Explore the latest in health care economics, insurance, and payment, including cost-effectiveness, value-based purchasing, and payment reform.
This pilot randomized clinical trial examines whether giving a financial incentive in an escalating or deescalating pattern (vs no incentive) to patients receiving antidepressants can enhance medication adherence.
This cohort study examines national Medicaid and Medicare drug-spending data to examine colchicine prices over the period from 2008 to 2017.
This cohort study uses nationally representative 2008-2017 Medicare billing claims to examine changes in health care use and outcomes among patients whose primary care physician exited the workforce and to directly measure the association of primary care turnover with patients’ health care use and outcomes.
This cross-sectional study examines appointment success and wait times for patients with various insurance types at clinics with and without private equity ownership.
This cohort study evaluates the association between receipt of unemployment insurance, including a $600/wk federal supplement between April and July, and food insecurity among US residents who lost their jobs during the coronavirus disease 2019 (COVID-19) pandemic.
This economic evaluation examines graduate medical education funding, an annual subsidy awarded to academic hospitals, and whether it is associated with a hospital’s financial standing, clinical outcomes, or resident academic performance.
This Viewpoint proposes 3 steps the Biden administration can take to slow consolidation within health care, which has been shown to raise costs without improving service or quality: better fund federal antitrust enforcement agencies; appoint agency heads committed to enforcement; and create an interagency task force devoted to enhancing competition.
This cross-sectional study uses 2015-2017 data from the Pregnancy Risk Surveillance and Monitoring System to examine the association between health insurance coverage and use of perinatal health care among low-income women in the US.
This cross-sectional study examines patient, physician, and practice characteristics associated with biosimilar usage in the Medicare population.
This cross-sectional study examines whether efforts to limit out-of-pocket spending for enrollees in nonsubsidized Medicare Part D plans are associated with insulin adherence rates among these patients.
This study compares revenue of Maryland hospitals in March-July 2020 vs historical trends and assesses whether rate increases for inpatient and outpatient services that were permitted to offset pandemic-related decines in revenues were associated with changes to state hospital revenue.
This Viewpoint proposes policy options to forestall insolvency of the Medicare Hospital Insurance Trust Fund, including practical and politically palatable strategies to increase revenues and decrease spending to prevent looming shortfalls.
This cross-sectional study examines whether differences exist between Black and White Medicare beneficiaries in the observed patterns of patient sharing between primary care physicians and physicians in the 6 specialties to which patients were most frequently referred.
This cross-sectional study examines within-class changes in US wholesale drug prices for brand-name medications from 2015 to 2020.
This cohort study evaluates whether the Affordable Care Act’s increase in Medicaid fees to Medicare levels for primary care practitioners was associated with increases in primary care visits for dual-eligible Medicare and Medicaid beneficiaries.
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