Free Republic

Next year, doctors and hospitals will no longer get paid according to the fee for services model. They will get a fixed salary according to how well patients do. We will see the equivalent of patient report cards. Personalized care is out, government one-size fits all healthcare is in. The more tests, scans, surgeries that hospitals and doctors do, the less they will make. What could possibly go wrong? It will have a devastating effect on patients’ access to care. Patients who come back for the same problem will be included in the one-time bulk rate. Beginning next year, Medicare,...

The Obama administration on Monday announced an ambitious goal to overhaul the way doctors are paid, tying their fees more closely to the quality of care rather than the quantity. Rather than pay more money to Medicare doctors simply for every procedure they perform, the government will also evaluate whether patients are healthier, among other measures. The goal is for half of all Medicare payments to be handled this way by 2018. Monday’s announcement marks the administration’s biggest effort yet to shape how doctors are compensated across the health-care system. As the country's largest payer of health-care services, Medicare influences...