According to telehealth.org, policy changes have also helped telehealth become a permanent option for Medicare patients. The Consolidated Appropriations Acts of 2021 and 2023 removed limits on where ...

Medicare Advantage SNF utilization grew to 47.6% in 2024, with shorter stays and higher occupancy, per Plante Moran's benchmarking report.

This article is the latest in the Health Affairs Forefront major series, Medicare and Medicaid Integration. The series features analysis, proposals, and commentary that will inform policies on the ...

Medicare Advantage (MA) patients perform better compared to traditional fee-for-service Medicare on some diabetes outcomes including earlier diagnosis, according to a new analysis. The analysis, ...

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 ...

For decades, chronic disease management in Medicare has been hampered by a fee-for-service payment system that rewards volume and activity rather than true clinical improvement. This model created ...

Medicare pays for physician services on the basis of a fee schedule. The fee schedule assigns a “relative value” for each service that reflects the estimated resources necessary for that service (in ...

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 ...

As enrollment in Medicare Advantage (MA) has grown, critics have been pointing to studies showing the government overpays for these private offerings relative to traditional fee-for-service (FFS).

Medicare's recently-announced 2023 physician payment rule likely trims doctors' pay even as it aims to expand patients' access to behavioral health services, chronic pain management, and hearing ...