The CMS star ratings began as faint points of light helping patients navigate an increasingly complex galaxy of healthcare ...

We have worked many overnight shifts in the ED caring for a hallway full of admitted patients because there were no inpatient ...

Affordable Care Act (ACA) marketplace officials are hoping to get more plans into value-based care arrangements as regulators hope to not just build on getting people covered, according to federal ...

The Centers for Medicare and Medicaid Services (CMS) have announced changes to the Medicare Advantage (MA) Star Ratings for 2026. These adjustments could significantly impact insurers, affecting their ...

Top Medicare and Medicaid officials want to create a “universal foundation” of quality measures aligned across all programs in a bid to ease reporting burdens and confusion. Officials with the Centers ...

In a January 4 Health Affairs Forefront article, “Options for CMS Drug Price Negotiations,” Daniel Ollendorf and Dominic Voehler discuss pricing methodologies based on how much a drug improves health.

Providers still struggling to accurately capture diagnoses that drive federal reimbursement will be doubly left behind as more states start to use Patient Driven Payment Model-like systems to ...

It has been 10 years since the Triple Aim was expanded to the Quadruple Aim (QA) to include “clinician well-being in the workplace” as a core health policy goal. This change came in response to the ...

CHARLOTTE, N.C. — Charlotte-Mecklenburg Schools rolled out its COVID-19 “Metrics Dashboard” Monday, a new tool the district is relying on to determine whether or not children should be in school or ...