Study Highlights Data Challenges in Evaluating Medicare Advantage Plan Use and Cost
A new study outlines data challenges and proposes methods to improve analysis of Medicare Advantage plans, focusing on utilization, cost, and risk adjustment.
Medicaid Non-Expansion States Face Significant Coverage and Financial Pressures Under New GOP Budget Law
New GOP budget law introduces significant Medicaid spending cuts and marketplace enrollment challenges, disproportionately impacting states that refused ACA Medicaid expansion. Coverage losses and financial strain on hospitals expected.
Medicare Wastes $3.6 Billion Annually on Low-Value Care, Study Finds
New study reveals Medicare spends $3.6 billion annually on low-value medical services, with $800M in patient costs. Policy changes could reduce waste and improve value.
Medicare Wastes $4.4B on Low-Value Tests for Older Adults, Study Finds
Study reveals Medicare spends $4.4 billion annually on low-value tests and procedures in older adults, urging evidence-based reforms to reduce waste and enhance care quality.
Financial Pressures Threaten Private Orthopedic Practices and Patient Access
Declining Medicaid and Medicare reimbursements strain private orthopedic practices, limiting patient access and prompting calls for policy reforms to support sustainability and equitable care.
Medicaid Expansion Under ACA Boosts Dental Visits for Foreign-Born Without Raising Costs
Study finds ACA Medicaid expansion increases dental visits among foreign-born U.S. residents, controlling costs. Key insights for healthcare policy and Medicaid dental benefits.
US House Budget Proposal Threatens Connecticut Medicaid and ACA Coverage
The US House budget bill proposes Medicaid cuts and ACA work requirements that could cause 140,000 Connecticut residents to lose coverage, raising uninsured rates and healthcare costs.
Impact of Proposed Federal Medicaid Cuts on Washington State Healthcare and Economy
Explore the potential impacts of proposed federal Medicaid cuts on Washington state's healthcare system, rural hospitals, Medicaid beneficiaries, and state economy.
Medicare Primary Care Shifts Toward Hospital and Multispecialty Practices
Study shows Medicare primary care visits shifting from physician offices to hospital-affiliated and multispecialty practices, influenced by ACA funding and Medicare reimbursement policies.
Medicare Drug Cost Sharing Shifts Drive Higher Patient Expenses
Medicare beneficiaries face higher costs as Part D plans shift from fixed co-pays to coinsurance for expensive Tier 3 drugs, raising out-of-pocket expenses significantly.