About 41 percent of U.S. healthcare dollars involve alternative payment models — a 23 percent increase over five years, according to a report from the Health Care Payment Learning & Action Network.

With the nation’s pediatric care infrastructure under growing strain, alternative payment models that incentivize preventive measures to keep children out of the hospital could gain steam. Durham, N.C ...

The way healthcare is paid for is one of the most powerful levers shaping the future of the industry. Reimbursement structures determine which treatments are offered, how clinicians spend their time ...

Oriana Ciani addresses the financial pressures that healthcare payers face due to rising costs of innovative therapies ...

ACA subsidies' expiration will increase premiums, affecting individuals earning up to 400% of the Federal Poverty Line, risking loss of coverage for millions. Employers face rising health insurance ...

With the initial jolt of this administration’s first physician pay rule proposal wearing off, long-term care doctors are getting ready to enter a new era of oversight. For the first time, the federal ...

For physicians who participate in a Medicare “alternative payment model” (APM), a model to incentivize “value-based” care, the projected payment increase is set to equal 3.83 percent next year.

The inpatient pay raise reflects a market basket increase of 3.3%, reduced by a 0.7 percentage point productivity adjustment, according to a CMS fact sheet on the final rule. The rule also includes ...

Primary care physicians are often called the quarterbacks of healthcare because they coordinate and direct patients’ journeys through the medical system. On a typical NFL team, the quarterback is the ...

From improving outcomes for vulnerable, post-acute patients to building collaborative networks using real-time data for measurable impact, it can take several different approaches to deliver quality ...

In July, Apotheosis Health was one of at least 30 direct primary care clinics in Maine. (More than half had opened in the ...