Payment Models

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.

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.

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

The crucial decision of which ACO to join requires careful consideration of various factors.

Exploring how direct primary care and concierge medicine models could help physicians in independent practices transform patient care.

News reports state RFK Jr. could take aim at codes recommended by the American Medical Association.

PCC’s 2024 Evidence Report found primary care-centric ACOs generate more than two times higher savings through data integration.

Here are three strategies to face the dual challenge of improving patient health while controlling costs.

A patient-centered approach requires prioritizing affordability and accessibility and yields improved cash flow and patient care access.

PACE helps address the root cause of a participant’s health issues, reducing the potential for later complications and downstream costs.

Savings is largest amount in MSSP’s decade-long history

Four challenges organizations must address to truly improve cost efficiency and quality in health care.

Are you burned out on fee-for-service?

Advanced primary care company also announces new chief health officer.