This Perspective discusses the fiscal challenge facing Medicare and how that challenge may be differentially met by fee-for-service, accountable care organization (ACO), and Medicare Advantage (MA) ...

Medicare fee-for-service care pays providers for services delivered. Value-based care, on the other hand, incentivizes providers to deliver coordinated care that prioritizes preventive measures and ...

Our ADvancing States team worked with states to pair research on successful rebalancing strategies with approaches to further integrate care for dual-eligible individuals. In 2025, 11.9 million people ...

Among more than 3 million Medicare Advantage enrollees, value-based payment models outperformed fee-for-service models for all 15 clinical quality outcomes. The mean score differences for blood ...

As healthcare spending rises, shifting away from fee-for-service payment and delivery models that incentivize volume over value is imperative. Families USA and other consumer advocacy groups are ...

Transitioning from FFS to salaried models may reduce low-value surgical interventions, with a 41% change in odds observed. The study analyzed TRICARE claims, noting a decline in low-value procedures ...

The number of concierge and direct primary care practices are rapidly rising across the United States, highlighting a fundamental shift in how Americans are receiving primary medical care, a new study ...

Even if you have health insurance, you might expect to be charged a copayment for some routine care, like office-based exams and consultations. But you probably don't expect to receive a bill a few ...

If you've been to a medical visit lately and ended up with two bills — one from your healthcare professional and a second one, unexpectedly, from the facility — you're not alone. Healthcare facilities ...