Research
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Arbitration Over Out-Of-Network Medical Bills: Evidence From New Jersey Payment Disputes
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.
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Associations of Intensive Lifestyle Intervention in Type 2 Diabetes With Health Care Use, Spending, and Disability
Is an intensive lifestyle intervention for type 2 diabetes associated with long-term health care use and Medicare spending?
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Capping Prices or Creating a Public Option: How Would They Change What We Pay for Healthcare?
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.
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Cognitive Assessment At Medicare’s Annual Wellness Visit In Fee-For-Service And Medicare Advantage Plans
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.
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Changes in Health Services Use Among Commercially Insured US Populations During the COVID-19 Pandemic
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.
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Federal Policy Options to Realize the Potential of All Payer Claims Databases
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.
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Predicting Quantity and Quality of Life with the Future Elderly Model
The FEM performs at least as well as actuarial forecasts of mortality, while providing policy simulation features that are not available in actuarial models.
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Assessment of Racial Disparities in Mortality Rates Among Older Adults Living in US Rural vs Urban Counties From 1968 to 2016
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.
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Ideas About Resourcing Health Care in the United States: Can Economic Evaluation Achieve Meaningful Use?
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.
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NBER: A Counterfactual Economic Analysis of COVID-19 Using a Threshold Augmented Multi-Country Model
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.
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