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 ...

A coalition of providers and accountable care organizations wants Congress to restore Medicare bonus payments they see as ...

Mark Miller, PhD, executive vice president of healthcare at the philanthropy Arnold Ventures, said Congress should try to shift Medicare away from its current reliance on the fee-for-service model.

Private Fee-for-Service (PFFS) plans are one of four main types of Medicare Advantage policies that private insurance companies administer. The plans have specific rules relating to costs paid to ...

Rigorous answers about the program’s effects on drug innovation are still a ways off. However, some information about ...

Recent Centers for Medicare and Medicaid Services rules have ... index that better reflects current patterns of spending and service use. We found that, based on this updated index, Medicaid ...

fee-for-service, or global budget. Switching to a single-payer healthcare system would likely affect the current government-funded healthcare options, such as Medicare and Medicaid. Some proposals ...

Cohen K, Ameli O, Chaisson CE, et al. Comparison of care quality metrics in 2-sided risk Medicare Advantage vs fee-for-service Medicare programs. JAMA Netw Open . 2022;5(12):e2246064. doi:10.1001 ...

The researchers analyzed all Medicare fee-for-service beneficiaries who had received lecanemab between July 1, 2023 and March 31, 2024. They compared the demographics of these lecanemab users with ...

Lumos secures reimbursement coverage for its FebriDx point-of-care respiratory test from a fifth US Medicare Administration ...

Experts said the move, which did not offer explicit guidance to hospitals, could discourage doctors from performing emergency ...