Harvard Pilgrim CEO Charlie Baker predicts the future of Medicare’s reimbursement system:
In other words, Fee For Service is probably not going anywhere, but the federal government will work within its methodologies to dramatically step up its oversight and measurement activities around physician and hospital performance, and take very significant action based on its findings. This is why cost and quality “” despite the inadequacies of the Medicare Fee For Service system “” need to be the focus of our collective activities for the foreseeable future. The Big Dog has a big financial problem coming, and will be using all of the tools in its arsenal to deal with it.
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- Medicare costs: Blame fee-for-service
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- AMA: Health information technology help for physicians
- Killing fee-for-service
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Medicare FFS needs two prongs of reform:
Outpatient professional services simply needs to permit balanced billing at the discretion of the clinician. Many will be glad to accept the low Medicare rates in careing for the poor if they can charge a fair fee to those who can afford it.
Hospital sector: I don’t know but as it is now we see lots of overutilization by the poorer quality providers (more money in bad care than good). I don’t know what to do about this.
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