Healthcare Finance News

Providers, payers see direct contracting's capitation as an important move to value-based care

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 ...
Becker's Hospital Review

CMS seeks information on direct provider payment models

CMS issued a request for information on direct provider contracting models as a possible avenue to reduce costs and improve care quality. Direct provider contracts would cut payers out of the equation ...
Health Affairs

Medicare Advantage, Direct Contracting, And The Medicare ‘Money Machine,’ Part 2: Building On The ACO Model

Given an Orwellian title, Direct Contracting, launched by Center for Medicare and Medicaid Innovation (CMMI), was anything but direct. “Indirect Contracting” would have been a far more accurate name, ...
MarketWatch

Are Employers Bypassing Traditional Insurance? Nationwide Survey Finds 75% of Large Employers Engaged in Direct Provider Arrangements

NEW YORK, Aug. 22, 2024 /PRNewswire/ -- According to a new report from Brighton Health Plan Solutions, LLC, an overwhelming 75% of employers surveyed are engaged in direct contracts as part of their ...
Business Wire

Northwell Health Selects Northwell Direct’s Provider Network for Employee Benefit Plan for New York State’s Largest Private Workforce

NEW HYDE PARK, N.Y.--(BUSINESS WIRE)--Northwell Direct today announced that it has been selected by Northwell Health to supply the provider network for the health system’s 2022 health care benefits ...
FOX8 Cleveland

Are Employers Bypassing Traditional Insurance? Nationwide Survey Finds 75% of Large Employers Engaged in Direct Provider Arrangements

Report highlights key criteria for successful direct contracts and emerging opportunities for providers. It's a significant and surprising shift in how companies manage healthcare and signals an ...