Payment Models

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.

Veradigm's Aaron Ledbetter, M.P.P., M.H.S.A., unpacks what the company's 2026 State of Independent Practice report reveals about why denied claims, payer complexity and administrative overload keep outrunning the tools practices are using to fight them.

Learn more about the goals, procedures and billing of the new 10-year ACCESS payment model.

A new JAMA proposal would treat primary care as a public utility, pooling the dollars payers already spend on it into a single state fund that pays practices directly, with no new spending needed to start.

Independent primary care is wasting away due to a significant payment disparity. Here's how to fix it

Atlas MD co-founder Josh Umbehr, M.D., who has been in direct primary care practice since 2010, explains why he thinks the model is closer to mainstream than most physicians realize.

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