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 ...

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.

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 ...

Amber E. Barnato ( [email protected]) is the Susan and Richard Levy Distinguished Professor of Health Care Delivery at the Dartmouth Institute of Health Care Policy and Clinical Practice, in Lebanon, ...

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.

Mariana C. Arcaya, Massachusetts Institute of Technology, Cambridge, Massachusetts. Ingrid Gould Ellen ([email protected]), New York University, New York, New York. Justin Steil, Massachusetts ...

Diane E. Meier ( [email protected]) is the director of the Center to Advance Palliative Care, a professor in the Department of Geriatrics and Palliative Medicine, and the Gaisman Professor of Medical ...

Marko Vujicic ( [email protected]) is the chief economist at and vice president of the Health Policy Institute, American Dental Association, in Chicago, Illinois. Thomas Buchmueller is the Waldo O.

Maria W. Steenland, Brown University, Providence, Rhode Island. Laura R. Wherry ([email protected]), New York University, New York, New York. The Affordable Care Act (ACA) Medicaid expansions ...