Independent practices face challenges from consolidation and policy shifts, with hybrid models offering autonomy while sharing financial risk. Value-based care in oncology prioritizes science, ...

Shrinking reimbursements and rising healthcare costs are forcing many nursing homes in New York to turn to a new model of care where patients receive medical attention in the comfort of their own ...

WESTERVILLE, Ohio--(BUSINESS WIRE)--agilon health (NYSE: AGL), the trusted partner empowering physicians to transform health care in our communities, today announced the publication of new ...

The fee-for-service model in oncology misaligns incentives, increasing costs and creating variable clinical pathways. TOI's value-based care program reduces inpatient admissions and emergency visits, ...

Adam Colborn, JD, associate vice president for congressional affairs, AMCP, discusses key regulatory factors that managed care professionals must consider when implementing artificial intelligence (AI ...

Healthcare policy changes may increase uncompensated care, stressing hospitals and the 340B program, crucial for subsidizing low-income patient care. The 340B rebate model, starting in 2026, could ...

The shift to a managed care system in Idaho's Medicaid program raises concerns over administrative burdens, unclear care ...

State Directed Payments (SDPs) are an emerging tool that give states the authority to direct how managed care plans pay providers (such as by mandating managed care plans pay Medicaid providers a ...

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CMS’ upcoming ACCESS payment model is being billed as a turning point in how chronic care is reimbursed and managed — aiming to tie payments to patient outcomes and expand the use of digital tools.