Health Insurer Financial Performance in 2024
This analysis of trends in health insurers’ financial data shows that insurers’ gross margins per enrollee dipped slightly in 2024 […]
What Newly Released Medicaid Data Do and Don’t Tell Us
On February 14, 2026, CMS released a dataset with provider-level spending data that the agency suggests could be used to
Medical or Prescription Denials- Very Helpful Resources
Medical or prescription denials can be frustrating, heart-breaking and downright wrong. Many denials are automated by AI and happen in
Medicaid Managed Care Reporting and Transparency: Managed Care Program Annual Reports
This brief describes the Managed Care Program Annual Report (MCPAR), a relatively new, comprehensive report on state Medicaid managed care
A Look at the Medicaid Payment Error Rate Measurement (PERM) Program and Upcoming Changes and Impacts
The PERM program measures improper payments in Medicaid through cyclical audits of state Medicaid programs. This brief explains the PERM
Benefits, Coverage, Medicare, Medicare Part D, Obesity, Prescription Drugs, Seniors
The IRA Has Improved Coverage of Drugs Selected for Medicare Price Negotiation
The Medicare drug price negotiation program could improve coverage of drugs selected for negotiation for Medicare beneficiaries because the law
The IRA Has Improved Coverage of Drugs Selected for Medicare Price Negotiation
The Medicare drug price negotiation program could improve coverage of drugs selected for negotiation for Medicare beneficiaries because the law
Fraud, Waste and Abuse, Medicare, Prices, Prior Authorization, Traditional Medicare
Examining the Potential Impact of Medicare’s New WISeR Model
On January 1, 2026, the Center for Medicare & Medicaid Innovation (CMMI) launched the Wasteful and Inappropriate Service Reduction (WISeR)
Examining the Potential Impact of Medicare’s New WISeR Model
On January 1, 2026, the Center for Medicare & Medicaid Innovation (CMMI) launched the Wasteful and Inappropriate Service Reduction (WISeR)
Children, COVID-19, Food and Drug Administration (FDA), Health Information and Trust, Politics, Public Health, Public Opinion, Vaccines
Poll: Trust and Confidence in the CDC Remain at Low Point After Changes to Recommended Childhood Vaccines; More Say the Changes Will Hurt than Help Children’s Health
In the weeks after the Trump administration reduced the number of recommended childhood vaccines for routine use, the public’s trust