In Defense of Regulated Fee-for-Service Payment: A Response to Recent Commentaries

Ikegami, Naoki

doi:10.15171/ijhpm.2015.131

Cited by 2 publications

(2 citation statements)

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“…Whether these mechanisms are used singly or in combination, it is imperative that the resulting systems remunerate on the basis of the quantity, complexity, and quality of care provided. Expanding the role of the electronic medical record (EMR) to monitor provider practice, patient responsiveness, and functioning of the healthcare organization has the potential to not only enhance the accuracy and efficiency of reimbursement mechanisms but also to improve the quality of medical care (Ginsburg 2012;Ikegami 2015b).…”

Section: Future Directions For Researchmentioning

confidence: 99%

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Fee-for-Service

Guo¹,

Wei²

2019

Encyclopedia of Gerontology and Population Aging

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Fee-for-service (FFS) is a traditional and widely used payment model for healthcare where services are unbundled and paid for separately. It is a retrospective cost-based payment. The specific method is that the insurance institution reimburses according to the patient's cost of the medical report reported by the institution or doctor. The reimbursement depends on the price and quantity of each service item they provided. Overview Regulating FFS payment is more feasible and straightforward to administer than other payment models since it requires less complex mechanisms to ensure appropriate function. So physicians have historically been paid FFS, and it continues to be the dominant method in most countries. In FFS, individual items of care are reimbursed retrospectively, but excessive services and unnecessary or inappropriate care may be encouraged. The drawbacks include up-coding, overtreatment, and excessive readmissions.

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Section: Future Directions For Researchmentioning

confidence: 99%

“…Regulating FFS payment is better than introducing other payment models. For example, electronic medical record would make gaming easier even though it would improve the quality of care and increase efficiency (Ikegami 2015b).…”

mentioning

confidence: 99%