[buckalfa]

The theory of value based care or reimbursement is that a hospital's payment is reduced if it does not maintain certain "quality" of outcome standards or measurements. Sounds good in practice, but the problem is that quality is measured in paper work stats, not actually what is good for any individual patient because more effort is spent on charting rather than hands on patient care.

[Rona Badger]

Right. This article says that if the hospital/doctors go under the allotted “bundle” amount, then they get to keep the difference. If they go over, they have to pay the difference. That is outrageous. Caregivers are now just like any other sales team where it’s pay for performance, meeting your “stretch goals” and working for incentive bonuses.

[originalbuckeye]

So, it stands to reason that, if you’re really sick, they will be less likely to treat you. If the end result isn’t what the Govt expects, the hospital/doctor will be punished. Why am I not surprised??