Oni J. Blackstock, MD, MHS, is a physician-researcher with a background in computer science and the founder and executive director of Health Justice, a health e ...

Policymakers should prepare now for the likelihood that the decision will in some degree at least open the door to challenges to all health care provided only through speech. State licensing boards ...

This article, the third in a three-part series, addresses the proposed payment rule’s changes to exchange ...

Durable national strategy will require alignment across five domains: manufacturer negotiations, provider networks, clinical criteria, financing mechanisms, and data infrastructure. No single public ...

Rapidly rising drug overdose rates in the United States during the past decade underscore the need to increase access to treatment among people with substance use disorders (SUDs). We analyzed trends ...

Recent US drug pricing reforms adopt international prices shaped by quality-adjusted life-year (QALY)-based assessments, despite longstanding federal prohibitions on using QALYs in coverage and ...

In 2018, Medicare established coverage and reimbursement for its first service using artificial intelligence (AI): computed tomography (CT) fractional flow reserve (FFRCT). FFRCT is used in ...

Medicare Advantage enrollment has almost doubled since 2010 and now accounts for more than a third of all Medicare beneficiaries. We performed a systematic review to compare Medicare Advantage and ...

As the Japanese population has aged rapidly, Japan’s experience has implications for other high-income countries, including the United States. The aging of Japan’s population, coupled with the ...

Health Affairs’ Jeff Byers sits down with Georgetown University’s Katie Keith to break down the newly proposed HHS rule that could bring major changes to the ACA beginning in 2027.

While utilization is undeniably part of the equation, prices—whether labeled explicitly or embedded in measures of intensity—remain central to understanding why US health spending levels are high and ...

The main difference between MedPAC and CMS estimates of uncorrected coding intensity is that MedPAC’s estimate accounts for the upward trend in coding intensity.