Monday Links

Posted on by John C. Goodman

Direct primary care for Medicaid.

Senators demand release of NIH study on transgender care.

Preauthorization denials: they are twice as high in Medicaid as they are in Medicare Advantage.

Study: hospital upcoding in 2019 (relative to 2011 coding practices) was associated with $14.6 billion in hospital payments, including $5.8 billion from private health plans, $4.6 billion from Medicare, and $1.8 billion from Medicaid.

Relative to employer small-group plans, Marketplace plans paid 6.9% lower doctor fees, 13.3% lower hospital fees, and were 26.3% lower outpatient prices. 

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