Over the last decade, it has become increasingly common for self-insured plans to negotiate direct arrangements with healthcare providers—typically, large hospital systems or provider networks—under ...

For the most part, providers support the Direct Provider Contracting proposal put forward by the Centers for Medicare & Medicaid Services, with some stipulations and considerable tweaking. Key ...

On April 23, 2018, the Center for Medicare and Medicaid Innovation issued a Request for Information (the RFI) on a direct provider contracting model for primary care. The RFI seeks input on how direct ...

Over the past several years, the big trend in healthcare has been to inch away from fee-for-service reimbursement and toward value-based care, in which a provider's reimbursement is tied more to ...

Healthcare officials and groups offered the Center for Medicare and Medicaid Innovation (CMMI) feedback on its Direct Provider Contracting model, which would involve agreements be between payers and ...

Federal officials are seeking feedback on whether to test a new approach to payment for medical care that might more tightly connect patients to participating healthcare professionals. The Centers for ...

In particular, CMS seeks to implement models that enable it to directly contract with providers and suppliers and hold them accountable for the cost and quality of care of defined patient populations.

Rather than bringing the same entities that have raised costs in Medicare Advantage into traditional Medicare through Direct Contracting, CMS should provide a multi-year strategy to make the ACO ...

Employers have been trying to figure out healthcare since the days of the Model T. Henry Ford opened his namesake hospital in 1915 with hopes of improving the quality of healthcare for his employees.

Employers have been trying to figure out healthcare since the days of the Model T. Henry Ford opened his namesake hospital in 1915 with hopes of improving the quality of healthcare for his employees.