*  Managed-care legal definition of Managed-care
... coverage for their employees because they charged lower fees than insurance plans that reimburse patients for fee-for-service ... The traditional way of obtaining medical care has been for a patient to choose a doctor and then pay that doctor for the ... started in 1966 as a fee-for-service program. By the 1990s, the conversion of Medicaid to a managed care model of service ... But the fee-for-service model underwent a rapid decline in the 1980s and 1990s as the concept of managed care took hold in the ...
  https://legal-dictionary.thefreedictionary.com/Managed-care
*  CE Information Booklet Section 14
Traditional fee for service plan: You may go to any doctor or hospital you choose. ... Covers the costs of deductibles, coinsurance, physician services, and other medical and health services. ... Voluntary contributory private insurance plan available to Medicare recipients. ...
  https://stats.bls.gov/cex/capi/2011/csxinfo14.htm
*  Customer Satisfaction Reviews of Horizon BCBS of NJ Health Insurance
Horizon POS (Point of Service). *OMNIA Health Plans. *Traditional Indemnity (fee-for-service health plan) ... Customer Service. Customers were asked to rate their satisfaction with the company's customer service. ... 16%Plan offered through their employer.. 15%The insurer was recommended by a friend.. 10%Saw a commercial.. 5%Ease of use.. 5% ... customer service, value for price paid, percent who will renew, and percent who would recommend the company. ...
  https://www.insure.com/companies/horizon-bcbs-of-NJ-health-insurance.html
*  Children's Health Insurance Program (CHIP): Accomplishments, Challenges, and Policy Recommendations | From the American Academy...
... that they apply to Medicaid managed care plans as well as traditional fee-for-service arrangements; and (3) that they apply to ... 19 and to cover mental health services and substance abuse services on parity with medical and surgical coverage. ... Require plans that contract with stand-alone CHIP programs to cover full costs of all new vaccines effective on the publication ... The Internal Revenue Service has ruled that those whose premiums cost more than 9.5% of their gross adjusted income are ...
  http://pediatrics.aappublications.org/content/133/3/e784
*  CIGNA Corp facts, information, pictures | Encyclopedia.com articles about CIGNA Corp
... with traditional fee-for-service plans marketed in all 50 states. The unit operated managed-care networks in 43 states, the ... with traditional fee-for-service plans marketed in all 50 states. The unit operated managed-care networks in 43 states, the ... s fee-for-service medical plans counted seven million members.. CIGNA added to its employee benefits offerings in October 1997 ... s fee-for-service medical plans counted 7 million members.. CIGNA added to its employee benefits offerings in October 1997 with ...
  https://www.encyclopedia.com/social-sciences-and-law/economics-business-and-labor/businesses-and-occupations/cigna-corp
*  Get the BEST DEALS using the health Insurance Quotes on THIS Site!
Or is it really necessary to take care of patients and some rental services for most people. Health insurance groups within ... Afford? which pharmacy will take advantage of hmo's over traditional fee-for-service plan pays $10,000 front. Is key when it ... The wrong message by your parents' health insurance plan, then stay on the services. A key factor to be paid. Triggered, the ... The set monthly fee for the full plan starts kicking in health insurance. Moment where you can do our jobs. Ipi policy is not a ...
  http://shubertmotors.com/he958.html
*  For U.S. Republicans, tax reform math hinges on cutting Medicare | Reuters
... plans. That idea is off the table - at least for now. ... lawmakers racing toward tax reform dropped their plan to ... Medicare enrollees would buy health insurance either from traditional fee-for-service Medicare, or plans offered by commercial ... especially for the traditional fee-for-service Medicare program. Today, Medicare sets a standard Part B premium that is uniform ... Private plans likely would be dominant in some parts of the country, while traditional Medicare would be the only viable option ...
  https://www.reuters.com/article/us-column-miller-medicare/for-us-republicans-tax-reform-math-hinges-on-cutting-medicare-idUSKBN1D91LU
*  The history of premium support | The Incidental Economist
One of the competing health plans would be the traditional Medicare fee-for-service system. Beneficiaries choosing health plans ... a formula in which payments to health plans are tied to what it would have cost to treat enrollees in the fee-for-service ... Reading over these plans, Ryan's plan seems much different that past plans. ... The income tax system would be modified so that the choice of a more expensive plan would not be subsidized. Health plans would ...
  https://theincidentaleconomist.com/wordpress/the-history-of-premium-support/
*  U.S. Survey Ranks User Satisfaction With Health Care - SFGate
... a for-profit chain or a traditional fee-for-service plan. The findings may add more fuel to the growth of HMOs and other forms ... Besides the consumer rankings, the book includes how-to material for comparing health plans, keeping medical bills down, ... released today an extensive consumer ranking of some 250 health plans across the country. The survey showed that most people ... based Center for the Study of Services, the parent organization of Bay Area Consumers' Checkbook magazine, ...
  https://www.sfgate.com/bayarea/article/U-S-Survey-Ranks-User-Satisfaction-With-Health-3031090.php
*  Women's Advocates See Health Reform Problem : Medicine: They say preventive procedures such as mammograms and Pap smears are...
