Payment Models

The top news stories in medicine this week.

The Pay PCPs Act of 2026 would blend prospective per-patient payments with fee-for-service, halve beneficiary cost sharing for primary care and exempt participating physicians from MIPS.

Quality, revenue, utilization, documentation and savings are not all the same thing

Concierge and direct primary care sites grew 83.1% in five years, and direct primary care starts 2026 with a federal tax break it did not have before.

Retrospective data are not irrelevant, but primary care needs AI and advanced analytics to treat real-world patients in real time.

Sage Growth Partners CEO Dan D'Orazio explains why fee-for-service incentives, disparate data and misaligned financial models — not a lack of technology — are keeping value-based care from taking hold.

Physicians have questions about capitation. Here's what it means for your practice.

With small cuts, targeted gains and revision of the G2211 code, here’s what CMS' proposed 2027 PFS means for your bottom line

Medicare is requesting information, including physician commentary, on primary care and MAHA.

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?