Editor’s Memo
Peter Wehrwein
The Payers’ Playbook
Joseph Burns
A newspaper series and a state audit put a spotlight on PBM practices in Ohio. Congress and other states are also looking more closely at what PBMs are delivering to Medicaid health plans.
Value-Based Tools
Michael D. Dalzell
CMS will test incentives for ambulance providers and dispatchers to keep nonemergent patients out of the ED. Limited experience shows it works.
François de Brantes
Perinatal quality collaboratives and other responses may help reverse the trend. But payment reform that gets rid of perverse incentives is a prerequisite.
Michelle Yu
News & Commentary