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The Leonard Davis Institute of Health Economics at the University of Pennsylvania. We are Penn’s hub for health care delivery, health policy, and population health.
- 117articles · 365d
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Medicaid Risk Contracts in New ACO LEAD Model
2+ day, 12+ hour ago (223+ words) Integrated care programs for dual-eligible beneficiaries, including ACO LEAD, aim to incentivize efficient care delivery while preventing unintended cost shifting between Medicare and Medicaid. How LEAD calculates shared savings and losses will be central to achieving both goals. First, a…...
How the No Surprises Act Solved One Problem and Created Another
3+ mon, 1+ week ago (470+ words) Health Care Payment and Financing It is generally recognized that the first goal has been successful, and patients are now largely protected from surprise billing. The second feature of the law — the IDR arbitration system — however, is widely viewed as…...
Medicare Advantage ‘Working’ for Seniors, but Not for Taxpayers, Experts Say
5+ mon, 2+ week ago (193+ words) Top experts at a University of Pennsylvania panel discussion explain why the Medicare Advantage program is a consumer success but a policy failure...
Medicare Advantage Risk Adjustment Post-FFS Spike
4+ mon, 1+ day ago (20+ words) Health policy experts discuss how CMS could prevent temporary spending shocks in FFS Medicare from impacting future Medicare Advantage payments....
Insurer Acquisition of PBMs Raised Some Part D Premiums
6+ mon, 2+ day ago (929+ words) Briefing: Delivered to the Congressional Budget Office’s Panel of Health Advisors Report from His Penn Fireside Chat with Ezekiel Emanuel about Drug Pricing A New Review Finds Hospital Mergers Raise Prices Without Improving Care, and Urges Regulators to Stop Accepting…...
Medicare Advantage Risk-Based Provider Payments
8+ mon, 3+ week ago (613+ words) Health insurers choose the counties where they sell plans on the Affordable Care Act (ACA) Marketplaces. As a result, many people find they have fewer health insurance options than their neighbors in the next county, a new LDI study found....