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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Patient-Centered Medical Homes Reduce Costs | Center for Advancing Health | August 1, 2014 |
Implementing MACRA:Implications for Physicians and for Physician Leadership | JAMA | June 14, 2016 |
U.S. government boosts 2020 Medicare payments to insurers by 2.53 percent | Reuters | April 1, 2019 |
U.S. Medicare test program saved hundreds of million of dollars: study | Reuters | May 4, 2015 |
Physician Engagement Key to Patient-Centered Medical Home Model | Physician's Money Digest | July 7, 2014 |
Doctors Can Bill Pharmacist Services 'Incident-To,' CMS Says | Medscape | June 19, 2014 |
New Medicare Payment System Beats Old Hands Down, Says ACP | Medscape | May 2, 2015 |
To reduce costs, health workers move toward more contact with patients | The Omaha World-Herald | May 11, 2014 |
CMS: 93% of Clinicians Get Positive Payment Adjustments for MIPS Year 1 | Healthcare Informatics | November 8, 2018 |
CMS Looks to Increase Patient Engagement with New Models | Healthcare Informatics | December 8, 2016 |