One of the largest tax expenditures in the code is the unlimited exclusion for employer-sponsored health benefits.
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.
Samantha Greene contributed to this post. The Congressional Budget Office (CBO) released its latest Budget and Economic Outlook earlier this week. There has been much discussion of appendices B and C of that report, which addressed the impact of the Affordable…
Full Steam Ahead! Competitive Bidding Achieves the Best Price for Beneficiaries, Medicare and Taxpayers
Despite opposition from suppliers of durable medical equipment (DME) and some members of Congress, the competitive bidding program to set DME payments for Medicare beneficiaries officially expanded to 91 regions nationwide on Monday.
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.
The BPC proposal would reduce premium subsidies for Medicare beneficiaries with income starting at $60,000 for single beneficiaries and $90,000 for couples.
Reforming the sustainable growth rate formula presents a critical opportunity for Congress to enact comprehensive Medicare reimbursement reforms that prioritize quality and value.