fee-for-service

Value-based payment update: Where we are and who is most successful
Value-based payment update: Where we are and who is most successfulWhile these types of programs have been in place for several years, it can be difficult to gauge who is using them and how, and whether they are achieving their intended goal.
Most health execs say payers should be forced to pay for telemedicineManaged Healthcare Executive’s 2017 Technology Survey findings reveal that more healthcare executives see the value in telemedicine reimbursement.
Eight ways Trump could change MedicaidExperts share their ideas on how President-elect Trump could change the single largest source of insurance in the country.
New funding mechanisms offer opportunity to improve access to diabetes educationTelephonic and personalized diabetes self-education programs which fit into patient’s busy lives will make a greater impact than in-person classes only.
One insurer proves that value-based reimbursement works in practiceHumana’s value-based reimbursement model with physicians has helped to improve care quality and health outcomes for its Medicare Advantage (MA) program members.
Top 5 ways value-based pricing impacts healthcareWith new requirements from CMS on the horizon, how will the shift to value-based care impact consumers, payers, and providers?
The population health challenge
The population health challengeFee-for-service medicine is on the way out. That may be hard to believe if most of your income still comes from such payments, which reward physicians for the volume of services they provide. But it’s clear that payers are increasingly emphasizing reimbursement methods that reward value, rather than volume—and that that transition is accelerating.
Managed care is the best way to reform healthcare
Managed care is the best way to reform healthcarePaying for poor outcomes is unhealthy for patients and just poor business.
Critical mistakes to avoid in value-based payment modelsAs alternative payment models gain traction, payers and providers must take the appropriate steps to thrive.
‘Fee for service is going away’: What it really meansSince graduating from medical school, one of the most prevalent commentaries I have heard about health policy is “Fee-for-service is going away.” Depending on the commentator’s level of cynicism, that would be followed with either “You won’t be able to make a living in medicine anymore” or the milder “It’ll be interesting to see what happens.” Read more on Dr. Kaplan's insight on fee-for-service and what it means.