Question Has hospital length of stay increased more for Medicare
Advantage beneficiaries than for traditional Medicare beneficiaries
since the COVID-19 pandemic?Findings In this cohort study involving more than 89 million
hospitalizations from 2017 to the third quarter of 2023, Medicare
Advantage beneficiaries experienced disproportionately greater
increases in extended hospital stays, especially among those
discharged to skilled nursing facilities.Meaning These findings suggest that the Medicare Advantage
plan design and practices may contribute to hospital discharge
delays, with implications for patient outcomes and hospital
capacity as enrollment continues to rise.
New paper w/ Brian McGarry, Ashvin Gandhi, and Drew Wilcock in @jamainternalmed.com!
Hospitals are complaining across the US that patients are "stuck" waiting for rehab beds at nursing homes when they are medically stable and ready for discharge. What is going on??
jamanetwork.com/journals/jam...
08.09.2025 20:58 — 👍 96 🔁 36 💬 4 📌 7
AI scribe companies promise to help doctors bill more. Who will pay the extra cost?
Like any conscientious health policy Ph.D. student, Paige Nong went to the doctor for her free annual well visit. But as she checked in, the person at the
We think of AI as something that decreases costs and increases revenue. But _for whom_ does it make more $?
AI scribe companies promise that doctors will now get paid for everything they did in a visit. But where is that money coming from?
All of us.
More from me @statnews.com:
🖥️🩺
20.08.2025 14:46 — 👍 10 🔁 10 💬 0 📌 0
🚨 New paper alert, with @johnjhorton.bsky.social! Using an experiment run on a large online labor market, we provide evidence that providing employers access to an AI-written first draft of a job post harms the efficiency of the market.
emmawiles.github.io/storage/jobo...
24.03.2025 17:00 — 👍 90 🔁 29 💬 8 📌 2
It was a pleasure to write this piece for Health Affairs on risk adjustment in Medicare. Risk adjustment modifies payments to health plans or ACOs based on patient/beneficiary characteristics. Here's a very brief summary of my thoughts🧵
www.healthaffairs.org/doi/abs/10.1...
08.01.2025 16:02 — 👍 27 🔁 12 💬 2 📌 4
AI has a growing role in processing health insurance claims - Marketplace
AI uses algorithms trained on types of patients and types of care. But these decisions often require nuance, which AI may not have.
"I suspect that anyone who has been invoiced, paid a bill has been touched or has touched AI — certainly if it’s occurred within the last couple years."
There's renewed attention as to how claims are reviewed, approved, or denied. To what extent are AI and software algorithms saying yes or no?
19.12.2024 16:17 — 👍 7 🔁 2 💬 0 📌 0
