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Emerging reimbursement models pose new risks

from Medical Economics via Modern Medicine

The Patient Protection and Affordable Care Act has played a significant role during the past few years in emphasizing new provider relationships and payment models aimed at controlling the growth of runaway healthcare costs by financially rewarding physicians who provide high-quality care as opposed to a high volume of care. Fee-for-service payment arrangements, whereby doctors are paid only when they provide a medical service, still predominate in most healthcare markets around the country, but that situation is rapidly changing. New budget-based payment models that build on current Medicare demonstration projects such as accountable care organizations, medical homes and shared savings are slowly replacing traditional FFS. With or without healthcare reform, however this paradigm shift will continue to alter the U.S. healthcare system. more


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