Medicare is a federal health insurance program that primarily provides health insurance for Americans aged 65 and older. Establish in 1965, the program expanded in 1972 to cover younger Americans who have a long term disability. Medicare consists of four different parts: Part A covers inpatient hospital stays, Part B covers physician visits, outpatient services and preventative care, Part C covers the Medicare Advantage program, and Part 4 covers outpatient prescription drugs through contracted plans. Medicare reimbursement rates often play a role in the reimbursement rates that private healthcare plans offer.
The Center for Medicare and Medicaid Innovation consistently works with policymakers, providers and other key stakeholders to construct and test alternative payment and delivery models. Medicare has tested a variety of new models, most of which focus on shifting the emphasis to quality care and provide incentives for hospitals and providers to lower spending and decrease cost to patients, while providing higher quality care.
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Strengthening Affordability and Quality in America's Health Care System:Five Consensus Recommendations from the Partnership for Sustainable Health Care | Aprile 2013 | Partnership for Sustainable Health Care | |
State Innovation Model Testing Winning States:Payment and Delivery System Reform Analysis | Marzo 2013 | National Academy for State Health Policy - State (re)Forum | |
Center for Medicare & Medicaid Innovation: Where Innovation is Happening | Febbraio 2013 | Center for Medicare and Medicaid Innovation | |
State-by-State Health Insurance Exchange Activity | Febbraio 2013 | Kaiser Family Foundation |
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PCC Responds to CMS Proposals to Enhance Equity, Behavioral Health in Medicare Advantage | Febbraio 14, 2023 | |
27 Organizations, led by PCC and NAACOS, Urge CMS to Create Primary Care Hybrid Payment Option in MSSP | Marzo 23, 2023 | |
Doctors Give Medicare’s Proposal To Pay For Telemedicine Poor Prognosis | Ottobre 10, 2018 | |
PCPCC Applauds CMS Initiative to Deliver New Medicare Payment Models Emphasizing the Centrality of Primary Care | Aprile 23, 2019 | |
PCPCC Responds to Latest SGR Proposal from Senate Finance and House Ways & Means | Novembre 12, 2013 | |
Innovation At The Centers For Medicare And Medicaid Services: A Vision For The Next 10 Years | Agosto 12, 2021 | |
Better Health – NOW Backs Senate Behavioral Health Integration Measure | Luglio 10, 2023 | |
Pay for What Patients Want: Primary Care for the Whole Person | Agosto 9, 2023 | |
Ensuring Access to Primary Care for Women and Children Act | Agosto 27, 2014 | |
5 initial reactions to the proposed MACRA rule | Becker's Hospital Review | Aprile 29, 2016 |