Research

Arbitrators seemed to anchor decision around surprising billing to the 80th percentile of charges with the median decision being 5.7 times prevailing in-network rates for the same services.

Is an intensive lifestyle intervention for type 2 diabetes associated with long-term health care use and Medicare spending?

Sharp and large differences in prices for commercial health insurers and Medicare have led some policymakers to propose a larger public role in determining provider prices in commercial coverage.

The study provides new insights – the self-reports of survey respondents –  into cognitive assessments at annual wellness visits, an area that has been somewhat hidden from view.

The researchers examine changes in health care use during the first 2 months of the COVID-19 pandemic in March and April of 2020 relative to March and April of 2019 and 2018, and to examine whether changes in use differ by patient’s zip code–level race/ethnicity or income.

An all-payer claims database (APCD) is a system that collects health care claims and related data from all (or nearly all) entities that pay for health care services in a geographic area, including private and public health plans.

The FEM performs at least as well as actuarial forecasts of mortality, while providing policy simulation features that are not available in actuarial models.

Even though racial disparities in mortality rates for older adults have narrowed, the gap between Black and White men in rural counties across the United States continues to widen.

In a study published in Annals of Internal Medicine, we suggest several ways that economic evaluation could become an effective component of value-based decision-making.

We show that no country is immune to the economic fallout of the pandemic because of global interconnections as evidenced by the case of Sweden.