- Center on Health Equity & Access
- Clinical
- Health Care Cost
- Health Care Delivery
- Insurance
- Policy
- Technology
- Value-Based Care
Introduction: Background on Hospital Readmissions
During the introduction to this one-on-one interview series, Arthur Garson, Jr, MD, MPH, director of the Center for Health Policy at the University of Virginia, discusses rates of hospital readmissions following transitions between healthcare settings and highlights a Centers for Medicare & Medicaid Services (CMS) program designed to reduce the number of readmissions.
Dr Garson, Jr, reviews the number of unnecessary hospital readmissions within 30 days of discharge and notes that nearly 20% of Medicare patients are readmitted.
However, he explains that the number of readmissions has recently decreased due to penalties implemented by a CMS program.
Dr Garson, Jr, emphasizes the importance of implementing programs that target readmissions such as the program designed by the CMS, and suggests that this program represents a step in the right direction toward reducing or preventing unnecessary hospital readmissions.
Managed Care Reflections: A Q&A With Laurie C. Zephyrin, MD, MPH, MBA
November 12th 2025To mark the 30th anniversary of The American Journal of Managed Care, each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The November issue features a conversation with Laurie C. Zephyrin, MD, MPH, MBA, senior vice president for achieving equitable outcomes at the Commonwealth Fund. This interview has been edited for length and clarity.
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Assessing New York’s Health Care Disparities Using Health Plan Quality Data
November 11th 2025Utilizing the Health Insurance Disparities Index for assessment, the authors found that New York’s Medicaid health maintenance organizations (HMOs) outperformed Medicaid HMOs nationally in addressing health care disparities from 2019 to 2023.
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