The Role of Medicare Fee-for-Service in Inefficient Health Care Delivery

Capretta, James C.
April 2013
AEI Outlook Series;Apr2013, p1
The article examines the role of the Medicare fee-for-service program in the rising cost problem of the national health insurance system in the U.S. It provides a background of the fee-for-service (FFS) insurance option in Medicare. It describes the influence of Medicare on the U.S. health care marketplace. It compares the fee-for-service and Medicare Advantage plans.


Related Articles

  • Health care's 'hidden tax.'.  // AHA News;1/5/2009, Vol. 45 Issue 1, p4 

    The author discusses the underpayment of Medicare and Medicaid benefits in the U.S. A study commissioned by the American Hospital Association, America's Health Insurance Plans and Blue Cross and Blue Shield Association estimated the underpayments to be around $89 billion, translating to about...

  • $200 Billion cost of Alzheimer's and other dementias. Ryan, Patricia // Research Review (International Council on Active Aging);Mar2012, Vol. 12 Issue 10, p3 

    The article discusses the cost of Alzheimer's and other dementias in the U.S. including payments from the national health insurance programs, Medicare and Medicaid, and the unpaid hours devoted by friends and family members in caring for people with the disorders. Beth Kallmyer of the...

  • A Medicare primer. Sethi, Manish K.; Obremskey, William T.; Jahangir, A. Alex // AAOS Now;Jun2011, Vol. 5 Issue 6, p30 

    The article focuses on the evolution of Medicare in the U.S. It notes that the passage of the Social Security Act Amendments of 1965 has paved way to the creation of Medicare and Medicaid which deliver health care benefits to millions of poor and elderly Americans. Moreover, it mentions that the...

  • CHAPTER 13: Medicare Procedures: Enrollment, Claims, and Appeals.  // Social Security, Medicare & Government Pensions (9781413316858);Mar2012, p307 

    The article focuses on the common procedures in the Medicare national health insurance program in the U.S. It explains how to enroll in the hospital insurance and medical insurance coverage of the program and how to get Medicare to pay for medical bills. It also discusses the appealing process...

  • Counterpoint: The Free Market is More Effective at Improving Healthcare and Lowering Costs than the Government. Driscoll, Sally; Grant, Richard A. // Points of View: Health Insurance;12/30/2019, p3 

    The article presents an argument against the implementation of a national health insurance program in the U.S. It is asserted that creating a single-payer system would compromise the quality of health care and increase taxes, while competition within the health care industry and the...

  • The Effects Of The Coverage Gap On Drug Spending: A Closer Look At Medicare Part D. Yuting Zhang; Donohue, Julie Marie; Newhouse, Joseph P.; Lave, Judith R. // Health Affairs;Mar/Apr2009, Vol. 28 Issue 2, pw317 

    We calculated prescription drug usage in two groups of Medicare beneficiaries: employer group with no coverage gap, and individual Part D group with no coverage or some generic drug coverage in the coverage gap. Among those with employer coverage, 40 percent reached the doughnut hole, compared...

  • Kindred Healthcare Comments on Proposed 2012 Medicare Payment Rates for Skilled Nursing Facilities.  // Biomedical Market Newsletter;5/5/2011, p649 

    The article reports on the comment of Kindred Healthcare Inc. on the proposed Medicare Payment Rates for Skilled Nursing Facilities by the Centers for Medicare and Medicaid Services (CMS) in the U.S. The company expresses support on the CMS' goal that Medicare rates should bear quality care for...

  • Using Medicare Payment Policy To Transform The Health System: A Framework For Improving Performance. Guterman, Stuart; Davis, Karen; Schoenbaum, Stephen; Shih, Anthony // Health Affairs;Mar/Apr2009, Vol. 28 Issue 2, pw238 

    As the largest payer for health services in the United States, Medicare has the potential to use its payment policies to stimulate change in the organization of care to improve quality and mitigate cost growth. This paper proposes a framework in which Medicare would offer an array of new bundled...

  • Of Many Things. J. O'H. // America;6/2/1979, Vol. 140 Issue 21, preceding p441 

    The author ponders on the complexities of health care and health costs in the U.S. He compares the national health insurance proposal of Senator Edward Kennedy and the health plan of President Jimmy Carter. He cites inflation as one of the most serious problems related to the economics of the...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics