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Influence of Out-of-Network Payment Standards on Insurer–Provider Bargaining: California’s Experience
California’s experience implementing a policy to address surprise medical billing demonstrates that out-of-network payment standards can influence payer–provider bargaining leverage, affecting prices and network breadth.
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Medicare Beneficiaries, Especially Unsubsidized Minorities, Struggle to Pay for Prescription Drugs: Results from the Medicare Current Beneficiary Survey
This paper examines racial/ethnic disparity in prescription drug cost-coping behaviors in a nationally representative sample of Medicare beneficiaries.
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Impact of Early Initiation of Antihypertensive Medications for Patients with Hypertension or Elevated Blood Pressure
Initiating antihypertensive medications before experiencing a cardiovascular disease-related clinical event was associated with reduced risk of AMI, stroke and death for all hypertensive patients identified in the new guidelines.
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Regression to the Mean in the Medicare Hospital Readmissions Reduction Program
Regression to the mean is a known statistical phenomenon. It occurs when an outcome is measured multiple times. Outcomes that are extreme relative to the statistical average, or mean, during the first measurement are more likely to be closer to the mean in subsequent measurement periods simply by chance, because more extreme values have a […]
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ADDITIONAL JOURNAL ARTICLES
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Do Cancer Treatments Have Option Value? Real‐ World Evidence From Metastatic Melanoma
The study findings in metastatic melanoma provide the first empirical evidence of the impact of option value in cancer treatment decision making.
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Factors Associated with Unintended Pregnancy, Contraceptive Risk-Taking, and Interest in Pharmacist-Provided Birth Control
Although overall rates of unplanned pregnancies have declined, significant racial and geographic disparities persist. At the same time, there are new opportunities to improve access to contraception. This study identifies contributors to the high rate of unplanned pregnancies in a rural farming community in California and assesses interest in pharmacist-prescribed contraception.
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Now Is the Time for Transparency in Value-Based Healthcare Decision Modeling
Peer-reviewed journals could make a key contribution to improving scientific rigor and real-world healthcare decision-maker acceptability by requiring that VHDM models, source code, and data used in published articles be made freely available to interested readers.
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How Does Option Value Affect the Potential Cost-Effectiveness of a Treatment? The Case of Ipilimumab for Metastatic Melanoma
Innovations that extend life can generate option value and cost of experiencing future technologies. Schaeffer postdoc Meng Li developed generalizable approaches to estimating option value in cost-effectiveness analysis.
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Material–Psychosocial–Behavioral Aspects of Financial Hardship: A Conceptual Model for Cancer Prevention
RCMAR Scientist Reginald Tucker-Seeley presents a model to consistently measure financial hardship to better inform cancer prevention research identify connections between socioeconomic circumstances and cancer risk-related behaviors and cancer screening among older adults.
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Do Health Insurance and Hospital Market Concentration Influence Hospital Patients’ Experience of Care?
The findings from this study add to the evidence on the harms of hospital consolidation but suggest that insurer consolidation may improve patient experience.
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