Medicare

Fee-for-Service Payment Issues

Medicare
The Basics — January 4, 2016
Author: Sally Coberly, PhD

Meaningful Use: The Right Path for Health IT?
Forum Session — December 4, 2015
Author: Lisa Sprague, MBA

Accountable Care Organizations (ACOs): Lessons from the Medicare Shared Savings Program
Forum Session — November 13, 2015
Author: Sally Coberly, PhD

Medicare's Post-Acute Care Payment: An Updated Review of the Issues and Policy Proposals
Issue Brief No. 847 — October 5, 2015
Author: Sally Coberly, PhD

Site-Neutral Payments for Post-Acute and Ambulatory Care Services: What’s at Stake?
Forum Session — June 5, 2015
Author: Sally Coberly, PhD

Health Policy Essentials: Medicare and Health Care Spending
Fundamentals Briefing — February 6, 2015
Author: Sally Coberly, PhD

Health Policy Essentials 2015
Briefing Book — February 6, 2015
Authors: Sally Coberly, PhD, Jennifer Jenson, MPH, MPP & Lisa Sprague, MBA

Relative Value Units (RVUs)
The Basics — January 12, 2015
Author: Sally Coberly, PhD

Managing Physician Self-Referral: Recent Evidence and Potential Strategies
Forum Session — July 18, 2014
Authors: William J. Scanlon, PhD, Senior Consultant & Sally Coberly, PhD

Pioneer ACOs: The Frontier of Delivery System Reform?
Forum Session — June 13, 2014
Author: Sally Coberly, PhD

Sorting Out the Complex World of Medicare Post-Acute Care
Forum Session — March 18, 2014
Authors: William J. Scanlon, PhD, Senior Consultant & Sally Coberly, PhD

Telehealth: Into the Mainstream?
Issue Brief No. 853 — March 10, 2014
Author: Lisa Sprague, MBA

Seeking Value in Medicare: Performance Measurement for Clinical Professionals
Issue Brief No. 852 — October 30, 2013
Author: Lisa Sprague, MBA

Replacing the SGR: Changing the Paradigm for Medicare Physician Payment?
Forum Session — September 20, 2013
Authors: William J. Scanlon, PhD, Consultant & Sally Coberly, PhD

The Medicare Hospital Readmissions Reduction Program: Time for an Update?
Forum Session — June 21, 2013
Authors: Sally Coberly, PhD & William J. Scanlon, PhD, Consultant

Rethinking Medicare's Cost Sharing and Supplemental Coverage: Options and Implications
Forum Session — April 12, 2013
Author: Kathryn Linehan

Pursuing High-Quality Care for an Aging Population: Challenges and Opportunities
Forum Session — March 29, 2013
Author: Lisa Sprague, MBA

Health Policy Essentials: Medicare and Health Care Spending
Fundamentals Briefing — February 8, 2013
Authors: Kathryn Linehan & Sally Coberly, PhD

Changes in Latitudes, Changes in Attitudes: FQHCs and Community Clinics in a Reformed Health Care Market
Issue Brief No. 848 — December 18, 2012
Author: Jessamy Taylor, MPP

Breaking Down Silos of Care: Integration of Social Support Services with Health Care Delivery
Forum Session — October 19, 2012
Author: Carol V. O'Shaughnessy, MA

Spending Trends in Private Insurance and Medicare: Variations on a Theme
Forum Session — September 28, 2012
Authors: Sally Coberly, PhD & William J. Scanlon, PhD, Consultant

Bundled Payment in Medicare: Promise, Peril, and Practice
Forum Session — April 20, 2012
Author: Kathryn Linehan

Targeting High-Cost Medicare Beneficiaries to Improve Care and Reduce Spending: Finding the Bull’s-Eye
Forum Session — March 9, 2012
Author: Sally Coberly, PhD

Recent Proposals to Limit Medigap Coverage and Modify Medicare Cost Sharing
Issue Brief No. 845 — February 24, 2012
Author: Kathryn Linehan

Mission Possible II: Reducing Health Care Costs Through Administrative Simplification
Forum Session — February 24, 2012
Author: Michele J. Orza, ScD

Assessing Progress on Improving the Data Behind Medicare’s Physician Fee Schedule
Forum Session — February 17, 2012
Author: Kathryn Linehan

Medicare Supplemental Coverage: Weighing the Consequences and Trade-Offs for Medicare Spending and Beneficiaries
Forum Session — December 9, 2011
Author: Kathryn Linehan

Mission Possible? Saving on Health Care Costs by Reducing Unnecessary Services
Forum Session — December 2, 2011
Author: Michele J. Orza, ScD

Revisiting Financing and Delivery of Care to Duals: One Size May Not Fit All
Special Briefing — October 21, 2011
Author: Carol V. O'Shaughnessy, MA

