fee-for-service (redirected fromFee for service) Medical Financial Related to Fee for service:Fee for Service Plan fee-for-ser·vice (fē′fər-sûr′vĭs) adj. Charging a fee for each service performed:a fee-for-service health insurance policy. ...
This study analyzed annual service use and payment data for children in racial/ ethnic subgroups in Medicaid Programs of four States, and compared service use of youth treated with mental health or substance abuse (MH/SA) conditions to youth without such conditions. In addition to geographic varia...
FFS model has come under intense scrutiny for overutilization of services and overburdened third-party payers involving health insurance companies or government programs (e.g., Medicare and Medicaid). Even though policymakers and government agencies favor a shift away from fee-for-service towards a ...
The report looked at costs for a typical Medicare Advantage beneficiary: a 72-year-old who lives on a fixed income of less than $27,000. This individual’s healthcare spending amounted to $3,632 per year in 2019. This was 39 percent less than a beneficiary would pay t...
[119]. In the Medicaid context, services used by adolescents, such as family planning services, HIV testing, mental health care, or services for chronic illness or disability sometimes are “carved out” of the managed care system and left to fee-for-service providers[120], or the managed ...
In addition to geographic variation in rates (6.2 to 10.7 percent used MH/SA related care), results showed children who used MH/SA services to be disproportionately older, male, and white when compared with all Medicaid children. Examination of costs per claimant found costs for the MH/SA ...
the Agency for Healthcare Research & Quality, and the National Institute for Health Care Management during the conduct of the study; receiving research contracts from the American Academy of Physician Assistants, the Centers for Medicare & Medicaid Services, the United States Department of Health and...
USA (some Medicaid and Medicare, and much private insurance) Physicians tend to be salaried when they work in public hospitals, health centers, or certain types of health maintenance organization (HMO). While salaries are inherently easier to control, they may elicit reduced service provision, espe...
A comparison of capitated and fee-for-service Medicaid reimbursement methods on pregnancy outcomes. Studies whether the payment method influence the likelihood of selected obstetrical process measures and pregnancy outcome indicators among Medicaid women... Oleske,M Denise,Branca,... - 《Health Service...
However, the extent to which the resulting patterns of utilization represent high-quality care (compared to fee-for-service products) remains controversial. The authors sought to compare patterns of ambulatory care (including how diffuse or fragmented the care patterns were) for Medicaid fee-for-...