In October 2012, the Centers for Medicare and Medicaid Services (CMS) will launch value-based purchasing, which will impact discharge payment structures for all short-term acute care hospitals. To ...

The Centers for Medicare & Medicaid Services (“CMS”) recently finalized a rule establishing the new Ambulatory Specialty Model (“ASM”)— a mandatory value-based payment model that could apply to nearly ...

Primary care physicians are often called the quarterbacks of healthcare because they coordinate and direct patients’ journeys through the medical system. On a typical NFL team, the quarterback is the ...

On March 12, the Centers for Medicare & Medicaid Services (CMS) announced that certain Medicare value-based payment models will terminate early and signaled a new strategy will be announced soon.

Although Medicaid has been slower than Medicare to embrace value-based care, an increasing number of states are defining Medicaid value-based care delivery systems and payment reforms. While ...

This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

In its 2025 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System rule, CMS made major changes to its reimbursement framework, which is reshaping how ...

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 ...

Penetration of Medicare Shared Savings Program accountable care organizations and Medicare Advantage was not associated with substantive changes in health care use among commercial enrollees.

Medicare Advantage was supposed to be a bridge to a better healthcare payment system. For orthopedic surgeons on the front lines, it increasingly feels like a bureaucratic maze. That tension, between ...

CMMI’s agenda centers on productivity and value-based payment expansion, including outcomes-based reimbursement, Most-Favored ...