CMS reports Medicare fee-for-service improper payments at $28.8 billion in fiscal 2025, with a 6.55% improper payment rate, down from 2024.

Today’s payment models discourage quality improvement in healthcare and drive up costs for everyone, according to an analysis by David Bailey, MD, MBA, president and CEO of Jacksonville, Fla.-based ...

Medicare primarily operates a fee-for-service (FFS) payment system. This means that healthcare professionals and facilities bill Medicare for each service they provide, with itemized costs appearing ...

Medicare Advantage payments are $76 billion above what spending would have been in fee-for-service Medicare in 2026, ...

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 ...

Despite efforts to shift provider payment away from fee-for-service and toward more risk-based alternatives, fee-for-service remains dominant -- and is growing, according to a study published in ...

BIDDEFORD, ME - JANUARY 20: Patients sit in a waiting room at Southern Maine Health Care. (Photo by Ben McCanna/Portland Portland Press Herald via Getty Images) When the House of Representatives ...