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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CMS to ask if HIPAA is a barrier to care coordination | November 14, 2018 | |
CMS touts promise of two primary care initiatives | Bloomberg | January 23, 2015 |
CMS Touts Savings, Quality Under Primary-Care Initiative | Modern Healthcare | October 17, 2016 |
CMS Unleashes Bigger Trove of Claims Data to Help Hospitals Improve Care Quality | Healthcare IT News | July 5, 2016 |
CMS Updates | Primary Care Collaborative | May 27, 2021 |
CMS Updates: Brooks-LaSure Hearings, AAP Repayment, MedPAC Recommendations | Primary Care Collaborative | April 29, 2021 |
CMS wants primary-care docs to take on financial risk | Modern Healthcare | November 25, 2019 |
CMS: 93% of Clinicians Get Positive Payment Adjustments for MIPS Year 1 | Healthcare Informatics | November 8, 2018 |
CMS: Population Health Management Reduces Admissions, ER Use | Health IT Analytics | January 26, 2015 |
CMS’ Payment Reg: Promising Policies, but Tied to a Flawed System:Better Health – NOW Campaign to Submit Comment | July 21, 2022 |