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 ...

"Direct Contracting Entities (DCEs) and their Wall Street investors hoped they could fly under the radar of seniors, health care advocates, and members of Congress," said Dr. Susan Rogers, president ...

Organizations in a discontinued Medicare accountable care model saved the program $372 million in 2022, more than five times the prior year, according to recent data from the CMS. Direct contracting ...

The Biden administration has come under pressure in recent weeks to modify, or even pull back entirely, the Center for Medicare and Medicaid Innovation’s Direct Contracting Model, which was originally ...

In this two-part post, we will attempt to explain the perverse MA business model that underlies this elevated level of investment, and we will explore its connection to the Direct Contracting model ...

(NEXSTAR) — At a hearing on Capitol Hill Wednesday, House lawmakers examined a method to potentially lower healthcare costs that removes insurers from the process. Through direct contracting, ...

HUNTINGTON BEACH, Calif.--(BUSINESS WIRE)--Landmark Health and its affiliated medical groups (Landmark) today announced participation in the Center for Medicare and Medicaid Innovation’s (Innovation ...

The 32BJ Health Fund spent the better part of a decade overhauling its benefits to tame soaring healthcare costs. The health plan, which covers about 170,000 members of Service Employees International ...

On November 1, 2024, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year 2025 final rule for services reimbursed under the Medicare physician fee schedule. Among other ...