Medical Economics 5/10/2018 issue

Physician groups in risk contracts often learn what they owe months or years after the fact. Medical Economics spoke with Najib Jai, M.D., MBA, chief operating officer of Arbital Health, about why settlements turn into disputes and how actuarial AI tracks contract performance while the year is still underway.

A Maryland pathologist and MedChi past president explains how all-or-nothing contracts, anti-steering clauses and private equity deals inflate costs. He also outlines the federal and state reforms that could restore competition.

Paying membership fees with pretax employer dollars held cost growth to 0.9% a year, but the numbers come with caveats physicians should know before pitching employers.

Excited for the sunset of MIPS? Brace yourself for a replacement, not a repair. Here are four steps to prepare for it.