This Viewpoint explores existing payment models and waste elimination incentives and proposes a new approach to addressing waste in health care.
This Viewpoint describes use of market caps and other policies to lower health care costs in the Medicare Marketplace.
This viewpoint discusses the balance between flexibility and accountability in network adequacy standards for mental health care professionals’ networks under Medicaid managed care.
This Viewpoint advocates for the US federal government to take advantage of COVID-19 pandemic-inspired momentum to promote telehealth via regulatory leadership.
This cross-sectional study assesses whether physician group participation in Medicare bundled payments is associated with changes in costs or patient outcomes.
This cohort study evaluates the association between New York City’s 2014 paid sick leave mandate and health care utilization among Medicaid-enrolled adults in New York City vs New York State.
This quality improvement study assesses the association of implementation of an eConsult program with access to specialty care in a safety-net system.
This qualitative study interprets information collected through interviews with leaders of 30 physician practices across the US to assesses the time and financial costs of participating in the Medicare Merit-based Incentive Payment System.
This cohort study compares orally administered anticancer medication uptake, out-of-pocket spending, and health plan spending in states with parity with and without spending caps.
This cross-sectional study measures the extent of prior authorization requirements for medical services and describes the services and clinician specialties affected by them using novel data on private insurer coverage policies
This cohort study examines health care utilization patterns for patients with COVID-19 who were enrolled vs not enrolled in a home monitoring program.
This cohort study analyzes the trends in filled naloxone prescriptions during the COVID-19 pandemic in the United States and compare these to opioid prescriptions and overall prescriptions.
This cohort study describes the first 24 months of abortion services covered under Oregon’s Reproductive Health Equity Act and distances traveled by women to receive care.
This Special Comunication describes the cost measures framework of the Merit-based Incentive Payment System implemented by the US Congress with the Medicare Access and Children's Health Insurance Program Reauthorization Act, focusing on design features of episode-based cost measures.