Transforming Health Care Through Evidence and Collaboration
Transforming Health Care Through Evidence and Collaboration

Featured

Half of U.S. health spending goes to care for just 5 percent of patients, and any effort to improve the efficiency of our health care dollars must prioritize these patients. Speakers discussed coverage and care for the high-cost, high-need population.

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Medicare & Medicaid

The role of the courts has recently heightened as many individual market and Medicaid policy issues are set to be determined by judges across the country. In the lead up to the midterm elections, this webinar will examine the implications of impending health policy legal decisions.

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This Research Insights summarizes a new study that takes a closer look at the idea of focusing on end-of-life spending as a way to trim wasteful health care spending.

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Chronic diseases touch one of every two U.S. adults and account for 86 percent of our nation’s health spending. This webinar explored strategies for preventing chronic diseases and consider the drivers of poor health.

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This webinar, hosted by USC Annenberg's Center for Health Journalism with grant support from NIHCM Foundation, explored policy changes in Medicaid and outlined questions reporters should be asking.

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Zack Cooper, Stuart Craig, Martin Gaynor & John Van Reenen

This comprehensive analysis of claims data from three national insurers documents the extensive variation in the prices that hospitals receive for the same procedure. Payment rates vary not only across and within hospital markets but also within individual hospitals, suggesting that the relative bargaining power of hospitals and insurers plays a role in price determination. The work also establishes that monopoly hospitals are paid higher prices and are more likely to obtain contracts that place them at lower financial risk, whereas hospital prices are lower and contracts are more likely to be based on prospectively determined rates when the insurer market is more concentrated. Finally, analysis of hospital mergers over a five-year period demonstrates post-merger hospital price increases, with the largest impact observed when merging facilities are in closer proximity to one another.  

This Research Insights summarizes findings from a study showing that a small percentage of nursing homes—particularly larger and for-profit facilities—are using self-reported scores to inflate their ratings in Medicare's five-star nursing home rating system.

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On November 1, ACA marketplace open enrollment begins for 2018. Given the political turmoil around the ACA this year, consumers who depend on the marketplaces for coverage are likely wondering what to expect come November 1. This webinar helped consumers and reporters unpack what is known and still unknown about the individual market.

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