Unpredictability in the healthcare industry unnerves hospital leaders, as no one knows the future of the ACA or if the new administration will further alter existing payment reform programs. The ...

To contain health care costs, insurers, regulators, providers and pharmaceutical companies have to work together.

WASHINGTON — Nearly 20 years ago, policymakers had an epiphany: The health care system should pay for value instead of volume. Unfortunately, it’s now less clear than ever what value-based payment ...

Value-based care promises improved outcomes for patients, healthcare providers, and health plans, and there is growing pressure for health systems ...

When they began negotiating a new reimbursement contract this year to replace an expiring contract, Corewell Health and Blue ...

In the world of Medicare Advantage, a disturbing shift is occurring. What began as a noble push toward value-based care has increasingly morphed into an aggressive pursuit of value-based payment ...

While value-based payment models seem great in theory, research shows that many primary care providers aren’t partaking in these models. Over the last 14 years, the Centers for Medicare and Medicaid ...

Since the passing of the Patient Protection and Affordable Care Act (ACA) in 2010, the Center for Medicare and Medicaid Innovation (CMMI) has piloted more than 50 alternative payment models (APMs) ...

The American healthcare system is shifting away from traditional fee-for-service (FFS) to a new payment model, one that ties provider reimbursement to patient results rather than the quantity of ...

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 ...

For health systems, providing effective value-based care involves having foundational building blocks, this chief clinical officer says. Stephanie Duggan, MD, the chief clinical officer of SSM Health, ...

This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...