Insurance, Health, Reimbursement

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  Subject Areas on Research

  • A new era for cardiovascular imaging? Implications of the revoked national coverage decision for CT angiography on future imaging reimbursement. 
  • Addressing guideline and policy changes during pragmatic clinical trials. 
  • Advocacy: how we can support physician assistants. 
  • An Analysis of Medicare Reimbursement to Ophthalmologists: Years 2012 to 2013. 
  • An Analysis of Medicare Reimbursement to Ophthalmologists: Years 2012 to 2013. 
  • Association of VA Payment Reform for Dialysis with Spending, Access to Care, and Outcomes for Veterans with ESKD. 
  • Barriers to cardiac transplantation in idiopathic dilated cardiomyopathy: the Washington, DC, Dilated Cardiomyopathy Study. 
  • Barriers to providing osteoporosis care in skilled nursing facilities: perceptions of medical directors and directors of nursing. 
  • Bundled Payment and Care of Acute Stroke: What Does it Take to Make it Work? 
  • Challenges in merging Medicaid and Medicare databases to obtain healthcare costs for dual-eligible beneficiaries: using diabetes as an example. 
  • Changes in the use and costs of diagnostic imaging among Medicare beneficiaries with cancer, 1999-2006. 
  • Characteristics of representative payeeship involving families of beneficiaries with psychiatric disabilities. 
  • Clinician-patient E-mail communication: challenges for reimbursement. 
  • Cost of care using prophylactic negative pressure wound vacuum on closed laparotomy incisions. 
  • Cost-effectiveness analysis of continuous-flow left ventricular assist devices as destination therapy. 
  • Costs by industry and diagnosis among musculoskeletal claims in a state workers compensation system: 1999-2004. 
  • Cross-subsidies and payment for hospital care. 
  • Defining Value-Based Care in Cardiac and Vascular Anesthesiology: The Past, Present, and Future of Perioperative Cardiovascular Care. 
  • Defining payments associated with the treatment of colorectal cancer. 
  • Disparity in reimbursement for tuberculosis care among different health insurance schemes: evidence from three counties in central China. 
  • Economic effects of beta-blocker therapy in patients with heart failure. 
  • Economic evaluation of access to musculoskeletal care: the case of waiting for total knee arthroplasty. 
  • Economic impact of drug-eluting stents on hospital systems: a disease-state model. 
  • Economic winners and losers after introduction of an effective new therapy depend on the type of payment system. 
  • Emergency department use for eye care services and future directions in care. 
  • Evaluation of Industrial Compensation to Cardiologists in 2015. 
  • Factors responsible for immunizations referrals to health departments in North Carolina. 
  • Financial implications of a model heart failure disease management program for providers, hospital, healthcare systems, and payer perspectives. 
  • HCC Coding, Risk Adjustment, and Physician Income: What You Need to Know. 
  • High quality care and ethical pay-for-performance: a Society of General Internal Medicine policy analysis. 
  • Hospital cost shifting. 
  • How effectively can the New Cooperative Medical Scheme reduce catastrophic health expenditure for the poor and non-poor in rural China? 
  • How much are patients willing to pay to avoid intraoperative awareness? 
  • How much are patients willing to pay to avoid postoperative muscle pain associated with succinylcholine? 
  • How should hospitals relate to Medicare HMOs? 
  • Impact of an innovative tuberculosis financing and payment model on health service utilization by tuberculosis patients in China: do the poor fare better than the rich? 
  • Impact of percutaneous coronary intervention performance reporting on cardiac resuscitation centers: a scientific statement from the American Heart Association. 
  • Index and follow-up costs of endovascular abdominal aortic aneurysm repair from the Endurant Stent Graft System Post Approval Study (ENGAGE PAS). 
  • Is an Admission for Decompensated Heart Failure Inevitable? 
  • Is overweight and class I obesity associated with increased health claims costs? 
  • Lying for patients: physician deception of third-party payers. 
  • Medicare Advantage Plans Pay Hospitals Less Than Traditional Medicare Pays. 
  • Medicare Enrollment Among Patients With End-Stage Kidney Disease Receiving Dialysis in Outpatient Facilities Between 2005 and 2016. 
  • Medicare's demonstration of expanded coverage for chiropractic services: limitations of the demonstration and an alternative direct cost estimate. 
