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Providers, payers see direct contracting's capitation as an important move to value-based care


Photo: Cecilie Arcurs/Getty Images
Over the past several years, the big trend in healthcare has been to inch away from fee-for-servicereimbursement and toward value-based care, in which a provider s reimbursement is tied more to clinical quality than to volume. The industry, policymakers and the federal government have attempted this shift through a number of legal and regulatory means, and one policy that has proven popular in this regard, among both providers and payers, is direct contracting.
In basic terms, direct contracting is a population-based model that allows for the use of capitation. This is what sets it apart: Aside from Next Gen and Pioneer, virtually all of the other compensation-based models from the Centers for Medicare and Medicaid Services are billed as fee-for-service, with a reconciliation 18 months later. ....

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We Hear You: Supreme Court Abandons Christian Florist


We Hear You: Supreme Court Abandons Christian Florist
Commentary By
Ken McIntyre, a 30-year veteran of national and local newspapers, serves as senior editor at The Daily Signal and The Heritage Foundation s Marilyn and Fred Guardabassi Fellow in Media and Public Policy Studies. Send an email to Ken.
Editor’s note: The Daily Signal’s audience appears flabbergasted that the Supreme Court refused to hear the case of a florist in Washington state who declined to do floral arrangements for a same-sex wedding. Here’s a sampling from the mailbag at [email protected] Ken McIntyre
Dear Daily Signal: In his story “Supreme Court Refuses to Hear Appeal of Christian Florist in Same-Sex Wedding Case,” Fred Lucas reports that an ACLU lawyer said of florist Barronelle Stutzman’s case, “No one should walk into a store and have to wonder whether they will be turned away because of who they are.”   ....

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