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Items (1-15) out of 15 results

340B Drug Pricing Program: Potential Policy Options to Restore Program Integrity

Description:
Several policy initiatives could help to ensure that low-income Americans benefit from 340B drug price savings. Transparency initiatives that elucidate how hospitals use 340B revenues …
Year:
2025
Contributor:
Christopher Whaley (Author)
Corrie Mook (Author)
Subject:
340B Drug Pricing Program
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Addressing Healthcare Consolidation in the U.S.: Potential Policy Options for a Competitive and Transparent Future

Description:
Healthcare consolidation in the U.S. has significantly increased over the past few decades, leading to a highly concentrated market dominated by a few large health …
Year:
2024
Contributor:
Christopher Whaley (Author)
Yashaswini Singh (Author)
Erin C. Fuse Brown (Author)
Megha Reddy (Author)
Jared Perkins (Author)
Hayden Rooke-Ley (Author)
Subject:
Healthcare Consolidation
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Addressing Site-of-Care Payment Differentials in the U.S. Health Care System

Description:
“Site-of-care” payment differentials contribute to rising Medicare spending. These paymentdifferentials also fuel provider consolidation by creating an “arbitrage” opportunity to shift referrals to hospital-based outpatient …
Year:
2024
Contributor:
Christopher Whaley (Author)
Dakota Rome L. Paul (Author)
Jared Perkins (Author)
Subject:
Payment Differentials
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Assessing Individual Market Hospital Outpatient Prices in the Context of the Colorado Option

Description:
In 2023, Colorado launched the Colorado Option, a standardized health insurance plan with regulatory tools to enforce premium reductions, including state intervention in hospital payment …
Year:
2025
Contributor:
Roslyn Murray (Author)
Christopher Whaley (Author)
Subject:
Hospital Outpatient Prices
Colorado
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Corporate Practice of Medicine: Vertical Alignment and Medicare Advantage Risk Coding

Description:
A long-appreciated, but understudied, aspect of vertical integration is the ability to align incentives and enable coordination between principals and agents. We examine this dynamic …
Year:
2025
Contributor:
David J. Meyers (Author)
Jay Shroff (Author)
Yashaswini Singh (Author)
Christopher Whaley (Author)
Subject:
Medicare Advantage
risk score payments
principal-agent relationships
health care provider consolidation
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Delivering Amidst Consolidation: Implications of Hospital Mergers on Newborn and Maternal Outcomes

Description:
As hospital systems consolidate and negotiate higher private health insurance (PHI) reimbursements, the widening difference between PHI and public hospital payments could incentivize hospitals to …
Year:
2025
Contributor:
Hyesung Oh (Author)
Christopher Whaley (Author)
Subject:
Child Health
maternal health
Hospital Mergers
public hospitals
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Estimating Savings from the Fair Pricing Act and Commercial Site-Neutral Payments in New York State

Description:
This report evaluates the potential impact of the Fair Pricing Act and site-neutral payment on commercial health care spending in New York. We analyze price …
Year:
2025
Contributor:
Roslyn Murray (Author)
Haroon Janjua (Author)
Christopher Whaley (Author)
Subject:
New York
Fair Pricing Act
Site-Neutral Payments
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Estimating the Individual Market Premium Impacts of the Colorado Option

Description:
The Affordable Care Act (ACA) has faced several challenges, including the elimination of the individual mandate, phase-out of reinsurance programs, and insurer exits, all of …
Year:
2025
Contributor:
Roslyn Murray (Author)
Christopher Whaley (Author)
Subject:
Premiums
Colorado
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Financial Performance of Critical Access Hospital and Rural Hospitals Depends on System Affiliation

Description:
US hospitals are characterized by “haves” and “have-not” hospitals. As highlighted in previous research, this characterization extends to critical access hospitals (CAHs). Using hospital cost …
Year:
2025
Contributor:
Christopher Liu (Author)
Christopher Whaley (Author)
Subject:
Critical Access Hospitals
Rural Hospitals
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Foisted: The Spillover Effects of Hospital Mergers on Costs and Utilization

Description:
Market power enables firms to restrict quantities and provide services to higher-paying consumers. We study this question using hospital mergers over the 2011 to 2022 …
Year:
2025
Contributor:
Daniel R. Arnold (Author)
Nandita Radhakrishnan (Author)
Christopher Whaley (Author)
Subject:
access to care
Hospital Mergers
foreclosure
spillover effects of consolidation
safety-net hospitals
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Health Care Price Transparency: Opportunities for Improving Efficiency and Lowering Costs

Description:
Healthcare prices in the United States are high, variable, and opaque. A lack of transparent pricing information limits competition, stifles innovation, and prevents both patients …
Year:
2025
Contributor:
Christopher Whaley (Author)
Corrie Mook (Author)
Subject:
Health Care Prices
Health Care Price Transparency
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Patients Deserve Price Tags: Independent Cost Savings Estimate

Description:
We estimate that S. 2355 / H.R. 5582 (the Patients Deserve Price Tags Act, PDPTA) would generate approximately $122 billion in additional federal revenue over …
Year:
2026
Contributor:
Daniel Arnold (Author)
Christopher Whaley (Author)
Subject:
Patients Deserve Price Tags Act
PDPTA
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Policy Options to Address the Growth of Private Equity Among U.S. Physician Practices

Description:
Private equity (PE) has rapidly entered into health care markets over the past two decades, accelerating the consolidation of key sectors of the health care …
Year:
2024
Contributor:
Erin C. Fuse Brown (Author)
Yashaswini Singh (Author)
Christopher Whaley (Author)
Subject:
Private Equity
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Price Transparency and Uses of All-Payer Claims Data

Description:
Oregon Senate Committee on Health Care May 2024
Year:
2024
Contributor:
Christopher Whaley (Author)
Subject:
Transparency
All-Payer Claims Data
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Private Equity Investments in Physician Practices in Maryland

Description:
The objective of this report is to provide evidence on trends in Private Equity (PE) investments in physician practices in the state of Maryland. We …
Year:
2025
Contributor:
Yashaswini Singh (Author)
Roslyn Murray (Author)
Megha Reddy (Author)
Jared Perkins (Author)
Neil Mehta (Author)
Christopher Whaley (Author)
Erin Fuse Brown (Author)
Subject:
Maryland
private equity
Collection:
Center for Advancing Health Policy through Research (CAHPR) Digital Collection
Full Record

Items (1-15) out of 15 results