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

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 ...

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 ...

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.

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 ...

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.

A world in which the US and World Health Organization are adrift holds repercussions for US national interests and security as well as geopolitical ramifications.

Daniel R. Arnold ([email protected]), Brown University, Providence, Rhode Island. Brent D. Fulton, University of California Berkeley, Berkeley, California. During the past several decades, physicians ...

There is an alternative to the One Big Beautiful Bill’s approach of kicking millions of people off their health care and ...

SOURCE Authors’ analysis of data from the American Hospital Association Annual Surveys and Centers for Medicare and Medicaid Services Provider of Services files, 2010–22. NOTES A hospital was counted ...

While the value of HF/SE in improving patient safety has been demonstrated, the field remains significantly underused and not well understood. 9 In this article we describe HF/SE, its different facets ...

Right now, the United States is conducting a large-scale, uncontrolled policy experiment on the health of transgender and nonbinary (trans) youth. At the same time, federal actions are dismantling the ...