Fee-for-Service Medicare and Medicaid History, Selected Years
Dowd, B. E.
Date of Pub
Coulam, R. F., Feldman, R., Pizer, S. D.
Since its inception, the Medicare Program has allowed for the participation of private health plans, but the relationship
of private plans to the government-sponsored fee-for-service (FFS) plan has been the subject of debate. Increased payments
to private plans, the introduction of regional preferred pro-vider organizations (PPOs), and a mandat-ed demonstration of
price competition that includes FFS Medicare reflect an ongoing attempt to define the role of private plans. The purpose of
this article is to explore the roles of private plans and FFS Medicare and to attempt to identify the advantages and disadvantages