Over the last decade, it has become increasingly common for self-insured plans to negotiate direct arrangements with healthcare providers—typically, large hospital systems or provider networks—under ...

Over the past several years, the big trend in healthcare has been to inch away from fee-for-service reimbursement and toward value-based care, in which a provider's reimbursement is tied more to ...

Employers are actively seeking out alternatives to curb rising health benefit costs by sidestepping traditional carriers, a new report from Brighton Health Plan Solutions shows. Of the 150 health ...

As employers look for new ways to control healthcare costs and provide innovative healthcare offerings to their employees, employers are starting to consider the “direct-to-provider” contracting model ...

Last fall, the announcement that Walmart employees could go directly to top medical centers like the Mayo Clinic in Rochester, Minn., and Cleveland Clinic in Ohio for surgeries made national headlines ...

Value-based care is an amorphous concept that covers a lot of the so-called alternative payment methodologies driving a lot of current transformation in healthcare. The basic premise for value-based ...

Bundled payment has shown promise in reducing medical spending while maintaining quality. However, its impact among commercially insured populations has not been well studied. We examined the impacts ...

Paladina Health announced this week it is acquiring Healthstat, adding more than 230 clinics to its direct primary care system. Healthstat is a provider of onsite, near-site, shared and virtual ...

Carla Hewitt knew it was her calling to work in disability care. After more than 30 years in the field, she stays out of pure love. "I had a family member with a (developmental disability), and it ...

Rather than bringing the same entities that have raised costs in Medicare Advantage into traditional Medicare through Direct Contracting, CMS should provide a multi-year strategy to make the ACO ...