Out-of-Network Billing Common for Privately Insured Patients Receiving In-Network Care
Little is known about the frequency and financial repercussions of out-of-network billing, despite frequent news in the media about surprise medical bills.
Business
Medicare Part D Spending: Single-Enantiomer Drugs vs Racemic Precursors
Substituting 12 single-enantiomer drugs with their racemic precursors had the potential to result in $16.6 billion of savings, with Medicare beneficiaries potentially saving $1.1 billion in out-of-pocket expense.
ACP Releases Policy Statement on DOI, COI Management for Clinical Guideline Development
The American College of Physicians endorses the necessity of a comprehensive process for disclosure of potential conflicts of interest to ensure the integrity of clinical guidelines and guidance statements.
Investing Wisely in Cybersecurity
To make the best use of the money they have to spend to prevent information breaches, practices need to perform a risk analysis.
Past Health Coverage Expansions Have Not Affected Rates of Hospital Use
Past coverage expansions were associated with little or no change in society-wide hospital use; increases in groups who gained coverage were offset by reductions among others.
Brand-Brand Competition Has Not Cut Prices in the US Pharmaceutical Market
Brand-brand competition in the U.S. pharmaceutical market has not lowered drug list prices.
ACO Investment Model Participation Associated With Lower Medicare Spending
Participation in Accountable Care Organization (ACO) Investment Model during the first performance year by providers serving rural/underserved areas was associated with lower spending in the Medicare program than that among non-ACO providers serving the same areas.
Private Equity Stake Rising in Dermatology Practices
Private equity (PE) firms have a stake in an increasing number of dermatology practices throughout the United States.
Laboratory Directors Have Notable Financial Relationships With Industry
Researchers suggest that a large proportion of cardiac catheterization and electrophysiology laboratory directors have notable financial relationships with industry.
Medicare Shared Savings Not Associated With Spending or Quality Improvements
Results indicated that savings by Medicare Shared Savings Program Accountable care organizations may be driven by nonrandom exit of high-cost clinicians and their patient panels from this voluntary program.
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