The financial implications of selective disenrollment from Medicare advantage [0.03%]
医疗保险优势项目的部分退保对财政的影响分析
Richard Kronick,Logan Johnson,Ramona Krauss et al.
Richard Kronick et al.
Introduction: Prior studies show that beneficiaries with relatively high health needs are more likely to disenroll from Medicare Advantage (MA) and return to Traditional Medicare (TM). However, the financial implications ...
Capturing incarceration in the medical record: we cannot manage what we cannot measure [0.03%]
医疗记录中的监禁信息：无法度量就无法管理
Justin Berk,Anna Maria South,Farah Acher Kaiksow et al.
Justin Berk et al.
Nearly 2 million people are incarcerated in US jails and prisons, where they experience disproportionate burdens of chronic disease, mental illness, substance use disorders, and infectious diseases. Although many receive specialty or acute ...
Yevgeniy Feyman,Thomas Buchmueller
Yevgeniy Feyman
Introduction: Out-of-pocket (OOP) costs can often impede patients' access to prescription drugs. The Inflation Reduction Act of 2022 (IRA) limited OOP costs for insulin products covered by the Medicare Part B and Part D p...
Using prescription drug data for timely assessments of state insurance coverage rates: a validation study [0.03%]
利用处方药数据对州保险覆盖率进行及时评估的验证研究
Benjamin N Rome,Adrianna McIntyre,Jinwoo Kim et al.
Benjamin N Rome et al.
Introduction: Timely assessments of insurance coverage are limited by lags and unpredictable data availability. We assessed the performance of real-time prescription data as a proxy for state-level coverage changes. ...
The hidden costs of becoming a nurse: how student debt deepens inequities in the nursing workforce pipeline [0.03%]
护理学生的隐性成本：学生债务如何加深护理劳动力管道的不平等现象
Ulrike Muench,Carol Dawson-Rose,Joanne Spetz
Ulrike Muench
Recent Department of Education actions implementing graduate loan limits under the One Big Beautiful Bill Act excluded nursing from "professional program" designation, creating a policy misalignment that threatens the advanced nursing workf...
Randomized communication nudges to increase primary care engagement among Medicaid enrollees in Maine [0.03%]
在美国缅因州一项针对医疗补助计划受益人的随机对照试验中通过沟通推动初级保健参与度
Sarah H Gordon,Kevin H Nguyen,Breanne Biondi-Bonetti et al.
Sarah H Gordon et al.
Despite the importance of primary care in disease prevention, few studies have examined behavioral interventions to increase primary care engagement. In partnership with the Maine Department of Health and Human Services, we implemented a ra...
Katherine W Eisenberg,Kavita K Patel
Katherine W Eisenberg
Artificial intelligence systems in clinical care are moving beyond decision support into autonomous action-scheduling visits, initiating orders, and influencing insurance decisions such as prior authorization-yet, the governance infrastruct...
Md Zillul Karim
Md Zillul Karim
The 2024 US Surgeon General's advisory found that 33% of US parents report high stress levels and 65% experience loneliness. Despite this, the US health system remains organized around the child rather than the parent, with no systematic me...
Redesigning Medicaid frailty algorithms: improved identification of medically frail adults under community engagement [0.03%]
重构医疗补助脆弱性算法：在社区参与下的医学脆弱成年人的更好识别方法
Sanjay Basu,Seth A Berkowitz
Sanjay Basu
Between 2018 and 2024, 14 US states sought or obtained Section 1115 waivers to condition Medicaid expansion coverage on community engagement requirements, with medically frail exemptions determined from claims-based administrative data; the...
Employee preferences in health plan design: results from a national survey [0.03%]
全国调查的结果：员工对健康计划设计的偏好
Robert M Kaplan,Margaret C Nikolov,Jeffrey Pfeffer et al.
Robert M Kaplan et al.
Introduction: Employer-sponsored health insurance covers over 60% of the U.S. population under age 65 and represents a significant expense for employers, yet employees' views on benefit design remain understudied. ...