshaug JW, Weir DR, Nicholas LH. Identifying diabetics in Medicare claims and survey data: implications for health services research. BMC Health Serv Res. 2014 Apr 03; 14:150. PMID: 24693862.
      View in: PubMed
    48. Kelley AS, Langa KM, Smith AK, Cagle J, Ornstein K, Silveira MJ, Nicholas L, Covinsky KE, Ritchie CS. Leveraging the health and retirement study to advance palliative care research. J Palliat Med. 2014 May; 17(5):506-11. PMID: 24694096.
      View in: PubMed
    49. Shih T, Nicholas LH, Thumma JR, Birkmeyer JD, Dimick JB. Does pay-for-performance improve surgical outcomes? An evaluation of phase 2 of the Premier Hospital Quality Incentive Demonstration. Ann Surg. 2014 Apr; 259(4):677-81. PMID: 24368657.
      View in: PubMed
    50. Nicholas LH, Bynum JP, Iwashyna TJ, Weir DR, Langa KM. Advance directives and nursing home stays associated with less aggressive end-of-life care for patients with severe dementia. Health Aff (Millwood). 2014 Apr; 33(4):667-74. PMID: 24711329.
      View in: PubMed
    51. Nicholas LH. Will Medicare Advantage payment reforms impact plan rebates and enrollment? Am J Manag Care. 2014; 20(11):917-24. PMID: 25495112.
      View in: PubMed
    52. Nicholas LH, Dimick JB. Bariatric surgery in minority patients before and after implementation of a centers of excellence program. JAMA. 2013 Oct 02; 310(13):1399-400. PMID: 24030558.
      View in: PubMed
    53. McInerney M, Mellor JM, Nicholas LH. Recession depression: mental health effects of the 2008 stock market crash. J Health Econ. 2013 Dec; 32(6):1090-104. PMID: 24113241.
      View in: PubMed
    54. Nicholas LH. Better Quality of Care or Healthier Patients? Hospital Utilization by Medicare Advantage and Fee-for-Service Enrollees. Forum Health Econ Policy. 2013 May 15; 16(1):137-161. PMID: 24533012.
      View in: PubMed
    55. Dimick JB, Nicholas LH, Ryan AM, Thumma JR, Birkmeyer JD. Bariatric surgery complications before vs after implementation of a national policy restricting coverage to centers of excellence. JAMA. 2013 Feb 27; 309(8):792-9. PMID: 23443442.
      View in: PubMed
    56. Dimick JB, Staiger DO, Osborne NH, Nicholas LH, Birkmeyer JD. Composite measures for rating hospital quality with major surgery. Health Serv Res. 2012 Oct; 47(5):1861-79. PMID: 22985030.
      View in: PubMed
    57. Nicholas LH, Langa KM, Iwashyna TJ, Weir DR. Regional variation in the association between advance directives and end-of-life Medicare expenditures. JAMA. 2011 Oct 05; 306(13):1447-53. PMID: 21972306.
      View in: PubMed
    58. Nicholas LH. Modeling the impact of Medicare Advantage payment cuts on ambulatory care sensitive and elective hospitalizations. Health Serv Res. 2011 Oct; 46(5):1417-35. PMID: 21609330.
      View in: PubMed
    59. Osborne NH, Ghaferi AA, Nicholas LH, Dimick JB, Mph M. Evaluating popular media and internet-based hospital quality ratings for cancer surgery. Arch Surg. 2011 May; 146(5):600-4. PMID: 21576612.
      View in: PubMed
    60. Nicholas LH, Dimick JB. Too much of a good thing? Multi-tasking and distraction in quality improvement. Arch Surg. 2011 Mar; 146(3):270. PMID: 21542186.
      View in: PubMed
    61. Nicholas LH. Can Food Stamps help to reduce Medicare spending on diabetes? Econ Hum Biol. 2011 Jan; 9(1):1-13. PMID: 21112260.
      View in: PubMed
    62. Nicholas LH, Dimick JB, Iwashyna TJ. Do hospitals alter patient care effort allocations under pay-for-performance? Health Serv Res. 2011 Feb; 46(1 Pt 1):61-81. PMID: 21029088.
      View in: PubMed
    63. Nicholas LH, Osborne NH, Birkmeyer JD, Dimick JB. Hospital process compliance and surgical outcomes in medicare beneficiaries. Arch Surg. 2010 Oct; 145(10):999-1004. PMID: 20956770.
      View in: PubMed
    64. Osborne NH, Nicholas LH, Ghaferi AA, Upchurch GR, Dimick JB. Do popular media and internet-based hospital quality ratings identify hospitals with better cardiovascular surgery outcomes? J Am Coll Surg. 2010 Jan; 210(1):87-92. PMID: 20123337.
      View in: PubMed
    65. Dimick JB, Osborne NH, Nicholas L, Birkmeyer JD. Identifying high-quality bariatric surgery centers: hospital volume or risk-adjusted outcomes? J Am Coll Surg. 2009 Dec; 209(6):702-6. PMID: 19959037.
      View in: PubMed
    66. Biles B, Nicholas LH, Cooper B. The cost of privatization: extra payments to Medicare Advantage Plans--2005 update. Issue Brief (Commonw Fund). 2004 Dec; (750):1-12. PMID: 15595192.
      View in: PubMed
    67. Biles B, Dallek G, Nicholas LH. Medicare advantage: d?j? vu all over again? Health Aff (Millwood). 2004 Jul-Dec; Suppl Web Exclusives:W4-586-97. PMID: 15601665.
      View in: PubMed
    68. Biles B, Nicholas LH, Cooper BS. The cost of privatization: extra payments to Medicare Advantage plans. Issue Brief (Commonw Fund). 2004 May; (750):1-12. PMID: 15154416.
      View in: PubMed
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