Our Work

A new Johns Hopkins analysis of 205,896 branded medication fills offers the first national look inside the prior authorization process — tracking how long patients wait, who gets approved, and who bears the cost.

The authors argue that Maryland's next phase of payment reform must move beyond hospital global budgets to engage frontline clinicians in population health, outlining priorities for the new AHEAD model including population-based payments, expanded incentives, and regulatory modernization.

The Medicare Advantage Star Ratings program has operated for decades and directs billions of dollars in quality bonus payments, yet little is known about which measures have driven observed performance improvement over time.