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.
Part D Beneficiaries’ Incentives and Responses Under Preferred Pharmacy Networks
Under preferred pharmacy networks, unsubsidized Part D beneficiaries faced substantial incentives and moderately switched toward preferred pharmacies, whereas subsidized beneficiaries were insulated and demonstrated little switching.
Commercial and Medicare Advantage Payment for Anesthesiology Services
Mean in-network commercial allowed amounts and charges per anesthesia conversion factor are 314% and 659% of traditional Medicare rates, respectively. Medicare Advantage payments align with traditional Medicare prices.