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 ...

Medicare Advantage beneficiaries were less likely to be hospitalized and die from COVID-19 during the first nine months of the pandemic compared with their fee-for-service counterparts ...

However, there are solutions for these Medicaid fee-for-service states. MMP is a demonstration program (ending in 2025) that includes a three-way contract among a state, the Centers for Medicare ...

With costs nearly 10% less than traditional fee-for-service Medicare, Medicare Advantage plans routinely keeps seniors out of the hospital and emergency rooms, two of the most expensive and ...

Across selected conditions and over time, Medicare beneficiaries enrolled in MA have fewer inpatient hospital stays than beneficiaries in fee-for-service. After an inpatient stay, MA enrollees are ...

Medicare Advantage patients may receive higher quality diabetes care than traditional fee-for-service Medicare beneficiaries, a new analysis found. This includes earlier detection of diabetes and ...

Seniors enrolled in private Medicare Advantage plans had one-third fewer emergency room visits and 23% fewer stays in a hospital than those enrolled in traditional fee-for-service Medicare ...

For dually eligible beneficiaries, Medicare Advantage (MA) plans outperform Medicare fee-for-service (FFS) plans, according to a new study from Avalere. The study compared the costs and outcomes ...

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 ...

Medicare Advantage, which has been in existence for 30 years, used to lag the traditional fee-for-service Medicare model because it was more expensive and delivered uneven quality of service ...

While almost half of all Medicare beneficiaries are now enrolled ... in MA differ from those who join traditional Medicare Fee-for-Service (FFS) in terms of their health, demographics, and ...