Shifting from reducing MA capitation by an across-the-board coding intensity adjustment factor to Medicare Advantage ...

President Trump reinstated an expanded version of the so-called “Mexico City policy,” which prevents organizations that ...

While evidence-based decisions are essential, they must be paired with effective public messaging that builds trust and ...

Consolidation of physician practices, largely driven by health systems, has motivated policy efforts to move care toward lower-price, non–health system settings. At the same time, however, private ...

Private equity (PE) acquisitions of health care providers are often framed as a monolithic intervention, but firms’ strategies for generating returns for investors may vary. In a ...

Thomas C. Buchmueller ([email protected]) is the Waldo O. Hildebrand Professor of Risk Management and Insurance at the Ross School of Business, University of Michigan, in Ann Arbor. Helen G.

Given the prevalence of managed care, it’s incumbent upon the industry to ensure that there is a robust supplier pool.

Oklahoma and South Carolina are among nine states that use some form of provider-based reference pricing to contain spending ...

Dylan B. Jackson ([email protected]) is an assistant professor of criminal justice at the University of Texas at San Antonio. Chad Posick is an associate professor of criminology and criminal ...

In 2016, ahead of the US presidential election, the National Academy of Medicine launched the strategic initiative Vital Directions for Health and Health Care—a series of papers on critical areas of ...

Transparency in the program is more than just a mechanism for fair pricing—it is a driving force that diminishes the returns on non-innovative expenditures such as lobbying, so that resources could be ...

Transforming physical design. Hospitals are also dangerous; patients are exposed to infection and injuries that could be prevented if hospitals had better designs. 16 An analysis of more than 600 ...