Forefront: Medicaid needs improvements
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Thursday, September 29, 2022 | The Latest Research, Commentary, And News
From Health Affairs
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Low-Value Care
In their September Health Affairs article, Lauren Do and coauthors
analyze the prevalence of twenty-three low-value services
among a group of Medicare Advantage and commercial insurance enrollees.
Their analysis indicates that low-value care and associated spending
remain prevalent among commercially insured and Medicare Advantage
enrollees.
The authors also add that state-level variation in spending was greater
than variation in utilization, and much of the variation in spending was
driven by differences in average procedure prices
"On average, 2 in 100 enrollees eligible for at least one of the
twenty-three low-value services received avoidable and possibly
unnecessary services. This amounted to $3.7 billion in wasteful spending
from 2009 to 2019," Do and coauthors report.
Their findings underscore the importance of routine measurement and
reporting of the use of and spending associated with low-value services
at the state level.
If you want to stay informed on health spending trends, you can sign up
for the Considering Health Spending newsletter by becoming a Health
Affairs Insider. Join today
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Elsewhere At Health Affairs
Elsewhere in Health Affairs Forefront, Jessica Green and Diane Gibson
discuss how the personal experiences of people with Medicaid
and those who directly work with them underscore the importance of state
efforts, particularly as we face the difficulties of unwinding the
COVID-19 public health emergency.
Are you enjoying articles from Forefront? Join Health Affairs Insider
to show your support for high-value health policy news, commentary, and
analysis.
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Daily Digest
State-Level Variation In Low-Value Care For Commercially Insured And
Medicare Advantage Populations
Lauren A. Do et al.
Medicaid At 57: Still Essential And Needs Improvements As COVID-19
Emergency Unwinding Looms
Jessica Green and Diane Gibson
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