Medicare Private Fee for Service
A group of individuals recently testified before the influential Senate Finance Committee and told the federal lawmakers that Medicare’s private fee-for-service plans, or PFFS, severely undercut their ability to deliver quality, cost-effective care.
They also reported that many providers are closing their doors to patients enrolled in such plans and stated that the Everett Clinic in Snohomish County, Washington that its network of physicians loses about $7.5 million a year because of its large base of Medicare patients.
The PFFS plans were the fastest growing and they informed 1,400 patients that starting in 2009 they would not accept the PFFS plans.
Even though PFFS plans get more federal dollars than traditional Medicare, the extra funding doesn't benefit providers.
The Medicare Payment Advisory Commission said that Medicare spends 17% more on PFFS plans than it does on regular Medicare and unlike Medicare Advantage HMOs and PPOs, the private fee-for-service plans do not share cost of care and quality information with providers.
So where is the money going??
They also reported that many providers are closing their doors to patients enrolled in such plans and stated that the Everett Clinic in Snohomish County, Washington that its network of physicians loses about $7.5 million a year because of its large base of Medicare patients.
The PFFS plans were the fastest growing and they informed 1,400 patients that starting in 2009 they would not accept the PFFS plans.
Even though PFFS plans get more federal dollars than traditional Medicare, the extra funding doesn't benefit providers.
The Medicare Payment Advisory Commission said that Medicare spends 17% more on PFFS plans than it does on regular Medicare and unlike Medicare Advantage HMOs and PPOs, the private fee-for-service plans do not share cost of care and quality information with providers.
So where is the money going??
posted by Anonymous at 5:45 AM
2 Comments:
Can you explain the difference? Is the Medicare Private Fee for Service the traditional we have known Medicare to be? Is it usually cheaper for the patient to purchase than the other plans?
The private fee of service is medicare that is being administered by the Humana's, UHC, anthem, etc.
It is usually cheaper for patients or it may offer supposedly more benefits than traditional medicare
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