Monday, March 26, 2007

Pay for Performance

The new CMS-led, pay-for-performance initiative will require physicians to submit annual data on 26 quality measures related to the care of patients with diabetes, congestive heart failure and coronary artery disease in order to be paid for services already performed on patients.

The Medicare payment system is going to basically withhold increases in physician reimbursement and then only pay those who are participating in the program when they submit the required data.

Certain preventive services, such as cancer screenings and immunizations would also be tracked.

The major cost of medical care in America is really in the hospitals and with drug costs. This new system is basically squeezing the wrong people.

We already have to jump through numerous hoops to get paid now. This will add more overhead costs to our offices when we are trying to find ways to reduce our costs in order to run the place profitably and to pay our employees.

More government oversight is not the answer to solving the healthcare problems and the Medicare shortages.

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4 Comments:

Anonymous Anonymous said...

I would think that someone with such a passion for "accountability" would welcome a system that holds doctors accountable for the quality of their care.

3/26/2007 06:22:00 AM  
Anonymous Anonymous said...

"The major cost of medical care in America is really in the hospitals and with drug costs. This new system is basically squeezing the wrong people."

According to www.healthguideusa.org (which says it obtained its data from CMS) in 2004, total US expenditures for hospital care and prescription drugs was about $580 billion and $190 billion respectively. Total expeditures for physican care was about $400 billion.

3/26/2007 01:52:00 PM  
Blogger Iamhoosier said...

For what it is worth.

My wife needed a new cartridge for her ink jet printer. She was told there was no money in the budget and she needed to use the network printer for her department. This network printer is 2 floors up in the hospital from her office. She bought her own cartridge.

By the way, this was NOT Floyd Memorial. It is not just bad at our hospital.

3/26/2007 03:10:00 PM  
Anonymous Anonymous said...

To Anon 1:52:

Thanks for bringing some perspective to another incomplete and misleading blog post.

3/26/2007 06:14:00 PM  

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