Research
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Scrutinizing the Role of Pharmacy Benefit Managers
Policymakers should consider increasing transparency, explore alternatives to the rebate system, scrutinize vertical integration, and seek better alignment of PBM incentives with patient and payer interests.
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Pharmacy Benefit Manager Market Concentration for Prescriptions Filled at US Retail Pharmacies
A few pharmacy benefit managers dominate each of the payer markets, and the three biggest PBMs appear to be targeting different markets.”
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Beyond Average Spending: Distributional and Seasonal Commercial Insurance Trends, 2012-2021
Health insurance is working well to protect the highest spenders, while others are paying an increasing share of out-of-pocket costs.
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Disparate Patient Advocacy When Facing Unaffordable and Problematic Medical Bills
Most respondents who self-advocated achieved bill corrections and payment relief.
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Self-Reported Anticipated Harm from Drinking Water Across 141 Countries
Public Trust in Drinking Water Safety is Low Globally
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Should We Change the Term We Use for “Climate Change”? Evidence from a National U.S. Terminology Experiment
Sticking with familiar terms “climate change” and “global warming” is advisable because public responsiveness may be lower when terms are unfamiliar.
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Growing Divergence Between Medicare Advantage Plan Bids and Payments to Plans
While risk-adjusted Medicare Advantage bids have decreased compared with risk-adjusted traditional Medicare spending, total payments to MA plans have risen partly because of the growing impact of payment adjustments.
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Acceptability of Hospital-at-Home Care and Capacity for Caregiver Burden
This study surveyed a representative US population about aspects of hospital-at-home care, including acceptability and willingness to perform caregiving tasks.
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The Impact of Medicaid Institutions for Mental Disease Exclusion Waivers on the Availability of Substance Abuse Treatment Services and the Varying Effect by Ownership Type
The study findings suggest that Medicaid IMD waivers are at least somewhat effective at impacting the population targeted by the policy.
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Changes in Emergency Contraceptive Fills After Massachusetts’ Statewide Standing Order
Policies that reduce prescribing barriers may improve access to emergency contraceptives, particularly ulipristal.
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