Fiscal Pressure and Hospital Financial Position
Forum Session — July 29, 2011
Authors: Laura A. Dummit & Kathryn Linehan

Medical Care for the Elderly Living at Home: Home-Based Primary Care (HBPC) and Hospital-at-Home Programs
Forum Session — July 22, 2011
Author: Carol V. O'Shaughnessy, MA

Medicare's Vision of Accountable Care Organizations: Will Providers Have the Same View?
Forum Session — May 20, 2011
Author: Laura A. Dummit

Physician Self-Referral and Health Care Utilization
Forum Session — April 1, 2011
Author: Laura A. Dummit

Medicare's Bundling Pilot: Including Post-Acute Care Services
Issue Brief No. 841 — March 28, 2011
Author: Laura A. Dummit

Caring for Patients with Advanced and Serious Illnesses: Changing Medical Practice and Patient Expectations
Forum Session — March 18, 2011
Author: Carol V. O'Shaughnessy, MA

Health Policy Essentials: The Fundamentals of the SGR: Getting a Fix on Medicare’s Physician Spending
Fundamentals Briefing — March 4, 2011
Author: Laura A. Dummit

Health Policy Essentials: The Fundamentals of Health Care Spending, Growth, and Managing Costs
Fundamentals Briefing — February 18, 2011
Author: Laura A. Dummit

Insurer-Provider Payment Negotiations: Implications for Health Spending
Forum Session — December 10, 2010
Author: Mary Ellen Stahlman

The Cost of Hospital Care
Forum Session — October 8, 2010
Author: Laura A. Dummit

Medicare Physician Fees: The Data Behind the Numbers
Issue Brief No. 838 — July 22, 2010
Author: Laura A. Dummit

Health Care Cost Drivers in Massachusetts: Lessons for Federal Policymakers
Forum Session — June 21, 2010
Author: Mary Ellen Stahlman

Health Care Shortage Designations: HPSA, MUA, and TBD
Background Paper No. 75 — June 4, 2010
Author: Eileen Salinsky, Consultant

Heath Care Spending: Why Is Miami an Outlier?
Site Visit — June 2–4, 2010
Authors: Laura A. Dummit & Mary Ellen Stahlman

Medicare Fee Schedule: What’s the RUC Got to Do With It?
Small-Group Session — March 5, 2010
Author: Laura A. Dummit

Prevention and Early Detection of Health Care Fraud, Abuse, and Waste
Forum Session — October 30, 2009
Author: Mary Ellen Stahlman

Coverage and Payment for Prescription Drugs Under Medicare Part B: A Complex Patchwork
Background Paper No. 70 — August 31, 2009
Author: Amanda Cassidy, Consultant

High Rehospitalization Rates: Causes, Costs, and Accountability
Forum Session — May 29, 2009
Author: Laura A. Dummit

Great Expectations: Managing the Centers for Medicare & Medicaid Services
Forum Session — May 1, 2009
Author: Laura A. Dummit

Promising Models of Care Coordination for Adults with Multiple Chronic Conditions: Getting Closer to the Holy Grail?
Forum Session — April 3, 2009
Author: Carol V. O'Shaughnessy, MA

Coordinating Care for Adults with Multiple Chronic Conditions: Searching for the Holy Grail
Forum Session — March 27, 2009
Author: Carol V. O'Shaughnessy, MA

Medicaid, Employers, and Medigap: Wrapping Around Medicare
Fundamentals Briefing — February 6, 2009
Author: Mary Ellen Stahlman

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 15–16, 2009
Authors: Christie Provost Peters, Jennifer Ryan & Mary Ellen Stahlman

Medical Imaging Services: Utilization, Spending, and Appropriateness
Forum Session — November 13, 2008
Author: Laura A. Dummit

Primary Care Physician Supply, Physician Compensation, and Medicare Fees: What Is the Connection?
Issue Brief No. 827 — November 3, 2008
Author: Laura A. Dummit

Medicare's Hospice Benefit: In the Spotlight
Forum Session — August 1, 2008
Author: Mary Ellen Stahlman

Medicare Demonstrations
The Basics — July 30, 2008
Author: Amanda Cassidy, Consultant

The Fundamentals of Medicare Demonstrations
Background Paper No. 63 — July 22, 2008
Author: Amanda Cassidy, Consultant

Physician Income and Medical Practice Differences Across Specialties: Should Medicare Care?
Small-Group Session — May 2, 2008
Author: Laura A. Dummit

The Ethics in Patient Referrals Act: The Stark Law and the Practice of Medicine
Forum Session — December 14, 2007
Author: Laura A. Dummit

Physician Profiling: Can Medicare Paint an Accurate Picture?
Issue Brief No. 825 — September 10, 2007
Author: Laura A. Dummit

Medicare's Use of Risk Adjustment
Background Paper — August 21, 2007
Author: Gerald F. Kominski, PhD

What Can Physician Profiling Do for Medicare?
Forum Session — July 13, 2007
Author: Laura A. Dummit

