September 2026

This pilot study found that machine learning predicted post acute facility care (PAC) needs with 85% accuracy, demonstrating its feasibility and potential to help prioritize rehabilitation consultations early in hospitalization.

A pay-for-performance program reduced outpatient visits among patients with schizophrenia but did not affect emergency department visits, hospital admissions, or length of stay.

Despite financial incentives for Medicare Advantage (MA) plans to reduce potentially inappropriate medication use post hospitalization, this study found that MA does not provide a clear advantage over traditional Medicare.

For Medicare Advantage beneficiaries, high out-of-pocket medical costs are associated with lower odds of medication adherence.

This qualitative study examines the factors that provider organizations consider when contracting with managed care organizations under North Carolina’s Section 1115 demonstration waiver.

Switching Medicare Advantage (MA) plans is increasingly common among MA enrollees, especially those dually eligible for Medicaid, but this varies by demographic group.

The One Big Beautiful Bill Act restructures Medicaid coverage in ways that have a direct impact on oncology programs. This commentary presents a three-domain operational framework intended for cancer program administrators.

Consistent adherence to sodium-glucose cotransporter 2 (SGLT2) inhibitors in individuals with type 2 diabetes reduces the risk of hospitalization, supporting targeted interventions to improve medication-taking behavior.