Copayment accumulators and maximizers have the potential to harm patients’ access to necessary medicines. Health care payers (including employers, insurers, and pharmacy benefit managers), regulators, ...

Health Affairs' Senior Deputy Editor Rob Lott interviews Erica Eliason of Rutgers University on her recent paper that explores how continuous eligibility policies and the Children's Health Insurance ...

Regulatory and reimbursement pathways should consider indirect benefits in addition to direct health benefits when evaluating ...

It is not clear what would become of the federal government’s health care enforcement efforts without the False Claims Act’s qui tam program.

It is fair to wonder why – given its relatively low cost, powerful economic benefits, predominantly state-based control, and demographic neutrality – Republicans are so consistently preoccupied with ...

Even though anti-motion sensors hold incredible potential in saving lives, it is important to note that the cost of ...

Yeah. So CHI was started four years ago in the middle of the pandemic when a number of private sector organizations were coming together. Of course, we're, you know, solving the pandemic at the ...

Ethical and transparent deployment of artificial intelligence can help close this risk gap by improving coding completeness and accuracy across Medicare Advantage and traditional Medicare.

This piece, part 2 of a two-part article, addresses the rule’s proposed policies on failure to reconcile, income verification ...

Hospital boarding in the emergency department (ED)—holding admitted hospital patients in the ED due to a shortage of ...