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Dear John,

Every month, we highlight articles, papers, podcasts, and more released this month.

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The AI Arms Race In Health Insurance Utilization Review: Promises Of Efficiency And Risks Of Supercharged Flaws ([link removed] )

Michelle M. Mello et al.

AI is increasingly used in prior authorization and claims processes, offering potential benefits but raising concerns about reliability, transparency, and oversight.

Anatomy Of A Slowdown: Decomposing The Moderation In Health Spending Growth, 2009–19 ([link removed] )

Sherry A. Glied and Brendan Lui

US health spending grew more slowly from 2009 to 2019 mainly because of reduced utilization, shifts to lower‑cost care, slower price growth, expanded nonphysician practice, and lower administrative and home health spending.

When Safety-Net Programs Compete: Medicaid, 340B, And The Battle Over Drug Discounts ([link removed] )

Sayeh Nikpay et al.

The interaction between the Medicaid Drug Rebate Program and the 340B program can unintentionally increase Medicaid costs, prompting states to explore policy strategies to mitigate these effects while balancing Medicaid savings against revenue for 340B providers.

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Stop Pretending Pharmacists Can’t Meet Primary Care Needs ([link removed] )

Steven N. Leonard

According to the author, the primary care system is strained in part because current policies limit the ability of trained health professionals to share in chronic disease management, despite evidence they can help improve access and outcomes.

Growth In National Health Expenditures: It’s Not The Prices, Stupid ([link removed] )

Michael E. Chernew

According to the author, national health spending rose at an unsustainable pace in 2024, driven largely by increased volume and intensity of care rather than prices, highlighting the need for policy reforms that address underlying spending growth rather than simply shifting costs among stakeholders.

Health Policy At A Crossroads: What To Watch In 2026 ([link removed] )

Katie Keith

After the first year of the second Trump administration with regard to health policy, what will the coming year bring?

The Future of Accountable Care ([link removed] )

On January 27, Health Affairs hosted a virtual event with a panel of experts on the outlook of ACOs.

Moderated by Jordanna Davis, founder and president of the Rockingstone Group, speakers included:

- Hongmai (Mai) Pham, President, Institute for Exceptional Care
- Gary Bacher, Chief Strategy Officer, CMMI
- Frank McStay, Assistant Research Director, Duke-Margolis Institute for Health Policy

The Latest on Drug Policies ([link removed] )

On January 21 Health Affairs held an exclusive Insider virtual event exploring the latest drug policies with the University of Utah’s Joey Mattingly.

Become an Insider today ([link removed] ) to get access to this exclusive event.

National Health Care Spending Increased 7.2 Percent In 2024 As Utilization Remained Elevated ([link removed] )

Micah Hartman et al.

Health Affairs This Week: It's Not the Prices, Stupid. Michael Chernew on US Health Expenditures ([link removed] )

A Health Podyssey: US Health Care Spending 2009–2019: What Changed? (Sherry Glied) ([link removed] )

Also, we are now offering podcast videos of A Health Podyssey. Subscribe to our YouTube channel ([link removed] ) to never miss out. Also, let us know what you think about the videos by emailing us at [email protected] (mailto:[email protected]) .

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