CMS rulemaking or Congress should remove the outdated coverage exclusion on obesity treatment for Medicare beneficiaries.
The delayed implementation of the model in Medicare gives CMS, plans, and manufacturers an opportunity to address key ...
CMS and states can take practical, near-term policy actions to strengthen whole-person care for dual-eligible beneficiaries ...
The Camden Coalition’s Community Ecosystem Alignment Tool can help diagnose coordination gaps, improve performance, and ...
HIPAA was not designed to protect patients in a world where their medical samples can be repurposed as a full forensic ...
Can the model generate sufficient clinical improvement to justify the likely distortions that accompany large-scale payment ...
Presenteeism, or attending work despite being ill enough to warrant absence, is endemic among working Americans. Although research suggests that paid sick leave mandates reduce presenteeism, it has ...
States are now required to suspend Medicaid benefits for incarcerated adults instead of terminating them outright. But the ...
Tobacco use drives large health and fiscal costs for Medicaid, yet few enrollees who use these products receive cessation pharmacotherapy. We estimated that 10.4 percent of daily tobacco or nicotine ...
The hospital wage index standardizes Medicare hospital payments for labor cost differences, paying otherwise equivalent hospitals more when they operate in areas with higher labor costs than in areas ...
Between 2019 and 2021, six states expanded Medicaid through voter-approved ballot initiatives, overcoming legislative opposition. We used 2016–23 data from the American Community Survey to compare ...
States have emerged as laboratories to test policies to contain health care spending. In 2010, Rhode Island adopted novel affordability standards that reduced commercial prices and hospital revenues.
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