Background: Older adults occasionally receive seizure prophylaxis in an acute ischemic stroke (AIS) setting, despite safety concerns. There are no trial data available about the…
In 2020 Medicare reintroduced Alzheimer’s disease and related dementias (ADRD) Hierarchical Condition Categories (HCCs) to risk-adjust Medicare Advantage and accountable care…
The accuracy with which claims-based diagnostic codes capture Alzheimer disease and related dementias (ADRD) may vary across health care settings,1 thereby affecting the validity…
Background: The Affordable Care Act (ACA) increased funding for Federally Qualified Health Centers (FQHCs). We defined FQHC service areas based on patient use and examined the…
Research Objective
Coverage policy may be an important tool to reduce spending while discouraging low-value medical services. Government and private insurers may also differ in…
Importance
Limited evidence is available concerning optimal seizure prophylaxis after spontaneous intracerebral hemorrhage (sICH).
Objective
To evaluate which of 4 seizure…
Background:
Physicians often receive lower payments for dual-eligible Medicare-Medicaid beneficiaries versus nondual Medicare beneficiaries because of state reimbursement caps.…
Importance
Health insurers use prior authorization to evaluate the medical necessity of planned medical services. Data challenges have precluded measuring the frequency with which…
I look at prevention through an economic lens and make three main points. First, those advocating preventive measures are often asked how much money a given measure saves. This…
One of the more surprising health policy developments in the decade since the Affordable Care Act (ACA) was enacted in 2010 has been the steady growth in the market share of the…
