A patient-led process for comparing actual bills to data reported under the hospital price transparency rule would help the ...

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

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 ...

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

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 ...

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

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 final guidance for the 2028 cycle of the Medicare drug price negotiation reflects CMS’s continued effort to balance ...

Health Affairs' Jeff Byers welcomes Senior Editor Kathleen Haddad back to the pod to take a look at the recent government ...