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Start Over Collections Health Policy and Services Research ✖Remove constraint Collections: Health Policy and Services Research Subjects Medicare Part C ✖Remove constraint Subjects: Medicare Part C

1. Medicare Advantage appeal outcomes and audit findings raise concerns about service and payment denials

Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of Inspector General, September 2018
Subject(s):
Health Services Accessibility
Insurance Claim Review -- statistics & numerical data
Insurance Coverage
Insurance, Health, Reimbursement
Medicare Part C
Financial Audit
Insurance Claim Review -- economics
Managed Care Programs
Humans
United States
United States. Department of Health and Human Services.
Centers for Medicare & Medicaid Services (U.S.)

3. The effect of predictive analytics-driven interventions on healthcare utilization

Author(s):
David, Guy, author
Smith-McLallen. Aaron, author
Ukert, Benjamin, author
Publication:
Philadelphia, PA : Leonard Davis Institute of Health Economics, 2019
Subject(s):
Algorithms
Data Science
Facilities and Services Utilization -- statistics & numerical data
Heart Failure -- therapy
Risk Assessment
Emergency Medical Services -- statistics & numerical data
Hospitalization -- statistics & numerical data
Medicare Part C
Office Visits -- statistics & numerical data
Risk
Humans
United States

4. Non-shoppable health care services: inpatient hospitalizations: average spending and length of stay (LOS) for non-shoppable services in Medicare Advantage (MA) and employer-sponsored insurance (ESI) populations

Author(s):
Barrette, Eric, author
Frost, Amanda, author
Publication:
Washington, DC, : Health Care Cost Institute, February 2017
Subject(s):
Health Expenditures -- statistics & numerical data
Hospital Costs -- statistics & numerical data
Hospitalization -- economics
Length of Stay -- statistics & numerical data
Patient Admission -- statistics & numerical data
Emergency Service, Hospital -- statistics & numerical data
Health Benefit Plans, Employee
Medicare Part C
Humans
United States

8. Comparing outcomes for dual eligible beneficiaries in integrated care: final report

Author(s):
Feng, Zhanlian, author
Wang, Joyce, (Of RTI International), author
Gadaska, Angela, author
Knowles, Molly, author
Haber, Susan G., author
Ingber, Melvin, author
Grouverman, Valentina, author
Publication:
[Washington, D.C.] : U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Behavioral Health, Disability, and Aging Policy, September 2021
Subject(s):
Delivery of Health Care, Integrated
Dual MEDICAID MEDICARE Eligibility
Managed Care Programs
Medicare Part C
Outcome Assessment, Health Care
United States

10. Network adequacy standards in California: how they work and why they matter

Author(s):
Gu, Amy Y., author
Ellson, Michele, author
Gudiksen, Katherine, author
Publication:
[Oakland, California] : California Health Care Foundation, December 2021
Subject(s):
Delivery of Health Care -- standards
Health Care Sector
Health Services Accessibility
Insurance, Health -- standards
Health Facility Merger
Medicare Part C
California
United States