Value-Based Contracting & Performance
Expert articles and analysis related to value-based contracting & performance.
AI Summary — Last 7 Days
Over the past week, CMS has accelerated value-based care transformation with an open call for applicants to the new LEAD ACO Model, which seeks to drive deeper specialist integration into accountable care while highlighting operational and financial risks for ACO participants, especially around margin protection and downside risk management (AHA, Premier). Meanwhile, continued analysis of ACO REACH for performance year 2026 and the rollout of models like GUIDE for dementia care underscore persistent challenges balancing inferred risk, care coordination, and affordability as both providers and payers adapt to evolving CMS strategies.
Related Articles
DME fraud cases mount as federal scrutiny intensifies
Since March 24, the Justice Department has sentenced, accused or settled with three physicians and one durable medical equipment company owner for fraud cases. The activity comes as CMS is currently e...
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Hear Jarrett Dodd, MD, share how Privia helped him excel in value-based care and pursue clinical leadership opportunities.
UnitedHealth's RADV Risk Establishes a Clear Multi-Year Obligation Amid Heightened CMS Oversight
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Global Health Leaders Debut CNBC Documentary on 'The Transformative Power of Value-Based Care'
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Innovaccer Partnership Targets Scaled Value-Based Care in Colorado
Innovaccer Partnership Targets Scaled Value-Based Care in Colorado TipRanks
The inadequacy of the physician fee schedule: 10 notes
Despite policy efforts to increase reimbursement, spending per Medicare beneficiary on primary care physicians fell from $438 in 2017 to $420 in 2023, according to a March report published in Health A...
Using persuasive technologies in value-based health care
Health care initiatives will not succeed on policy language alone. They must work in patients’ daily lives. That means helping patients take medications correctly, monitor symptoms early, comply with ...
BrightSpring Finalizes $835M Community Living Divestiture To Sevita
Mark Cuban adds support to Break Up Big Medicine Act
Cost Plus Drug Company cofounder Mark Cuban is backing a Senate bill that would break up large healthcare conglomerates such as UnitedHealth Group.The bill would address vertically integrated entities...
Medicare Advantage faces 2027 shake-up risks
Medicare Advantage faces 2027 shake-up risks MSN