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Healthcare Payment Models

Creative healthcare finance and making use of alternative payment models can lead to innovative healthcare payment solutions that drive value. How does your organization's revenue model stack up?

New Marketplace
New Risk, New Business Models

Changing How We Pay for Primary Care

Primary care accounts for more than half of the United States’ office visits, but direct spending on primary care is only a tiny portion of our nation’s total health cost.

New Marketplace
New Risk, New Business Models

Getting Real about Health Care Costs — A Broader Approach to Cost Stewardship in Medical Education

In the next era of cost-stewardship education, future and current physicians will have to be taught to reduce spending across the care continuum.

Leadership

Data Graphic: The ACA Repeal Update

NEJM Catalyst’s regular review of proposed health care legislation as it compares to the Affordable Care Act.

Leadership

Data Graphic: How the American Health Care Act Will Impact Americans

Older, low-income consumers are the biggest losers when it comes to impact on premiums.

New Marketplace
New Risk, New Business Models

Medicare Payment for Behavioral Health Integration

Four new codes that went into effect at the start of 2017, to pay clinicians for BHI services they provide to Medicare beneficiaries, are a major step forward.

New Marketplace
New Risk, New Business Models

Going Dutch: Using Social Capital in Health Care

There is no reason that the opportunities created by social capital cannot be realized in other countries.

New Marketplace
New Risk, New Business Models

Should Medicare Value-Based Purchasing Take Social Risk into Account?

Strategies for monitoring quality of care for socially at-risk patients and reducing disparities.

New Marketplace
New Risk, New Business Models

A View from the Front Line — Physicians’ Perspectives on ACA Repeal

A new survey finds that primary care physicians strongly endorse key elements of the Affordable Care Act that enable individuals to obtain insurance coverage and that very few support repealing the law.

Leadership

Data Graphic: What’s Easy and Hard About Changing the ACA

On the Affordable Care Act road map to repeal, some quick options are available, but comprehensive replacement will take time and political compromise.

New Marketplace
New Risk, New Business Models

Improve Quality, Control Spending, Maintain Access — Can the Merit-Based Incentive Payment System Deliver?

Under MACRA, the MIPS payment plan grants much discretion to clinicians. The result may be unintended practice responses that require adjustments from CMS.

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