Covered California and Health Net’s novel data exchange initiative significantly improved quality measurement and potentially reduced costs by more than $640,000.

MedicaidCuts | Image Credit: © Jim Vallee-stock.adobe.com

Proposed GOP Medicaid Cuts Threaten Loss of Coverage for Millions

By Maggie L. Shaw

May 12th 2025

Proposed Medicaid cuts in the Republican budget proposal hold significant implications for health care access and coverage.

Effects of Maryland’s All-Payer Model on Elective Joint Replacement Surgery

By Meiling Ying, PhD
Addison Shay, MS

John M. Hollingsworth, MD, MS
Vahakn B. Shahinian, MD
Richard A. Hirth, PhD
Brent K. Hollenbeck, MD, MS

May 12th 2025

The Maryland All-Payer Model was associated with an increase in population-based rates of elective major joint replacements, with a more pronounced effect observed in Maryland-only hospitals.

Health Outcomes Under Full-Risk Medicare Advantage vs Traditional Medicare

By Kenneth Cohen, MD
Boris Vabson, PhD

Jennifer Podulka, MPAff
Omid Ameli, MD, DrPH
Kierstin Catlett, PhD
Nathan Smith, PhD
Megan S. Jarvis, MS
Jane Sullivan, MPH
Caroline Goldzweig, MD, MSHS
Susan Dentzer, MS

May 9th 2025

Physician groups under 2-sided risk–based Medicare Advantage provide care associated with higher quality and efficiency compared with care by these same groups under fee-for-service Medicare.

Unmet Health Care and Health-Related Social Needs of Laundromat Users

By Lindsey Jeanne Leininger, PhD
Courtney Bragg, MBA

Allister Chang, MPA
Andrea Palm, BA

May 8th 2025

Laundromats offer a promising outreach setting for Medicaid payers because Medicaid enrollees represent a majority of laundromat users and have disproportionately high levels of unmet needs.

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