Health Affairs' Jeff Byers welcomes Senior Deputy Editor Rob Lott back to the program to explore Medicare fraud, how prevalent it is, who's most at risk, and what measures are being taken to protect ...

The CMS Administrator’s job is one of the most important and challenging jobs in health care. It is my greatest hope that the ...

With multiple stakeholders involved with different interests, the “specialty drug” definition can be a moving target.

The January issue of Health Affairs includes articles that focus on Medicare and its risk-adjustment program. It also includes the annual national health expenditures article by Anne Martin and ...

Over the past twenty-five years, the average ratio of hospital charges for services (gross revenues) to payments received (net revenues) has grown from 1.1 to 2.6. This reflects a transition from ...

Consistent with the approach taken by other alternative payment models, GUIDE frames the emergency department as a negative ...

Community health needs assessments identify key health needs and issues, but historically have not included sufficient data ...

The 2023 national health care spending study's authors, who are with the Centers for Medicare and Medicaid Services' Office of the Actuary, discussed the CMS data with members of the news media. The ...

This article is the latest in the Health Affairs Forefront major series, Medicare and Medicaid Integration. The series features analysis, proposals, and commentary that will inform policies on the ...

More than a dozen years after its enactment, policy and legal disputes related to the Affordable Care Act (ACA) remain. Various opponents have worked to overturn or chip away at the ACA since it ...