Payment Models

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.

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.

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.

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.

Commonwealth Fund breaks out data from state of U.S. health insurance survey.

By harnessing the power of cutting-edge technologies, artificial intelligence-driven systems are helping make value-based care models more accessible.

AI-powered technology offers a way to overcome the obstacles to value-based care, by turning vast amounts of data into actionable insights and enabling better patient care.

Researchers asked doctors why they continue with fee-for-service payment. There are many reasons, as a study co-author explains.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A report in The Annals of Family Medicine looked to uncover whether direct primary care practices are represented in health professional shortage areas.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.

A physician researcher discusses why primary care physicians do not participate in value-based payment models.