Cost-Sharing Payments for Out-of-Network Care in Commercially Insured Adults
This study of claims among adults covered by employer-sponsored plans revealed substantial variations in out-of-network cost-sharing payments. The growth of cost sharing for nonemergent hospitalizations is concerning.
Implications of Eligibility Category Churn for Pediatric Payment in Medicaid
Analyses of Ohio Medicaid claims data from 2013 to 2015 reveal that instability among eligibility categories is common and affects average capitation but not health service use.