Sam Yih

In Washington state, commercial group members in Kaiser HMO and PPO plans experience statistically significant Rx cost savings, our study shows.

If the Centers for Medicare and Medicaid Services were to approve cardiac ablations for ambulatory surgery centers, we estimate a savings of $181 million in 2026.

We provide feedback on the actuarial appropriateness Covera’s methodology on measuring certain costs of radiologic imaging events for CoE and non-CoE providers.

We review one company’s approach to quantifying the potential impacts of its community-focused healthcare program.

Women experiencing menopause may benefit from more specialized care due to material differences in cost and utilization across service categories.

We examine a provider’s methodologies for quantifying the financial return of its fertility program.

We examine a provider’s methodologies for quantifying the financial return of its maternity program.