Jacobson and Alpert studied more than 2.4 million monthly claims for chemotherapy treatment and found little impact on outpatient chemotherapy treatment for the majority of oncology drugs identified as experiencing shortages between 2004 and 2011.
Using a dynamic microsimulation model to estimate the lifetime burden of serious mental illness for those diagnosed by age twenty-five, the researchers estimated that the per-patient lifetime burden of SMI is $1.85 million.
In this study of patients 65 years and older, short-term postdischarge mortality did not appear to increase for black patients under the HRRP, suggesting that certain value-based payment policies can be implemented without harming black populations. However, mortality seemed to increase for white patients with HF and this situation warrants investigation.
To make greater strides towards value-based payment models in Medicare, Paul Ginsburg recommends that those who are testing alternative payment models at CMS should work directly with the team managing the existing fee-for-service payment system.
The researcher’s analysis using EHR data shows that pressure-injury prevention for all inpatients is cost-effective. Hospitals should invest in nursing compliance with international prevention guidelines.
The researchers find that rising education levels—even if minority-white college education gaps were eliminated completely—would only partially reverse the steep declines in young-adult homeownership attainment witnessed since the onset of the housing bust.
The number of physicians excluded from participation in Medicare and state public insurance reimbursement owing to fraud, waste, and abuse increased on average, 20 percent per year, between 2007 and 2017.
Goldman, Van Nuys and colleagues propose a three-part pricing (TPP) model that ties prices to value but removes the need to monitor efficacy in each patient. The model creates a tiered system, with prices varying over fixed time intervals.