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 Bundled Payments for Care Improvement Advanced Model (BPCI-A) aims to reduce hospital spending and generate savings for the Centers for Medicare and Medicaid Services (CMS). The design of BPCI-A ...

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 ...

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 accountable care organization will close by the end of 2025. OneCare worked to lower health care costs and improve patient outcomes by moving away from a fee-for-service payment model for ...

Policymakers are exploring reforms to address shortcomings of risk adjustment that inflate Medicare Advantage payments 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 reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.