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

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 ...

Catherine Gaffigan, MD, Elevance Health's President of Health Solutions, discusses value-based care initiatives and payer-provider relationships. Elevance Health is reshaping its payer-provider ...

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 ...

Medicare Advantage members in value-based care arrangements had 24.3% fewer inpatient hospital admissions than those in Original Medicare in 2024. Humana Medicare Advantage members receiving ...

Humana saw a 24.3% decrease in inpatient admissions, or a 229,000-stay dip, for Medicare Advantage members in value-based care arrangements versus those in traditional Medicare in 2024, according to ...

While the U.S. healthcare industry largely operates in fee-for-service models, there are pockets of value-based care — including a “unicorn” model in Southern California. Michael Weiss, DO, vice ...

The shift to value-based care represents one of the most significant changes in payments for healthcare providers, and assisted living increasingly is being brought into the conversation, according to ...

Long term care providers need to use the right ACO model for their high-needs Medicare populations. Keith Persinger, CEO of Provider Partners Connect Care, sat down with Provider magazine Editor in ...

Post-discharge care is often a major stumbling block in managing patient outcomes. Inadequate post-discharge care is a common contributor to hospital readmissions, which can lead to additional ...