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Center for Advancing Health Policy through Research

Traditional Medicare

Traditional Medicare is public health insurance that provides coverage to about half of the 62 million adults aged 65 and older who are covered by the federally-funded Medicare insurance program.

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The Affordable Care Act created the most significant changes to Medicare since its inception to create new incentives for health care providers to deliver higher quality care at a lower cost. Under the direction of the Centers for Medicare and Medicaid Services (CMS) Innovation Center, these policies — including Accountable Care Organization program, bundled payment, and primary care reforms — continue to evolve. Understanding whether these models are successful in reducing spending growth, and how they can be modified to achieve this goal, is central to the future of Traditional Medicare. 

Recent News

August 22, 2024 Harvard Medical School

Hospital-SNF Integration and APM Participation

This article highlights a study published in JAMA Network Open that explores the impact of hospital-SNF (skilled nursing facility) integration on participation in alternative payment models (APMs), particularly focusing on the Bundled Payments for Care Improvement Advanced (BPCI-A) program. The findings reveal that while integration influences APM participation, the effects are complex, pointing to broader implications for healthcare systems.
August 12, 2024 Health Affairs Forefront

Are Changes To The Medicare Physician Fee Schedule Driving Value In US Health Care?

The Medicare Physician Fee Schedule is a cornerstone of U.S. healthcare policy, directly influencing how services are priced and covered. This Health Affairs blog delves into a brief analysis of the CY25 Physician Fee Schedule Proposed Changes and what impact it could have moving forward.
March 20, 2024 Health Affairs Forefront

2025 Medicare Advantage Advance Notice: Small Changes, Missed Opportunities

Under the CMS 2025 Medicare Advantage Advance Notice, CAHPR researchers emphasize the expected revenue increases and minor changes in risk adjustment practices; highlighting the impactful changes on the horizon and the critical reforms that still await attention.

September 6, 2023 Health Affairs Forefront

It’s Time For A New Season Of Episode-Based Payment

Dr. Ryan et al., talk about the reforming episode-based payment models to achieve savings and quality in Medicare
October 31, 2022 Continuum Magazine

Medicare’s Goldilocks Problem

An Interview with Health Services, Policy and Practice Professor Andrew Ryan
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