States can align capitation withholds with value-based payment state-directed payment arrangements to incentivize managed care plans and providers to improve outcomes for dually eligible individuals.

Following our original publication on April 23, 2026, we have had numerous conversations with stakeholders, nephrology practices, ...

ACO REACH fills a gap by providing an option for ACOs to participate in an advanced accountable payment model with global risk and a population-based payment design through up-front capitated payments ...

Value-based care (VBC) is a healthcare delivery model that prioritizes patient outcomes over the volume of services provided. This approach aims to enhance the quality of care while controlling costs ...

Travis Brewer, vice president of payer and public health strategy/relations at Texas Oncology, shared that value-based oncology care can achieve both cost efficiency and high-quality outcomes through ...

Healthcare is undergoing a major shift. Rising costs, a growing number of chronic disease cases and an aging population have revealed the limitations of the traditional fee-for-service (FFS) model.

The Centers for Medicare & Medicaid Services (CMS) Innovation Center announced Monday it is extending three tracks within the Kidney Care Choices (KCC) Model through 2027. Starting in performance year ...

A new collaboration between three health plans is aiming to improve primary care in California and reduce physician burnout. Blue Shield of California, Aetna and Health Net are all participating in ...

There is increasing consensus that value-based care (VBC) holds multi-dimensional promise to improve care delivery, reduce costs, and increase physician satisfaction. In primary care, for example, ...

This voice experience is generated by AI. Learn more. This voice experience is generated by AI. Learn more. CMS will use its financial clout to make"Making America Health Again" programs a centerpiece ...