September 10, 2012 - As every physician knows by now, the Affordable Care Act holds these truths to be self-evident - avaricious physicians using excessive, repetitive fee-for-service services are responsible for high health costs. Therefore, the only ways to rein in these costs, are: 1) to end fee-for-service; 2) ban physician self-referral; 3) herd physicians in accountable care organizations with budget caps; 4) punish physicians and hospitals if they exceed those caps. So much for top-down blame-game fantasies and bureaucratic explanations for high costs engendered by open-ended federal entitlement programs. In the real world, these strategies are known as rationing.
Monday, September 10, 2012
Bundled Pricing - Another Example of ACA Bureaucratic Bungling
September 10, 2012 - As every physician knows by now, the Affordable Care Act holds these truths to be self-evident - avaricious physicians using excessive, repetitive fee-for-service services are responsible for high health costs. Therefore, the only ways to rein in these costs, are: 1) to end fee-for-service; 2) ban physician self-referral; 3) herd physicians in accountable care organizations with budget caps; 4) punish physicians and hospitals if they exceed those caps. So much for top-down blame-game fantasies and bureaucratic explanations for high costs engendered by open-ended federal entitlement programs. In the real world, these strategies are known as rationing.
September 10, 2012 - As every physician knows by now, the Affordable Care Act holds these truths to be self-evident - avaricious physicians using excessive, repetitive fee-for-service services are responsible for high health costs. Therefore, the only ways to rein in these costs, are: 1) to end fee-for-service; 2) ban physician self-referral; 3) herd physicians in accountable care organizations with budget caps; 4) punish physicians and hospitals if they exceed those caps. So much for top-down blame-game fantasies and bureaucratic explanations for high costs engendered by open-ended federal entitlement programs. In the real world, these strategies are known as rationing.
For details, See E. Emanuel, et al: "Containing Health Care Spending, " New England Journal of Medicine," September 6, 2012
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