Payment Models

Health care leaders must strategically approach the financial and operational changes that come with Medicare Advantage and Medicaid Managed Care requirements or risk disruptions to revenue cycle management and ultimately, revenue leakage.

Physician-owned Wilmington Health identifies high-risk patients to deliver care at right time.

Physicians say they still feeling effects of massive computer breach at insurance giant.

Medicare Economic Index would better reflect doctor expenses while ensuring patient access, AMA says.

Formal vote comes ahead of June report to Congress on pay in Medicare Physician Fee Schedule.

Addressing the unique, complex needs in women’s health care while improving care, easing the burden on OB-GYNs, and ensuring adequate payment.

The time is now to create an action plan that fits your practice when it comes to cutting costs and raising revenue streams. Read Medical Economics Insider to get started.

Introducing the inaugural issue of Medical Economics Insider, featuring practical tips and expert interviews on medical practice finance, plus exclusive survey data on how physicians feel about nurse practitioner independence.

Expert insights about managing a practice and the 2025 cut to physicians in the Medicare Physician Fee Schedule.

No matter how or when Medicaid cuts manifest, Medicaid plan leaders must act now to preserve member support and provider payment stability.

The agency says early termination could save taxpayers $750 million, but it raises concerns for primary care providers.

Primary Care Collaborative President and CEO Ann Greiner, MCP, discusses primary care in the U.S. health care system.

Primary Care Collaborative President and CEO Ann Greiner, MCP, discusses primary care in the U.S. health care system.

Primary Care Collaborative President and CEO Ann Greiner, MCP, discusses primary care in the U.S. health care system.

Primary Care Collaborative President and CEO Ann Greiner, MCP, discusses primary care in the U.S. health care system.

Primary Care Collaborative President and CEO Ann Greiner, MCP, discusses primary care in the U.S. health care system.

Primary Care Collaborative President and CEO Ann Greiner, MCP, discusses primary care in the U.S. health care system.

These doctors reclaimed their passion and autonomy with concierge medicine.

Reimbursement based on Medicare Economic Index, updated cost data, settings all in play.

The transaction positions Wellvana as a leading value-based care enabler, extending services to approximately one million Medicare patients across 40 states.

Adopting a value-based approach to clinical, financial and administrative operations can help physician practices thrive in both FFS and VBC worlds.

Physicians, pharmacists and artificial intelligence can join to form a cost-effective solution that improves patient outcomes and financial sustainability.

Annals of Family Medicine study shows negative impact of PBR on primary care physicians.

A discussion about primary care with the president of the Milbank Memorial Fund.

Physicians are excited about the concepts of value-based payment models. So why do so many doctors stick with fee-for-service care?

Physicians have complained that Medicare reimbursement rates have not kept pace with inflation, and now in 2025, are dealing with a 2.83% reimbursement cut. There's little chance of relief in sight. How did we get here?

A recent Dartmouth study finds primary care practices struggling with accessibility despite advances in practice capabilities since 2017-2018.

Risk-adjusted monthly payments better align funding with the needs of high-risk primary care patients, UMass Chan study finds.

Humana’s 11th annual Value-Based Care Report highlights the impact of value-based care on patient outcomes and health care costs.

Pledges to work with Trump administration, Congress to maintain patient care and community service.