Payer relations executives to know in 2026 are shaping managed care strategies at major health systems and advancing value-based payment models.

THMA announces its 2026 Cardiovascular and Oncology Executive Convenings, bringing together C-suite leaders from major health systems and life sciences companies to address supply-chain disruption, ...

Depending on their experience with value-based payment models, providers may need to invest in new or enhanced operational capacities.

Risk-bearing provider organizations rely on physicians to achieve cost savings. The literature on physician-mediated interventions to reduce costs is scant and provides little guidance on effective ...

The Electronic Health Record Association tells ASTP/ONC that some unresolved issues make it difficult to comment on specific IT certification proposals. And the American Hospital Association says it ...

Produce prescriptions and hospital food programs are expanding fast. But the real test isn’t medical—it’s financial.

As part of the Rural Health Transformation Program, 42 states are expanding or establishing new alternative payment models, a recent analysis shows.  | Forty-two states are expanding or establishing ...

For many years, the American health care system has followed a simple model: Pay providers for the services they deliver. This fee-for-service model, still used today, pays providers based on the ...

Penetration of Medicare Shared Savings Program accountable care organizations and Medicare Advantage was not associated with substantive changes in health care use among commercial enrollees.

The Anti-Kickback Statute is a United States federal criminal statute that prohibits the exchange (or the promise to exchange) of anything of value for referrals of ...

Neal Dunn led 2 letters last year urging approval, but Florida remains one of a handful of states still awaiting action. Florida remains one of a small number of states that hasn’t seen a Medicaid ...