Value-Based Care

A new national inventory aims to expose U.S. palliative care blind spots, offering critical data to fix workforce shortages and broken reimbursement models.

New real-world data reveals a 34% drop in hospitalizations for heart failure patients using CCM therapy, bridging a crucial gap in cardiac care economics.

By proving IBSRELA reduces costly specialist visits, Ardelyx is arming itself for payer negotiations and a lucrative leap into the broader constipation market.

Amid tightening federal standards, CCA’s Massachusetts Senior Care Options plan earned a rare 4.5-star rating, proving M&A synergy can deliver better care.

As Privia Health prepares to report its Q3 2026 earnings, the physician enablement giant faces a pivotal test amidst shifting value-based care regulations.

By eliminating primary care costs for ICHRA members in the Midwest, Centene makes a calculated bet to control long-term healthcare utilization.

As CMS tightens its grip on risk adjustment data, PACE organizations are turning to specialized tech to bridge the gap between clinical care and reimbursement.

As healthcare costs soar, Midwest labor unions are partnering with direct care providers to bypass traditional insurers and cut out-of-pocket expenses.

As GLP-1 drug costs soar, Virta Health proves that AI-driven, nutrition-first metabolic disease reversal isn't just good medicine—it's a profitable business.

FWMOH and AON's new radiation oncology division is disrupting Indiana's cancer care market by bypassing hospital fees and democratizing advanced treatments.

As the healthcare industry shifts from centralized treatment to decentralized prevention, Blue Zones taps former health system executive Brett McClung as CEO.

Ciba Health’s new Mayo Clinic Platform qualification highlights a massive shift in how major hospital systems evaluate and adopt AI-driven virtual care.

Los Angeles Cancer Network's rebrand to Oncura Health signals a massive shift in Southern California, leveraging private capital to decentralize cancer care.

As Medicare Advantage margins tighten, agilon health is pivoting to Traditional Medicare, expanding its AI-driven ACO partnership with The Jackson Clinic.

Discover how Dr. Jonathan Piccini is transforming atrial fibrillation treatment by bridging academic electrophysiology with real-world patient advocacy.

A new predictive AI model reduces major fall injuries by 75%, but scaling it exposes deep economic and workforce fractures in the home care industry.

Ontario's publicly funded fetal DNA screening replaces universal injections with precision medicine, optimizing healthcare resources and securing Canada's blood supply.

Pelago's new platform uses voice AI to triage mental health and addiction care, promising massive employer savings. But does acuity matching risk rationing care?

Johns Hopkins USFHP's leap to a 4.5-star NCQA rating reveals the underlying mechanics of how targeted managed care outmaneuvers traditional commercial giants.

As commercial awards saturate the healthcare market, one New Jersey clinic proves that real value lies in specialized care and measurable clinical outcomes.