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Barriers to Hip and Knee Replacement: An Empirical Analysis

In this study, we examined variations in the determinants of joint replacement (JR) across gender and age, with emph ....

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The Effects of Revision Total Hip Replacement on Medicare Spending and Beneficiary Outcomes: Implications for the Comprehensive Care for Joint Replacement Model

The Comprehensi ....

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The Effects of Arthroscopy for Symptomatic Femoroacetabular Impingement on Quality of Life and Economic Outcomes

In collaboration with Dr. Richard Mather III, we examined the s ....

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Assessing the Utilization of Total Ankle Replacement in the United States

Utilization of total ankle replacement (TAR) has increased in the United States over the last 20 years ....

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Skilled Nursing Facility Demand Projections and Market Analyses

Skilled Nursing Facilities (SNFs) provide short-term skilled nursing care and rehabilitation services. As a crit ....

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Explaining Hospital Charge Variation for Members of America’s Essential Hospitals: The Role of Mark-ups and Underlying Costs

In a changing healthcare environment in which pro ....

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Diagnosing Certain Conditions with Ultrasound over Other Technologies Can Save Money

For certain types of conditions, different imaging technologies may serve as substitutes fo ....

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Characteristics and Cost Drivers of High-Cost Hospitals

A 2008 report produced by the Medicare Payment Advisory Commission (MedPAC) found that 20% of hospitals had consistently ....

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Latest Blog Posts

Use of Prior Authorization by Medicare Advantage Plans Grew Notably Between 2018 and 2024

Medicare Advantage (MA) plans’ use of prior authorization (PA) -  a utilization management tool that requires patients to get their plans’ approval before a ....

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Use of Prior Authorization by Medicare Advantage Plans Grew Notably Between 2018 and 2024

Medicare Advantage (MA) plans’ use of prior authorization (PA) -  a utilization management tool that require ....

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Medicare Advantage Prior Authorization Denials for Post-Acute Care Are Rarely Overturned

Medicare Advantage (MA) plans limit use of Medicare-covered services, in part, through pre-service (prior) autho ....

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Growth in Special Needs Plans Outpaces that of Medicare Advantage, Particularly in the South

Special Needs Plans (SNPs) are Medicare Advantage (MA) plans that exclusively serve populations that have co ....

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Examining Growth Patterns in Medicare Advantage and Medicare Shared Savings Plan Accountable Care Organizations

Accountable Care Organizations (ACOs) and Medicare Advantage (MA) plans have risen to pro ....

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