"...Operationalizing broad recommendations (such as not paying for poor quality care) has, in practice, resulted in policies with unintended consequences that can negatively affect patients..." ( Association of the Hospital Readmissions Reduction Program With Mortality Among Medicare Beneficiaries...
Mein, Stephen A., Ave K. Kludze, William B. Feldman, Archana P. Tale, Jennifer P. Stevens, and Rishi K Wadhera. 2024. “Out-of-Pocket Savings Under the Inhaler Price Cap”. https://doi.org/10.1001/jamainternmed.2024.6918.
"...Data released as recently as earlier this month confirm that the decline in screening rates persisted throughout the pandemic and rates have still not returned to normal levels..."( Changes in Health Care Access and Preventive Health Screenings by Race and Ethnicity. JAMA Health Forum)
"...However, the current strategy of attaching quality metrics to fee-for-service payments has added to the administrative burden and worsened physician burnout. CMS has 2,266 quality metrics in its inventory..."( Quality Measure Development and Associated Spending by the Centers for Medicare &...
"While increased access to services once beneficiaries are enrolled in MA could dampen some of the effects of favorable selection, limited evidence suggests that MA plans are not providing greater access to services overall relative to FFS." ( Comparison of Medicare Advantage vs. Traditional...