To receive Medicare benefits, eligible people select either traditional Medicare or Medicare Advantage (MA)—options that differ markedly in cost, benefits, financial arrangements, and who pays ...

As Medicaid marks its 60th anniversary amid perennial debates about the program’s future, its origins and much of its ...

Karen Ignagni serves as Executive Chair of the EmblemHealth, one of the nation’s largest not-for-profit health plans, having provided New Yorkers high-quality, af ...

The cost of health care, the competitiveness of markets, and private equity’s troublesome record in the health sector are ...

Health Affairs' Rob Lott interviews Margaret Sieger of the University of Kansas Medical Center about her recent paper that ...

Over the past decade, a confluence of factors has significantly challenged the sustainability of community pharmacies.

Sashi Moodley, MD, MBA, is the chief medical officer at Walgreens, where he leads the company’s clinical strategy and care model as part of its broader transforma ...

Amanda Matter, PharmD (c), is a final-year pharmacy student at MCPHS University and works at Boston Medical Center. Her interests include diagnostic policy, managed care strategy, and the evolving ...

To reduce unnecessary CT use, some hospitals have begun using blood-based biomarkers to guide triage in mild head trauma.

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 ...

Bridging the gap in outcomes between intended policy and realized behavior requires careful study of actual responses to ...