Models that provide hybrid payments to primary care practices without adding financial risk are effective at supporting the ...

CMS may design a service delivery model for Medicare, Medicaid or Children’s Health Insurance Program beneficiaries with behavioral health conditions. Here are four things to know. 1. CMS’ Innovation ...

Specialty physicians, including gastroenterologists, are struggling to participate as the healthcare arena adapts to Alternative Payment Models. At a recent Medicare Payment Advisory Commission ...

Physician-focused payment models provide an opportunity for radiologists to demonstrate and be rewarded for their contribution to patient care, and may encourage more radiologists to participate in ...

With the initial jolt of this administration’s first physician pay rule proposal wearing off, long-term care doctors are getting ready to enter a new era of oversight. For the first time, the federal ...

The Physician-Focused Payment Model Technical Advisory Committee recently completed its two-day public meeting to deliberate and vote on three proposals for physician-focused payment models. The full ...

The Centers for Medicare & Medicaid Services (CMS) released its annual physician pay rule for 2026 on Friday night, which increases physician reimbursement by 3.77% for qualifying providers in ...

Here we go again! For the second year in a row, we enter the new year without Congress enacting a doc fix or Advanced Alternative Payment Model (APM) bonus extension. While Congress did act last year ...

As the U.S. healthcare system continues its shift away from fee-for-service (FFS) toward value-based care (VBC), the prevalence of advanced alternative payment models is increasing. Bundled payments ...