Each alliance would be required to offer at least three insurance plans, including a traditional fee-for-service plan and a ... "The plan's preventive health coverage must be improved," Rep. Nita M. Lowey (D-N.Y.), a member of the congressional Women's ... In these cases, the women would have to pay a fee, probably in the form of a $10 co-payment, or 20% of the cost of the ... The President's plan would provide free Pap smears and pelvic exams every three years after the onset of menstruation through ...
  http://articles.latimes.com/1993-10-06/news/mn-42837_1_health-care-reform
*  Bush Expected To Announce Medicare Reforms Designed To Foster Competition | California Healthline
President Bush plans to propose 'sweeping, long-term changes' to Medicare later this month, according to administration ... However, if traditional fee-for-service Medicare produces more savings than the private plans, participants in that program ... but Bush reportedly wants to encourage competition between traditional fee-for-service Medicare and private health plans. Such ... This new fee-for-service program, which would likely have higher premiums and copayments than other plans, would likely offer ...
  https://californiahealthline.org/morning-breakout/bush-expected-to-announce-medicare-reforms-designed-to-foster-competition/
*  D.C. Report: Early Look at Meaningful Use Stage 3 Recommendations | Healthcare Informatics Magazine | Health IT | Information...
... beneficiaries a uniform subsidy that they could use to buy insurance from competing health plans or traditional fee-for-service ... to prevent open-ended fee-for-service arrangements. The plan would also move most of Medicare and Medicaid away from fee-for- ... The authors advocate for an approach that partly relies on government to move providers and insurers away from fee-for-service ... The plan is to transmit final recommendations for Stage 3 to HHS in May 2013. Here are some other recommendations from related ...
  https://www.healthcare-informatics.com/article/dc-report-early-look-meaningful-use-stage-3-recommendations
*  Debunking Medicare Myths - Diagnosis - The New Atlantis
... even though that would set up a direct competition between the private plans and the traditional fee-for-service program. ... Most importantly, fee-for-service is able to dictate the prices it will pay to medical service providers. Private plans have no ... And these HMOs win on costs despite the huge advantages fee-for-service enjoys in today's arrangements. Fee-for-service is the ... But it wouldn't have constrained Medicare fee-for-service. In regions where fee-for-service was more expensive than the average ...
  https://www.thenewatlantis.com/blog/diagnosis/debunking-medicare-myths
*  Big Data = Big Savings in Healthcare - Health Works Collective
... traditional fee-for-service plans have more competition.. *Healthcare data is growing at a faster pace than healthcare ... We're in the process of researching business intelligence approaches in healthcare and big data, and plan to publish our ... Starting a New Eating Plan? What you Need to Know about Macro and Micronutrients. ... big data can help physicians offer personalized treatment plans and spot prevention opportunities thereby significantly ...
  https://www.healthworkscollective.com/big-data-big-aving/
*  Administrator - Page 2 - Your Cosmetic Dentistry
Delta Dental Premier is a traditional fee-for-service insurance plan. If you have Delta Dental Premier, you can visit the ... Like the Premier plan, Delta Dental PPO pays a fee for each service. You may also visit any dentist that you choose, but will ... Delta Dental insurance offers three major plan types to suit a wide range of needs. The benefits vary by plan, and costs vary ... your primary care dentist must refer you for services. You pay a low or no co-payment for any dental services provided. ...
  http://yourcosmeticdentistry.com/author/administrator/page/2/
*  Behind the Numbers - Health Care Reform Circa 1965: Polling on Medicare
The AMA was dead set against any Medicare plan which would have threatened doctors' traditional fee-for-service payment model, ... Q. Here are a few problems some people see in President Kennedy's Medicare plan. On each, please tell me if you think this is a ... Others backed a plan operated by private insurers, with government-funded subsidies to assist those with lower-incomes in ... LBJ was known for proclaiming that as for Medicare, the planners mustn't get trapped by the economists picking the plan to ...
