Payment Models

A JAMA viewpoint argues new reimbursement policies may deliver long-sought revenue to primary care, though uptake, staffing and fee cuts elsewhere cloud the outlook.

Costs change based on site of care, and physicians’ hospital affiliation or independent practice, according to new research.

HCC vs. CPT vs. ICD-10-CM coding: What practices need to understand about coding when shifting from fee-for-service to value-based care

Patients in value-based care practices were nearly 28% more likely to receive full guideline-directed therapy.

Explore the latest insights on value-based care, physician debt, and essential practice tips in the interactive July/August 2025 edition of Medical Economics Insider.

HealthTap DPC model made possible by Big Beautiful Bill Act

Strengthening the physician-patient bond through value-based care

Mark McClellan, M.D., Ph.D., explains the challenges and future of value-based care a decade after MACRA's launch.

The two presidents were friends who agreed on the need for ‘a healthier, stronger country.’

Susan Dentzer, president and CEO of America's Physician Groups, shares the top Medicare policy she'd like to see Congress act on in 2025.

Teams, tech and accountability are part of a new model to improve care for patients with complex or chronic conditions.

Susan Dentzer, president and CEO of America's Physician Groups, explains what top-performing Medicare Advantage groups are doing differently.

Susan Dentzer, president and CEO of America's Physician Groups, explains how to make ACO risk work for small medical practices.

Susan Dentzer, president and CEO of America's Physician Groups, explains the group's proposal for ending MIPS and overhauling MACRA.

Susan Dentzer, president and CEO of America's Physician Groups, explains why every Medicare beneficiary needs an accountable care relationship.

Susan Dentzer, president and CEO of America's Physician Groups, explains the boldest fix proposed in their latest report, "Medicare Done Right."

CMS could make changes in 2026 Hospital Outpatient Prospective Payment System.

AAFP, ACP respond with optimism and some critiques in the 2026 Medicare Physician Fee Schedule.

Key regulatory changes that could affect physician pay next year.

A new policy paper from the American College of Physicians lays out eight recommendations to modernize risk adjustment, reduce administrative waste and better serve high-risk patients.

New payment model looks to improve patient care by reducing unnecessary treatments.

A discussion with Plante Moran’s Tammy Schaeffer about why value-based care hasn’t been adopted more quickly

Innovative payment models — like pay-first and direct primary care — enhance financial stability and patient engagement for independent practices.

Physicians in supported, full-risk VBC models saw more new Traditional Medicare patients and kept panels open longer.

CMS Innovation Center leader outlines strategy for Making America Healthy Again.