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Vertical integration in healthcare has become a dominant trend, whereby hospitals acquire physician practices. Between 2019 and 2022 alone, hospitals acquired 4800 additional practices, and 58,000 more physicians became hospital employees. In turn, the quality and cost of healthcare increasingly depend on whether these services’ integration succeeds. In a Perspective for the New England Journal

The Merit-based Incentive Payment System (MIPS) is a Medicare value-based payment program designed to measure and incentivize quality. Researchers, policymakers, and clinicians have increasingly raised concerns that the program is overly burdensome and doesn’t accurately measure the quality of care delivered. A recent piece in Axios describes these and other concerns, and cites a JAMA

Hospitals participating in the 340B Drug Pricing Program, a large federal safety-net program, are financially incentivized to prescribe original biologic drugs to prevent and treat diseases in lieu of cheaper generic-like alternatives called biosimilar medications, according to a new study by Weill Cornell Medicine, NYU Grossman School of Medicine and University of Miami investigators. Biologic

Over the past decade, physician management companies (PMCs) have increasingly acquired physician practices and contracted with hospitals to provide physician management services. PMCs are for-profit companies that may be supported by private equity investments. While PMCs have become increasingly common in neonatal intensive care units (NICUs), little is known about their impact on care and cost.   In a study in Pediatrics, Dr. Jiani Yu, assistant professor of population health sciences, and colleagues evaluated the association

Dr. Robert Tyler Braun, assistant professor of population health sciences, joined Alan Weil, editor-in-chief of Health Affairs, to discuss his recent research article, “The Role of Real Estate Investment Trusts in Staffing US Nursing Homes” on the Health Affairs podcast “A Health Podyssey.” Dr. Braun opened the conversation by explaining what a real estate investment

A Medicare system that is meant to assess and incentivize healthcare quality with pay adjustments may not be working as intended, according to a study from researchers at Weill Cornell Medicine. In the study, published Dec. 6 in the Journal of the American Medical Association (JAMA), the researchers analyzed data on more than 80,000 primary

Hospice facilities have traditionally operated as nonprofit organizations, but there has been a sharp rise in private equity (PE) firms and publicly traded corporations (PTC) acquiring hospice facilities in the past decade. A study led by Dr. Robert Tyler Braun, assistant professor of population health sciences, investigated hospice acquisitions by PE firms and PTC from

Professional ethics require physicians to put their patients’ interests ahead of their own and allocate limited medical resources efficiently. Insight into physicians’ adherence to these principles requires an understanding of the trade-offs between self and other (altruism) and between reducing differences in payoffs (equality) and increasing total payoffs (efficiency). In a new PNAS study, Dr.