Health affairs (Project Hope)最新文献_第4页

Saving Medicaid And Ourselves. 拯救医疗补助和我们自己。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.01147

Colin Killick

引用次数: 0

Nursing Home Residents Younger Than Age Sixty-Five Are Unique And Would Benefit From Targeted Policy Making. 65岁以下的养老院居民是独一无二的，他们将受益于有针对性的政策制定。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-10-01 DOI: 10.1377/hlthaff.2022.00548

Ari Ne'eman, Michael Stein, David C Grabowski

{"title":"Nursing Home Residents Younger Than Age Sixty-Five Are Unique And Would Benefit From Targeted Policy Making.","authors":"Ari Ne'eman, Michael Stein, David C Grabowski","doi":"10.1377/hlthaff.2022.00548","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00548","url":null,"abstract":"Existing public policies often fail to acknowledge differences between older (ages sixty-five and older) and younger (younger than age sixty-five) people with disabilities residing in nursing homes. We compared long-stay (over sixty days) residents across age groups and then documented state-level variation in their age-adjusted prevalence in 2019 and trends in prevalence during the period 2013-19. Compared with older residents, younger residents tended to have different diagnoses and were more likely to reside in for-profit and lower-quality facilities, as well as to be non-White and male. Among younger people with disabilities, nursing home use varied widely across states, and trends in use were only weakly correlated with trends for older adults. Although rates of state-level nursing home placement among older adults generally declined, in many states they stagnated or grew among those younger than age sixty-five, with no convergence of trends in placement across states. Our findings suggest the value of approaching younger people with disabilities as a distinct population. We offer targeted policies to divert these people from nursing homes to home and community-based settings.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1449-1459"},"PeriodicalIF":9.7,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40393926","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

Comprehensive Primary Care Plus Did Not Improve Quality Or Lower Spending For The Privately Insured. 综合初级保健加并没有提高质量或降低私人保险的支出。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2021.01982

Adam A Markovitz, Roslyn C Murray, Andrew M Ryan

引用次数: 5

State-Level Variation In Low-Value Care For Commercially Insured And Medicare Advantage Populations. 商业参保人群和医疗保险优势人群低价值医疗的州级差异。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2022.00325

Lauren A Do, Benjamin C Koethe, Allan T Daly, James D Chambers, Daniel A Ollendorf, John B Wong, A Mark Fendrick, Peter J Neumann, David D Kim

{"title":"State-Level Variation In Low-Value Care For Commercially Insured And Medicare Advantage Populations.","authors":"Lauren A Do, Benjamin C Koethe, Allan T Daly, James D Chambers, Daniel A Ollendorf, John B Wong, A Mark Fendrick, Peter J Neumann, David D Kim","doi":"10.1377/hlthaff.2022.00325","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00325","url":null,"abstract":"Low-value care is a major source of health care inefficiency in the US. Our analysis of 2009-19 administrative claims data from OptumLabs Data Warehouse found that low-value care and associated spending remain prevalent among commercially insured and Medicare Advantage enrollees. The aggregated prevalence of twenty-three low-value services was 1,920 per 100,000 eligible enrollees, which amounted to $3.7 billion in wasteful expenditures during the study period. State-level variation in spending was greater than variation in utilization, and much of the variation in spending was driven by differences in average procedure prices. If the average price for twenty-three low-value services among the top ten states in spending were set to the national average, their spending would decrease by 19.8 percent (from $735,000 to $590,000 per 100,000 eligible enrollees). State-level actions to improve the routine measurement and reporting of low-value care could identify sources of variation and help design state-specific policies that lead to better patient-centered outcomes, enhanced equity, and more efficient spending.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1281-1290"},"PeriodicalIF":9.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Corruption In Health Care Systems: Trends In Informal Payments Across Twenty-Eight EU Countries, 2013-19. 医疗保健系统中的腐败:2013-19年28个欧盟国家的非正式支付趋势。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2021.01931

