* The State Agency Made Unallowable Payments to Certain Medicaid Managed Care Entities ... 5 - Unallowable Prepaid Inpatient Health Plan Payments ... 5 - Unallowable Prepaid Ambulatory Health Plan ...

Many healthcare delivery organizations have adopted some form of value-based payment model in recent years, shifting the healthcare focus from quantity of services to quality of outcomes. In a ...

Physicians in large California physician groups, who have capitated contracts with payors, are concerned that proposed payment formulas for accountable care organizations would result in low ...

The option of capitated payments for accountable care organizations makes it possible for ACOs to lose money if they fail to reduce the cost of care, according to a report by the Wall Street Journal ...

Add Yahoo as a preferred source to see more of our stories on Google. (COLORADO) — An audit by the Office of the Inspector General (OIG) is reporting that approximately $6 million in payments were ...

Veterans with VA benefits are enrolling in MA plans, raising concerns about duplicative federal spending due to substantial capitated payments. A study found no significant differences in dental and ...

There are two common approaches to VBP. The first is shared savings, where clinicians experience financial gains or losses ...

Increasing Medicare Advantage payments for full Medicaid enrollees was not associated with meaningful changes in inpatient or nursing home use. Objective: To address concerns about payment adequacy in ...

This article is the latest in the Health Affairs Forefront featured topic, Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...