Value-Based Contracting
Expert articles and analysis related to value-based contracting.
AI Summary — Last 24 Hours
CMS cost-reporting pressure is moving deeper into Medicare Advantage: hospitals must now prepare to report MA negotiated rates on cost reports, creating new transparency and audit exposure around MA-provider contracting that could reshape VBC benchmarking, network negotiations, and margin assumptions for systems taking downside risk (Forvis Mazars). At the same time, physician groups are pushing back on proposed modifier/payment changes, underscoring the tension between federal efforts to curb Medicare spending and provider concerns that blunt utilization or coding policies could destabilize care-management economics in ACOs and other value-based arrangements (ACP).
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