Discharge Prescribing and Subsequent Opioid Use After Traumatic Musculoskeletal Injury
The authors use surgical resident assignment as an instrumental variable for discharge opioid prescribing and estimate the impact of discharge opioid supply on subsequent use.
An Analysis of Medicare Accountable Care Organization Expense Reports
The authors of this study examined expense reports to understand how participants in Medicare’s Accountable Care Organization Investment Model spent to achieve program goals.
The Merits of Administrative Benchmarks for Population-Based Payment Programs
The different approaches to setting benchmarks for population-based payment models (empirical, bidding based, and administratively set) have unique advantages and challenges.
340B Drug Pricing Program and Hospital Provision of Uncompensated Care
Participation in the 340B Drug Pricing Program by general acute care hospitals and critical access hospitals has not been associated with increased provision of uncompensated care.
Spending Variation Among ACOs in the Medicare Shared Savings Program
Analysis of spending differences among accountable care organizations (ACOs) may help identify cost savings opportunities. We examined the magnitude and sources of spending variation among ACOs over 4 years.
Delivery System Performance as Financial Risk Varies
One delivery system’s healthcare utilization in its Medicare Advantage product was notably less than in its Pioneer accountable care organization or in a traditional Medicare comparison group.
Changes in Specialty Care Use and Leakage in Medicare Accountable Care Organizations
Reducing specialty leakage is promoted as crucial for accountable care organizations (ACOs). This study finds that Medicare ACOs had modest reductions in specialty use and minimal changes in leakage.
