Coverage of our peer-reviewed research and news reporting in the health care and mainstream press.
A study published in the July 2021 issue of The American Journal of Managed Care® (AJMC®), titled “Large Self-insured Employers Lack Power to Effectively Negotiate Hospital Prices,” was cited in articles by Healthcare Dive, Fierce Healthcare, and Becker’s Hospital Review. In the study, authors examined the ability of self-insured employers to negotiate hospital prices, with findings showing low market power of employers in most metropolitan areas.
A piece by Healthcare Finance News referenced a study published online ahead of print for the December 2021 issue of AJMC®. The study, “Availability of Prices for Shoppable Services on Hospital Internet Sites,” indicated that many hospitals are in violation of new federal legislation with only 60% of hospitals displaying their cash prices and 5% displaying their minimum negotiated charges on their public websites. The study was also mentioned by the Santa Monica Daily Press.
Prices for care at hospital trauma centers vary across hospitals; drug shortages reached a record high during the first quarter of 2024; although 3 of the biggest makers of asthma inhalers pledged to cap out-of-pocket costs for some US patients at $35, these do not apply to daily inhalers used by the youngest kids with asthma.
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Navigating Medicare's Part D Subsidy Program to Achieve Value-Based Care
May 26th 2023On this episode of Managed Care Cast, we speak with the lead researcher from a study published in the May 2023 issue of The American Journal of Managed Care® about the impact of low-income subsidies on the uptake and equitable use of expensive orally administered antimyeloma therapy.
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Study Highlights Disparities in Access to In-Network Mental Health Care vs Medical Care
April 17th 2024While health plans often employ reimbursement rates as a tool to incentivize provider participation within their networks, study results showed reimbursement rates for office visits with medical/surgical clinicians were on average 22% higher than behavioral health clinicians.
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Reaching Rural America: Value-Based Care Solutions for Systemic Health and Social Inequalities
March 7th 2023On this episode of Managed Care Cast, we speak with Jennifer Schneider, MD, co-founder and chief executive officer of Homeward, a value-based care provider aiming to improve access to high-quality care in rural communities through tech-enabled clinical services, partnerships with local physicians and health plans, and community-level demographic data.
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NSAIDs vs bDMARDs: Sex Disparities in Treatment Initiation for Axial Spondyloarthritis
April 12th 2024New research examining treatment initiation patterns among patients with axial spondyloarthritis revealed significant sex-based disparities, shedding light on the process from diagnosis to therapeutic intervention.
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