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Provider Network Models

Expert articles and analysis related to provider network models.

11 articles•Last 24 Hours

AI Summary — Last 24 Hours

Independent physician networks face renewed pressure as payer payment delays threaten cash flow and destabilize practices that many ACOs and risk-bearing groups rely on for access, attribution, and longitudinal care management; the near-term VBC implication is that network adequacy and physician alignment may hinge as much on claims operations and working-capital support as on shared-savings design (Fierce Healthcare). Separately, pressure to redesign value-based contracts for high-cost therapies is intensifying as manufacturers, payers, and providers look for outcomes-based arrangements that can manage specialty-drug affordability without shifting unsustainable risk onto delivery systems.

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