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With over half of America’s doctors now employed by large health systems rather than physician-owned practices, a team of Brown researchers is examining how this trend toward consolidation impacts health care costs, patient access and market competition.
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A discussion comparing health policy challenges facing the U.S. to those faced by other high-income countries illustrated how the Center for Health System Sustainability aims to improve health care systems through research.
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Here’s just the tip of the iceberg: $722.50 for a nurse to push a drug into an IV. $21,500 for ten stitches. The prices charged by hospitals are exorbitant and rising. Private health insurance premiums paid by working age adults are rising rapidly. Many Americans skip necessary medical care, while those who do get treated can end up bankrupt. With U.S. health care spending reaching $4.5 trillion in 2022, finding ways to cut costs has become increasingly urgent.
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The number of private equity firms has exploded in health care in recent years, spending hundreds of billions of dollars to buy physician practices, hospitals, laboratories and nursing homes. It’s a trend that should have everyone’s attention, from politicians to patients, because it can significantly increase costs, reduce access and even threaten patient safety.
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Together, the Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute have awarded a 5-year, $5 million grant to create the Learning Health systems training to improve Disability and chronic condition care (LeaHD) center at Brown University.
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News from SPH

A healthier New York City

Dr. Ashwin Vasan, Commissioner of the New York City Department of Health and Mental Hygiene, visits Brown to share perspective on public health response in New York — from the Omicron wave to today.
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New York Times

Mental Health Spending Surged During the Pandemic

Americans’ use of mental health services pivoted to remote visits and increased considerably, a new study found. Economists think both changes are here to stay.
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The Boston Globe

How Medicare can save $500 billion

In the Boston Globe, Professors Andy Ryan and David Meyers lay out why Medicare Advantage plans are costing taxpayers billions in excess spending—and how to fix it.
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The New York Times

Which to Choose: Medicare or Medicare Advantage?

Professor of health services, policy and practice David Meyers weighs in on the differences in patient experience between traditional Medicare and Medicare Advantage.
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Professor of Health Services, Policy and Practice Amal Trivedi led a study that investigated outcomes of veterans who received disability benefits compared with veterans who did not qualify for them.
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A research collaborator with Brown for nearly 40 years, Hebrew Senior Life is Brown’s partner in a new $53.4 million NIA grant to improve health care and quality of life for people living with Alzheimer’s disease and related dementias, as well as their caregivers.
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New research comparing the health outcomes of Medicare patients recovering from hip fractures in nursing homes found that those who received more efficient care fared slightly better.
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After a major push by the U.S. Department of Veterans Affairs to improve end-of-life care, a new study shows strong growth in the proportion of veterans receiving palliative care at the end of life.
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News from Brown

Bringing evidence to health screening debates

At a talk and panel discussion in Boston the morning of Feb. 19, Brown University biostatistician Constantine Gatsonis discussed how big trials help us make sense of our many questions about cancer screening.
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