Analysts break ground with first batch of SNF Medicare Advantage data
By
James M. Berklan
Oct 11, 2021
Managed care plans typically hold all the cards when it comes to rate-setting. But a new way of analyzing billing data could finally give increasingly leveraged providers a better leg to stand on, financial...
Improper fee-for-service Medicare payments at lowest level since 2013
By
Emily Mongan
Nov 17, 2017
Improper fee-for-service payment rates in the Medicare program dropped from 11% in 2016 to 9.5% in 2017 — the lowest rate since 2013, the Centers for Medicare & Medicaid Services reported.
Fee-for-service still consumes most Medicare outlays: Report
By
John Hall
May 07, 2015
Far more than half of the $360 billion in Medicare payments made just two years ago were based on traditional fee-for-service models without regard to quality or value, according to an independent report...
The end of fee for service
By
Mark Fish
Sep 12, 2014
The seeds that have flowered into the burgeoning of ACOs – groups of providers accepting the responsibility, and risk, for caring for the health of a designated patient population according to defined...
Report: Complex care management can succeed, reduced Medicare SNF expenditures 64% in one instance
By
Tim Mullaney
Aug 08, 2014
Well-designed programs to coordinate care for patients with complex needs can reduce Medicare expenditures, including skilled nursing facility costs, according to an issue brief released Thursday by The...
Panel slams fee for service
By
Amy Novotney
Jul 01, 2014
The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation’s healthcare system, according to a May 29 report from a panel of White House advisors....
Obama advisors urge faster shift to value-based reimbursement of healthcare providers
By
John Hall
Jun 02, 2014
Fee-for-service payment methods are the greatest impediment to an efficient healthcare system by incentivizing volume instead of better outcomes, advisors declared last week in a report to President Obama.
Keeping score in 2014
By
Anne Tumlinson
Feb 21, 2014
If new payment reform initiatives sowed the seeds of small disruptions in 2013 — narrowing referral networks and prompting clinical integration, those seeds will start sprouting bigger disruption...
Bundled payment groups should replace fee-for-service, physician pay commission says
By
McKnight's Staff
Mar 05, 2013
The current fee-for-service healthcare model should be replaced with bundled payment systems that encourage more coordinated care, the National Commission on Physician Payment Reform said in a report released...
Response to bipartisan Medicare overhaul falls along party lines
Dec 16, 2011
A Medicare reform proposal touted as a “premium support” plan has drawn criticism from the White House, other Democrats and Medicare advocates.