Insurance

Hospital readmission rates in Medicare Advantage plans are considerably lower than those in Medicare's traditional fee-for-service program, after accounting for differences in risk.

Can Congress agree on a permanent "doc fix" by month's end and spare physicians from a 27.4% pay cut? Don't hold your breath.

We found that, in 2008, variations across Texas in total spending and inpatient utilization are similar in Blue Cross Blue Shield of Texas and Medicare.

Among a Medicare population, use of 3 self-reported health items improves predicted inpatient admissions and healthcare costs when used with risk-prediction model.

For patients who reached the Medicare Part D coverage gap, discontinuation was more likely for patients taking osteoporosis medication.

A formulary restriction policy in a Medicare population was associated with lower celecoxib utilization; however, higher gastrointestinal- and arthritis-related medical costs were observed.

This review article explores the Medicare data available for researchers and approaches that could be used to enhance the data%u2019s value for comparative effectiveness research.

Health plan accounting data are used to test how well the CMSHCC risk adjustment system tracks relative costs of treating various diagnoses: not very well.

An integrated, clinician-focused telehealth monitoring system significantly reduced hospitalizations in Medicare home healthcare patients.

Dr. Jeffrey Dunn shares his opinion on how healthcare reform issues, such as Comparative Effectiveness Research, will impact formulary management.