KeywordTopicPublication Type
  • in Grantee Publication by Taylor, D.H., Bull, J., Zhong, X., et al.

    Palliative care has typically been viewed as a care option that is offered primarily to patients very near the end of life. The aim of this study was to determine if increased use of palliative care earlier in a patient's disease trajectory is associated with increased patient functioning.

  • in Grantee Publication by Kralewski, J., Dowd, B., Knutson, D., et al.

    The use of an emergency department for a nonemergent condition contributes rising costs in the health care system. Using a national sample of 212 medical group practices, this study identified hospital characteristics that influence the rates of inappropriate use of emergency department and ambulatory care sensitive hospital admissions.

  • in Findings Brief by HCFO

    Large geographic variations in Medicare costs have long been documented; however, the size and source of this variation has been the subject of dispute. Casemix adjustment, or controlling for area population health, is critical to developing Medicare geographic cost variation estimates, yet there is a lack of consensus on the ideal casemix control method.

  • in Research Headlines by By HCFO Staff

    In the lead up to the launch of insurance marketplaces on October 1, many state insurance regulators poured over premium rates; among them members of Connecticut’s Insurance Department. In a recent article in The Courant, Matthew Sturdevant explained that before insurers could sell products on Connecticut’s health insurance exchange, they needed the department’s approval of those premiums across the four metal levels, bronze, silver, gold and platinum

  • in Grantee Publication by White, C., and Yee, T.

    The Affordable Care Act gradually reduces Medicare provider payments in an attempt to rein in spending; however, these cuts may cause providers to increase the volume of Medicare services they provide to make up for the lower per service price.  This study used data from ten states from 1995–2009 to examine the market-level relationship between Medicare prices and inpatient hospital volume and found that Medicare price cuts may lead to a reduction in volume.

  • in Study Snapshot by HCFO

    There is a growing demand for primary care as provisions of the Affordable Care Act seek to expand accessibility of health services. This study examined the relationship between utilization of a retail clinic and primary care relationships and found that patients who visited a retail clinic were less likely to seek care from a primary care physician in the future.

  • in Findings Brief by HCFO

    For millions of uninsured Americans, hospital emergency departments (EDs) are one of the few options for medical care, both urgent and non-urgent.  Yet this care may come at a significant price.  Unlike their insured counterparts, uninsured and other “self-pay” patients receive hospital bills based on “billed charges.”

  • in Research Headlines by By HCFO Staff

    Medicare is reducing its payments to hospitals by one percent as part of the Hospital Value-based Purchasing (HVBP) Program, a provision of the Affordable Care Act. However, hospitals are given the incentive to earn back those reimbursements if they are able to demonstrate they have met benchmarks for clinical standards and patient satisfaction.

  • in Grantee Publication by Baker, L., Bundorf, M.K., and Royalty, A.

    Anecdotal reports suggest that substantial variation exists in private insurers’ payments for physician services, but systematic evidence is lacking. Using a retrospective analysis of insurance claims, this study examines variations in private payments to physicians and the extent to which variation is explained by patients’ and physicians’ characteristics and by geographic region.

  • in Grantee Publication by Abraham, J.M., Karaca-Mandic, P., and Bordreaux, M.

    Provisions within the Affordable Care Act are expected to greatly expand the size and importance of the individual insurance market. This paper provides baseline estimates of individual market coverage for the nonelderly U.S. population, documenting key strengths and limitations of particular data sources for addressing questions about individual market functioning.