How hospitals and physicians get paid is changing as the U.S. healthcare system transitions from volume-based to value-based care. Reimbursement methodologies need to allow for a plan to control costs, […]

Accurate reimbursement is key to managing the Medicaid population, which tends to be higher risk and lower margin. This is increasingly important as plans move toward value-based payment and ask […]

I’ve spent much of the last few months traversing the State of New York speaking to our Medicaid MCOs about their strategies to reach the state’s value-based purchasing (VBP) goals. It’s […]