Medicare drug price negotiation could have significant impacts on investment in post-approval studies for cancer treatment ...

Caremark, Express Scripts, and OptumRx continue to defend themselves against a Federal Trade Commission administrative ...

Given the disproportionate impact of climate change on low-income communities of color, Medicaid has an important opportunity to meaningfully invest in communities by mitigating the health impacts of ...

Health Affairs announced today that Editor-in-Chief Alan Weil will leave his role at the end of the year.

On September 26, 2024, the White House released an executive order allowing states to use Medicaid to reimburse health care ...

In this article, we describe what’s new in Medicare Advantage Organizations' (MAOs’) PY2025 nonmedical benefit offerings and ...

Diagnosis-based payment systems can create incentives to upcode patients to a higher level of severity to increase payment. In some instances, upcoding can be a form of fraud if providers code ...

Much of the previous literature on the intergenerational effects of ACEs is limited by small sample sizes from a single health system, city, or state. To our knowledge, only one previous study ...

California’s Assembly Bill 3129 (AB 3129), which passed the legislature but was vetoed by Governor Gavin Newsom, was the latest attempt to increase scrutiny over private equity investment in ...

Most Medicaid managed care plans are paid predetermined, per-member-per-month capitation payments to cover and coordinate all Medicaid services used by their enrollees. These payments must be ...

The December issue of Health Affairs contains many articles that examine how health care markets function. Topics covered include coding practices that affect risk adjustment, competition in the ...