  http://voices.washingtonpost.com/behind-the-numbers/2009/07/health_care_reform_circa_1965.html
*  A Basic Guide to Buying Dental Coverage - NJBIA - New Jersey Business & Industry Association
Traditional Dental Plans-. The traditional or "indemnity" dental plan is the original dental benefit or fee-for-service plan. ... Individual Plans-. Individual plans are available in most states. Most plans offer an array of insured plans and discount plans ... Discount or Referral Plans-. Discount or referral plans are not insurance plans. Rather, members obtain services from network ... Traditional plans tend to be more expensive since they do not hold contracts with network dentists to manage fee levels. As an ...
  https://www.njbia.org/basic-guide-buying-dental-coverage/
*  Microsoft word - 5141-1.doc
Also known as a 105(h). Indemnity - Also called "traditional fee for services" plans for hospital, medical surgical and ... Fee For Service - Method of billing for health services where the provider of care bills separately for each patient service. ... High Deductible Health Plan (HDHP) - A health plan with a large deductible and low premium. A qualified high deductible plan ... Ancillary Services - Supplemental services such as laboratory, radiology, therapy services that are provided in conjunction ...
  http://dosingpdf.com/v/vcta.net1.html
*  GAO States CMS Overpaid Medicare Advantage Plans During the Years of 2010 to 1012-Flawed Risk Assessment Calculation Errors ...
... coding differences between Medicare Advantage enrollees and those enrolled in the traditional fee-for-service Medicare plan led ... Home » Medically Related » Technology » GAO States CMS Overpaid Medicare Advantage Plans During the Years of 2010 to 1012- ... GAO States CMS Overpaid Medicare Advantage Plans During the Years of 2010 to 1012-Flawed Risk Assessment Calculation Errors ... Again CMS can't negotiate drug prices directly and in the Medicare Advantage plans it relies on the insurance companies to do ...
  http://ducknetweb.blogspot.com/2013/03/gao-states-cms-overpaid-medicare.html
*  House, Senate Proceed on Differing Budget Paths - 2012 - Washington Highlights - Government Affairs - AAMC
... proposed House budget would create a Medicare exchange where seniors would choose between traditional Medicare fee-for-service ... The budget plan also proposes to repeal the Affordable Care Act (ACA, P.L. 111-148 and P.L. 111-152) and replaces the sequester ... Though the budget plan does not hold the force of law, it establishes enforceable spending limits and outlines spending ... Premium support for seniors would be based on income and the cost of the second-least-expensive plan in the exchange. Medicare ...
  https://www.aamc.org/advocacy/washhigh/highlights2012/277480/housesenateproceedondifferingbudgetpaths.html
*  GEHA - Wikipedia
The company currently offers traditional fee-for-service health plan options with a preferred provider organization (PPO) along ... The FEHBP contracts with several hundred health insurance plans to provide coverage for more than 8 million federal enrollees ... GEHA (Government Employees Health Association) is a self-insured, not-for-profit association providing health and dental plans ... Railway Mail Service clerks with assistance for their medical expenses. Twenty years later, the company expanded its scope to ...
  https://en.wikipedia.org/wiki/GEHA
*  Diagnosis pathway for patients with amyotrophic lateral sclerosis: retrospective analysis of the US Medicare longitudinal...
... of Medicare recipients covered by traditional fee-for-service plans (i.e., patients with Medicare Advantage plans were not ... In the public datasets, data were classified only by quarter of service; dates of service were not available. ... US Department of Health and Human Services: New high-value data sets and tools. http://www.hhs.gov/open/plan/opengovernmentplan ... The Medicare dataset used in this study is made available by the US Department of Health and Human Services as a way to improve ...
  https://bmcneurol.biomedcentral.com/articles/10.1186/1471-2377-13-160
*  Private Medicare Plans Find Success Despite Democrats' Warnings - The New York Times
Beneficiaries and both parties have been generally satisfied with private Medicare Advantage plans and Medicare's drug benefits ... In the traditional fee-for-service Medicare program, the government bears the financial burden when Medicare costs increase. In ... The cost of traditional Medicare has long been a major factor in setting payments to private plans, but the private plans have ... Would private plans have to provide the same benefits as traditional Medicare? Could they charge higher co-payments for some ...
  http://www.nytimes.com/2012/08/26/us/private-medicare-plans-find-success-despite-democrats-warnings.html?_r=3&ref=robertpear
*  Hospital Readmission Rates in Medicare Advantage Plans
... are considerably lower than those in Medicare's traditional fee-for- ... service program, after accounting for differences in risk. ... lower than those in Medicare's traditional fee-for-service ... plans, are lower than those in Medicare's fee-for-service (FFS) program, after accounting for differences in risk.. * Based on ... plans and to develop preliminary comparisons with the fee-for-service (FFS) readmission rates.. Study Design: Descriptive data ...
  http://www.ajmc.com/journals/issue/2012/2012-2-vol18-n2/hospital-readmission-rates-in-medicare-advantage-plans