This bipartisan legislation repealed the Sustainable Growth Rate (SGR) Formula that has determined Medicare Part B reimbursement rates for physicians and replaced it with a new system where participating providers are paid based on the quality and effectiveness of the...
A part of Medicare designed to offer beneficiaries a choice of managed care and other private plan options. Also called Part C of Medicare, Medicare Advantage encompasses health maintenance organizations (HMOs), preferred provider organizations (PPOs), Medicare HSAs,...
Established with the enactment of the Affordable Care Act (ACA), this demonstration program awarded bonus payments to high-performing plans as an incentive to improve quality. This demonstration program took place from 2012 to 2014.
Established in 2008, the fund allowed the Department of Health and Human Services to make improvements under the original Medicare fee-for-service program under Parts A and B. For fiscal year 2014 through fiscal year 2017, $19.9 billion would be made available from...