Politics and policy

Insight into federal and state health care legislation & CMS regulation

Jan Greene
In another international comparison, the health status of American women lags behind that of women in other developed countries.
Cover Story
Timothy Kelley
Is MA a ripoff of taxpayers, a godsend for integrated, cost-effective care, or somehow both? You can’t take a stand on this question from 30,000 feet. So let us guide you through the valley of details.
Joseph Burns
Gretchen Jacobson, KFF
While researchers see flaws in the MA program, the federal government seems content to pay insurers billions of dollars in bonuses each year—at least for now.
2019 Year in Preview
Robert Calandra
Insurers are figuring out the market, say the law’s defenders.
2019 Year in Preview
Richard Mark Kirkner
In the midterms, Republicans tried to walk back their opposition to guaranteed issue, while health care worked as an issue for Democrats.
2019 Year in Preview
Michael D. Dalzell
BPCI Advanced signals a willingness among Medicare providers to redesign care and take on risk. Commercial payers are watching closely.
2019 Year in Preview
Timothy Kelley
CMS has broadened the services that Medicare Advantage plans can provide—services that may reduce expensive treatments and injuries. Insurers continue to see the market as a business opportunity. Critics see a slow-motion privatization of Medicare.
Legislation & Regulation
Richard Mark Kirkner
But why? Trump administration wants credit for turnaround, but another take says it happened despite, not because of, the administration’s policies.