Transitioning to Organized Systems of Care: Medical Homes, Payment Bundles, and the Role of Fee-for-Service
In today’s health care system, fee-for-service remains the dominant payment model for both public and private payers.
On December 1, the Centers for Medicare and Medicaid Services issued a Notice of Proposed Rulemaking to improve and clarify existing regulations in the Medicare Shared Savings Program.
While greater financial and clinical integration of providers can bring about higher quality care at a lower overall cost, increasing provider consolidation does pose certain risks.
Reforming the sustainable growth rate formula presents a critical opportunity for Congress to enact comprehensive Medicare reimbursement reforms that prioritize quality and value.