The problem really is that simple:
. . . in health care, we get what we provide incentives for. We currently provide lots of incentives for advanced technologies and high-end treatment, and we get a lot of that. We provide very little incentive for preventive medicine and get very little of that.
Related posts:
- Can this be the year Medicare changes its payment formula?
- Medicare: No incentives to control costs
- Medicare costs: Blame fee-for-service
- AMA: Permanent repeal of the Medicare physician payment formula must be part of health reform
- Healthcare Diseasecare
- The cost of prevention: Bankruptcy
- Perverse incentives
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Simple hourly charge rates, billed in 5 or 10 minute increments would be simple to administer, simple to monitor, and easy for people to assess the relative price of different professionals, which they could then decide if they wanted to pay it or move down the scale. It could integrate into Medicare by the government setting the rate they will pay, with balance billing legal. It would unmask a huge doctor glut with the incentive to churn patients and procedures removed. There would always be someone willing to take the Medicare rate, but as others could charge more, there would be incentives to develope excellence.
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