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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Hours from deadline, bipartisan Medicare bill heads to White House | Washington Post | April 14, 2015 |
Maryland announces agreement on all-payer health model | Washington Post | May 14, 2018 |
Improved Continuity of Care Could Save Billions of Dollars, Study Says | FierceHealthFinance | July 6, 2015 |
Primary care docs easier to find in ACA plans than Medicaid, study finds | Healthcare Dive | August 13, 2018 |
Next-Gen ACOs saved $62M in first reporting year, CMS says | Healthcare Dive | August 28, 2018 |
Scale: blessing or burden for statewide ACOs? | Healthcare Dive | March 27, 2019 |
CMS Rule Boosts Support for Primary Care, Mental Health, Diabetes Prevention | Healthcare Dive | November 3, 2016 |
Iora Health hopes to expand primary-care model with $100M raise | Boston Business Journal | May 21, 2018 |
Senate Searches for Medicare ‘Doc Fix’ Amendments | The Morning Consult | April 13, 2015 |
Senate’s Chronic Care Working Group Circulates Draft Bill | The Morning Consult | October 27, 2016 |