The Center for Medicare and Medicaid Innovation has created a new direct contracting model to enable Medicaid Managed Care Organizations to better serve enrollees who are dually eligible for Medicare ...
NEW YORK, NY, UNITED STATES, January 2, 2026 /EINPresswire.com/ — Foster Crown, a healthcare management and consulting firm, is entering 2026 with a bold and unprecedented model that is reshaping how ...
Direct contracting allows all types of customization that can cut costs for the insured, while still making service providers happy. Health insurance plans aren’t black and white, but instead they ...
Here's how employers are cutting insurers and other middlemen out of the health care coverage picture. Employers can save significant amounts of money by contracting directly with hospitals and other ...
Health systems are brokering arrangements for not only themselves but other employers looking for direct contracting gains. A growing number of providers are disintermediating the payer space through ...
The National Association of Accountable Care Organizations on Thursday will launch a direct contracting taskforce to help doctors and hospitals take advantage of new government pay models. The ...
A Medicare program that kicked off April 1 promises healthcare upstarts more patients and revenue. But little-known details about the program show that it won't be easy for companies to profit.
In Part one of this two-part post, we explored the reasons for surging growth and profits in the Medicare Advantage (MA) program and the dynamics, largely related to risk-coding games, that make MA a ...
Medicare Advantage startup Clover Health has doubled its managed lives with the advent of Medicare's new direct-contracting model, and it has enlisted two home-based care providers to help it find ...
After telling investors that it would more than quadruple its membership base in a year, insurance startup Clover Health is cutting its projections in half. The insurance startup now plans to end the ...
The Centers for Medicare and Medicaid Services has redesigned its Medicare Direct Contracting Model to an Accountable Care Organization model focused on health equity. The ACO Realizing Equity, Access ...
More hospitals are contracting directly with large employer groups to deliver healthcare services, but the challenge of executing such an arrangement is formidable. Direct contracting has become more ...
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