Payment Models

Physicians drive savings, but AI could reward the intermediaries controlling ACOs.

2027 Medicare Physician Fee Schedule at heart of Primary Care Collaborative discussion

RAND researchers put the same questions to 15 primary care physicians employed by health systems and 15 independent ones. Neither model came out ahead on all five findings.

Physicians describe growth, challenges, patient responses as direct primary care expands.

The top news stories in medicine this week.

Why value-based care requires AI that tells clinicians not just who is at risk, but which interventions are most likely to change outcomes.

Health care fraud, new payment models and AI are all in play in evolution of accountable care

Perceptions, policies and prices all are factors in the future of direct primary care, advocates say

Access, AI and accountable care are part of now and the future, CMS leaders say.

The top news stories in medicine this week.

Actions this week involve three major health care policy bills

Physician lawmakers support primary care, inflation-indexed payments and new POINTS system for quality reporting.

Accountable care wins, but physicians and policy experts warn cuts are baked in

CMS chief Dr. Oz touts ‘some of the most significant Medicare reforms in recent years’

For better health at a cheaper cost, the nation needs more investment, access and doctors in primary care.

Why did Medicare risk adjustment become little more than mining charts, checking boxes and gaming the system?

Answers on adapting to shifts in Medicare, with three strategies to implement right now.

Because compiling and feeding masses of data to Medicare takes time away from treating patients.

Primary care is a team sport, but some of the most important players are outside the physician’s office.

What works well when health care partners with community groups? National Academy of Medicine offers answers for Medicare.

A new survey of physicians, nurses and health care leaders points to burnout, reimbursement uncertainty and the pace of AI adoption as the top threats to the system, even as national data show physician burnout easing.

For value-based care, the future is in building collaboration between primary and specialty care.

Medicare spends $1.1 trillion a year — or misspends it, depending on this analysis of incentives and outcomes.

Medicare Payment Advisory Commission publishes June report to Congress

A bipartisan bill to fix Medicare's budget-neutrality rules cleared a key House committee. But this year's 2.5% pay bump is already eroding, and it disappears in 2027 without further action.