Continuing to use fee-for-service care for Medicaid and dual-eligible recipients could cost the federal government upwards of $4.4 trillion over the next 10 years, according to a UnitedHealth Group ...
It’s March, which means one thing for sports fans: the madness of the NCAA men’s and women’s basketball tournaments. However, to folks in the regulatory world, it also means something else too: the ...
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 ...
Models that provide hybrid payments to primary care practices without adding financial risk are effective at supporting the ...
Many state Medicaid programs suffer awful reputations: outrageously high per capita spending, mediocre care quality, coverage for medically dubious procedures, and widespread fraud, to name just a few ...
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 ...
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.