Fee-for-service payments in 2027 for physicians who treat Medicare patients should be increased by 1.25% for those participating in advanced alternative payment models and 0.75% for other physicians, ...

Original Medicare primarily operates on a fee-for-service (FFS) system, billing for each service provided. Some Medicare Advantage (Part C) plans also use this payment model via private FFS plans.

Medicare Advantage—a popular system of competitive private health plans—can be greatly improved. Congress can do so by expanding benefit options for patients and enhancing the quality of patient care.

The Centers for Medicare and Medicaid Services (CMS) published its proposed 2026 Medicare Physician Fee Schedule on July 14. The agency’s announcement emphasized “significantly cutting spending waste, ...

Models that provide hybrid payments to primary care practices without adding financial risk are effective at supporting the essential features of primary care.

Let’s start with the headline figure that’s got everyone talking: The conversion factor dropped to $32.3465 for 2025 from $33.2875 in 2024. This 2.83% reduction might seem modest in isolation, but ...

APCM vs. CCM: what every primary care practice needs to know before switching; rates, rules, revenue impact, and who ...

The Medicare Physician Fee Schedule is a big deal. The fee schedule determines what services are covered for what price. When setting the fee schedule, policymakers seek to balance a number of goals ...

Medicare Advantage (MA) is privately administered health care insurance for seniors and persons with disabilities. The program has grown rapidly and now covers more than half of Medicare-eligible ...

Older adults with Medicare Advantage plans, particularly those also eligible for Medicaid, are less likely to access skilled nursing.