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Jun
15

AJMC: Association Between Hospital-Insurer Contract Structure and Hospital Performance

ABSTRACT Objectives: To describe the association between the form of hospitals' contracts—either markup from a benchmark or a discount from a list price—and performance: price, charge, cost, and length of stay. Study Design: Retrospective observational study using administrative claims data matched with hospital characteristics from the American Hospital Association Annual Survey and the Healthcar...

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Jun
14

JAMA Network: Prescription Drug Monitoring Program Mandates and Opioids Dispensed Following Emergency Department Encounters for Patients With Sickle Cell Disease or Cancer With Bone Metastasis

Abstract: Patients with sickle cell disease (SCD) or cancer with bone metastasis often present to the emergency department (ED) for treatment of severe pain, and opioid analgesics remain first-line therapies for acute pain in the ED or after discharge. Policies aimed at improving the safety of opioid prescribing, such as state legislative mandates that prescribers register with or u...

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Jun
11

Real World Consequences of the Qualifying Payment Amount in the No Surprises Act

The United States Congress passed the No Surprises Act last year, offering several protections to consumers. Beginning in 2022, providers can no longer bill patients for more than their insurance's in-network cost sharing. The law also bans balance billing except in situations where a patient is notified in advance and their written consent is obtained. Independent dispute resolution between insur...

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Jun
08

Our American States Podcast: Price Transparency in Health Care

HCCI's President and CEO Niall Brennan was featured in an episode of a podcast produced by the National Conference of State Legislatures. From the podcast description: "The guest on the podcast is an expert in the area of health data and analytics. Niall Brennan is the president and CEO of the Health Care Cost Institute, a nonprofit that focuses on data to analyze key issues affecting th...

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Jun
01

Real Clear Health: Real Healthcare Prices Remain Elusive

HCCI's research into recent HHS hospital price transparency regulations was featured in Real Clear Health.  From the article: "Our findings demonstrating widespread noncompliance align with those in recent studies published by Health Affairs, The Health Care Cost Institute, and the Kaiser Family Foundation." Real Healthcare Prices Remain Elusive | RealClearHealth A slew of recent healthc...

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