Service Category Definition Acute Inpatient Payments to acute care hospitals (including critical access hospitals) for inpatient services. With regards to the Medicare data, a limited number of hospitals (i.e., all-inclusive rate and no charge structure hospitals) combine bill under Part A for both technical and professional payments.
To build a national database, NORC attempted to collect rate filings submitted by issuers of comprehensive major medical insurance products to state regulators from 2008 to 2011. 15 As noted above, to our knowledge, this is the first study that attempts to build a national database of carrier rate filings. As a result, NORC and its subcontractor,
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation. A. Opportunities for Psychotherapy Measures
Based on our synthesis of the strengths and limitations of measurement approaches and feedback from our expert panel, we propose prioritizing the measurement of outcomes. This would involve developing the infrastructure for outcomes monitoring and building capacity for delivering evidence-based psychotherapies.
Strategies for Measuring the Quality of Psychotherapy: A White Paper to Inform Measure Development and Implementation
Various types of psychotherapy can benefit people who experience depression, anxiety, and other common mental disorders. However, the extent to which these psychotherapies are available and delivered effectively is largely unknown. In the context of health care reforms that encourage performance measurement, a strong set of measures focused on psy
Adams, C., & Brantner, V. (2006). Estimating The Cost Of New Drug Development: Is It Really $802 Million? Health Affairs, 25 (2). Adams, C., & Brantner, V. (2010). Spending on new drug development. Health Economics , 19(2), 130- 141. Angell, M. (2004). Introduction: Drugs are Different. In M. Angell, The Truth About the Drug Comp
Contract negotiation and internal review are two major administrative areas where drug companies suffer from inefficiencies of their own creation. The IOM and the National Cancer Institute (NCI) have tried to generate standard contract terms so that the trickiest parts of contracts between sponsors and contractors and clinical sites would not need
Examination of Clinical Trial Costs and Barriers for Drug Development. 4.3 Difficulties in Recruiting and Retaining Participants
In interviews, expert consultants and representatives from pharmaceutical and biotechnology companies and CROs cited patient recruitment as one of the most significant barriers to conducting clinical trials in the United States. Failure to recruit sufficient numbers of patients can result in costly delays or even cancellation of the entire trial (
Variation and Trends in Medigap Premiums. Appendix A: Medicare Benefits for Parts A and B and Cost Sharing Requirements, 2011
PART A Deductible $1,132 per benefit period Inpatient hospital Days 1-60 Days 61-90 Days 91-150 After 150 Days No coinsurance $283per day $566 per day (for up to 60 lifetime reserve days) Not covered
The literature review and discussions described above served to inform the conceptual framework for our model. We modeled the clinical trials decision-making process in the form of a decision tree that looks at the decision process from the point of view of an expected-revenue-maximizing sponsor in the face of uncertainty (or risk).
The Affordable Care Act helps to make prevention affordable by requiring most private health insurance plans to cover recommended prevention and wellness benefits without cost-sharing. 3 Insurers must now cover mammograms, screenings for cervical cancer, prenatal care, flu and pneumonia shots, and regular well-baby and well-child visits with no
Compared with other Americans, Latinos are less likely to receive preventive care and more likely to have chronic diseases such as diabetes, cancer, and HIV/AIDS. 12,13 The Affordable Care Act helps to make prevention affordable and accessible by requiring most health insurance plans to cover prevention and wellness benefits with no cost-sharin
The Affordable Care Act helps to address health disparities by making prevention more affordable and accessible, requiring many health insurance plans to cover recommended prevention and wellness benefits with no cost-sharing (such as a co-payment or deductible). 16 The services that many insurers are now required to cover with no cost-sharing in
The Medicaid program is a joint federal/state partnership that provides health coverage to low-income families, children and pregnant women, aged, blind and disabled individuals and certain other special categories of individuals, such as Qualified Medicare Beneficiaries. In order to receive federal Medicaid funds, states must comply with federal
Compared with other Americans, African Americans are less likely to receive preventive care and more likely to have chronic diseases such as diabetes and certain cancers. 12,13 Heart disease and stroke account for the largest proportion of disparities in life expectancy between African Americans and non-Latino Whites, despite the existence of p
Minimizing Disclosure Risk in HHS Open Data Initiatives. Session 3: What Are the Re-identification Threats to Releasing Federal Data to the Public?
Steve Cohen, AHRQ (moderator) Daniel Barth-Jones, Columbia University Khaled El Emam, University of Ottawa and Privacy Analytics Denise Love, National Association of Health Data Organizations (NAHDO) Brad Malin, Vanderbilt University Latanya Sweeney, Federal Trade Commission and Harvard University Cohen: We need to be forward looking—let’s t
Minimizing Disclosure Risk in HHS Open Data Initiatives. Session 2: Current Policies and Practices for Disclosure Avoidance with Federal Survey and Administrative Data
Jacob Bournazian, Energy Information Administration John Czajka, Mathematica Jacob Bournazian: Much of this is what I wrote in Statistical Policy Working Paper 22, chapters 3 to 5. Microdata is highly sensitive to identity disclosure if:
Moderator Steve Cohen identified the following themes during these presentations: game theory, data resources that allow for a breach, and how to simulate the threat of disclosure. He asked the panelists to address where we are heading in the next five years to address these threats.
Khaled El Emam noted that de-identification has been simplified through automation. The process of de-identification in practice involves assessing risk, classifying the variables in the file, and mapping the data. These contribute to specifications in an automated anonymization engine through which the original data are run to produce the anony
Federal agencies have a long history of releasing data to the public, and they also have a legal obligation to protect the confidentiality of the individuals and organizations from which the data were collected. Federal agencies have successfully balanced these two objectives for decades. With the new emphasis on expanding public access to federal
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Illustrative Beneficiary Scenarios
These savings under the House Republican plan will really add up for seniors who now lack drug coverage, as indicated in the following hypothetical but true-to-life examples: