The CMS Administrator’s job is one of the most important and challenging jobs in health care. It is my greatest hope that the ...

With multiple stakeholders involved with different interests, the “specialty drug” definition can be a moving target.

Consistent with the approach taken by other alternative payment models, GUIDE frames the emergency department as a negative ...

Community health needs assessments identify key health needs and issues, but historically have not included sufficient data ...

The January issue of Health Affairs includes articles that focus on Medicare and its risk-adjustment program. It also includes the annual national health expenditures article by Anne Martin and ...

The 2023 national health care spending study's authors, who are with the Centers for Medicare and Medicaid Services' Office of the Actuary, discussed the CMS data with members of the news media. The ...

Under the current Medicare Advantage (MA) risk-adjustment system, plans are incentivized to report diagnosis codes on enrollees’ medical claims reflecting additional and more severe health conditions ...

Black and Hispanic patients who receive care from Black and Hispanic physicians have greater use of preventive care. However, receiving care from racially concordant physicians requires that such ...

This article is the latest in the Health Affairs Forefront major series, Medicare and Medicaid Integration. The series features analysis, proposals, and commentary that will inform policies on the ...

Health care spending in the US reached $4.9 trillion and increased 7.5 percent in 2023, growing from a rate of 4.6 percent in 2022. In 2023, the insured share of the population reached 92.5 ...