One of the most publicized provisions of the Inflation Reduction Act (IRA) is the section mandating that a small subset of the most expensive pharmaceutical products in the U.S. be subject to Medicare price negotiations. The provision applies only to a minorit... More »
Approximately one in twenty adults in the US suffer from a serious mental illness (SMI) such as schizophrenia, bipolar disorder, or major depressive disorder. Yet barriers to accessing behavioral health services, including mental health care and substance use ... More »
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) is an independent division of HHS charged with protecting the integrity of HHS programs and the health and welfare of HHS program beneficiaries. The OIG is a nonpartisan “... More »
Recent wildfires in California and catastrophic flooding in Louisiana have drawn public attention to natural disasters across the United States. Yet little is known about the total financial impact of extreme weather events, particularly on non-disaster socia... More »
Understanding how elderly individuals ultimately rely on Medicaid could be key to implementing changes that protect the fiscal longevity of both Medicaid and Medicare. More »
A new study finds that expanding Medicaid has significant positive effects for patients, but whether it happens via traditional Medicaid or private Marketplaces does not make much of a difference. More »
A new study finds that high-cost Medicare beneficiaries are more likely to switch from private Medicare Advantage plans to original Medicare plans. More »
A new study finds evidence that financial penalties through the Hospital Readmissions Reduction Program reduced patient readmissions for targeted conditions. More »
Healthcare pay for performance programs tend to hurt providers working with disadvantaged populations. A new study proposes an alternative payment model that more equitably provides funds to providers working with these patients More »
Recent research finds little evidence of choice overload in the Medicare Part D Plan market. More »
New research suggests Medicare's switch to risk-adjusted payments did not reduce overpayments. This example highlights the complexities of healthcare payment reform. More »
Thanks to limited competition, additional Medicaid Advantage payments are captured by insurers and other third parties instead of being passed along to beneficiaries. More »