The IRA strengthened financial protection for Part D enrollees and plan accountability but shortened the time over which ...

We are facing a nursing knowledge shortage dressed in workforce statistics. The headcount problem has no good solution. The ...

MA, is a principal policy analyst at the Medicare Payment Advisory Commission (MedPAC), a nonpartisan federal commission that advises the U.S. Congress on Medicare payment, quality, and access issues.

When a patient with autism receives dental care, his dentist notices unmet health needs in his mother and caregiver.

Children in low-income households face health care barriers shaped by state Medicaid and Children’s Health Insurance Program (CHIP) income eligibility thresholds. Using 2016–23 National Survey of ...

Beginning in 2024, the Centers for Medicare and Medicaid Services implemented version 28 of the Medicare Advantage (MA) risk-adjustment algorithm, which altered payments to MA plans. This article ...

Dual-eligible enrollees who use Medicaid-funded long-term services and supports (LTSS) often face care fragmentation between Medicare and Medicaid benefits. One strategy to improve care coordination ...

Vertical integration between insurers and providers is increasingly common in US health care markets, yet there is little evidence on its impacts. This study examined the association between ...

The 2025 budget reconciliation bill, H.R. 1, limits Medicaid state-directed payment (SDP) reimbursement for four provider types to Medicare-equivalent rates. This study assessed the provision’s ...

International scientific collaboration, when guided by rigorous peer review, transparency, accountability, and appropriate ...

Earlier this year, Florida became the foremost battleground in a growing national debate over how states will sustain access ...

Greg Poulsen, MBA, is the Senior Vice President and Chief Policy Officer for Intermountain Health. He currently serves as the vice chair of the Medicare Payment Advisory Commission.