The federal No Surprises Act, which went into effect January 1, 2022, protects patients from surprise medical bills for emergency services and for when they are treated by out-of-network providers in an in-network facility in certain circumstances.
People of color face persistent disparities in access to health care coverage and treatment, quality of care, and health outcomes.
President Biden set an ambitious health care agenda in his campaign and maintained that focus as he took office.
States have always been the primary regulators of their local health care markets and have increasingly used All Payer Claims Databases (APCDs) as one tool to help them make data-driven policy decisions.
Big technology companies may be making headlines for antitrust scrutiny, but the Federal Trade Commission already devotes a substantial share of its resources to antitrust enforcement in health care.
In FY 2020, the Department of Justice opened 1,079 new civil health care fraud investigations and had 1,498 civil health care fraud matters pending at the end of the fiscal year.
The nation’s overdose and death epidemic continues to get worse, but policymakers and other stakeholders have yet to fully embrace evidence-based solutions to help those with a substance use disorder, patients with pain or those who need harm reduction services.
Since 2014, states have had the option to expand Medicaid eligibility to include adults with incomes under 138 percent of the federal poverty level.
Many who work in and around the U.S. health care system share a vision of primary care as the foundation for all health care.
Joint ventures are becoming a mission-critical strategy for an increasing number of health care entities seeking to build a stronger business model and a more efficient health care system.