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Latest CMS Data Drop Shows Regional Variation in Spending on Inpatient, Post-Acute Care
The CMS' release of per capita spending for Medicare beneficiaries shows that some states, particularly in the South, Midwest and Mid-Atlantic, are spending significantly more on inpatient and post-acute care than northern and western states.
The CMS' release of per capita spending for Medicare beneficiaries shows that some states, particularly in the South, Midwest and Mid-Atlantic, are spending significantly more on inpatient and post-acute care than northern and western states.
The agency released the state-level Medicare payment data at this week's Health Datapalooza conference in Washington. It also updated its database of common inpatient and outpatient charges with 2012 numbers.
Despite controversy over whether these wholesale prices are relevant to consumers—who typically pay either negotiated insurance rates or receive financial assistance—price transparency experts say the state-level data can be instructive.
“It's exciting that we're all having this national conversation about cost,” said Robin Gelburd, president of FAIR Health, a not-for-profit organization that compiles a national database of healthcare claims. “It's like we're in a living laboratory as we speak.”
Read the full story here: http://bit.ly/1nOoJ9g
Source: Modern Healthcare
Varied Access: The Pharmacogenetic Testing Coverage Divide
February 18th 2025On this episode of Managed Care Cast, we speak with the author of a study published in the February 2025 issue of The American Journal of Managed Care® to uncover significant differences in coverage decisions for pharmacogenetic tests across major US health insurers.
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Neurologists Share Tips for Securing Patient Access to Gene Therapies
March 19th 2025Tenacious efforts at every level, from the individual clinician to the hospital to the state to Congress, will be needed to make sure patients can access life-saving gene therapies for neuromuscular diseases.
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The Impact of Cost Sharing on High-Value Care
March 14th 2025Michael Chernew, PhD, professor of health care policy and director of the Healthcare Markets and Regulation Lab, Harvard Medical School, shares how cost-sharing policies shape access to critical health care services and influence value-based insurance design.
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A Focus on MAHA, Lasting Changes to Health Care Programs for Trump’s Second Term
March 13th 2025The second Trump administration is expected to bring changes to Medicaid, Medicare Advantage, and the health insurance exchanges, as well as highlight the Make America Healthy Again (MAHA) movement, speakers at the Value-Based Insurance Design Summit said.
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