Medicare Payment

Medicare is the Federal health insurance program for the nation's elderly. Part A of the program covers inpatient hospital services, inpatient care in skilled nursing facilities after hospitalization, home healthcare, and hospice care among other services. Part B of the program covers physician services, outpatient hospital care, diagnostic services, durable medical equipment, and ambulance services among other services. Part D provides coverage for prescription drugs.

Medicare continues to face both short-term and long-term fiscal challenges that impact both patients and physicians. Issues related to Medicare payment and CMS include the Merit-Based Incentive Payment System (MIPS), Alternative Payment Models (APMs), Physician Fee Schedule, and alternative payment models like the Transforming Episode Accountability Model (TEAM), the Ambulatory Specialty Model (ASM), and more.