It’s time to move away from fee-for-service

4 steps to move from a fee-for-service to a value-based world.

Shifting Away From Fee-For-Service: Alternative Approaches to Payment in Gastroenterology.

Fee-for-service payments encourage high-volume services rather than high-quality care. Alternative payment models (APMs) aim to realign financing to support high-value services. The 2 main components of gastroenterologic care, procedures and chronic care management, call for a range of APMs. The first step for gastroenterologists is to identify the most important conditions and opportunities to...

In Defense of Regulated Fee-for-Service Payment: A Response to Recent Commentaries

February 2010: a dramatic shift away from private fee-for-service plans in rural Medicare Advantage enrollment.

In a reversal of recent trends, private fee-for-service (PFFS) enrollment fell dramatically in rural areas in early 2010. As a result, Medicare Advantage (MA) enrollment in rural areas (excluding other prepaid plans) fell slightly in early 2010 for the first time in years. The dramatic drop in PFFS enrollment was offset by increases in enrollment in preferred provider organization (PPO) and hea...

Time to move from paper to practice.

The paper by Shamian and El-Jardali provides a timely and important overview of research on healthy work environments and its translation into policy and practice. Although the research is abundant, progress is slow, with most of the efforts focused on nursing. The paper unfortunately does not give justice to key research and policy documents generated by the national nursing and physician sect...