Dear John,

Join Health Affairs on July 9 for an exclusive Insider virtual event discussing health and health care policy decisions that are expected in the closing days of the Supreme Court’s 2024-2025 term.

Today's Featured Articles

Medicare Advantage Denies 17 Percent Of Initial Claims; Most Denials Are Reversed, But Provider Payouts Dip 7 Percent

Boris Vabson et al.

Cuts To Medicaid Will Destabilize The US Job Market

Kristi Martin and Hannah Katch

part of our Health Policy At A Crossroads series

Changing Broker Incentives In Medicare Advantage

Sachin H. Jain

More on Medicare Advantage

Expected Out-Of-Pocket Costs: Comparing Medicare Advantage With Fee-For-Service Medicare

Benedic Ippolito et al. (November 2024)

State-Level Variation In Low-Value Care For Commercially Insured And Medicare Advantage Populations

Lauren A. Do et al. (September 2022)

Coverage Denials: Government And Private Insurer Policies For Medical Necessity In Medicare

Aaron L. Schwartz et al. (January 2022)

Risk adjustment modifies payments to health insurers based on enrollee characteristics that are predictive of higher or lower medical spending.

In a recent Forefront article, J. Michael McWilliams explored ideas and tradeoffs for potential risk adjustment reform.

On June 17, McWilliams joins Health Affairs’ Kathleen Haddad to get Insiders up to speed on risk adjustment, the latest research and trends, and what potential reform we could see in the future.