Fee For Service

Improper fee-for-service Medicare payments at lowest level since 2013

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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.

Medicare spending growing at slower rate

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Medicare spending slowed to a 4.5% growth rate in 2015, even as payments for nursing homes increased, according to a new analysis.

Fee-for-service still consumes most Medicare outlays: Report

Fee-for-service still consumes most Medicare outlays: Report

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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 released Tuesday.

The end of fee for service

The end of fee for service

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 quality benchmarks (CMS measures quality of care using 33 measures in four key domains) - was planted long ago, in the baby boom.

Keeping score in 2014

Keeping score in 2014

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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 across multiple markets in 2014. This year ACOs will proliferate and will include SNFs in a real way. Bundled payment experiments will be beginning all over the country.

Integrated care coordination for dual eligibles lowers readmission rates in case study

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Dual eligibles in an Arizona integrated coordinated care plan had a 21% lower hospital readmission rate than their counterparts in Medicare fee-for-service programs, a new analysis reveals.