Today’s payment models discourage quality improvement in healthcare and drive up costs for everyone, according to an analysis by David Bailey, MD, MBA, president and CEO of Jacksonville, Fla.-based ...

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 ...

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 ...

On Jan. 1, CMS launched the latest value-based care model known as the Transforming Episode Accountability Model, or the TEAM ...

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 ...

The Bundled Payments for Care Improvement Advanced Model (BPCI-A) aims to reduce hospital spending and generate savings for the Centers for Medicare and Medicaid Services (CMS). The design of BPCI-A ...

Despite efforts to shift provider payment away from fee-for-service and toward more risk-based alternatives, fee-for-service remains dominant -- and is growing, according to a study published in ...

Previously, healthcare providers were reimbursed based on the volume of patients and services rendered, with less attention on outcomes. However, various initiatives introduced by CMS are driving the ...

CMS has been trying to scale value-based care for decades with mixed results — but the agency’s newly announced ACCESS model could represent a more meaningful step toward aligning payment with ...