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 ...

Ashvin Gandhi ([email protected]) is an assistant professor at the University of California Los Angeles Anderson School of Management, in Los Angeles, California. Huizi Yu is an undergraduate student ...

As the Japanese population has aged rapidly, Japan’s experience has implications for other high-income countries, including the United States. The aging of Japan’s population, coupled with the ...

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 ...

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 ...

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.

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.

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.

Concerns about low physician participation in Medicaid have long motivated policy reforms, but the extent to which enrolled physicians actually care for Medicaid patients remains unclear. To assess ...

We propose a rights-based, recovery-oriented approach for mental health reform—one that both protects civil liberties and invests in the structural supports necessary for recovery.

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