ÌÇÐÄvlog¹ÙÍø

Physician Agency and Competition: Evidence from a Major Change to Medicare Chemotherapy Reimbursement Policy

We investigate the role of physician agency and competition in determining health care supply and patient outcomes.

Variation in Health Care Spending: Target Decision-Making, Not Geography

Health care in the United States is more expensive than in other developed countries, costing $2.7 trillion in 2011, or 17.9 percent of the national gross domestic product.

Medicare Beneficiaries More Likely To Receive Appropriate Ambulatory Services In HMOs Than In Traditional Medicare

With quality-of-care bonus payments now available for Medicare Advantage health maintenance organizations (HMOs) and for accountable care organizations in traditional Medicare, the need to under

Adverse Clinical Events Among Medicare Beneficiaries Using Antipsychotic Drugs: Linking Health Insurance Benefits and Clinical Needs

Objective: Medicare Part D provides formulary protections for antipsychotics but does not exempt these drugs from cost-sharing.

Large Increases In Spending On Postacute Care In Medicare Point To The Potential For Cost Savings In These Settings

Identifying policies that will cut or constrain US health care spending and spending growth dominates reform efforts, yet little is known about whether the drivers of spending levels and of spending g

The Oregon Experiment -- Effects of Medicaid on Clinical Outcomes

The article focuses on a study which examined the effects of the expanding Medicaid coverage for low-income adults in the U.S. using the 2008 Medicaid expansion in Oregon.

Geographic Variation in Medicare Services

Analysis Of Medicare Advantage HMOs Compared With Traditional Medicare Shows Lower Use Of Many Services During 2003–09

Enrollment in Medicare Advantage, the managed care program for Medicare beneficiaries, has grown rapidly, from 4.6 million enrollees in 2003 to 12.8 million by 2012, or 27 percent of all current

New Risk-Adjustment System Was Associated With Reduced Favorable Selection In Medicare Advantage

Health plans participating in the Medicare managed care program, called Medicare Advantage since 2003, have historically attracted healthier enrollees than has the traditional fee-for-service program.

Steps To Reduce Favorable Risk Selection In Medicare Advantage Largely Succeeded, Boding Well For Health Insurance Exchanges

Within Medicare, the Medicare Advantage program has historically attracted better risks—healthier, lower-cost patients—than has traditional Medicare.