Unpacking the Future of Healthcare Payments Exactly what the future of healthcare payments looks like remains to be seen. As of today, FFS is still the most widely used payment model but a more straightforward value-based system is certainly picking up steam. There are even some who...
Fee-for-service (FFS) is a payment model in which doctors, hospitals, and medical practices charge separately for each service they perform. In this model, the patient or insurance company is responsible for paying whatever amount the healthcare provider charges for the service. While FFS is c...
PPO health insurance combines the cost-saving benefits associated with managed care plans with the plethora of options associated with FFS (Fee-for-Service) plans. With a FFS insurance plan, you have the choice to select a doctor that you would like to see and payment is typically based on ...
Parts A and B form the foundation of your health insurance coverage. You can then add a Part D drug plan and a Medicare supplement policy (commonly known as Medigap) to help cover costs that parts A and B don’t, such as deductibles, coinsurance, and copayments. More than half of Med...
Why is It Called an Insurance Premium? Does Your Premium Go Toward Your Deductible?Sources How Original Medicare works. Medicare.gov. This website is operated by GoHealth, LLC., a licensed health insurance company. The website and its contents are for informational and educational purposes; helpi...
In 2014, major changes are expected to occur, including state health insurance exchanges and Medicaid expansion. Thus, many observers have remarked that the ACA's focus is more about improving access to health care, as opposed to the delivery of that care. By providing more Americans with ...
What is Medicare? Medicare is a federal health insurance program in the United States that provides coverage for eligible individuals aged 65 and older, as well as certain younger individuals with disabilities or specific medical conditions. It is divided into several parts, each offering different ...
Which is cheaper, a Medicare Supplement or Medicare Advantage plan? Medicare supplements may be cheaper if you don’t need too many extra benefits. However, if you want health insurance that covers prescriptions, vision, and dental care, Medicare Advantage plans are the better pick. What’s the...
Some insurance providers are placing even higher importance on value-based care. Aetna, for example, is striving for 75% to 80% of payments through value-based care models by 2020. Moving from an FFS to a VBP system takes time, but like it or not, value-based payment models are only ...
When it comes to protecting your family, nothing is more important than health insurance. Without insurance, it would be hard for most people to afford their medical care costs if they became severely ill. There are two types of health insurance: taxpayer-funded and private-funded. Commercial ...