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…
Importance
The Patient Protection and Affordable Care Act (ACA) temporarily increased primary care practitioners’ (PCP) Medicaid fees to that of Medicare for 2013 to 2014 (fee…
Purpose
To examine indications for, duration of use, and rate of adverse drug events (ADE) attributable to anticonvulsant initiation, as adjudicated by expert review of electronic…
Federally qualified health centers (FQHCs) receive federal funding to serve medically
underserved areas and provide a range of services including comprehensive primary care,…
Improvements in medical treatment have contributed to rising health spending. Yet there is relatively little evidence on whether the spending increase is “worth it” in the sense…
