This project represents a research collaboration through a no-cost contract between the Congressional Budget Office and the Robert Wood Johnson Foundation’s research program, “Health Data for Action (HD4A),” which makes valuable data from unique data owners available to researchers to answer important research questions. This study will investigate whether changes in Medicare payments for services provided in hospital outpatient departments (HOPDs) have spillover effects on the payments commercial insurers make for those services. The investigators will leverage HCCI data and several recent Medicare payment policy changes, such as changes to how clinic visits are paid for and changes in Medicare’s payments for drugs provided by hospitals participating in the 340b drug discount program, to examine whether Medicare policy affected how commercial insurers pay hospitals and whether those effects varied across providers or geographic areas. Deliverables will include a project work plan and final narrative. The researchers will also produce papers suitable for publication and present findings at national research meetings and to other stakeholder audiences as appropriate, including policymakers and other key stakeholders, as part of the deliverables for this collaboration. 

Grant #81862
Grantee Organization: Congressional Budget Office
Grantee period: 06/15/24 – 6/14/26

Principal Investigators:

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Researcher

Daria Pelech, Ph.D.

Principal Analyst - Congressional Budget Office

Daria Pelech is a health economist whose work focuses on healthcare prices and market dynamics between insurer... Read Bio

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Researcher

Michael Cohen, Ph.D.

Principal Analyst - Congressional Budget Office

Michael Cohen is a health economist in the Health Analysis Division at the Congressional Budget Office (CBO). Read Bio