In so doing, the legislation would do away with the existing fee-for-service system, in which the state pays providers for each service, a practice that has led to widespread fraud and inconsistent care.
For example, exchanges could require that insurers experiment with new payment models aimed at eroding the incentives of the existing fee-for-service system, which pays physicians for each office visit and test.
This could become an advantage as Medicare moves away from the existing fee-for-service system toward paying hospitals a flat sum, or "bundle," for each patient with a given condition.
In addition to the existing fee-for-service (FFS) model, there now are Family Health Groups (FHGs) which are a blended fee-for-service model, Family Health Networks (FHNs) which are a blended capitation model and Family Health Organizations (FHOs) which are entirely a capitation model.
Current PremierPass and other Citi customers who are paying lower annual fees will continue paying the existing fees for now.
To help offset these rising costs, 39 percent said their city had raised existing fees for municipal services, while about a quarter of the cities had established new fees for previously free services.
Existing fee exemptions for maternal health care under the Hospital Fees Decree were maintained by the national assembly and government [ 31].
Medicare would be turned into a subsidized set of private insurance plans, but with the option of buying into the existing fee-for-service program.
Medicare would be turned into a subsidized set of private insurance plans, with the option of buying into the existing fee-for-service program.
It is not surprising that Paul D. Ryan, Republican of Wisconsin and chairman of the House Budget Committee, is suggesting that we radically alter Medicare over the next decade or so, turning it, as The New York Times reported, "into a subsidized set of private insurance plans, with the option of buying into the existing fee-for-service program".
