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Author

S. Dusetzina

2 papers indexed here

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Review Open access Oct 2026

Upcoding of active cancer diagnosis in Medicare Advantage and traditional Medicare.

229 Background: Medicare Advantage (MA) plans have been known to engage in more intensive diagnostic coding practices to maximize risk-adjusted capitated payments. Regulators have deemed cancer a high-risk diagnosis susceptible to miscoding, as the challenges in distinguishing current vs. historical malignancie...

Youngmin Kwon, S. Dusetzina · 0 citations
Open access Oct 2026

340b hospital participation and initial oncology treatment choice.

29 Background: The 340b Drug Pricing Program, originally intended to support safety net providers, allows qualifying providers to purchase drugs at a discounted price. Eligibility criteria and participation have continued to expand; notably, hospitals can qualify if they have a “disproportionate share” of Medic...

N. Galanter, Ziad Zakaria, Akriti Mishra Meza et al. · 0 citations

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