As part of the Rural Health Transformation Program, 42 states are expanding or establishing new alternative payment models, a recent analysis shows. | Forty-two states are expanding or establishing ...
A majority of counties experienced growth in penetration of Medicare value-based approaches: Medicare Shared Savings Program (MSSP) accountable care organizations (ACOs) and Medicare Advantage (MA).
There are two common approaches to VBP. The first is shared savings, where clinicians experience financial gains or losses based on their performance on clinical or spending outcomes. The second is ...
Assisted living can be an important partner in value-based care, saving the government $390 million annually, according to one estimate, but CMS must develop a new ACO model focused on such settings ...
On March 12, the Centers for Medicare & Medicaid Services (CMS) announced that certain Medicare value-based payment models will terminate early and signaled a new strategy will be announced soon.
Medicare Advantage members in value-based care arrangements had 24.3% fewer inpatient hospital admissions than those in Original Medicare in 2024. Humana Medicare Advantage members receiving ...
Aledade added more than 700 primary care practices to its network for 2026 as the company sees strong tailwinds for value-based care growth. Aledade, a value-based enablement company, now works with ...
Since 2021, the Centers for Medicare and Medicaid Services’ (CMS’s) Center for Medicare and Medicaid Innovation (Innovation Center) has been guided by a renewed vision to build “a health system that ...
Self-insured employers face legal challenges in adopting value-based models, including ERISA fiduciary duties, HIPAA restrictions, and antitrust concerns. Standardized data definitions and performance ...
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 ...
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