Research
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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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Are “All or Nothing” Contracts by Hospital Systems Anti-Competitive?—Evidence from a Recent Antitrust Lawsuit
The study sheds light on how the adoption of “all-or-nothing” contracting by multi-hospital systems can eliminate competitive constraints, enabling them to command significantly higher prices.
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Cross-Sectional and Longitudinal Associations Among Healthcare Costs and Deficit Accumulation
Deficit accumulation frailty tracks well with healthcare costs among adults with type 2 diabetes and overweight or obesity. It may serve as a useful marker to project healthcare needs and as an intermediate outcome in clinical trials.
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Use of Oral and Emergency Contraceptives After the US Supreme Court’s Dobbs Decision
The Dobbs decision was associated with declines in oral contraceptives, particularly ECs, in states enacting the most restrictive abortion policies.
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Fitting in? Physician Practice Style After Forced Relocation
Obstetric physician behavior change appears highly malleable and sensitive to the practice patterns of other physicians delivering newborns at the same hospital. Incentives and policies that encourage more appropriate clinical care norms hospital-wide could sharply improve physician treatment decisions, with benefits for maternal and infant outcomes.
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Fixing Medicare Advantage With Competitive Bidding
Schaeffer experts recommend using competitive bidding for standardized benefits to set plan payments and enhance beneficiary choice in Medicare Advantage.
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Deductible Double Jeopardy: Patients May Pay More Out of Pocket When Pregnancy Crosses 2 Years
This cross-sectional analysis of commercially insured delivering mothers suggests that greater out-of-pocket spending is incurred when pregnancy spans 2 years, causing them to face out-of-pocket limits twice.
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