The May issue of Health Affairs features a collection of articles on Medicaid expansions. Authors examine the impact on dual eligibles, as well as on racial/ethnic disparities. Editor-in-Chief Susan Dentzer opens the issue with a discussion of the “freedoms” associated with health care in the United States and the ACA, and the factors and evidence at play leading up to the Supreme Court’s decision. Also of note in this issue are three articles on reform in China – of particular interest to AcademyHealth as we prep for this fall’s International Study Tour. The following AcademyHealth members had their work published in the May issue of the journal: A Decade Of Health Care Access Declines For Adults Holds Implications For Changes In The Affordable Care Act Genevieve M. Kenney, Stacey McMorrow, and Stephen Zuckerman Reasons For The Wide Variation In Medicaid Participation Rates Among States Hold Lessons For Coverage Expansion In 2014 Benjamin D. Sommers, Katherine Swartz, and Arnold M. Epstein The Affordable Care Act’s Coverage Expansions Will Reduce Differences In Uninsurance Rates By Race And Ethnicity Genevieve M. Kenney and Fredric Blavin As Roughly 700,000 Prisoners Are Released Annually, About Half Will Gain Health Coverage And Care Under Federal Laws Alison Evans Cuellar Medicare And Medicaid Spending Variations Are Strongly Linked Within Hospital Regions But Not At Overall State Level Todd P. Gilmer Durable Medical Equipment And Home Health Among The Largest Contributors To Area Variations In Use Of Medicare Services James D. Reschovsky, Arkadipta Ghosh, Kate A. Stewart, and Deborah J. Chollet In Setting Doctors’ Medicare Fees, CMS Almost Always Accepts The Relative Value Update Panel’s Advice On Work Values Miriam J. Laugesen, The Growing Power Of Some Providers To Win Steep Payment Increases From Insurers Suggests Policy Remedies May Be Needed Robert A. Berenson, Paul B. Ginsburg, Jon B. Christianson, and Tracy Yee Washington State Exhibits Wide Regional Variation In Proportion Of Medicaid-Eligible Children Who Get Needed Mental Health Care Wendy R. Ellis Massachusetts’s Experience Suggests Coverage Alone Is Insufficient To Increase Addiction Disorders Treatment James H. Ford II, and David H. Gustafson Growth Of Consumer-Directed Health Plans To One-Half Of All Employer-Sponsored Insurance Could Save $57 Billion Annually Amelia M. Haviland and Roland D. McDevitt Implications For Reform: Survey Of California Adults Suggests Low Health Literacy Predicts Likelihood Of Being Uninsured Tetine Sentell In Japan, All-Payer Rate Setting Under Tight Government Control Has Proved To Be An Effective Approach To Containing Costs Naoki Ikegami THE CARE SPAN: Among Dual Eligibles, Identifying The Highest-Cost Individuals Could Help In Crafting More Targeted And Effective Responses Timothy A. Waidmann Small, Nonteaching, And Rural Hospitals Continue To Be Slow In Adopting Electronic Health Record Systems Catherine M. DesRoches and Ashish K. Jha Most Physicians Were Eligible For Federal Incentives In 2011, But Few Had EHR Systems That Met Meaningful-Use Criteria Jane E. Sisk Physicians In Nonprimary Care And Small Practices And Those Age 55 And Older Lag In Adopting Electronic Health Record Systems Eric W. Jamoom and Jane E. Sisk Continuing To Improve Risk Adjustment Margaret A. Murray Improving Risk Adjustment: The Author Replies Jonathan P. Weiner Pay-For-Performance: The Authors Reply David Clark Aron Health Affairs is an official journal of AcademyHealth.