Hospitals and Health Systems
Our work in Hospitals and Health Systems
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The California Competitive Model: How Has it Fared, and What’s Next?
The combined effect of policies and consolidation trends was a substantial reduction in the competitiveness of provider markets in California, which reduced health plans’ ability to leverage competitive provider markets and negotiate lower prices and other benefits for their members.
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Before We Reward, We Must Measure: Tracking Population Health Management by US Hospitals
For the amount of money the United States spends on healthcare—the largest percentage of GDP of any nation—the return on investment is not very good. To make our healthcare expenditure more cost-effective, we must reward hospitals that effectively manage population health. But, before we can reward, we must measure.
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Emergency Department Contribution to the Prescription Opioid Epidemic
Office-based physician visits are contributing a large share to the prescription opioid epidemic, according to a new study.
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Graduating into a Downturn: Are Physicians Recession Proof?
Alice Chen, Anthony Lo Sasso, and Michael Richards leverage a unique dataset to analyze if and how the Great Recession impacted the labor market of physicians who were seeking their first job post residency and fellowship training.
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Pharmacists With Greater Role Curtail Repeat Hospital Visits
Amid state and federal discussions to address doctor shortages, a USC-led study is part of a growing body of research indicating that an expansion of pharmacists’ roles is a potential solution.
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Improving Hospital Incentives with Better Cost Data
The method currently used by the Centers for Medicare and Medicaid Services to set Medicare payment rates is fairly crude. CMS could draw on cost data that are produced by hospitals’ internal systems to increase the efficiency of the health care system.
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Enforcement of the Emergency Medical Treatment and Labor Act, 2005 to 2014
In a peer-reviewed longitudinal description of trends in enforcement of the Emergency Medical Treatment and Labor Act (EMTALA), researchers found that more than a quarter of hospitals have been cited under the EMTALA—known as the “anti-dumping law”—in the past decade.
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Physician Treatment Patterns: Evidence from Accountable Care Organizations
Researchers found that when physicians have a sufficient number of ACO-aligned beneficiaries they reduce the number of procedures performed across all of their patients, suggests that financial incentives have blunt and widespread effects where the dominant payment arrangement has spillover effects on health outcomes.
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Solving Surprise Medical Bills
Imagine you walk into a hospital for a planned procedure, for example a knee operation to be performed by an orthopedic surgeon. Before you scheduled the surgery, you did your due diligence and confirmed that the surgeon performing the procedure participated in your insurance plan, and that the hospital where you were having the surgery […]
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The Impact of Patient-Centered Medical Homes on Safety Net Clinics
In a study on the impact of a patient-centered medical home (PCMH) model in safety net clinics in a managed Medicaid plan, the researchers found that a PCMH model effectively reduced emergency department use and increased the use of office visits among Medicaid patients, though the beneficial effects can be muted by a sudden influx of high-need users.
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