Over the last decade, it has become increasingly common for self-insured plans to negotiate direct arrangements with healthcare providers—typically, large hospital systems or provider networks—under ...

CMS issued a request for information on direct provider contracting models as a possible avenue to reduce costs and improve care quality. Direct provider contracts would cut payers out of the equation ...

Last fall, the announcement that Walmart employees could go directly to top medical centers like the Mayo Clinic in Rochester, Minn., and Cleveland Clinic in Ohio for surgeries made national headlines ...

Direct primary care provider Everside Health scooped up $164 million in growth equity funding. The round was led by New Enterprise Associates (NEA) with participation from Oak HC/FT and Alta Partners, ...

Editor's Note: This is the second post of this 3-part series. Other posts in the series can be found here: Part 1 and Part 3. In all of the discussion and debate regarding Medicare for All and public ...

Northwell Health has selected Northwell Direct to supply the provider network for the health system's 2022 healthcare benefits for about 75,000 employees and dependents, eschewing the traditional ...

To bill or not to bill, that is the question. Or, more appropriately, who to bill and when to bill, that is the question. Providers who bill patients under the circumstances described below may face ...