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Patterns in the Use and Cost of Medical Care for Osteoarthritis Prior to Total Knee Arthroplasty: An Analysis of the Osteoarthritis Initiative and Medicare Data

In this paper, ....

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Health and Spending Consequences of Bisphosphonate Treatment for Osteoporosis: A Markov Model Approach

Osteoporosis-related hip fractures are a major source of avoidable disabi ....

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Assessing the Value of Surgical Treatment for Select Musculoskeletal Conditions

Increasingly, policy makers and payers are focusing on value, defined as the health outcome achi ....

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Tracking Medicare Beneficiaries Who Present to the ED with a Cardiac-Related Symptom

The purpose of this study was to examine outcomes for Medicare beneficiaries who present to ....

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The Impact of the Economy on Service Volume at Ambulatory Surgical Centers

The great recession has had a significant and prolonged effect on unemployment rates in the United St ....

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Growth of Ambulatory Surgical Centers, Surgery Volume, and Savings to Medicare

We studied the impact of the growth of ambulatory surgical centers (ASCs) on total Medicare proce ....

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Relationship between ACO Participation and Outcomes for High-Cost Populations

Accountable care organizations (ACOs) have the potential to substantially reduce Medicare spending ....

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Monitoring The Effects of Maryland’s New All-Payer Model and Hospital Global Budget

As a subcontractor, KNG Health is monitoring acute care hospital and post-acute care utili ....

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Latest Blog Posts

Disenrollment from Traditional Medicare is Slowing, Particularly Among Non-Dual-eligibles and Beneficiaries Who are in the Last Year of Life

As the popularity of Medicare Advantage (MA) plans increased, so did the disenrollment from Traditional Medica ....

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Disenrollment from Traditional Medicare is Slowing, Particularly Among Non-Dual-eligibles and Beneficiaries Who are in the Last Year of Life

As the popularity of Medicare Advantage (MA) plans increased ....

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Post-Hospital Use of Skilled Nursing Facilities and Other Institutional PAC Providers Remains Below Pre-COVID Levels

The COVID pandemic disrupted nearly every aspect of healthcare delivery, including c ....

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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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