Pharmacists in Ohio managing care as providers—and getting paid for it too
An insurer-led experiment adds community pharmacists to care teams in the hope of controlling chronic conditions and reducing hospital readmissions. More
Capitated payment models come with lots of hidden and not-so-hidden hurdles
The pandemic has prompted many physician groups to consider taking on risk, including capitated payments. Experts say there are regulatory, logistical hurdles to consider. More
Value-based care now at risk
Both CMS and healthcare providers are using COVID-19 as an excuse to cut back on their experiments in value-based care, a severe blow to those hoping the pandemic would catalyze badly needed change. More
How Foundational Moments In Medicaid’s History Reinforced Rather Than Eliminated Racial Health Disparities
The past months have laid bare the inextricable connection between two pandemics in the United States: COVID-19, which is disproportionately affecting Black Americans, and systemic racism, which has set the foundation for the stark health disparities we see today. More
The Hospital Industry Is In A Financial Mess: We Have A Unique Opportunity To Fix It
Since the declaration of COVID-19 as a pandemic in early March 2020, there has been a deluge of articles describing its horrible effects on hospital finances. More
Out-of-work patients, families eye direct primary care as their best healthcare options during COVID
Faced with skyrocketing health insurance premiums, Texans are turning to a growing niche of primary care to cover their medical needs during the pandemic. More
Primary Care Doctors Look at Payment Overhaul After Pandemic Disruption
Like other businesses around the country, many doctors were forced to close their offices — or at least see only emergency cases — when the pandemic struck. That led to sharp revenue losses, layoffs and pay cuts. More
Family doctor, employer groups join forces to replace fee-for-service
The American Academy of Family Physicians and National Alliance of Healthcare Purchaser Coalitions look to scale a care model that aims to shift away from fee-for-service reimbursement. More
COVID-19: A Boost for Capitated Payment Models
They can provide a steady income even in 'down' times More
Mayo Clinic to launch national hospital-at-home model
Mayo, in partnership with Medically Home, aims to deliver more affordable and efficient high-acuity care to patients typically bound to the hospital. More