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Center for Advancing Health Policy through Research

Center for Advancing Health Policy through Research

We work to understand health care affordability and value to translate research into policy change.

Center for Advancing Health Policy through Research

We work to understand health care affordability and value to translate research into policy change.

In a nation that spends nearly double the resources of its peers on health care, we recognize the urgency for innovative solutions to reshape health care delivery and expenditure in the United States.

At CAHPR, our faculty and staff are committed to unraveling the intricate connections between insurance design, market structures, and policy dynamics to pave the way for enhanced patient outcomes and reduced spending.

Insurance coding vector image

New Tool shows how Medicare Advantage plans could be driving $30 billion in excess payments next year alone

The MediCode tool provides insight into how MA plans may be inflating risk scores and receiving billions in additional federal payments by quantifying coding intensity across MA plans and parent organizations.

Click here to explore the tool Read the press release

About Us

The Center for Advancing Health Policy through Research (CAHPR) seeks to make fundamental contributions towards understanding and developing policies that increase affordability and value in U.S. healthcare.
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Events and Programs

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Policy Dissemination Tools

Translating research into actionable policies
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Research unpulgged

These podcasts bring you candid conversations with CAHPR researchers as they dive deep into their work, unpack complex ideas, and share the stories behind the science—one episode at a time.

Click here to explore the podcasts

Recent Events

Medicare Advantage Payment and Opportunities for Cost Containment

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Higher Costs, Less Competition: The Rise of Vertical Integration in the U.S. Health Care System

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Recent CAHPR in the Media

See all CAHPR in the media
August 25, 2025 Rhode Island Current

Rhode Island pushes oversight on private equity in health care. Other states should follow.

The proposed sale of two safety net hospitals — from private equity-backed Prospect Medical Holdings to the nonprofit Centurion Foundation — has been closely watched across the state. The Attorney General's updated terms for the sale reflect growing concern over the role of private equity in Rhode Island’s health care system.
August 22, 2025 Financial Regulation News

Study: urban hospitals are posing as rural facilities to exploit federal funds

A large number of nonprofit hospitals located in urban cities are exploiting a Medicare definition that allows them to be considered both “urban” and “rural” simultaneously, letting them tap generous benefits and reimbursement models specifically intended for rural communities.
August 17, 2025 Yahoo Finance

Trump administration tiptoes into testing prior authorization in traditional Medicare

Traditional Medicare plan holders have typically not had to wait for prior authorization before receiving medical treatment. CMS recently announced a new program to test prior authorization requirements for certain services in six states to root out fraud, waste and abuse. Jeffrey Marr highlights what’s needed to set up a well-functioning prior authorization system.
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    • Home
    • About
    • Research
      • Traditional Medicare
      • Medicare Advantage
      • Markets and Consolidation
      • State Policies to Enhance Competition and Affordability
      • Research Unplugged
      • Working Papers
    • Policy Tools
      • Hospital Payment Cap Simulator
      • MediCode Tool
      • Newsletters & Research Summaries
      • Policy Briefs
      • Public Comments
      • Testimonies & Briefings
    • Events and Programs
      • Launch Events (Providence x DC)
      • Policy Discussions
      • Health Data Science Summer Fellowship Program
      • Seminar Series
    • People
      • Leadership
      • Faculty and Staff
      • Trainees
      • Center Spotlight
    • CAHPR in the Media
    • Work with us
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Center for Advancing Health Policy through Research