Payment Models

To maximize savings in value-based care, CMS should create payment models for physicians, not middlemen.

PYA consulting principal Tynan Kugler breaks down the market, regulatory and workforce pressures pulling physician compensation in competing directions, and what organizations and physicians need to understand before structuring a deal.

Physicians Foundation president discusses CMS request for information about physician-owned hospitals.

It’s a premium interactive digital edition built for physicians who mean business.

A new American Medical Association survey ranks the country's largest commercial health insurers by the prior authorization burden they impose on physician practices.

It’s a premium interactive digital edition built for physicians who mean business.

Value-based care relies on annual wellness visits, but are they really helping patients and practices?

An analyst discusses lessons from the TRICARE health system and the case for cash-based care.

CMS wants information on how physician-owned hospitals can participate in new payment model.

CMS wants information on how physician-owned hospitals can participate in new payment model.

TEAM request for information hints at willingness to relax restrictions on doctors owning hospitals and referring to them.

Elation Health’s inaugural Primary Care Pulse report finds independent primary care physicians are adopting new payment models, embracing AI and holding onto their patient relationships despite mounting financial pressure.

Across the U.S., independent physicians are leading a quiet resurgence, rediscovering the connection and fulfillment that drew them to medicine in the first place.

Health care groups back new legislation that could expand Medicare chronic care management.

Medicare extends application deadline to May 15 to expand participation for July start.

MedPAC opens April meeting with deliberations on data that will be part of June report to Congress.

Insurance expert discusses trends that could affect patients, and thus a practice’s bottom line.

It’s not just burnout when patient numbers increase but doctors are not allowed adequate time and treatments for them.

New EBRI research reveals 6 in 10 patients face rising health care costs and deductibles—driving care delays, billing confusion, and operational challenges for independent practices

MIPS expert Holly Black explains the 2026 rule changes, the rise of MVPs and the practical steps small practices can take now to avoid Medicare penalties.

CMS has awarded first round of money for state health care programs in $50B federal plan.

A new Hint Health survey using the Person-Centered Primary Care Measure shows DPC patients report easy access, strong relationships and high willingness to recommend their physicians.

As consolidation and prices climb, Pacific Research Institute brief says new limits on MSOs could tilt the market further toward hospitals.

Milbank Memorial Fund, Physicians Foundation, Robert Graham Center collaborate on analysis.

New Medicare payment model aims to take down wasteful spending, but Congress and analysts point out potential problems.