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About one in five patients undergoing common elective operations performed with in-network primary surgeons and facilities have an out-of-network bill

Out-of-Network Billing Common for Surgery Within Network

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Bills for about one in five undergoing elective ops performed with in-network primary surgeon, facility
Reference prices are associated with lower prices paid by employers and lower cost sharing by employees

Reference Pricing Linked to Lower Prices Paid by Employers

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Cost sharing by employees lower, but time lag seen in physicians' prescribing habits
Using negotiated prices and a defined formulary

Negotiated Prices, Formulary Could Cut Medicare Rx Spending

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Findings based on analysis of 31 different insulin products using 2017 VA formulary and prices
Kidney transplant graft failure is associated with additional medical costs of $78

Economic Burden of Kidney Transplant Graft Failure Quantified

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For average patient, graft failure will impose medical costs of $78,079 and loss of 1.66 QALYs
Initial regimens recommended for most people with HIV are priced above $36

Costs of ART Regimens Increasing, Outpacing Inflation

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Annual average wholesale price of initial ART regimens recommended for most persons with HIV >$36,000
The United States spends substantially more than any other wealthy nation on health care

U.S. Spends More on Health Care, but Has Worse Life Expectancy

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Compared with 10 other wealthy nations, U.S. has lower life expectancy, higher suicide rates
Transitional care services are cost-effective for the postdischarge management of older patients with heart failure

Model Shows Transitional Care Cost-Effective in Heart Failure

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All three transitional care interventions more costly and effective than standard care
Health care payments in the United States are more regressive than previously thought

Wealthy Pay Most to Finance U.S. Health Care

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However, share of income is greatest among households with lowest income
A prehabilitation program is associated with shorter length of stay and lower total episode payment after surgery

Postoperative Length of Stay, Costs Down With Prehabilitation Program

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Program includes walking and education on nutrition, smoking cessation, psychological preparation for surgery
A nonprofit that develops and sells cheaper drugs will receive a $55 million investment from the Blue Cross Blue Shield Association and associated organizations to create cheaper versions of expensive generic drugs.

Major Insurers Offer $55 Million to Lower Generic Drug Costs

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Nonprofit Civica Rx reached deal with Blue Cross Blue Shield and 18 of its member organizations