Success of the accountable care organization (ACO) model may require stronger financial incentives, such as including downside risk in contracts. Using the National Survey of ACOs, we explored ACO ...

Mean in-network commercial allowed amounts and charges per anesthesia conversion factor are 314% and 659% of traditional Medicare rates, respectively. Medicare Advantage payments align with ...

An increasing number of people with employer-sponsored insurance are covered by an insurer that offers Medicare Advantage in the state. Objectives: Commercial health insurers can participate in the ...

All but one of seven large commercial payers reported growth in their Medicare Advantage and other private Medicare membership in the third quarter of fiscal year 2019. Here’s how CVS Health-owned ...