Pricing and Insurance Networks in Outpatient Surgery Markets
This article examines how prices, insurer payments, and patient payments for outpatient surgeries differ by site of care and network status.
Prices and Complications in Hospital-Based and Freestanding Surgery Centers
Average prices are substantially higher but rates of complications are similar in hospital-based vs freestanding surgery centers for colonoscopy, arthroscopy, and cataract removal surgery.
Differences in Telehealth During COVID-19 Between Commercial and Medicaid Enrollees
Differences in use of telehealth between commercial and Medicaid populations during the COVID-19 pandemic are associated with managed care enrollment.
Clinic Price Reductions in a Tiered Total Cost Benefit Design
Findings of this evaluation of primary care clinic responses in a tiered total cost of care benefit design suggest that clinics respond by reducing prices.
Removing Medicare’s Outpatient Ban and Medicare and Private Surgical Trends
This article documents a 100% increase in privately insured outpatient knee replacement surgeries following Medicare’s decision to remove knee replacements from its Inpatient Only list.