Under traditional fee-for-service plans
, patients can choose to see any doctor at anytime and pay them a fee directly for their service and wait to be reimbursed, as Kevin Holston did, usually for 80% of the cost.
Some fee-for-service plans
, such as Mail Handlers and Alliance, have prescription-drug deductibles, after which they pay most drug costs.
Coverage that offers a preferred provider organization (PPO) plan combines fee-for-service plans
' freedom of choice with HMO networks' managed-care incentives.
Together, they account for about 90% of enrollment in private fee-for-service plans
, according to the CMS.
Today, the rates in all types of HMOs appear to be about 350 days per 1,000 for persons under 65 years of age, and the rates for enrollees in fee-for-service plans
are considerably higher, in the low 500s (Group Health Association of America, 1990).
Over 1 million older Americans are now enrolled in private fee-for-service plans
, about 2% of all Medicare beneficiaries.
The longitudinal design permits us to study selection over time as patients switched between prepaid and fee-for-service plans
, and how these switches were related to service utilization.
Compared with traditional fee-for-service plans
, PPO's offer a higher percentage of coverage for selected services if patients use designated physicians and hospitals.(6) Overall, PPO participants pay less for the same services than do employees covered by a traditional fee-for-service plan
Additionally, Crespo's new law allows children with severe medical conditions currently enrolled in the MCO program to unenroll and receive Medicaid services through the current fee-for-service plan
. Roughly 1,000 medically fragile children in Illinois will benefit from this bill.
Medicare is a fee-for-service plan
, and most clients simply do not consider how this will effect them later in life.
Meanwhile, 30day mortality declined from 2.16% in 1999 to 1.65% in 2013 and 1-year mortality slipped from 4.49% to 3.48% among 60,056,069 individuals aged 65 years or older who were enrolled in a Medicare fee-for-service plan
for at least 1 month over the study period, reported Dr.