Health Affairs' Jeff Byers welcomes Senior Deputy Editor Rob Lott back to the program to explore Medicare fraud, how prevalent it is, who's most at risk, and what measures are being taken to protect ...

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 ...

Bakhtawar Ahmad ([email protected]) is a postdoctoral research scholar at the University of Florida, in Gainesville, Florida. The patient’s name and certain identifying details have been ...

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 ...

Donghoon Lee ([email protected]), University of Washington, Seattle, Washington; and Korea University, Seoul, South Korea. Jing Li, University of Washington. Medicare enrollment increases ...

Aaron L. Schwartz ([email protected]), University of Pennsylvania and Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania. Risk adjustment modifies payments ...

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 ...