Health Affairs9h
Podcast: The Scope of Medicare Fraud
Health Affairs' Jeff Byers welcomes Senior Deputy Editor Rob Lott back to the program to explore Medicare fraud, how prevalent it is, who's most at risk, and what measures are being taken to protect ...
Health Affairs1d
Delivering Change Requires Determination, Hard Work, And Vision
The CMS Administrator’s job is one of the most important and challenging jobs in health care. It is my greatest hope that the ...
Health Affairs3d
What Makes A Drug Special?: Understanding PBMs’ Pharmacy Definitions
With multiple stakeholders involved with different interests, the “specialty drug” definition can be a moving target.
Health Affairs4d
Improving Health Care, One Consent At A Time
Bakhtawar Ahmad ([email protected]) is a postdoctoral research scholar at the University of Florida, in Gainesville, Florida. The patient’s name and certain identifying details have been ...
Health Affairs4d
Medicare, Medicare Advantage, And More
The January issue of Health Affairs includes articles that focus on Medicare and its risk-adjustment program. It also includes the annual national health expenditures article by Anne Martin and ...
Health Affairs4d
Medicare Enrollment Increased Visits To Primary Care Providers But Not Mental Health Care Providers, 2014–21
Donghoon Lee ([email protected]), University of Washington, Seattle, Washington; and Korea University, Seoul, South Korea. Jing Li, University of Washington. Medicare enrollment increases ...
Health Affairs4d
Medicare Risk Adjustment: Goals, Reform Proposals, And New Frontiers
Aaron L. Schwartz ([email protected]), University of Pennsylvania and Corporal Michael J. Crescenz Veterans Affairs Medical Center, Philadelphia, Pennsylvania. Risk adjustment modifies payments ...
Health Affairs4d
Combining Patient Survey Data With Diagnosis Codes Improved Medicare Advantage Risk-Adjustment Accuracy
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 ...
Health Affairs4d
Medicare Advantage Networks Include Few Black Or Hispanic Physicians, Making Concordant Care Inaccessible For Many
This research was presented at the 2024 AcademyHealth Annual Research Meeting in Baltimore, Maryland, June 30, 2024. This work was supported by the National Institute on Minority Health and Health ...