Self-pay patients are an understudied yet important and financially vulnerable population of
emergency department (ED) users. As ED facility fees may be a key cost driver in patient ED …

Objective The aim of this study is to assess the odds of caesarean section (CS) for uninsured
women in the USA and understand the underlying mechanisms as well as consequences of …

New York Times bestseller Business Book of the Year--Association of Business Journalists
From the New York Times bestselling author comes an eye-opening, urgent look at …

I study the impact of expanding the 340B Drug Pricing Program to include Critical Access
Hospitals (CAH) on Medicare Part B drug utilization and spending. The 340B program …

Aims Despite advances in therapies, the disease burden of heart failure (HF) has been
rising globally. International comparisons of HF management and outcomes may reveal care …

Background: Markups on charges for medical services have the potential to result in
“surprise billing,” especially for out-of-network and uninsured patients. Although previously …

Background This study aimed to evaluate recent trends in utilization, reimbursement, and
charges for reconstructive plastic surgery procedures billed to Medicare. Methods We …

While out-of-network or potential “surprise” billing has garnered increasing attention,
particularly in emergency department and inpatient settings, few national studies have …

Importance Uninsured people uniquely rely on the emergency department (ED) for care as
they are less likely to have access to lower-cost alternatives. Prior work has demonstrated …

The practice of excess charge where healthcare providers bill Medicare more than the
allowed limit, is pervasive in the United States. Previous research has argued that it is …