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 touts promise of two primary care initiatives | Bloomberg | January 23, 2015 |
Emerging 'doc fix' deal includes only a partial cost offset | Modern Healthcare | March 13, 2015 |
Trump's Picks for HHS and CMS Signal a Move to Barrel through ACA Repeal and Replacement | Modern Healthcare | November 28, 2016 |
Senate punts on 'doc fix'; passage expected after spring break | Modern Healthcare | March 27, 2015 |
Medicare gives first glimpse of ACO quality performance | Modern Healthcare | September 22, 2014 |
Slavitt: ‘We’ll Go as Fast as the Evidence Allows Us to Go’ | Modern Healthcare | July 30, 2016 |
Senate Dems threaten to oppose deal on Medicare doc fees | Modern Healthcare | March 15, 2015 |
The SGR fix helps the value-based care evolution | Modern Healthcare | March 28, 2015 |
ACOs, other delivery reforms shift job roles at hospitals | Modern Healthcare | September 20, 2014 |
Prospect of CMS paying for housing attracts attention, advice and questions | Modern Healthcare | November 24, 2018 |