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Journal Article

Aug 5, 2024

Factors Associated with Self-Reports of Limitations in Activities of Daily Living Among Medicare Fee-for-Service Recipients

Physical function is an important indicator of physical health and predicts mortality. This study identified characteristics associated with limitations in Medicare recipients' activities of daily living.
Journal Article

Jul 29, 2024

A Longitudinal Multivariable Analysis: State Policies and Opioid Dispensing in Medicare Beneficiaries Undergoing Surgery

This study examines trends in the perioperative opioid dispensing rates for fee-for-service Medicare beneficiaries and the effects of select state policies.
Journal Article

Feb 5, 2024

Pediatric Oral Health Services in Medicaid Managed Care and Fee for Service

POHS rates among pediatric medical visits in Florida were similar for visits paid via FFS and CMC, with low rates that increased modestly over time. Our findings are important because more children continue to be enrolled in Medicaid CMC.
Report

Nov 6, 2023

Reviewing, Refining, and Validating Claims-Based Algorithms of Frailty and Functional Impairment: Final Report

The authors developed new claims-based frailty algorithms that were validated using patient assessment data from post-acute care providers. They then compared the performance of the new algorithms with existing claims-based frailty algorithms.
Journal Article

Oct 20, 2023

Effects of the Million Hearts Model on Myocardial Infarctions, Strokes, and Medicare Spending: A Randomized Clinical Trial

The study estimated model effects on first-time myocardial infarctions (MIs) and strokes and Medicare spending over a period up to 5 years as part of an evaluation of the Million Hearts Model.
Journal Article

Aug 16, 2023

Development and Validation of Algorithms to Predict Activity, Mobility, and Memory Limitations Using Medicare Claims and Post-Acute Care Assessments

This study aims to create Medicare-based algorithms for predicting functional impairment, crucial for mortality and care use. Using machine learning and PAC data, memory and activity limitations were assessed with moderate success. While promising for PAC, broader older adult application is uncertain.
Journal Article

May 16, 2023

The Impact of Nurse Practitioner-Led Primary Care on Quality and Cost for Medicaid-Enrolled Patients in States With Pay Parity

This retrospective cohort study evaluated the quality and cost implications of receiving primary care from nurse practitioners (NPs) compared to physicians in 14 states that reimburse NPs at the Medicaid fee-for-service physician rate (pay parity).
Research Brief

Feb 25, 2021

10Plan, How Would It Affect Health Care Spending by Consumers and the Federal Government

The 10Plan is a self-pay plan for individuals currently uninsured or covered by a private nongroup health insurance plan. The authors built a microsimulation model to estimate health care spending under both the status quo and the 10Plan.
Journal Article

Feb 18, 2021

Trends in Low-Value Health Service Use and Spending in the US Medicare Fee-for-Service Program, 2014–2018

Among individuals with fee-for-service Medicare receiving any of 32 measured services, low-value care use and spending decreased marginally from 2014 to 2018.
News Release

Feb 16, 2021

Low-Value Care Among Medicare Recipients Drops Only Marginally Despite Effort to Curb Practices

Spending on low-value health care among fee-for-service Medicare recipients dropped only marginally from 2014 to 2018. This is despite a national campaign to better educate clinicians and increasing use of payment revisions that discourage wasteful care.
Journal Article

Feb 12, 2021

Patterns of Postoperative Visits Among Medicare Fee-for-service Beneficiaries

To describe patterns of postoperative visits reported for Medicare fee-for-service (FFS) patients.
Report

Jan 25, 2021

Analysis of the 10Plan: A Self-Pay System Designed to Minimize the Burden of Health Care Costs

The 10Plan is a self-pay plan for individuals currently uninsured or covered by a private nongroup health insurance plan. The authors built a microsimulation model to estimate health care spending under both the status quo and the 10Plan.

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