Value-based care and alternative payment models: What they are and how they work
Value-based care (VBC) is an approach to healthcare that seeks to improve the quality, outcomes and experience of care while managing its cost. Rather than rewarding healthcare organizations solely for the volume of services they provide, value-based arrangements link some or all payment to measures of quality, outcomes, utilization or total cost of care. The…
Ways to align financial performance and the patient experience
In response to increased healthcare costs for patients, revenue cycle leaders are prioritizing patient balances and improving the financial experience while seeking solutions that support both patients and near-term financial performance.
News Briefs: CMS proposes new 340B reporting requirements
The 2027 proposed rule for the Medicare Physician Fee Schedule includes a provision that would require hospitals to submit 340B Drug Pricing Program data to a centralized repository. Providers would submit 340B-related Medicare Part D claims data to the repository starting Jan. 1. CMS intends to assess whether the data can be used to exclude 340B…
GLP-1s spur a new calculation of healthcare value
The core tension in the policy debate around GLP-1 drugs is whether to view the products merely as a high-cost pharmacy benefit or more holistically through the prism of population health. In some ways, the choice is tilted: The ultimate payoff of the drugs formally known as glucagon-like peptide-1 receptor agonists is uncertain and subject…
Specialized enablement support to build and scale cell and gene therapy programs
Dive into this business profile to learn how health systems can develop a sustainable strategy to support broader patient access to cell and gene therapies (CGT).
From fragmented outreach to coordinated action: building a value-based care operating model
Value-based care is operating at scale. In 2026, 511 Accountable Care Organizations in the Medicare Shared Savings Program serve approximately 12.6 million people with traditional Medicare, the largest beneficiary population in program history. CMS reports approximately $2.5 billion in net Medicare savings and $4.1 billion in shared savings for the most recently reconciled performance year.…
Debate on hospital merger antitrust review draws focus to access and margins
Amid recurring criticism about the impact of hospital-led consolidation, a new report recommends that regulators look beyond price increases in evaluating mergers within the sector. Commissioned by the American Hospital Association and prepared by Kaufman Hall, the report states that merger reviews should also consider hospital financial stability, access to care and the impact on…
Healthcare Finance mid-year trends
Discover the latest mid-year trends shaping healthcare—from AI and automation to patient experience, financial health, technology, and leadership priorities.
When healthcare navigation needs clinical accountability
Healthcare navigation has become an important part of the employer benefits strategy. It can help employees understand coverage, find in-network providers, schedule appointments and work through administrative barriers. But access support and clinical care management solve different problems. That distinction matters when an employee’s need involves symptoms, medication concerns, a recent hospitalization or a worsening…
How Senior Living Finance Leaders Are Navigating Margin Pressure and New Growth Priorities
Download this infographic to uncover five key trends and benchmark your finance strategy against industry leaders.