Two Wrongs Do Not Make a Right: Flaws in Alternatives to Fee-for-Service Payment Plans Do Not Mean Fee-for-Service Is a Good Solution to Rising Prices; Comment on “Fee-for-Service Payment - An Evil Practice That Must Be Stamped Out?” [PDF]
International Journal of Health Policy and Management, 2015 Professor Naoki Ikegami’s “Fee-for-service payment – an evil practice that must be stamped out” summarizes many of the failings of alternatives to fee-for-service (FFS) payment systems.
Ross Koppel
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How Do the Hospital Prices Paid by Medicare Advantage Plans and Commercial Plans Compare With Medicare Fee-for-Service Prices? [PDF]
Inquiry: The Journal of Health Care Organization, Provision, and Financing, 2018 The prices that private insurers pay hospitals have received considerable attention in recent years, but most of that literature has focused on the commercially insured population.
Jared Lane K. Maeda PhD, MPH +1 more
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Payment reduction and Medicare private fee-for-service plans. [PDF]
Health Care Financ Rev, 2009 Medicare private fee-for-service (PFFS) plans are paid like other Medicare Advantage (MA) plans but are exempt from many MA requirements. Recently, Congress set average payments well above the costs of traditional fee-for-service (FFS) Medicare, inducing dramatic increases in PFFS plan enrollment. This has significant implications for Medicare's budget,
Frakt AB, Pizer SD, Feldman R.
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Physicians’ perspectives on the government-led first action plan for healthcare reform: the medical payment system in South Korea [PDF]
BMC Health Services ResearchBackground Health care payment systems are a central component of health reform efforts worldwide, as they shape provider behavior, financial sustainability, and access to care.
Sun Mi Lim +3 more
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Comparing financing models for supplementary healthcare in appendectomy: activity-based costing (fee-for-service) vs. diagnosis related group remuneration (bundled payment) – a systematic review and meta-analysis [PDF]
Acta Cirúrgica Brasileira, 2023 Purpose: In Brazil, healthcare services traditionally follow a fee-for-service (FFS) payment system, in which each medical procedure incurs a separate charge.
André de Arimatéia de Souza Lino +5 more
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Racial, Ethnic, and Socioeconomic Inequities in Access to Left Atrial Appendage Occlusion
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, 2023 Background Inequitable access to high‐technology therapeutics may perpetuate inequities in care. We examined the characteristics of US hospitals that did and did not establish left atrial appendage occlusion (LAAO) programs, the patient populations those
Kriyana P. Reddy +16 more
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Improving economic conditions associated with care pattern and cost changes
Social Determinants of Health, 2021 Background: Low economic prosperity is associated with worse health and health outcomes. Dramatic increases in prosperity have been associated with reductions in mortality rates.
Harper Wallace +3 more
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Nursing Open, 2020 Aim This study explores the contributions of family practice nurses in primary care across Newfoundland and Labrador funded by fee‐for‐service and alternate payment plans to examine the influence of funding arrangements on nursing roles/activities ...
Maria Mathews +4 more
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Economic efficiency of gatekeeping compared with fee for service plans: a Swiss example [PDF]
Journal of Epidemiology and Community Health, 2005 Study objective: The impact of isolated gatekeeping on health care costs remains unclear. The aim of this study was to assess to what extent lower costs in a gatekeeping plan compared with a fee for service plan were attributable to more efficient resource management, or explained by risk selection ...
Schwenkglenks, M +4 more
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Managed Care: An Industry Snapshot
Inquiry: The Journal of Health Care Organization, Provision, and Financing, 2002 Together with the American Association of Health Plans (AAHP), we surveyed health maintenance organizations (HMOs) in 1998 to characterize their basic structure and management strategies.
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