Based on an average payment per discharge of nearly $8,400 in 2007, bringing Medicare's fee-for-service
preventable hospitalizations down to the same level as the ACHP plans would have saved the program $4.
plans have been popular in the TriState, particularly in Upstate New York where there are a number of Medicare Advantage plans competing for enrollment," said Chris Lewis, analyst with HealthLeaders-InterStudy and author of the report.
The seven private fee-for-service
Medicare plans that recently signed an agreement with the CMS to suspend their marketing efforts are United Healthcare, Humana, WellCare, Universal American Financial Corporation (Pyramid), Coventry, Sterling, and Blue Cross Blue Shield of Tennessee.
At its best, a fee-for-service
provider is a partner in the client's business, providing the contracted services today and looking toward improvements to meet future needs.
A private fee-for-service
Medicare plan is a private insurance program that charges enrollees a premium and cost-sharing amounts and lets beneficiaries choose the providers they want to see, according to HCFA.
Funded by the Robert Wood Johnson Foundation, the study evaluated care received by 215 HMO and 187 fee-for-service
residents at 20 community-based nursing homes in three regions of the U.
Nor are we being told that doctors in Medicare's fee-for-service
sector, who are not getting a handsome subsidy, are continuing to see Medicare patients all over the country including the regions from which Medicare HMOs have pulled out.
The Medi-Cal beneficiaries who choose not to enroll in the project will continue to receive their treatment on a fee-for-service
The report also shows separate distributions of supplementary insurance for persons in the fee-for-service
and managed care sectors.
This portrait of HMOs as soulless money-making machines has become increasingly popular in recent years, as skyrocketing health care costs have driven a shift from fee-for-service
medicine to managed care.
But they can all be categorized into four basic groups: traditional indemnity or fee-for-service
plans, preferred provider organizations (PPO), point-of-service plans (POS) or health maintenance organizations (HMO).
locations (chosen primarily to represent variations in health care availability), and sorted them into fee-for-service
and HMO insurance plans.