Giulia Dallera, Raffaele Palladino, Filippos T Filippidis

{"title":"Corruption In Health Care Systems: Trends In Informal Payments Across Twenty-Eight EU Countries, 2013-19.","authors":"Giulia Dallera, Raffaele Palladino, Filippos T Filippidis","doi":"10.1377/hlthaff.2021.01931","DOIUrl":"https://doi.org/10.1377/hlthaff.2021.01931","url":null,"abstract":"Corruption is a major challenge in health care systems across the European Union (EU), where it manifests most visibly as informal payments from patients to providers. A higher prevalence of informal payments has been associated with lower public health care expenditure. EU member states have experienced significant changes in public health care expenditure throughout the 2000s. Given the lack of research on the topic, we explored trends in informal payments using representative data from twenty-eight EU member states during the period 2013-19 and in relation to changes in public health care expenditure. Overall, we found that informal payments increased in 2019 compared with 2013, whereas the perception of corruption decreased. Although higher public health care expenditure was associated with less corruption, we found a smaller effect size between informal payments and this expenditure throughout the study period. Our results suggest that informal payments may be driven by other factors, although the directionality of this relationship requires further investigation. Moreover, additional public health care investments may be insufficient to confront corruption unless coupled with measures to limit wasteful spending and increase transparency. Policy makers should understand that factors external to health systems, including media coverage and cultural and political factors, should be explored to explain country-level differences in corruption.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1342-1352"},"PeriodicalIF":9.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rapid Growth Of Remote Patient Monitoring Is Driven By A Small Number Of Primary Care Providers. 远程病人监护的快速增长是由少数初级保健提供者推动的。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2021.02026

Mitchell Tang, Ateev Mehrotra, Ariel D Stern

引用次数: 5

Erratum. 勘误表。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2022.00993

引用次数: 0

Giving A Buck Or Making A Buck? Donations By Pharmaceutical Manufacturers To Independent Patient Assistance Charities. 给钱还是赚钱?药品制造商向独立患者援助慈善机构捐款。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2022.00177

Leemore Dafny, Christopher Ody, Teresa Rokos

{"title":"Giving A Buck Or Making A Buck? Donations By Pharmaceutical Manufacturers To Independent Patient Assistance Charities.","authors":"Leemore Dafny, Christopher Ody, Teresa Rokos","doi":"10.1377/hlthaff.2022.00177","DOIUrl":"https://doi.org/10.1377/hlthaff.2022.00177","url":null,"abstract":"The federal Anti-Kickback Statute prohibits biopharmaceutical manufacturers from directly covering Medicare enrollees' out-of-pocket spending for the drugs they manufacture, but manufacturers may donate to independent patient assistance charities and earmark donations for a condition treated by their drugs. To assess whether this law and its associated regulations prevent manufacturers from profiting from their donations, we analyzed drug spending of more than three million Medicare Advantage enrollees in 2010 and 2017, together with data on conditions and drugs covered by these charities. We found that donations by the leading manufacturer of drugs for each condition were often likely to be profitable, even if relatively few patients were induced to use the manufacturer's drugs as a result. This was particularly true among the ten costliest conditions, where the leading manufacturer accounted for 67 percent of sales in 2010 and 89 percent in 2017, on average, indicating that manufacturers could effectively assist in the purchase of their own medications by contributing to condition-specific charities. We conclude that the current regulations or enforcement permit donations that violate the spirit of Medicare's Anti-Kickback Statute.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1263-1272"},"PeriodicalIF":9.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40354231","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Provider Charges And State Surprise Billing Laws: Evidence From New York And California. 供应商收费和州意外账单法:来自纽约和加利福尼亚的证据。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2021.01332

Aliza S Gordon, Ying Liu, Benjamin L Chartock, Winnie C Chi

{"title":"Provider Charges And State Surprise Billing Laws: Evidence From New York And California.","authors":"Aliza S Gordon, Ying Liu, Benjamin L Chartock, Winnie C Chi","doi":"10.1377/hlthaff.2021.01332","DOIUrl":"https://doi.org/10.1377/hlthaff.2021.01332","url":null,"abstract":"Surprise billing laws that allow dispute arbitration relying on provider charges may incentivize out-of-network providers to increase their charges to increase upcoming or future out-of-network payments. Although the federal No Surprises Act forbids arbitrators from considering charges during payment disputes over surprise bills covered by the act, states with existing laws can continue to use the specified state laws, which may allow the consideration of charges. This analysis examined provider charges in two such states, using claims data to compare trends in billed charges for out-of-network care during surprise bill scenarios involving nonemergency inpatient hospitalizations. The analysis considered New York, where state law uses arbitration tied to charges; California, where state law uses a payment standard rather than charges; and a comparison group of states without a law regarding surprise billing. We estimated that provider out-of-network charges for the nonemergency out-of-network bills we studied increased by $1,157 (24 percent) in New York after the passage of New York's surprise billing law and decreased by $752 (25 percent) in California compared to states without surprise billing laws. Assistant surgeons and surgical assistants had a large increase in charges in New York from before to after the law's passage, which may have driven the overall increase in charges.","PeriodicalId":300542,"journal":{"name":"Health affairs (Project Hope)","volume":" ","pages":"1316-1323"},"PeriodicalIF":9.7,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40353315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Africa Is Sliding Into Catastrophe Before Our Eyes. 非洲正在我们眼前滑向灾难。

IF 9.7

Health affairs (Project Hope) Pub Date : 2022-09-01 DOI: 10.1377/hlthaff.2022.00882

Rabih Torbay

引用次数: 0