Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

As the healthcare industry focuses on the efficiency, cost-effectiveness and quality of healthcare services, new payment models like bundled payments and accountable care organizations are becoming ...

Transitioning from FFS to salaried models may reduce low-value surgical interventions, with a 41% change in odds observed. The study analyzed TRICARE claims, noting a decline in low-value procedures ...

Providers must prepare both for shifting demographics and a new “Fee-for-Value” system that will continue to shift how the government pays for skilled nursing care, the head of the nation’s top ...

Despite efforts to shift provider payment away from fee-for-service and toward more risk-based alternatives, fee-for-service remains dominant -- and is growing, according to a study published in ...

Previously, healthcare providers were reimbursed based on the volume of patients and services rendered, with less attention on outcomes. However, various initiatives introduced by CMS are driving the ...

The Centers for Medicare and Medicaid Services launched a new risk-based primary care initiative on Monday to accelerate the shift toward value-based reimbursement with a focus on health IT and ...

This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...

CMS has been trying to scale value-based care for decades with mixed results — but the agency’s newly announced ACCESS model could represent a more meaningful step toward aligning payment with ...

This article is the latest in the Health Affairs Forefront featured topic Accountable Care for Population Health, featuring analysis and discussion of how to understand, design, support, and measure ...