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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Hurdles surface, but optimism remains for permanent 'doc fix' | Modern Healthcare | March 16, 2015 |
'The right direction' :Primary-care docs see promise in CMS' proposed pay for non face-to-face work | Modern Healthcare | July 15, 2013 |
CMS has a plan if federal judge strikes down ACA | Modern Healthcare | November 27, 2018 |
Proposed SGR deal would advance GOP goal of privatizing Medicare | Modern Healthcare | March 18, 2015 |
'Doc fix' still on track despite two weeks to lose steam | Modern Healthcare | April 9, 2015 |
Medicare's Pioneer program down to 19 ACOs after three more exit | Modern Healthcare | September 25, 2014 |
Few Docs Ready for Risk Under MACRA | Modern Healthcare | August 13, 2016 |
CMS amps up value-based payments in 2018 as other quality issues fall by the wayside | Modern Healthcare | December 26, 2018 |
CMS wants primary-care docs to take on financial risk | Modern Healthcare | November 25, 2019 |
CMS Touts Savings, Quality Under Primary-Care Initiative | Modern Healthcare | October 17, 2016 |