The Medicare Shared Savings Program encourages hospitals and other healthcare providers to form accountable care organizations (ACOs) to deliver coordinated, high quality care to Medicare enrollees ...

Shared savings and gainsharing are two ways to align providers’ interests to decrease healthcare costs as the healthcare industry transition from volume to value. Gainsharing is the direct payment by ...

The No Surprises Act has protected patients from surprise medical bills. However, the law’s incentives for insurers acting as third party administrators to push providers out of network and ...

CMS’s Accountable Care Prospective Trend (ACPT) may improve benchmark setting but could also create other difficulties. CMS could address the immediate challenges posed by the recent gap between the ...