Medicaid managed care insurers play a crucial role in facilitating access to buprenorphine to treat opioid use disorder. We describe provider networks for prescribers in this context.
Objectives - Self-insured employers cover more people than Medicare, Medicaid, or direct purchasers of private insurance.This study examined the ability of self-insured employers to negotiate hospital prices and the relationship between hospital …
This study finds evidence that labor market concentration was associated with higher worker contributions to health plan premiums.
In this cohort study, out-of-network laboratory services were 5 times more common than out-of-network emergency department visits and 34 times more common than out-of-network anesthesiology services. It is important for patients that consumer protections against out-of-network bills apply to laboratory services.
We examine the charges for the most commonly performed COVID-19 diagnostic test (CPT code 87635) and antibody test (CPT code 86769) across facility types and states. We find that a small proportion of COVID-19 diagnostic testing and antibody testing services, provided in selected states, had charges that far exceeded the Medicare rate.
We provide new evidence that weight-related outcomes improved for the severely obese following three recent health insurance expansions.