CMS’ new ACCESS model, slated to begin on July 1, aims to shift traditional Medicare fee-for-service toward value-based care ...

CMS filed a proposal July 11 to eliminate a rule that requires state Medicaid plans to record their fee-for-service payments. The proposal, signed by HHS Secretary Alex Azar and CMS Administrator ...

OKLAHOMA CITY (KFOR) — The Centers for Medicare and Medicaid Services will be implementing prior authorization requirements for certain traditional fee-for-service Medicare services in six states, ...

Original Medicare primarily operates on a fee-for-service (FFS) system, billing for each service provided. Some Medicare Advantage (Part C) plans also use this payment model via private FFS plans.

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 ...

The Medicaid Primary Care Improvement Act would allow states to contract directly with direct primary care (DPC) practices, ...

The Medicare-eligible population continues to grow as Baby Boomers age into the program. Medicare is expected to see continued growth through 2030, when all Baby Boomers will be eligible. Medicare ...

Among more than 3 million Medicare Advantage enrollees, value-based payment models outperformed fee-for-service models for all 15 clinical quality outcomes. The mean score differences for blood ...

The American health care system has two distinguishing characteristics. First, similarly situated individuals pay the same premium, regardless of their medical conditions. Put differently, no one who ...