Today’s payment models discourage quality improvement in healthcare and drive up costs for everyone, according to an analysis by David Bailey, MD, MBA, president and CEO of Jacksonville, Fla.-based ...

CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.

Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

Medicare Advantage payments are $76 billion above what spending would have been in fee-for-service Medicare in 2026, ...

Transitioning from FFS to salaried models may reduce low-value surgical interventions, with a 41% change in odds observed. The study analyzed TRICARE claims, noting a decline in low-value procedures ...

Despite efforts to shift provider payment away from fee-for-service and toward more risk-based alternatives, fee-for-service remains dominant -- and is growing, according to a study published in ...

The accountable care organization will close by the end of 2025. OneCare worked to lower health care costs and improve patient outcomes by moving away from a fee-for-service payment model for ...

CMS has been trying to scale value-based care for decades with mixed results — but the agency’s newly announced ACCESS model could represent a more meaningful step toward aligning payment with ...

Whole-person care has become a “practical necessity,” yet payment models reflect an era “built around episodic visits, fragmented services and narrow measures of success,” Padmaja Patel, MD, DipABLM, ...