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.
Title | Source | Date |
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Implementing MACRA:Implications for Physicians and for Physician Leadership | JAMA | June 14, 2016 |
MSSP Final Rule 'Small Step in the Right Direction', Says NAACOS | Health Leaders Media | June 13, 2016 |
Medicare Final Rule Boosts ACO Care Coordination Incentives | Fierce Healthcare | June 7, 2016 |
Medicare Makes Enhancements to the Shared Savings Program to Strengthen Incentives for Quality Care | CMS | June 6, 2016 |
Geisinger Patient-Centered Medical Home Cuts Care Costs by 9% | HealthIT Analytics | June 2, 2016 |
Elderly, Ailing—and Treated at Home:A pilot program that is good for patients and for taxpayers merits extension by Congress | Wall Street Journal | May 2, 2016 |
Breaking Down The MACRA Proposed Rule | Health Affairs | April 29, 2016 |
5 initial reactions to the proposed MACRA rule | Becker's Hospital Review | April 29, 2016 |
Medicare Proposes New Doc Pay System | Bloomberg BNA | April 27, 2016 |
Moving toward improved care through information | CMS Blog | April 27, 2016 |