The distinction between value-based care and value-based payment isn’t merely semantic — it represents a crucial fork in the road for healthcare delivery. As AI and other technologies become more prevalent in healthcare, we must ensure they’re deployed in service of improving patient care rather than merely optimizing revenue. The post The Dark Side of…
it is essential that more individuals receive high-quality, evidence-based primary care. While government agencies are working towards this objective, significant efforts can also be made at the community level and by independent primary care providers. The post 4 Ways to Help Vulnerable Patients Engage with Primary Care appeared first on MedCity News.
Federal spending on the Medicare Advantage quality bonus program has more than quadrupled since 2015, rising to at least $12.7 billion in 2025. Most Medicare Advantage enrollees are in a plan that receives a bonus payment in 2025, with employer- and union-sponsored plans receiving the highest bonus payments and special needs plans receiving the lowest…
Senators Elizabeth Warren and Josh Hawley and Representatives Diana Harshbarger and Jake Auchincloss introduced the Patients Before Monopolies Act on Wednesday. It aims to prohibit the parent company of a PBM or insurer from owning a pharmacy business. The post Senators, Representatives Introduce Bill That Would Ban Joint Ownership of PBMs and Pharmacies appeared first…
The CMS vision is ambitious, but so is the potential for rehab therapy to shape its execution. To do that, providers must actively engage, document their impact, and advocate for their inclusion in evolving models of care. The post What the New CMS Strategy Signals for Rehab Professionals appeared first on MedCity News.
Alzheimer’s costs American families upwards of $360 billion per year, and with our growing aging population, the disease needs to be more of a public health priority. The post The Dementia Diagnosis Gap Is Wider Than We Think appeared first on MedCity News.
By JASON HINES On August 1, 2025, Capital Women’s Care (CWC), one of the largest OB/GYN practices in the Mid-Atlantic region went out-of-network with UnitedHealthcare, affecting tens of thousands of women across Maryland, Virginia, Pennsylvania, and Washington D.C. The contract dispute between Capital Women’s Care (CWC) and UnitedHealthcare offers a fascinating case study in how price transparency…
Letters to the Editor is a periodic feature. We welcome all comments and will publish a selection. We edit for length and clarity and require full names. What’s Up With Our Wheat? Great article (“How the FDA Opens the Door to Risky Chemicals in America’s Food Supply,” March 10). Another topic that needs more research is the fact…
Bain & Co./KLAS Research survey finds 75% of providers and payers have increased IT investments
The $50 billion program funding will be distributed to approved states over five years