AI is increasingly used in prior authorization and claims processes, offering potential benefits but raising concerns about reliability, transparency, and oversight.
US health spending grew more slowly from 2009 to 2019 mainly because of reduced utilization, shifts to lower‑cost care, slower price growth, expanded nonphysician practice, and lower administrative and home health spending.
The interaction between the Medicaid Drug Rebate Program and the 340B program can unintentionally increase Medicaid costs, prompting states to explore policy strategies to mitigate these effects while balancing Medicaid savings against revenue for 340B providers.
According to the author, the primary care system is strained in part because current policies limit the ability of trained health professionals to share in chronic disease management, despite evidence they can help improve access and outcomes.
According to the author, national health spending rose at an unsustainable pace in 2024, driven largely by increased volume and intensity of care rather than prices, highlighting the need for policy reforms that address underlying spending growth rather than simply shifting costs among stakeholders.
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