National Healthcare Quality and Disparities Report
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´óÏóAPPResearch Studies
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Research Studies is a compilation of published research articles funded by ´óÏóAPPor authored by ´óÏóAPPresearchers.
Results
76 to 78 of 78 Research Studies DisplayedMoniz MH, Fendrick AM, Kolenic GE
Out-of-pocket spending for maternity care among women with employer-based insurance, 2008-15.
The Affordable Care Act (ACA) requires employer-based insurance plans to cover maternity services, but plans are allowed to impose cost sharing such as copayments and deductibles for these services. This study aimed to evaluate trends in cost sharing for maternity care among working women in employer-based plans, before and after the ACA. The investigators found that between 2008 and 2015, average out-of-pocket spending for maternity care rose among women with employer-based insurance. This increase was largely driven by increased spending among women with deductibles.
AHRQ-funded; HS025465; HS023784.
Citation: Moniz MH, Fendrick AM, Kolenic GE .
Out-of-pocket spending for maternity care among women with employer-based insurance, 2008-15.
Health Aff 2020 Jan;39(1):18-23. doi: 10.1377/hlthaff.2019.00296..
Keywords: Pregnancy, Women, Maternal Health, Health Insurance, Healthcare Costs, Policy
Kaye DR, Luckenbaugh AN, Oerline M
Understanding the costs associated with surgical care delivery in the Medicare population.
This study’s objective was to quantify the costs of inpatient and outpatient surgery in the Medicare population. Claims data from a 20% national sample of Medicare beneficiaries was used. Results showed that, while spending on inpatient surgery contributed the most to total surgical payments, it declined over the study period, driven by decreases in index hospitalization and readmissions payments. In contrast, spending on outpatient surgery increased across all sites of care (hospital outpatient department, physician office, and ambulatory surgery center). Ophthalmology and hand surgery witnessed the greatest growth in surgical spending over the study period. Surgical care accounts for half of all Medicare spending.
AHRQ-funded; HS024525; HS024728.
Citation: Kaye DR, Luckenbaugh AN, Oerline M .
Understanding the costs associated with surgical care delivery in the Medicare population.
Ann Surg 2020 Jan;271(1):23-28. doi: 10.1097/sla.0000000000003165..
Keywords: Surgery, Healthcare Delivery, Healthcare Costs, Medicare, Elderly, Hospitalization
Mitchell AP, Kinlaw AC, Peacock-Hinton S
Use of high-cost cancer treatments in academic and nonacademic practice.
This study compared the use of high-cost cancer drugs at National Cancer Institute (NCI)-designated Comprehensive Cancer Centers with use at non-NCI settings. This cohort study linked cancer registry, administrative, and demographic data for newly diagnosed cancer patients in North Carolina from 2004-2011. The authors selected cancers that use drugs with large differences in reimbursement between higher-priced and lower-priced options (stage IV colorectal, stage IV lung, and stage II-IV head-and-neck cancers). Of 800 eligible patients in the cohort, 79.6% were treated in non-NCI settings. Patients in those settings were more likely to receive high-cost treatment than those treated in NCI settings (36.0% vs. 23.2%). Even after controlling for potential confounding factors, non-NCI patients remained more likely to receive high-cost treatment.
AHRQ-funded; HS000032.
Citation: Mitchell AP, Kinlaw AC, Peacock-Hinton S .
Use of high-cost cancer treatments in academic and nonacademic practice.
Oncologist 2020 Jan;25(1):46-54. doi: 10.1634/theoncologist.2019-0338..
Keywords: Cancer, Healthcare Costs
