Unpacking the Pay-for-Performance Paradox at CMS

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Dear John,

Health Affairs is deeply saddened to report that John K. Iglehart, founding editor of Health Affairs, passed away on the morning of June 12, 2025 after a brief hospitalization.

Interim Editor-in-Chief Don Metz shared a remembrance today in Forefront ([link removed] ) that highlights John's contributions to the foundation of Health Affairs and the standard set for editorial as he helped guide the publication over 25 years.

Read the Article
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Today's Featured Articles

Trends In Authorized Generic Drug Launches And Their Effects On Competition In Oral-Solid Drug Markets In The US, 2016–23 ([link removed] )

Keith M. Drake et al.

for more on this paper, check out a recent episode of ([link removed] ) A Health Podyssey ([link removed] ) featuring author Keith M. Drake

A ‘Shift in Kind’: A Medicaid Work Requirement Would Radically Change Health Policy ([link removed] )

Sara Rosenbaum

part of our Health Policy At A Crossroads series

In Remembrance: John K. Iglehart (1939 to 2025), Founding Editor, Health Affairs ([link removed] )

Donald E. Metz

CMS’ Pay-For-Performance Paradox ([link removed] )

Aaron R. Wells et al.

part of our Accountable Care For Population Health series

State Health Care Cost Growth Targets: Moving From Aspiration To Evidence To Action ([link removed] )

Christopher F. Koller

part of our Provider Prices In The Commercial Sector series

More from Accountable Care For Population Health Series

“All I Do Is Win”: Why Beating Benchmarks Doesn’t Mean That ACOs Are Reducing Costs ([link removed] )

Andrew M. Ryan et al. (April 2025)

Improving CMS Financial Benchmarking: Lessons Learned By The Innovation Center ([link removed] )

Sonal Parasrampuria et al. (January 2025)

Improving Participation In Value-Based Care—The CMS Innovation Center’s Data-Sharing Strategy Initiative ([link removed] )

William J. Gordon et al. (August 2024)

Health Affairs Branded Post:

The Fourth Trimester: A Crucial Phase for Women’s Health ([link removed] )

Kalahn Taylor-Clark

Sponsored by Merck for Mothers ([link removed] )

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Risk Adjustment Trends & Reform with J. Michael McWilliams ([link removed] )

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 ([link removed] ) , J. Michael McWilliams explored ideas and tradeoffs for potential risk adjustment reform.

Tomorrow 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.

Become an Insider today ([link removed] ) to get access to exclusive events like this and more.

Don't Miss Out
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About Health Affairs

Health Affairs is the leading peer-reviewed journal ([link removed] ) at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online.

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