The North Carolina State Health Plan experience shows us that large, self-insured employers can work to bend the cost curve ...

In 2025, the average annual premium for family health coverage reached $26,993, an increase of $1,408 (6 percent) from the previous year. Covered workers contributed an average of 16 percent ($1,440) ...

A patient-led process for comparing actual bills to data reported under the hospital price transparency rule would help the ...

ICHRAs are a fascinating experiment that could open the door to a new phase of US health policy, but benefiting from an ...

This shift could improve care coordination and create opportunities for cost savings through enhanced formulary flexibility ...

Health Affairs' Rob Lott interviews Matthew Maughan of Brown University about his paper exploring how commercial insurers paid more for procedures at hospital outpatient departments as compared to ...

Under FDA regulations, suspension is not the end of the process. Unless a license holder voluntarily relinquishes its license ...

Hospitals across the country—particularly those operating emergency departments—face a mounting storm of legal, operational, ...

After four years, federal price transparency rules have revealed a meaningful number of prices. But they’ve revealed ...

Medicaid’s open-ended matching funding arrangements distribute a much larger amount of federal funding to wealthier states ...

The medical loss ratio drives higher premiums and higher medical care spending and presents other unintended consequences ...

Randolph W. Pate is founder of Randolph Pate Advisors LLC, a Washington, DC-area consultancy providing strategic guidance to insurers, providers, technology comp ...