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To address ever-increasing prescription drug costs, federal and state policymakers have instituted reforms ranging from Medicare price negotiations to state Prescription Drug Affordability Boards (PDABs). But at every turn, big drug companies employ a…
Risk adjustment is a critical mechanism that works to ensure value-based care payments account for the differences in patients’ health care costs and underlying health care needs. Using certain patient characteristics, like age, sex,…
Since its establishment, the Center for Medicare and Medicaid Innovation (CMMI) has worked to transform U.S. health care payment and delivery by testing models that shift away from paying for inefficient volume-based care toward…
Families USA published a comprehensive timeline of when different provisions of the Republican health care law that will impact Medicaid, Medicare, and ACA enrollees take effect. This implementation period is critical for advocates across…
The House budget bill passed by congressional Republicans would cut $1.1 trillion from health care, resulting in 16 million Americans losing coverage and affecting health systems across all 50 states. The Senate has proposed…
States and the federal government jointly cover the costs of health care and services provided to the almost 80 million people covered by Medicaid — a lifeline for children and low-wage working families, veterans,…
States and the federal government jointly cover the costs of health care and services provided to the almost 80 million people covered by Medicaid. This federal-state funding partnership is the largest source of federal…
A new fact sheet details how nearly half of all Medicaid enrollees are at risk of losing their health care coverage under federal work reporting requirements. These proposals come just after House Republicans passed…
High-quality primary care is the foundation of an efficient, effective and comprehensive health care system. Primary care serves as the main entry point into health care for families, children, aging adults and individuals across…
Medicaid is a critical lifeline for 80 million people — including rural Americans, children, vulnerable seniors, people with disabilities, and low-income working families and veterans. This publication stresses how essential Medicaid coverage and care…