Getting the Fees "Right" and Medicare Physician Spending
Forum Session — June 1, 2007
Author: Laura A. Dummit

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — February 22–23, 2007
Authors: Christie Provost Peters & Mary Ellen Stahlman

Medicare and Mental Health: The Fundamentals
Background Paper — November 27, 2006
Authors: Christopher W. Loftis, PhD & Eileen Salinsky

Updating Medicare's Physician Fees: The Sustainable Growth Rate Methodology
Issue Brief No. 818 — November 10, 2006
Author: Laura A. Dummit

Medicare Physician Spending: Past as Prologue?
Forum Session — October 13, 2006
Author: Laura A. Dummit

Medicare Physician Payments and Spending
Issue Brief No. 815 — October 9, 2006
Author: Laura A. Dummit

Medicare Provider Payments: Proposals from MedPAC and the Administration
Forum Session — March 31, 2006
Author: Laura A. Dummit

Physician Spending Growth: Do We Get What We Pay For?
Forum Session — March 17, 2006
Author: Laura A. Dummit

Medicare Health Support: Working with Physicians?
Forum Session — October 21, 2005
Author: Lisa Sprague, MBA

Specialty Hospitals: Can General Hospitals Compete?
Issue Brief No. 804 — July 13, 2005
Author: Laura A. Dummit

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 13–14, 2005
Authors: Nora Super & Jennifer Ryan

Implementing the MMA: Insights from Two Seasoned Administrators
Forum Session — April 13, 2004
Author: Judith D. Moore

The Geography of Medicare: Explaining Differences in Payment and Costs
Forum Session — July 30, 2003
Author: Nora Super

The Geography of Medicare: Explaining Differences in Payment and Costs
Issue Brief No. 792 — July 3, 2003
Author: Nora Super

Medicare and Chronic Conditions: Breaking Down Barriers to Better Care
Forum Session — March 26, 2003
Author: Nora Super

Understanding Medicare and Medicaid: Fundamentals and Issues for the New Congress
Fundamentals Briefing — January 23–24, 2003
Authors: Nora Super & Jennifer Ryan

Modernizing Medicare: The Homebound Rule and Next Steps
Small-Group Session — July 10, 2002
Author: Judith D. Moore

From Diagnosis to Payment: The Dynamics of Coding Systems for Hospital, Physician, and Other Health Services
Background Paper — January 25, 2002
Author: Karen Matherlee

Medicare Coverage: Lessons from the Past, Questions for the Future
Forum Session — November 2, 2001
Author: Robin J. Strongin, Consultant

Medicare Coverage: Lessons from the Past, Questions for the Future
Background Paper — August 2001
Author: Robin J. Strongin, Consultant

Health Care Financing Administration Central Office
Site Visit — May 5, 2001
Author: Nora Super

Reflections on HCFA: Former Administrators Speak Their Minds
Forum Session — February 23, 2001
Author: Nora Super

HCFA's Outpatient PPS: Finally Ready to Roll?
Issue Brief No. 756 — June 16, 2000
Author: Karen Matherlee

HCFA's Outpatient PPS: Finally Ready to Roll?
Forum Session — June 16, 2000
Author: Karen Matherlee

Hospital-Based Health Care Systems: The Post-BBA Era
Workshop — April 27–28, 2000
Authors: Nora Super, Lisa Sprague, MBA & Karen Matherlee

Site Visit to Seattle — University of Washington Academic Medical Center
Site Visit — April 10–11, 2000
Author: Karen Matherlee

Site Visit to Detroit — Henry Ford Health System
Site Visit — March 20, 2000
Author: Lisa Sprague, MBA

Site Visit to Richmond and Hampton Roads — Bon Secours Health System, Inc.
Site Visit — March 16–17, 2000
Author: Nora Super

Access to Home Health Services under Medicare's Interim Payment System
Issue Brief No. 744 — July 13, 1999
Author: Nora Super

Access to Home Health Services under Medicare's Interim Payment System
Forum Session — July 13, 1999
Author: Nora Super

Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
Issue Brief No. 743 — July 7, 1999
Author: Karen Matherlee

Implementing the BBA: The Challenge of Moving Medicare Post-Acute Services to PPS
Forum Session — July 7, 1999
Author: Karen Matherlee

Margins As Measures: Gauging Hospitals' Financial Health
Issue Brief No. 734 — March 30, 1999
Author: Karen Matherlee

Margins As Measures: Gauging Hospitals' Financial Health
Forum Session — March 30, 1999
Author: Karen Matherlee

Medicare Coverage and Technology Diffusion: Past, Present, and Future
Issue Brief No. 722 — July 9, 1998
Author: Robin J. Strongin

Medicare Coverage and Technology Diffusion: Past, Present, and Future
Forum Session — July 9, 1998
Author: Robin J. Strongin

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