Hospitals and Health Systems
Our work in Hospitals and Health Systems
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Analyzing the House E&C Committee’s Bipartisan Surprise Out-Of-Network Billing Proposal
The Energy and Commerce draft would eliminate surprise out-of-network billing for both emergency and non-emergency services (with the notable exception of ambulance services) and across different sites of care (e.g., hospitals, ambulatory surgery centers (ASCs), freestanding emergency departments).
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The Relationship Between Network Adequacy and Surprise Billing
As policymakers look to address surprise out-of-network billing, network adequacy regulation is raised as a potential solution. Researchers from the USC-Brookings Schaeffer Initiative argue the network adequacy framework is poorly suited to solving this problem.
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Digital Waste? Unintended Consequences of Health Information Technology
Abstract We exploit a large-scale natural experiment – the rollout of a nationwide electronic prescribing system in Finland – to study how digitization of prescriptions affects pharmaceutical use and health outcomes. We use comprehensive administrative data from patients treated with benzodiazepines, which are globally popular, effective but addictive psychotropic medications. We find no impact on […]
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Geographic Variation in the Delivery of High-Value Inpatient Care
Hospitals in Miami produced 13 percent fewer high-quality hospital stays than the U.S. average, while hospitals in Everett, Washington, a city 25 miles north of Seattle, perform over 20 percent better than average on value.
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Novel Value Framework Finds Substantial Variation Across the US in Delivery of High-Value Care at Hospitals
Hospitals in Miami produced 13 percent fewer high-quality hospital stays than the U.S. average, while hospitals in Everett, Washington, a city 25 miles north of Seattle, perform over 20 percent better than average on value.
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Psychiatric Emergencies Account for Nearly One-in-Five Monetary Penalties Levied on Hospitals under Anti-Dumping Law
The proportion of settlements related to psychiatric emergencies has increased in recent years, suggesting the need for more resources to improve access and quality of care for patients with psychiatric emergencies.
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Civil Monetary Penalties Resulting From Violations of the Emergency Medical Treatment and Labor Act (EMTALA) Involving Psychiatric Emergencies, 2002 to 2018
Nearly one in five civil monetary penalty settlements related to EMTALA violations involved psychiatric emergencies.
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Examining Surprise Billing: Protecting Patients from Financial Pain
Christen Linke Young delivered testimony to the House Education and Labor Subcommittee on Health, Employment, Labor, and Pensions on April 2, 2019.
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Thirty-Day Postdischarge Mortality Among Black and White Patients 65 Years and Older in the Medicare Hospital Readmissions Reduction Program
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.
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State Approaches to Mitigating Surprise Out-of-Network Billing
Schaeffer Initiative researchers explore why surprise out-of-network billing occurs and how federal and state governments can respond to eliminate these surprise bills and reduce inflated health care costs.
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