Battling the Chargemaster: A Simple Remedy to Balance Billing for Unavoidable Out-of-Network Care
The authors propose a simple legal mechanism to combat chargemaster abuses and encourage provider price competition. This solution is superior to prevailing legislative and regulatory responses to surprise out-of-network bills.
Real-World Evidence and the Behavioral Economics of Physician Prescribing
The complex interplay of behavioral economics may result in reimbursement methodology alternatives to the prevailing fee-for-service payment system having less impact on prescribing behavior than has been conjectured.
Physician Variation in Lung Cancer Treatment at the End of Life
Patients receiving care for advanced non—small cell lung cancer in small, independent oncology practices are more likely to receive chemotherapy in the last 30 days of life.
Provider Type and Management of Common Visits in Primary Care
In primary care, nurse practitioners and physician assistants do not necessarily order more ancillary services, or more costly services among alternatives, than physicians.
Concentration of High-Cost Patients in Hospitals and Markets
High-cost patients are only modestly concentrated in specific hospitals and healthcare markets.
Medication Burden in Patients With Acute Coronary Syndromes
Patients endure heavy medication complexity following hospital discharge for acute coronary syndrome.
The Relationship Between Adherence and Total Spending Among Medicare Beneficiaries With Type 2 Diabetes
This study describes a widespread variation in medication adherence, pharmacy cost sharing, and medical spending. Increased cost sharing may decrease adherence and increase total diabetes spending.
Patients' Preferences for Receiving Laboratory Test Results
The main reason given for receiving results online was time savings, reported by 77% of participants, followed by lowering the chance of missing the results (31%).
The Breathmobile Improves the Asthma Medication Ratio and Decreases Emergency Department Utilization
An examination of the asthma medication ratio (â‰¥0.50) as an informative metric in program evaluation and for healthcare organizations to measure quality of care provided to patients with asthma.
Can Primary Care Physicians Accurately Predict the Likelihood of Hospitalization in Their Patients?
This study demonstrates that the predictive accuracy of primary care physicians’ assessment of future hospitalization risk is comparable to commonly used quantitative risk stratification instruments.
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