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This paper describes how the impact of the rule change will vary by ACO depending on its current situation and unique characteristics and examines the rule from the perspective of different ACO situations.

This paper provides a summary of the Centers for Medicare and Medicaid Services’ sweeping proposed regulations that will significantly change the Medicare Shared Savings Program.

This paper introduces three pillars to optimize a provider’s performance with value-based contracts: transparency, stability, and control.

CMS Final Rules for MACRA give glimpse of MSSP Track 1+ details.

This paper outlines four key negotiating strengths that allow a provider organization to create a favorable risk-sharing arrangement.

A list of five important considerations regarding the Medicare Access and CHIP Reauthorization Act of 2015 and how these may affect providers.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) may seem like it has little to do with health plans in the commercial, Medicare Advantage, or Medicaid space, but in reality, MACRA has broad and wide-ranging implications for other payers.

The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a major piece of legislation that will reshape the way in which healthcare is paid for.

This paper explores and quantifies the extent to which risk adjustment can reduce the inappropriate variation in reimbursement due to underlying patient morbidity.