Fee-For-Service

Managed care plans typically hold all the cards when it comes to rate-setting. But a new way of analyzing billing data could finally give increasingly leveraged providers a better leg to stand on, financial...

Rural Medicare beneficiaries are less likely than their urban peers to receive care from either a nursing home or home health agency following acute hospitalization, conclude investigators with the University...

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

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...

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...

Well-designed programs to coordinate care for patients with complex needs can reduce Medicare expenditures, including skilled nursing facility costs, according to an issue brief released Thursday by The...

The predominance of fee-for-service payment methods is the greatest barrier to improving efficiency in the nation’s healthcare system, according to a May 29 report from a panel of White House advisors....

Fee-for-service payment methods are the greatest impediment to an efficient healthcare system by incentivizing volume instead of better outcomes, advisors declared last week in a report to President Obama.

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...