Private equity firms have increasingly acquired physician practices, and particularly
dermatology practices. Analyzing commercial claims from the Health Care Cost Institute …

Importance Breast reconstruction is costly, and negotiated commercial rates have been
hidden from public view. The Hospital Price Transparency Rule was enacted in 2021 to …

Background The association between nonadherence to chronic medications and potentially
preventable healthcare utilization and spending is largely unknown. Objectives To examine …

BACKGROUND AND OBJECTIVES Physician management companies (PMCs) acquire
physician practices and contract with hospitals to provide physician management services …

Objective To understand the relative role of prices versus utilization in the variation in total
spending per patient across medical groups. Data Sources We conducted a cross‐sectional …

Objective To compare prices paid by commercial insurers for ambulatory services in
physician office and hospital outpatient settings. Data Sources MarketScan Commercial …

Objective To construct a new measure of end‐of‐life (EoL) spending—the elevated EoL
spending—and examine its associations with measures of quality of care and patient and …

Importance Tiered physician network (TPN) health plans sort physicians into tiers based on
their cost and quality, and patients pay lower copays for visits with physicians in the lower …

Objective To determine if increases in hospital discharge prices are associated with
improvements in clinical quality or patient experience. Data Sources This study used …

Objective To examine the relationship between market dynamics, in the form of commercial
prices paid to urologists, and utilization of services, as measured by Medicare spending, in …