Medicare and Medicaid
Our work in Medicare and Medicaid
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Challenging Assumptions of Outcomes and Costs Comparing Peritoneal and Hemodialysis
Policy makers have suggested increasing peritoneal dialysis (PD) would improve end-stage kidney disease (ESKD) outcomes and reduce Medicare spending compared with hemodialysis (HD). We compared mortality, hospitalizations, and Medicare spending between PD and HD among uninsured adults with incident ESKD.
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Do Medicare’s Facility Fees Incentivize Hospitals to Vertically Integrate with Oncologists?
A new paper examining whether or not hospitals strategically choose to vertically integrate with clinical oncologists in order to capture facility fees, a commonly cited reason for increased consolidation in the healthcare market.
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Comparison of Spending on Common Generic Drugs by Medicare vs Costco Members
A new Schaeffer Center study comparing Medicare Part D prescription drug prices with those paid by Costco members finds that the federal government overpaid on roughly half of the most common generic medicines in 2018.
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USC Research Shows Costco Beats Medicare in Generic Drug Savings Nearly 50% of the Time
Intermediaries negotiate good prices, but lack incentives to pass savings to beneficiaries and taxpayers.
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Access to the 340B Drug Pricing Program: Is There Evidence of Strategic Hospital Behavior?
Some hospitals adjust their measure that identifies hospitals that treat a disproportionate share of low-income patients to gain 340B eligibility.
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Assessing the Quality of SK&A’s Office-Based Physician Database for Identifying Oncologists
Schaeffer experts assess the quality of one of the most commonly used commercial databases, SK&A’s office-based physician database.
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Cost- Effectiveness of Total State Coverage for Hepatitis C Medications
A Medicaid-Medicare partnership could cover lifesaving hepatitis C medications — and still save $1 to $1.1 billion over 25 years.
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The Effects of Vertically Integrated Care on Health Care Use and Outcomes in Inpatient Rehabilitation Facilities
Receiving vertically integrated care in hospital-based inpatient rehabilitation facilities shortens institutional length of stay while maintaining or improving health outcomes.
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Association of Drug Rebates and Competition With Out-of-Pocket Coinsurance in Medicare Part D, 2014 to 2018
Research from Schaeffer Center experts Darius Lakdawalla and Meng Li in JAMA Network Open finds U.S. insurers could use drug manufacturer rebates to lower retail pharmacy prices and reduce patient out-of-pocket burden by 38% on average, or 70% in the most competitive drug classes.
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Advance Care Planning for Medicare Beneficiaries Increased Substantially, but Prevalence Remained Low
Researchers examined fee-for-service Medicare claims and found a substantial increase in outpatient advance care planning claims between 2016 and 2019, although prevalence remained below 7.5 percent for all patient subgroups analyzed.
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