Tag:

fee-for-service

Latest Headlines

Latest Headlines

Will new payment model financially ruin small hospitals?

Although Blue Cross Blue Shield of Minnesota has already postponed the implementation of its controversial new payment model for small, rural hospitals, it is still facing strong opposition from those providers being forced away from fee-for-service reimbursements, reported AIS Health.

Global outcomes contracting a bridge between volume and value

Premera Blue Cross believes it has found a way to transition from the fee-for-service payment model toward the newer value-based system--a global outcomes contracting program.

Insurers pay $39K more for surgical errors

If insurers better motivated hospitals through financial rewards to provide high-quality care--and decrease surgical mistakes, in particular--they could save a lot of money.

Acting CMS administrator urges incremental shifts from volume to value

Acting Centers for Medicare & Medicaid Services Administrator Marilyn Tavenner wants the industry to phase out fee-for-service models and make incremental reimbursement reforms, Medscape Today reported.

Only 11% of insurers' payments to providers tied to quality

Only about 11 percent of insurers' payments to hospitals and physicians are tied to quality and efficiency of care, according to the Catalyst for Payment Reform's scorecard on payment reform.

UnitedHealth: Payment reform could save $600B

If insurers can dramatically change how they pay doctors, healthcare costs could decrease by $200 billion to $600 billion during the next 10 years, according to a new report from UnitedHealth Group.

Massachusetts passes first-in-nation bill to cap health spending

Massachusetts lawmakers have passed first-of-its-kind legislation to limit ever-increasing healthcare costs by saving the state $200 billion during the next 15 years.

State Medicaid plan reverts to fee for service

After more than a decade of operating under managed care, Connecticut's Medicaid program has gone back to a fee-for-service payment model, Stateline Health News reported. The reversion to fee for

CareFirst finds success by tailoring local payment reform

As many insurers make headlines for taking large, overarching steps to revamp the fee-for-service payment system, one health insurer hopes to drive change through the local community by creating the

UnitedHealth ties doctor fees to quality care

In the latest sign that insurers are rejecting the traditional fee-for-service payment model, UnitedHealth said it would start tying doctors' fees to quality outcomes. WellPoint and Aetna both have