MaineHealth's Trellis Health introduces a membership-based primary care system aiming to enhance access, reduce specialist visits, and improve provider work-life balance through direct payment models. This innovative approach may influence broader primary care payment reforms.
Medicare's 2025 payment updates introduce advanced primary care and behavioral health codes poised to reshape reimbursement landscapes, addressing primary care financial challenges and influencing specialist payment cuts.
CMS's 2026 Medicare payment proposals aim to rebalance reimbursements in favor of primary care and outpatient clinics, reduce hospital-owned clinic premiums, and introduce site-neutral payments to improve Medicare value and primary care sustainability.
Analysis shows rising exits of primary care physicians from Medicare fee-for-service, highlighting access challenges for older adults and shifts to Medicare Advantage and direct primary care models.
Study reveals rising physician exit rates from Medicare fee-for-service, with primary care facing notable impact amid payment and administrative challenges.
Susan Dentzer of America's Physician Groups emphasizes accountable care relationships for Medicare beneficiaries to improve coordination, reduce hospitalizations, and support smaller practices.
Research shows that Medicaid cuts risk severing crucial patient-primary care connections, leading to worse health outcomes and higher costs. Stable insurance ensures preventive care and lowers emergency visits and spending.
Congressional consideration of Medicaid cuts threatens primary care continuity, increasing health risks and costs for millions. Stable insurance coverage is key for preventive care and managing chronic diseases.
Mercy and Humana collaborate to open 65 Prime+ clinics in Missouri, enhancing Medicare senior care with tailored primary care services and expanded access to Medicare Advantage plans.
Study shows Medicare primary care visits shifting from physician offices to hospital-affiliated and multispecialty practices, influenced by ACA funding and Medicare reimbursement policies.
