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Pathways to Success MSSP final rule: Faster movement to downside risk increases focus on reducing population costs04 January 2019 - By Kathryn V. Fitch and Adam Laurin and Michele M. Berrios - Article

Under the new Medicare Shared Savings Program’s new rule, there will be a more urgent need for accountable care organizations to reduce population costs.

Pulmonary arterial hypertension in the commercial population26 December 2018 - By Gabriela Dieguez and Michele M. Berrios and Mona Kelkar - Article

An analysis of over 900 people with endothelin receptor antagonist and/or Prostacyclin use to determine drug adherence, treatment patterns, healthcare spending, and comorbid conditions.

Computed tomography colonography less costly than colonoscopy for colorectal cancer screening of commercially insured patients21 December 2018 - By Judy Yee and Tia Goss Sawhney and Bruce S. Pyenson and Michele M. Berrios - Article

For colorectal cancer screening, does computed tomography have a cost advantage relative to optical colonoscopy for the commercially insured U.S. population?

The differences are in the details: Considerations for comparing 30-day unplanned readmission rates17 October 2017 - By Maggie Alston and Michele M. Berrios - Article

This article identifies key elements that should be considered when evaluating readmission rates across populations or when comparing readmission rates with different methodologies.

Multiple sclerosis: New perspectives on the patient journey28 April 2017 - By Bruce S. Pyenson and Michele M. Berrios and Samantha Tomicki - Article

This report examines characteristics of 2015 Medicare Part D enrollees receiving multiple sclerosis disease-modifying therapies and how their cost sharing and therapies differed by demographic and coverage characteristics.

Multiple sclerosis: New perspectives on the patient journey08 April 2016 - By Melissa Fredericks and Michael Mastroianni and Bruce S. Pyenson and Michele M. Berrios - Article

Multiple sclerosis continues to be one of the top specialty management priorities for health plans and pharmacy benefit managers.

Medicare cost of colorectal cancer screening: CT colonography vs. optical colonoscopy22 September 2015 - By Perry J. Pickhardt and Bruce S. Pyenson and Michele M. Berrios - Article

This paper compares the Medicare population cost of colorectal cancer (CRC) screening of average risk individuals by CT colonoscopy (CTC) versus optical colonoscopy (OC).

Evaluating opportunity in the CMMI BPCI program: Comparison of PAC utilization to benchmarks06 August 2014 - By Bruce S. Pyenson and Kathryn V. Fitch and Michele M. Berrios and Tyler Engel - Article

Benchmarking can help providers reach cost-reduction goals.

The two Medicare ACO programs: Medicare Shared Savings and Pioneer – risk and actuarial differences08 July 2012 - By Bruce S. Pyenson and Kathryn V. Fitch and Kosuke Iwasaki and Michele M. Berrios - Article

The key financial and risk differences between MSSP and Pioneer.

Commercial cost variation by hospital referral region12 August 2010 - By Sara Goldberg and Bruce S. Pyenson and Michele M. Berrios - Article
Examination of commercial insurance data highlights importance of negotiated provider reimbursement.
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