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Despite substantial potential revenue, only 15% of US primary care clinicians adopted Medicare’s Advanced Primary Care Management codes in 2025, with administrative challenges as key barriers.
This review synthesizes evidence linking tele-critical care with interhospital transfer patterns and outcomes, highlighting improved transfer selection and reduced low-value transfers among critically ill Medicare patients.
This review synthesizes evidence on GLOBE and GUARD most-favoured-nation pricing models, projecting Medicare cost reductions via international price benchmarking and implications for drug pricing policy.
This study compares PSA screening and biopsy rates between Veterans Affairs and Fee-for-Service Medicare, revealing that VA care is more closely aligned with patients’ likelihood of benefit, particularly in older men and those with li
Analysis reveals growing Medicare payment disparities between hospitals and physicians for general surgery procedures from 2019 to 2023, highlighting urgent policy needs for alignment to sustain equitable surgical care delivery.
From 2013 to 2023, Medicare charges for inpatient neurologic care rose sharply while reimbursement increases lagged, widening payment gaps despite declining hospitalization volumes and highlighting systemic financial misalignments.
This review synthesizes evidence on the adoption and billing practices of telemedicine critical care for Medicare beneficiaries from 2018 to 2024, highlighting pandemic-driven shifts, provider and hospital characteristics influencing utiliz
Patients whose physicians demonstrate higher clinical knowledge are less likely to receive low-value healthcare services, reducing unnecessary medical spending and optimizing care quality in elderly Medicare beneficiaries.
A nationwide Medicare study found that women made up a declining share of TAVI patients, had more periprocedural complications, but slightly better long-term survival than men. The findings support sex-specific planning and follow-up in aor
A Medicare-based study found the Oncology Care Model did not increase systemic therapy starts for newly diagnosed cancer and was linked to less treatment initiation and lower spending in poor-prognosis cancer.
In a nationwide Medicare cohort, chronic wildfire smoke PM2.5 exposure was associated with a modest but significant increase in incident stroke, with stronger effects over longer exposure windows.
Telemedicine is no longer an emergency workaround. New policy guidance shows how virtual care can improve access, but only if payment, safety, equity, and prescribing rules evolve carefully.
A 10-year Medicare study reveals women face higher immediate risks during TAVI procedures but demonstrate better long-term survival than men, despite declining representation in treatment.
A matched difference-in-differences study found that the Oncology Care Model did not increase systemic therapy initiation overall and was associated with lower treatment initiation and lower spending in poor-prognosis cancers.
In Medicare beneficiaries, ATTR-CM was diagnosed a median 494 days after heart failure and 840 days after loop diuretic initiation, with delays more common in women and patients with several common comorbidities.
In a large Medicare study, hospitals under Maryland’s global budget model showed modest but significant improvements in cancer surgery outcomes, driven by fewer complications and shorter stays, with lower inpatient spending.
A new study reveals that neurologists receiving $1,000 or more from drug manufacturers were over 4 times more likely to prescribe expensive brand-name MS medications when generics were available, driving up costs for patients and the health
Researchers identify critical hospital and surgeon volume thresholds for fenestrated/branched endovascular aortic repair (F/BEVAR). Patients treated at low-volume centers face up to 51% higher 30-day mortality, with inflection points at 9 h
A large-scale study of 144,969 Medicare beneficiaries reveals that initial anticoagulant prescriptions for atrial fibrillation may not reduce ischemic stroke risk in patients over 66, while significantly increasing major bleeding hazards, s
In a population-based Medicare cohort, oncologists preferentially selected higher-clinical-benefit cancer treatments; provider billing margin was not associated with treatment choice, suggesting price or payment reforms that change margins
