Whole-person care has become a “practical necessity,” yet payment models reflect an era “built around episodic visits, ...

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 ...

In the healthcare industry, reimbursement models have changed over the years and continue to do so. Here’s how to thrive no ...

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 ...

As the healthcare industry focuses on the efficiency, cost-effectiveness and quality of healthcare services, new payment models like bundled payments and accountable care organizations are becoming ...

As the U.S. healthcare system continues its shift away from fee-for-service (FFS) toward value-based care (VBC), the prevalence of advanced alternative payment models is increasing. Bundled payments ...

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 ...

If we want better outcomes, we need to change the way we pay for medical care. The latest Mirror, Mirror 2024 report from the Commonwealth Fund—a nonprofit organization that conducts independent ...

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 ...

Since the passing of the Patient Protection and Affordable Care Act (ACA) in 2010, the Center for Medicare and Medicaid Innovation (CMMI) has piloted more than 50 alternative payment models (APMs) ...