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Re: Fee-for-Service, while Much Maligned, Remains the Dominant Payment Method for Physician Visits
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Socioeconomic Factors, Urological Epidemiology and Practice Patterns Re: Fee-for-Service, while Much Maligned, Remains the Dominant Payment Method for Physician Visits S. H. Zuvekas and J. W. Cohen Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland Health Aff (Millwood) 2016; 35: 411e414. doi: 10.1377/hlthaff.2015.1291
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26953294 Editorial Comment: This study used data from the 2013 MEPS (Medical Expenditure Panel Survey) to explore the proportion of U.S. based office visits that were covered under capitation agreements. In 2013 only 5% of these visits were covered by capitation agreements, indicating that the majority of physician office visits were still billed using the fee-for-service model. We have to remember that much has changed in the last 3 years, as more affordable care organizations have been established and Congress passed the MACRA (Medicare Access and CHIP Reauthorization Act), which establishes additional alternative payment models for Medicare. That said, it is clear that reports of fee-for-service’s demise are greatly exaggerateddfor now. David F. Penson, MD, MPH
0022-5347/16/1962-0001/0 THE JOURNAL OF UROLOGY® Ó 2016 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2016.05.034 Vol. 196, 1, August 2016 Printed in U.S.A.
www.jurology.com Dochead: Urological Survey
LIT 5.4.0 DTD JURO13726_proof 10 May 2016 11:47 am EO:
j
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Socioeconomic Factors, Urological Epidemiology and Practice Patterns Re: Fee-for-Service, while Much Maligned, Remains the Dominant Payment Method for Physician Visits S. H. Zuvekas and J. W. Cohen Center for Financing, Access and Cost Trends, Agency for Healthcare Research and Quality, Rockville, Maryland Health Aff (Millwood) 2016; 35: 411e414. doi: 10.1377/hlthaff.2015.1291
Abstract available at http://www.ncbi.nlm.nih.gov/pubmed/26953294 Editorial Comment: This study used data from the 2013 MEPS (Medical Expenditure Panel Survey) to explore the proportion of U.S. based office visits that were covered under capitation agreements. In 2013 only 5% of these visits were covered by capitation agreements, indicating that the majority of physician office visits were still billed using the fee-for-service model. We have to remember that much has changed in the last 3 years, as more affordable care organizations have been established and Congress passed the MACRA (Medicare Access and CHIP Reauthorization Act), which establishes additional alternative payment models for Medicare. That said, it is clear that reports of fee-for-service’s demise are greatly exaggerateddfor now. David F. Penson, MD, MPH
0022-5347/16/1962-0001/0 THE JOURNAL OF UROLOGY® Ó 2016 by AMERICAN UROLOGICAL ASSOCIATION EDUCATION
AND
RESEARCH, INC.
http://dx.doi.org/10.1016/j.juro.2016.05.034 Vol. 196, 1, August 2016 Printed in U.S.A.
www.jurology.com Dochead: Urological Survey
LIT 5.4.0 DTD JURO13726_proof 10 May 2016 11:47 am EO:
j
1