Having millions and even billions of dollars recurring spending, the United States government and its federal agencies are known to be the world’s largest buyer of products and services. The federal ...

The ACO REACH (short for “Accountable Care Organization Realizing Equity, Access, and Community Health”) Model is the new Medicare value-based payment demonstration model for providers launched this ...

Given an Orwellian title, Direct Contracting, launched by Center for Medicare and Medicaid Innovation (CMMI), was anything but direct. “Indirect Contracting” would have been a far more accurate name, ...

The Biden administration has come under pressure in recent weeks to modify, or even pull back entirely, the Center for Medicare and Medicaid Innovation’s Direct Contracting Model, which was originally ...

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 ...

While this litigation is unlikely to be resolved in the near term, such lawsuits can be powerful tools in exposing anti-competitive behavior and encouraging transparency and competition in ways that ...

This 2022 survey of Medicare accountable care organizations (ACOs) shows significant growth in non-Medicare value-based contracts and in contracts with downside risk. Objectives: To measure the ...

Anyone administering a pharmacy benefit program today knows that moving to a new model of service delivery seems all the rage. Deconstructing and reconstructing a system that is not providing the ...