Explore the latest in health care economics, insurance, and payment, including cost-effectiveness, value-based purchasing, and payment reform.
This cross-sectional study compared beneficiary characteristics, utilization, expenditure, and quality between accountable care organizations (ACOs) with and without federally qualified health center (FQHC) participation and assessed changes in ACO performance after including first FQHCs.
This Viewpoint describes the Centers for Medicare & Medicaid Services States Advancing All-Payer Health Equity Approaches and Development (AHEAD) model for academic medical centers.
This difference-in-differences study estimates whether state-level repeal of Section 14(c) of the Fair Labor Standards Act was associated with employment-related outcomes for people with cognitive disability.
This economic evaluation illustrates a manufacturer’s estimated spending and revenues as it discontinued a branded product and introduced a generic replacement in response to a policy change.
This cross-sectional study characterizes Medicare transitional pass-through payment approval rates and the premarket evidence used by US Food and Drug Administration to support authorization of new outpatient medical devices.
This economic evaluation assesses the cost-effectiveness of clinician-supported computer-assisted cognitive behavioral therapy (CBT) vs treatment as usual in a primary care population with a substantial number of patients with low income, limited computer or internet access, and lack of college education.
This study evaluates representation of older adults, women, and people of Black race and Hispanic ethnicity in Centers for Medicare & Medicaid Services national coverage determination (NCD) and coverage with evidence development (CED)–approved studies.
This cohort study examines the prevalence of and factors associated with financial hardship among US adults aged 40 years or younger treated for breast cancer.
This cohort study assesses the risk of all-cause and cause-specific mortality according to the income level of adults with type 2 diabetes and whether health outcomes according to income vary by age.
This Viewpoint discusses enrollment in Medicare Advantage vs traditional Medicare among older adults and common reasons for plan disenrollment, including the lack of in-network physicians and hospitals.
This time-series study assesses the association between heat waves and adverse health events among dually eligible individuals 65 years and older.
This cross-sectional study describes Medicare Advantage plans owned or operated by health care systems in the US.
This cross-sectional study estimates the prevalence of catastrophic health expenditures incurred by US individuals accessing abortion care and whether abortion costs differ among those seeking care within or outside their state of residence.
This study analyzes the extent and persistence of payments to physicians from competing manufacturers after receipt of payment from manufacturers of first-in-class products entering 6 novel therapeutic classes.
This cohort study evaluates whether the practice-level use of telehealth is associated with delivery of low-value care in primary care practices in Michigan.
This cross-sectional study compares the use of management tools and plan-level total costs for oral ondansetron between Part D independent prescription drug plans and Medicare Advantage prescription drug plans.
This cohort study examines the association between neonatal mortality and hospital delivery in China across urban and rural regions, regional disparities, and varying levels of economic development.
This economic evaluation assesses the cost-effectiveness of the US Supportive Services for Veteran Families program with temporary financial assistance for housing-related expenses vs without temporary financial assistance for veterans who are experiencing housing insecurity.
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