This shift could improve care coordination and create opportunities for cost savings through enhanced formulary flexibility ...

Health Affairs' Rob Lott interviews Matthew Maughan of Brown University about his paper exploring how commercial insurers paid more for procedures at hospital outpatient departments as compared to ...

Under FDA regulations, suspension is not the end of the process. Unless a license holder voluntarily relinquishes its license ...

This Forefront article details the proposed changes to Medicaid eligibility and financing, the anticipated outcomes for ...

After four years, federal price transparency rules have revealed a meaningful number of prices. But they’ve revealed ...

Medicaid’s open-ended matching funding arrangements distribute a much larger amount of federal funding to wealthier states ...

With 2026 rates already set and consumers starting to learn of premium increases, delays in extending the PTC enhancements ...

Hospitals across the country—particularly those operating emergency departments—face a mounting storm of legal, operational, ...

By learning the lessons of previous successes, increasing access to treatment, supporting those in recovery, and ...

When implemented in state employee health plans, reference-based hospital price caps have the potential to save states money ...

The broader implementation of step therapy in Medicare Advantage could significantly influence the treatment access and ...

The medical loss ratio drives higher premiums and higher medical care spending and presents other unintended consequences ...