Getting reimbursed for MedFT: Financial models toward sustainability

Abstract

The 2010 Patient Protection and Affordable Care Act (ACA) has created the largest change to healthcare funding since the inception of Medicaid and Medicare over 40 years ago (Manchikanti, Caraway, Parr, Fellows, & Hirsch, 2011). In this chapter, financing integrated approaches to care will be discussed. Today's healthcare professional must understand that this new funding landscape is still evolving as providers, insurance companies, states, and the federal government test different approaches to bundling payments that tie care coordination, patient satisfaction, and healthcare processes and outcomes to funding. Until new bundled payment approaches are designed and implemented, the current fee-for-service approaches will remain in place.