Addressing Medical Affordability Without Compromising Care
LDI Expert: Standardize, Digitize Billing to Cut Administrative Costs
Health Care Payment and Financing
Building a better health care system by redesigning payment and financing.
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Research Updates
How the No Surprises Act Solved One Problem and Created Another
LDI Tradeoffs Seminar Examines How Arbitration Rules Are Inflating Payments and Overwhelming the System
Risk-Based Contracts Are Unlikely to Cut Waste in Medicare Advantage
Risk-Based Payments May Fail to Lower Low-Value Care, a New Study Shows
Hospital-at-Home: How to Reenergize This Key Program
These 10 Points Lay Out the Biggest Barriers – From Costs to Complex Rules – and the Reforms Needed to Put More Hospital Care in Homes Nationwide
Health Care Affordability
Expert Insights
LDI Fellows’ AI Program Could Save Medicare Billions in Overpayments
Replacing Flawed Current Payment Methods With the Machine Learning Model “Franklin,” Might Thwart Upcoding and Favorable Enrollee Selection by Medicare Advantage Firms
Finding Rare Agreement on Fixing the Health Care Affordability Crisis
Former Obama and Trump Advisors Find Some Common Ground at D.C. University of Pennsylvania Event
When A Resolved Billing Scandal Becomes Embedded In New Payment Policy
CMS Should Ensure That Temporary Spending Shocks—Such as the Recent Spike in Skin Substitute Costs—Are Not Mechanically Carried Forward Into Future MA Payments for 2027 and Beyond. But CMS Should Also Move Beyond the Decades-Old HCC Framework and Modernize its Risk Adjustment Approach.