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Insulin Fills by Medicare Enrollees and Out-of-Pocket Caps Under the Inflation Reduction Act.
Publication Type: Academic Journal
Source(s): JAMA [JAMA] 2023 Aug 15; Vol. 330 (7), pp. 660-662.
Assessing the difference in racial and ethnic disparities in access to and use of care between Traditional Medicare and Medicare Advantage.
Publication Type: Academic Journal
Source(s): Health services research [Health Serv Res] 2023 Aug; Vol. 58 (4), pp. 914-923. Date of Electronic Publication: 2023 Mar 25.
Abstract: Objective: Test whether racial-ethnic disparities in the access and use of care differ between Traditional Medicare (TM) and Medicare Advantage (MA).Data Source: Secondary data from the 2015-2018 Medicare Current Beneficiary Survey (MCBS).Study Design:...
The Medicare Physician Fee Schedule and Unethical Behavior.
Publication Type: Academic Journal
Source(s): JAMA [JAMA] 2023 Jul 11; Vol. 330 (2), pp. 115-116.
Addressing non-response data for standardized post-acute functional items.
Publication Type: Academic Journal
Source(s): BMC health services research [BMC Health Serv Res] 2023 Sep 06; Vol. 23 (1), pp. 955. Date of Electronic Publication: 2023 Sep 06.
Abstract: Background: The post-acute patient standardized functional items (Section GG) include non-response options such as refuse, not attempt and not applicable. We examined non-response patterns and compared four methods to address non-response functional da...
The Revolving Door In Health Care Regulation.
Publication Type: Academic Journal
Source(s): Health affairs (Project Hope) [Health Aff (Millwood)] 2023 Sep; Vol. 42 (9), pp. 1298-1303.
Abstract: Of people appointed to the Department of Health and Human Services between 2004 and 2020, 15 percent had been employed in private industry immediately before their appointment. At the end of their tenure, 32 percent exited to industry. The greatest net...
Authority of Medicare to Limit Coverage of FDA-Approved Products: Legal and Policy Considerations.
Publication Type: Academic Journal
Source(s): JAMA internal medicine [JAMA Intern Med] 2023 Sep 01; Vol. 183 (9), pp. 999-1004.
Abstract: Importance: When the US Food and Drug Administration (FDA) approves a drug or medical device on the basis of limited clinical evidence, the Centers for Medicare & Medicaid Services (CMS) must decide whether the therapy is "reasonable and necessary" for...
Statutory Authority for Medicare Coverage Decisions-CMS Is an Independent Federal Agency.
Publication Type: Academic Journal
Source(s): JAMA internal medicine [JAMA Intern Med] 2023 Sep 01; Vol. 183 (9), pp. 910-912.
Investigation of Hospital Pricing Information for Plastic Surgery Procedures Reveals Widespread Violation of the CMS Price Transparency Act.
Publication Type: Academic Journal
Source(s): Plastic and reconstructive surgery [Plast Reconstr Surg] 2023 Aug 01; Vol. 152 (2), pp. 455-462. Date of Electronic Publication: 2023 Feb 15.
Abstract: Background: Price transparency allows patients to estimate surgical procedure costs, which can affect where they elect to receive care and should theoretically result in hospitals setting lower and more uniform prices. To elucidate the traditionally op...
News Brief: Nursing homes will be getting an increase in their Medicare Part A payments.
Publication Type: Academic Journal
Source(s): The American journal of nursing [Am J Nurs] 2023 Jul 01; Vol. 123 (7), pp. 13.
CMS Hospital Value-Based Programs: Refinements Are Needed To Reduce Health Disparities And Improve Outcomes.
Publication Type: Academic Journal
Source(s): Health affairs (Project Hope) [Health Aff (Millwood)] 2023 Jul; Vol. 42 (7), pp. 928-936.
Abstract: Several Centers for Medicare and Medicaid Services (CMS) programs aim to transform how health care is delivered by adjusting Medicare inpatient hospital payments through a system of rewards and penalties based on performance on measures of quality. The...