Explore the latest in health care economics, insurance, and payment, including cost-effectiveness, value-based purchasing, and payment reform.
This Viewpoint discusses the benefits and harms of cancer screening tests in the context of various stakeholders.
This cross-sectional study examines whether clinicians changed their medication orders after seeing the patient’s out-of-pocket drug costs in the electronic health record.
This cohort study examines whether dialysis facility profit status is associated with risk of death among children treated for kidney failure.
This cross-sectional study examines out-of-pocket costs and payer types for buprenorphine prescriptions filled for youth aged 12 to 19 years at US retail pharmacies.
This cohort study examines follow-up data for adults injured by police to analyze long-term health care costs among survivors of police shootings compared with those surviving nonfirearm police enforcement injuries.
This Viewpoint discusses how the design of the Centers for Medicare & Medicaid Services (CMS) registry could impact Medicare’s ability to evaluate whether monoclonal antibodies are reasonable and necessary for patients with Alzheimer disease and help physicians understand when the drug is most beneficial.
This economic evaluation examines the cost-effectiveness of sacubitril-valsartan among a range of ejection fractions and at different upper-level cutoffs of below-normal ejection fractions.
In this Viewpoint, Kesselheim and coauthors discuss 2 bills in Congress that would curtail Medicare’s ability to decline, limit, or conditionally cover medical products that lack robust evidence and argue that officials should distinguish between better and worse therapies when determining reimbursement.
This cohort study examines whether premorbid education, income, and marital status are associated with future multiple sclerosis (MS) disability and symptom severity, independent of treatment, in a universal health care context.
This cohort study of US hospice agencies compares characteristics of patients, clinical diagnoses, and site of care for agencies acquired by private equity firms or publicly owned companies.
This cohort study investigates the association of New York state’s Medicaid value-based payment reform with utilization patterns in patients with mental illness.
This economic evaluation uses time-driven activity-based costing to compare the personnel costs of inpatient care vs hospital-at-home for treating dengue and an ambulatory care team model for treating chest pain.
This Viewpoint evaluates the legal claims and policy implications of historic drug price negotiations possible with the Inflation Reduction Act of 2022.
This Viewpoint discusses how the price negotiation for certain drugs under the Inflation Reduction Act will provide a unique opportunity to enhance access to therapies for older patients with cardiovascular conditions and diabetes.
This cross-sectional study examines referrals for low-value health care services and associated spending by ordering clinician among Medicare beneficiaries.
This cohort study examines which skilled nursing facility characteristics are associated with changes in ownership and whether changes in skilled nursing facility ownership were associated with differences in short-stay patient outcomes.
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