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Research
Oct 22, 2025
In this Forefront article, we discuss how the medical loss ratio statute has led to higher premiums and higher medical care spending, and propose policy solutions.
Oct 17, 2025
We used all-payer claims data (APCD) to examine claim denials for fluoride varnish applications and well-child medical visits (WCVs) for Medicaid and private insurers in Massachusetts.
Expert Insights
Aug 19, 2025
In this paper, the authors summarize themes raised in a discussion about the insurance market and the liability implications of the 2025 Los Angeles wildfires. They also include ideas for research and analysis that could help improve outcomes.
Feb 21, 2025
Using insurance claims for 8.1 million patients from all fifty US states, we evaluated COVID-19-associated outpatient hydroxychloroquine and ivermectin use and spending throughout the public health emergency versus pre-public health emergency rates.
Oct 16, 2024
This qualitative study explores key informant perceptions (i.e., clinicians, insurers, and state officials) about implementing New Mexico's No Behavioral Health Cost Sharing law and how the law may affect downstream outcomes - spending and access.
Sep 5, 2024
The authors of this survey study gauge the U.S. adult population’s attitudes toward full risk-sharing, partial risk-sharing, and risk-based pricing in setting health, term life, auto, and flood insurance premiums.
Jul 9, 2024
Social inflation describes social and behavioral trends that are said to expand the liability of parties allegedly responsible for harms and their insurers. The authors look for trends consistent with the expected effects of social inflation.
May 1, 2024
This study compares performance of three claims-based algorithms among Medicare beneficiaries. Frailty scores were added to baseline regression models to predict outcomes measured in the following year.
Nov 6, 2023
The guide describes the range of ways that EHRs are being used to capture data on frailty and functional impairment and best practices for implementing algorithms using EHR data for population management and patient-centered care.
The authors developed new claims-based frailty algorithms that were validated using patient assessment data from post-acute care providers. They then compared the performance of the new algorithms with existing claims-based frailty algorithms.
Aug 16, 2023
This study aims to create Medicare-based algorithms for predicting functional impairment, crucial for mortality and care use. Using machine learning and PAC data, memory and activity limitations were assessed with moderate success. While promising for PAC, broader older adult application is uncertain.
Jul 19, 2023
This report examines properties with multiple losses insured by the National Flood Insurance Program and the communities in which they are located to help inform decisionmaking relevant to floodplain management, flood insurance, and mitigation.
