Payment Models

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.

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.

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.

Maryal Concepcion, MD, FAAFP, the owner and CEO of Big Trees MD, shares her experience with direct primary care.

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

How technology and policy will redefine care.

One in four Americans experience functional decline by age 65, making fall risk management crucial for primary care practices.

Despite the proven effectiveness of cardiac rehabilitation services, high out-of-pocket costs may prevent patients from participating in the programs.

Rep. Greg Murphy, MD, (R-NC), discusses reforms he hopes Congress will consider this year.

Rep. Greg Murphy, MD (R-North Carolina), discusses reforms he hopes Congress will consider this year.

How proactive legal strategies can protect providers and support access to advanced diagnostic testing.

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

The transition to value-based care presents serious challenges to physicians. Here are three concrete ways that health plans, ACOs and others can help them thrive.