There are two common approaches to VBP. The first is shared savings, where clinicians experience financial gains or losses based on their performance on clinical or spending outcomes. The second is ...

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 ...

Payer relations executives to know in 2026 are shaping managed care strategies at major health systems and advancing value-based payment models.

In the continuing effort to increase quality and decrease costs, health plans and providers are shifting from volume-based care to a value-based reimbursement structure. Value-based reimbursement ...

There is no doubt that the government is accelerating its shift to value-based payments, where physicians are rewarded — to an increasing extent — for quality, rather than quantity of care. And it’s ...

In the world of Medicare Advantage, a disturbing shift is occurring. What began as a noble push toward value-based care has increasingly morphed into an aggressive pursuit of value-based payment ...

The trend toward value-based payment for healthcare services is gaining momentum. For better or for worse, we have paid for healthcare in the U.S. on a fee-for-service basis – from the perspective of ...

Just over three-quarters of health system and hospital C-suites say they plan to increase value-based care model participation within the next two years, up from the 57% who indicated similarly back ...

Among more than 3 million Medicare Advantage enrollees, value-based payment models outperformed fee-for-service models for all 15 clinical quality outcomes. The mean score differences for blood ...

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 ...

The U.S. health care system’s evolving transition to value-based payment presents unique challenges and opportunities for individuals with a serious illness who benefit from receiving coordinated care ...

Most physicians surveyed said the move toward value-based payment is ineffective and has increased regulatory burdens, according to the 2018 MGMA Regulatory Burden Survey. MGMA surveyed 426 ...