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Join Health Affairs Publishing on October 21 for an Insider exclusive event exploring risk adjustment, coding incentives, spending, and outcomes with Richard Kronick and Matthew Fiedler.

Today's Featured Articles

Same Care, Different Score: Medicare’s Quality Bonuses Are About To Reprice On Data, Not Medicine

Mika Newton

The Referral Was Never The Point: Rereading The Retreat From Social Needs

Stephen Farber

Rethinking Justice, One Study At A Time

Elizabeth Van Nostrand

part of our Health Affairs Reads series

Medicare Advantage Rebates Are Too Large To Be Financed By Reductions In Plans’ Medical Spending Alone

Michael E. Chernew et al.

More on Quality of Care

Stars On The Docket: Medicare Advantage Quality Ratings On Trial

Sachin H. Jain and Renée Delphin-Rodriguez (August 2026)

How States Can Improve Medicaid Encounter Data

Laura Nolan et al. (April 2026)

Protecting Patients – Partners for Evidence-Based Solutions.

The No Surprises Act shields millions of patients from unexpected medical bills. Improving the system requires data-driven solutions to maintain critical consumer protections. Learn more at CIDRE.org.

Prior Authorization's Next Era: CMS Reform, AI, and Faster Approvals

Health Affairs Publishing's Jeff Byers welcomes Senior Editor Kathleen Haddad back to the pod to discuss the evolving prior authorization landscape, including CMS efforts to streamline approvals, insurer responses, and emerging questions around AI-driven decision-making.

Real-World Brinkmanship In Hospital-Insurer Negotiations