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Emergency Physicians Recover A Higher Share Of Charges From Out-Of-Network Care Than From In-Network Care
Researchers used data from the Medical Expenditure Panel Survey to measure how much privately insured emergency patients paid when they likely received a surprise bill and how much physicians received in these situations.
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Medicare Advanced Imaging Payment: Dysfunctional Policy Making
USC-Brookings Schaeffer Initiative for Health Policy offers three recommendations for improving Medicare’s treatment of advanced imaging in ambulatory settings, two of which focus on setting prices and one on managing utilization.
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Payment for Dialysis Services in the Individual Market
A new study published in JAMA Internal Medicine finds that monthly spending on outpatient dialysis services for end-stage kidney disease (ESKD) patients was three times higher for patients insured in the individual market compared to patients insured through Medicare.
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Private Insurance and Mental Health Among Older Adults with Multiple Chronic Conditions: A Longitudinal Analysis by Race and Ethnicity
Older adults with multiple chronic conditions have a higher risk than those without multiple conditions of developing a mental health condition.
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ADDITIONAL JOURNAL ARTICLES
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Changes in Health Services Use Among Commercially Insured US Populations During the COVID-19 Pandemic
A new study from Schaeffer Center experts finds that immediately after Los Angeles’ safer-at-home declaration, emergency department utilization dropped by 37% compared to the same 9 weeks in the prior two years.
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Arbitration Over Out-Of-Network Medical Bills: Evidence From New Jersey Payment Disputes
Arbitrators seemed to anchor decision around surprising billing to the 80th percentile of charges with the median decision being 5.7 times prevailing in-network rates for the same services.
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Health and Social Correlates of Dementia in Oldest‐Old Mexican‐Origin Populations
Substantial gaps in research remain across oldest‐old ethnic populations while the burden of dementia increases exponentially with age among Mexican and Mexican American older adults.
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Associations of Intensive Lifestyle Intervention in Type 2 Diabetes With Health Care Use, Spending, and Disability
Is an intensive lifestyle intervention for type 2 diabetes associated with long-term health care use and Medicare spending?
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Cognitive Assessment At Medicare’s Annual Wellness Visit In Fee-For-Service And Medicare Advantage Plans
The study provides new insights – the self-reports of survey respondents – into cognitive assessments at annual wellness visits, an area that has been somewhat hidden from view.
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Changes in Health Services Use Among Commercially Insured US Populations During the COVID-19 Pandemic
The researchers examine changes in health care use during the first 2 months of the COVID-19 pandemic in March and April of 2020 relative to March and April of 2019 and 2018, and to examine whether changes in use differ by patient’s zip code–level race/ethnicity or income.
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