Jeff Marr is an Assistant Professor of Health Services, Policy, and Practice at the Brown University School of Public Health. He is a health economist who studies health care markets using quasi-experimental methods and administrative data. His research focuses on private health insurance and the Medicare program. He received his PhD in health economics and policy from Johns Hopkins University.
The findings of the working paper offer a behind-the-scenes look at what can happen as major health insurers expand into owning and operating physician practices.
Traditional Medicare plan holders have typically not had to wait for prior authorization before receiving medical treatment. CMS recently announced a new program to test prior authorization requirements for certain services in six states to root out fraud, waste and abuse. Jeffrey Marr highlights what’s needed to set up a well-functioning prior authorization system.