Payment Models

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

Nearly 40% of Gen Z patients don't have a primary care physician, and Andrea Giamalva, M.D., FAAFP, says urgent care is quietly stepping in to fill the gap.

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.

John Cianca, M.D., FAAPMR, left institutional medicine 22 years ago to build a cash-only solo practice. He says the care he delivers is better for it.

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.

Prosper Beyond VBC's Doral Jacobsen on why most practices lose negotiations before they even get in the room, and what to do differently.

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.

A video explainer about why patients in direct primary care end up loving their doctors.

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.

Arrow founder and CEO Roshan Patel explains why health care payment processing is a mess, and what practices can actually do about it.

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.