Everything I say today will revolve around the freedom theme, preserving individual liberties, improving the system, and lowering costs through innovation.
When he invited me to give this presentation, Dr. Palmisano instructed, “Give an unbiased picture of the future of physicians during and after reform and leave plenty of time for questions.”
I am not here to curse the darkness or to confound the confusion. I am here to say we must offer alternatives. We must lead, and we must light candles of innovation to find our way out of the bureaucratic swamp.
"No Matter What" Has Arrived
Depending on your point of view, you could call this box a progresscive blast-off platform. a conservative bureaucratic burial ground, a consultant's bonanza, or physician's burden to bear.
The bureacratic box has an entry but no exit. This law, in one way another, will be with us through eternity even if the Supreme Court or the Election rules most of it null and void, or Republicans repeal it.
Whatever happens, the law's effects will linger, and health plans and other buyers will adopt some of its provisions. Your practice will never be the same again. In one fashion or another, by a public or private entity, your performance will be digitized, audited, and measured.
Here, tongue-in-cheek, is my answer.
If you believe these things, I have a bridge I would like to sell to you.
Above all, hold onto your freedoms. It’s going to be abumpy road