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

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 ...

NYU Langone Health cited the “current regulatory environment” in its decision to discontinue its gender medicine program for minors. By Joseph Goldstein A major Manhattan hospital, faced with threats ...

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 ...

Value-based care continues to account for a substantial share of U.S. healthcare payments, underscoring sustained payer investment in payment models that link reimbursement to quality and cost ...

This April will mark a decade since CMS launched the Comprehensive Care for Joint Replacement model, the federal government’s first mandatory, episode-based payment program applied broadly to ...

Judicial Watch, a conservative watchdog group, told Fox News Digital on Tuesday it filed a lawsuit against Evanston, Illinois, to stop the city from paying Black residents reparations. "There's a ...