Payment Models

As value-based care adoption grows, payers and providers must find the right tools to transform adversarial interactions into partnerships that put patients at the center of care.

With AI's health care boom, many physicians seek guidance on meaningful integration.

Feds continue analyzing situation involving more than $2 billion in possible fraud.

House subcommittee holds hearing on best ways to shift from fee-for-service for treatments, to incentivizing better health for patients.

What are the potential opportunity costs of not making the transition to value-based care?

VBC models can be challenging, and success requires an understanding of the reimbursement model, significant investment in infrastructure and possible changes in the way medicine is practiced.

While there are general steps that health care providers can take to ease the transition to value-based care and be prepared for the future, leadership and standards are imperative to making a full transition to value-based care work.

Request to CMS is prompted by unexpected spike in catheter prices from some suppliers

New Commonwealth Fund data measures latest inequities in care across racial and ethnic populations.

Health care system transformation and the push to value-based care contracting is a journey

As the backbone of the health care system, primary care doctors need more resources and greater support from policymakers

Culture, data, clinical change and patients all are essential to operating accountable care organizations, experts say.

Collaboration across CMS centers and with ACO participants is key.

President and CEO Gaus to step down in the fall.

NAACOs, AMA, AHIP join for second volume of recommendations for payment arrangements.

CMS initiative aims to provide practices with more flexibility for meeting patients’ needs

Opportunities exist at the reimbursement level to drive financial performance.

The time has come for primary care to drive the innovative change in health care delivery and financing.

Payment model produces better outcomes at lower costs than traditional fee-for-service

Advances in AI, other technologies offer hope for streamlining administrative tasks and providing better access to patient data

Physicians describe intentions to change electronic health records in coming months.

Unique challenges of rural and underserved areas require special payment consideration by CMS.

Value-based care could work for safety-net providers in underserved areas by focusing on increasing access, not just reducing cost.

A strong data platform is essential for CINs to thrive.

As quality measures grow stricter, choosing the best ones to report and incorporating measurements into workflow are more important than ever