Provider Workforce

Workforce constraints are increasingly colliding with VBC execution: physicians are pushing back that quality reporting, downside-risk exposure, and inadequate payment updates are adding administrative and financial strain rather than enabling better care, while Avalere warns that Medicare physician payment changes and the Medicare Drug Price Negotiation Program’s MFP dynamics could further pressure independent practices central to ACO and MA networks (Medical Economics, Avalere). At the same time, states are expanding PA practice authority—spurred in part by the Rural Health Transformation Program