Posted on 01/27/2015 8:11:24 AM PST by drypowder
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 healthcare plan for 50 million elderly and disabled Americans, will base 30% of the payments on how well they care for patients. Eventually, it will be 50% of the payments.
“We believe these goals can drive transformative change,” Sylvia Mathews Burwell, secretary of the Health and Human Services Department, said in the statement.
That it will.
There will be fewer services in order to max out payments.
It will encourage laziness in diagnosis and care.
With the government paying for healthcare, this is what you get. It’s all about the money, not about you and your care. This is the government getting between you and your doctor.
Healthcare providers are at more financial risk under Obamacare as it is.
“The people who are delivering care are increasingly at financial risk for the services that are being rendered,” Dan Mendelson, CEO of Avalere Health, a Washington consulting firm, said in a phone interview with Newsmax. “It’s increasingly likely the physician or the hospital is going to make more money if they provide less care.”
Doctors and hospitals supposedly support it so far, not knowing the details.
Obamacare currently penalizes hospitals for readmissions of Medicare patients within 30 days of discharging them. The government claims it has saved 50,000 lives and reduced healthcare spending by about $12 billion according to the health department. Hard to believe.
It will cost quite a bit in the end.
I hope that b!tch gets shingles.
It sounds great for those who stay well, but for those who are ill and get ill, it’s going to be a problem.
Must bookmark for later - Will ask my doc about it next week, and ask if he can see a way around this!
I’m not elderly, but am on Medicare. I’d better find a new PCP soon! No one is going to want to take Medicare patients soon.
I receive excellent care from my physicians, but am not getting any better, in fact, worse all the time. What will that say about my excellent drs????
A country where no one lives longer than 60 years will be quite a change. That's really putting the Obama in Obamacare.
So I went to a dermatologist. He was thorough. No issues. Still, I may switch my GP.
If they don't actually DO anything, then they are just squeezing money out of you, waiting for you to die. It's quite pointless.
Death Panels....................SARAH WAS RIGHT!...................and still is................
Of course, they had their media flunkies do all the gasping.
I’d imagine that the concierge MDs are planning a major advertising blitz. I am sure they will be signing up lots of new customers.
So doctors will get sued if they don't do a test or a surgery and something goes wrong, and they make less money if they do the test or surgery.How can anyone work under those conditions?
There is serious evil afoot in the world today and we had better be ready to confront it. It has the potential of making the Black Plague look like an episode of stomach flu by comparison.
Beware those who use the term ‘transformative’. Seriously. In my experience this word is used most frequently by those who have little imagination or creativity, average intelligence, and who nonetheless have huge narcissistic egos.
Groovy. Sovietized medical system.
If they really wanted lower prices, its simple: train more docs.
Medical school admissions were held artificially low in the 1970-80s because the AMA had salary level targets cooked into their admissions recommendations.
When they started coming up scarce on docs in the 90s, they began importing third rate docs from Pakistan and India (English speaking).
There were tens of thousands of people in the US. who could have done better had there been a US medical school billet for them.
And the same is true now.
Murder in the beginning of life and murder at the end of life. The liberal/progressives national and internatonal (Soros, et al) have our whole lives planned for us.
The skin cancer issue is my only health issue. Had a very small basal cell removed five years ago. And the annual visit to the dermatologist gets shorter and shorter. He keeps blasting “precancerous” stuff off my face, but ought to be looking between my toes, which he doesn’t bother to do. I need a new dermatologist.
You really need to be careful with skin cancer, as you no doubt know. My friend, whose husband is an MD, lost part of her hand to it, when docs misdiagnosed that “mole” for two years.
Actually, although your primary are doc seems to be a jerk (IMHO), I would never suggest trusting the opinion of anyone but a seasoned dermatologist with regards skin cancer screening - and I wouldn’t trust the dermatologist either if they weren’t keeping a pictorial record of any moles etc. that you might have. There are too many things that look like ‘other things’ etc.
Most GPs are totally unqualified to do that sort of work anyway. They look at something on your skin and really have no idea what it is, and whether it is normal or not. Mine couldn’t tell simple seborrheic keratosis when he saw it.
I have an excellent dermatologist here in Manhattan, who is by no means cheap. He will glance at something and tell you exactly what it is.
I am praying God deals with Obama and his administration swiftly.
I am sure this will go badly, but understand the need for something to be done.
My in-laws are elderly, and got roped into some doctors who perform endless tests. Seems all they do is go to doctors. My wife (who is a doctor, and their daughter), finally called B.S. and stopped it.
Not sure how to fix the doctors-with-a-blank-taxpayer checkbook vs. getting the best care possible situation.
My inclination is to recognize that the system is non-workable and phase it out over 20 years, so those that are dependent on the system would not be screwed and those who will need it can plan accordingly.
Basically, like most “new deal” crap Medicare was a mistake.
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