More than 1.3 billion adults globally will have diabetes by 2050, according to a study released this year. In the U.S., our current health system — which is structured around treatment, not prevention ...

This article is the latest in the Health Affairs Forefront major series, Medicare and Medicaid Integration. The series features analysis, proposals, and commentary that will inform policies on the ...

Fee-for-service planning is moving out of the niche corner of the advisory world and into firms’ core operating models, according to new data from AdvicePay’s latest trend report. The billing and ...

Advisors who used a fee-for-service model charged more for their services in 2023 than the prior year, according to a recent AdvicePay study. The 2024 AdvicePay Fee-for-Service Industry Trend Report ...

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 ...

CMS estimated $28.83 billion in improper payments for Medicare fee for service in fiscal 2025. Compared to 2024 reporting, that value is down from $31.7 billion. The agency said improper payment ...

CMS is applying pressure on health systems to transition from fee-for-service to value-based care by 2030. While value-based care has been discussed for years, many institutions are not yet fully ...

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 ...

“Manufacturers are responsible for meeting all four parts of the definition of bona fide service fee before a fee can qualify as a bona fide service fee.” 1 In the pharmaceutical product supply chain, ...