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Featured Research

Increased Outpatient Coding Intensity Following Hospital Adoption of AI-Enabled Scribing Warrants Examination but Likely Reflects Enhanced Rules-Based Documentation

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Studies

March 19, 2026

Patient Care Generates Less Than Half of Gross Revenue for Most Hospitals

Hospital revenue goes far beyond patient care. Discover how non-clinical income, labor costs and operating margins shaped the financial health of U.S. hospitals in 2024.

Katie PattonAllison Oakes, Ph.D.

Studies

March 12, 2026

Increased Outpatient Coding Intensity Following Hospital Adoption of AI-Enabled Scribing Warrants Examination but Likely Reflects Enhanced Rules-Based Documentation

Adoption of AI-enabled scribing in hospitals increased outpatient coding intensity, likely due to more accurate documentation, raising questions about impact on billing, reimbursement and fraud risks.

Katie Patton

Studies

March 05, 2026

As RPM Growth Slows, Medicare Expands Coverage While Commercial Insurers Question Effectiveness

RPM growth has slowed, with Medicare expanding coverage, but commercial insurers restricting requirements due to mixed evidence of effectiveness, concentrating use in cardiovascular and metabolic cases.

Katie PattonAustin MillerAllison Oakes, Ph.D.

Studies

February 19, 2026

Intra-Market Rate Variation Can Lead to Spending Differences that Exceed $102M for a Single Orthopedic Procedure in Dallas-Fort Worth

Health plan price transparency data reveals notable price variation for the same procedures, enabling employers to cut costs by steering employees to high-value providers and optimizing network choices.

Katie PattonJim BrowneChris RashDavid TaylorAllison Oakes, Ph.D.

Studies

February 12, 2026

In the Same Market, Medicare Episodes of Care Can Range Up to 80x

Surgical volume for mandatory TEAM surgical procedures varies widely (one to 3,300 eligible Medicare procedures per hospital), while 30-day Medicare episode costs can differ up to 80x within the same market (e.g., $1,829 to $146,069 for a spinal fusion). These cost disparities exist despite minimal variation in quality. Even hospitals with strong occupancy and margins can exhibit inefficient downstream care. Consequently, TEAM reimbursement outcomes will be driven largely by cost management rather than quality differentiation.

Katie PattonAustin MillerDavid TaylorAllison Oakes, Ph.D.

Studies

February 05, 2026

While Quality Is Relatively Comparable Across TEAM Hospitals, Financial Health Is Highly Variable

An analysis of 724 hospitals in CMS’s mandatory TEAM model, examining operating margins, readmissions, payer mix and more.

Katie PattonAllison Oakes, Ph.D.David Taylor

Studies

January 29, 2026

More Americans Are Dying at Home but Hospital-Based Deaths Remain Most Common

Place of death in the U.S. is shifting: hospitals remain most common (34.6% in 2024), while deaths at home rose to 34.3% from 2018–2024.

Katie PattonAllison Oakes, Ph.D.

Studies

January 22, 2026

Primary Care Panels Vary in Size Based on Demographic Factors and Employment Structure

Primary care patient panels vary widely across practice settings, with employment status emerging as a crucial indicator.

Katie PattonColin MaconAllison Oakes, Ph.D.

Studies

January 15, 2026

Potential Revenue Impacts of Elimination of the Medicare Inpatient Only List

The average difference between IPPS and OPPS payment rates across all 285 procedures is -$16,334 per procedure.

Katie PattonAllison Oakes, Ph.D.David Taylor

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