Explore the latest in health care economics, insurance, and payment, including cost-effectiveness, value-based purchasing, and payment reform.
This cross-sectional study examines the association between patient race/ethnicity and the rate at which patients are offered primary care appointments and the number of days they wait for their primary care appointments.
This cross-sectional study examines whether access to reproductive health services in the United States is associated with the market share of Catholic hospitals at the county level.
This survey study identifies changes in unmet need for physician services among insured and uninsured adults aged 18 to 64 years in the United States from the 1998 and 2017 Behavioral Risk Factor Surveillance System surveys.
This analysis of US Medicare data evaluates the number of balloon catheter dilations performed between 2011 and 2017, including the percentage of procedures performed by surgeons who perform high volumes of this procedure, reimbursements, and national geographic distributions.
This Viewpoint describes the benefits of value-based pricing for corticosteroid-eluting sinus stents for drug manufacturers, patients, and clinicians.
This economic evaluation uses Medicare claims data to evaluate changes in utilization of and Medicare payments for transitional care management services from 2013 to 2018.
This Viewpoint describes the differing definitions of community used in community health assessments mandated by the Affordable Care Act and briefly describes the advantages and disadvantages of 4 approaches.
This Viewpoint discusses barriers to collecting patient-reported outcome measures for symptom monitoring as a component of the Oncology Care First payment model, a Centers for Medicare & Medicaid Services program that provides bundled population payments to cover physician services and enhancements intended to improve care quality for patients receiving systemic cancer treatment, and proposes ways to implement and facilitate the requirement given its importance to patient well-being.
This economic evaluation estimates the difference in patient-years of treatment for diabetes, hypertension, and dyslipidemia and public-payer cost between the Canadian standard of care and an improved bariatric surgery care pathway.
This cohort study examines the association of Medicaid expansions as part of the Patient Protection and Affordable Care Act (ACA) with stage at diagnosis and time to treatment initiation for patients with head and neck squamous cell carcinoma (HNSCC).
This economic evaluation of prostate cancer radiation therapy costs at National Cancer Institute–designated cancer centers assesses the value of the price transparency mandate of the US Centers for Medicare & Medicaid Services in allowing patients with prostate cancer to shop by price for radiation treatment.
This cross-sectional study assesses out-of-pocket costs and total payments for 5 types of common oncologic procedures that can be performed using an open or robotic approach.
This cross-sectional study compares the quality of hospitals that admit patients enrolled in Medicare Advantage vs hospitals that admit patients enrolled in traditional Medicare.
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