It’s March, which means one thing for sports fans: the madness of the NCAA men’s and women’s basketball tournaments. However, to folks in the regulatory world, it also means something else too: the ...

Original Medicare primarily operates on a fee-for-service (FFS) system, billing for each service provided. Some Medicare Advantage (Part C) plans also use this payment model via private FFS plans.

As described in a previous Regs & Eggs blog post, certain Medicare “extenders” got tied to the government shutdown. These policies are temporary in nature, but Congress routinely extends them every ...

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 ...

In late 2024, the Centers for Medicare and Medicaid Services previewed a significant revision to the risk-adjustment model that has long been considered by policy makers and researchers. This revision ...

The Medicare Payment Advisory Commission estimated Medicare Advantage payments will be 14% greater than fee-for-service Medicare in 2026, according to a March 12 report from the congressional agency.

This Perspective discusses the fiscal challenge facing Medicare and how that challenge may be differentially met by fee-for-service, accountable care organization (ACO), and Medicare Advantage (MA) ...

The Centers for Medicare and Medicaid Services has announced a four-pronged approach to prepare internally and ensure the readiness of Medicare Fee-For-Service providers for ICD-10 implementation. At ...

Among more than 3 million Medicare Advantage enrollees, value-based payment models outperformed fee-for-service models for all 15 clinical quality outcomes. The mean score differences for blood ...