  • Neurofeedback treatment of epilepsy: from basic rationale to practical application. 
  • New medical technologies in a cost containment environment: Implantable antitachyarrhythmia devices. 
  • Outpatient surgical utilization in Veterans Affairs hospitals, 1981-1989. 
  • Over- and under-treatment of TB patients in Eastern China: an analysis based on health insurance claims data. 
  • Patch Test Practice Patterns of Members of the American Contact Dermatitis Society. 
  • Patient perceptions on physician reimbursement in plastic surgery. 
  • Payer database and geospatial analysis to evaluate practice patterns in treating allergy in North Carolina. 
  • Payment for obesity services: examples and recommendations for stage 3 comprehensive multidisciplinary intervention programs for children and adolescents. 
  • Payment source, quality of care, and outcomes in patients hospitalized with heart failure. 
  • Personalized health planning. 
  • Perspectives from the Kidney Health Initiative on Advancing Technologies to Facilitate Remote Monitoring of Patient Self-Care in RRT. 
  • Physician practice competition and prices paid by private insurers for office visits. 
  • Private insurers' payments for routine physician office visits vary substantially across the United States. 
  • Procedural Volume and Outcomes for Transcatheter Aortic-Valve Replacement. 
  • Prospective medicine: the next health care transformation. 
  • Quality still doesn't pay in heart failure management. 
  • Should an academic radiation oncologist be allowed to "opt out" of medicare? 
  • Social/health maintenance organization and fee-for-service health outcomes over time. 
  • Strategic Patient Discharge: the Case of Long-Term Care Hospitals. 
  • Study on Incentives for Glaucoma Medication Adherence (SIGMA): study protocol for a randomized controlled trial to increase glaucoma medication adherence using value pricing. 
  • Temporal and Geographic Trends in Medicare Reimbursement of Primary and Revision Shoulder Arthroplasty: 2000 to 2020. 
  • The "Hassle Factor": what motivates physicians to manipulate reimbursement rules? 
  • The London Fibromyalgia Epidemiology Study: direct health care costs of fibromyalgia syndrome in London, Canada. 
  • The Personalized Medicine Coalition: goals and strategies. 
  • The Relationship Between Hospital Payer Mix and Volume Growth in Total Joint Arthroplasty: A 12-Year Analysis. 
  • The economic burden of major adult visual disorders in the United States. 
  • The impact of an innovative reform to the South Carolina dental medicaid system. 
  • The impact of increased reimbursement rates under the new cooperative medical scheme on the financial burden of tuberculosis patients. 
  • The impact of the new cooperative medical scheme on financial burden of tuberculosis patients: evidence from six counties in China. 
  • Third-party payers and investigational therapy. 
  • Transforming oncology care: payment and delivery reform for person-centered care. 
  • Treatment of Type 2 diabetes mellitus in Chongqing of China: unaffordable care for the poor. 
  • Trends in Insulin Out-of-Pocket Costs and Reimbursement Price Among US Patients With Private Health Insurance, 2006-2017. 
  • Trends in reimbursement for primary and revision total elbow arthroplasty. 
  • Up from crisis: overhauling healthcare information, payment, and delivery in extraordinary times. Dialogue with featured speakers from the 6th annual connected health symposium. 
  • Urban health insurance reform and coverage in China using data from National Health Services Surveys in 1998 and 2003. 
  • Using Time-Driven Activity-Based Costing to Demonstrate Value in Perioperative Care: Recommendations and Review from the Society for Perioperative Assessment and Quality Improvement (SPAQI). 
  • Utilization of hospital services: the roles of teaching, case mix, and reimbursement. 
  • Value-based healthcare. 
  • We need a new paradigm in gynecologic cancer care: SGO proposes solutions for delivery, quality and reimbursement policies. 
  • Who is paying the bills? Health care costs for musculoskeletal back disorders, Washington State Union Carpenters, 1989-2003. 
  • Will Obesity Treatment Reimbursement Benefit Those at Highest Risk? 
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  Keywords of People

  • Curtis, Lesley H., Professor in Population Health Sciences, Medicine, General Internal Medicine
  • O'Connor, Christopher Michael, Adjunct Professor in the Department of Medicine, Medicine, Clinical Pharmacology
  • Patz Jr., Edward F., James and Alice Chen Distinguished Professor of Radiology, Pathology