Discover how capitation payments influence healthcare costs and services. Learn about fixed monthly payments for providers ...

The way healthcare is paid for is one of the most powerful levers shaping the future of the industry. Reimbursement structures determine which treatments are offered, how clinicians spend their time ...

Value-based care models in oncology must be adaptable to balance quality, cost, and patient outcomes amid evolving clinical practices and cost structures. Advanced therapies complicate payment model ...

Building on feedback and experience from prior models, LEAD aims to reduce barriers to success for both new and experienced ...

Value-based care continues to account for a substantial share of U.S. healthcare payments, underscoring sustained payer investment in payment models that link reimbursement to quality and cost ...

LEAD represents a promising commitment to longitudinal accountability in care delivery and payment. This ambitious model deserves an equally progressive quality measurement framework—one that looks ...

CMS introduced several new care and payment models in 2025, many focused on drug pricing, chronic disease management and prevention: 1. CMS published plans Dec. 23 for its voluntary “Better Approaches ...

Accountable alternative payment models remained steady in 2024, according to a Feb. 2 survey by America’s Health Insurance Plans. In 2024, 44.9% of healthcare payments stemmed from alternative payment ...

Advanced therapies are pressuring reimbursement and necessitating real-world durability data and new payment models, said ...

Physician practices are engaging in new health care payment models intended to improve quality and reduce costs, but are finding that they need help with successfully managing increasing amounts of ...

Please provide your email address to receive an email when new articles are posted on . Total episode spending in a 90-day episode of care was reduced with a bundled payment model. Physicians and ...

Healthcare reimbursement models quietly shape what care you get, how much it costs, and even where it’s delivered. From fee-for-service to value-based care, each system creates different incentives ...