MH: How are practices better off, or how are physicians better off, now that they don't have those pay cuts hanging over them?
Fischer-Wright: It's a mixed bag. (click here) The good news is, for a lot of people who have been holding off on technological investment, they feel comfortable enough to move forward. However, there is still that question of where our value-based payment is going in the future. Practices are still a little leery of adding people, both staff and physicians, until these value-based payment models are more sophisticated and better explained. Practices are concerned about all the regulation that does not add quality to clinical outcomes.
According to a large medical administrators states the repeal of IPAB is good for them, however, it only places the future of their practices in ambivalence. There is no reassurance any improvements they make in their practices will be met with income enough to justify them.
IPAB also impacts what is known as SGR (Sustainable Growth Rate). An SGR in relation to Medicare is appropriate. Medicare is a government program and it is irresponsible to simply repeal any mechanism of determining the impact on cost. The Congress should have first investigated a different mechanism to conduct these reviews and controls. Mechanisms to examine in the costs of Medicare and report to Congress is irresponsible to those that count on Medicare for their health insurance.
President Obama already signed the law repealing SGR as it was passed in both houses of the legislature. The real world of medical practice is still waiting for a replacement to SGR. They are uncertain what to do within their own practices.
Physicians and their organizations would like to see a value-based payment models by 2018.
March 25, 2015
The Affordable Care Act (click here) established an ambitious new framework to move our health care system away from rewarding health providers for the quantity of care they provide and toward rewarding quality. These new models have been put to work in Medicare, and have contributed to 50,000 fewer patient deaths in hospitals due to avoidable harms, such as infections or medication errors, and 150,000 fewer preventable hospital readmissions since 2010, when the Affordable Care Act became law....
The ACA was inclusive in all aspects of addressing health care. It provided for a federally recognized Patient Bill of Rights and it also demanded excellence in practice otherwise doctors and hospitals would be pulled off the Medicare reimbursement system. The ACA isn't just about Medicare, but, it took it's responsibility seriously in improving the quality of life to all citizens, including those receiving Medicare. It was successful. It is still successful. The hostility toward the ACA is nothing more than politics. The more the bill is undermined the more Americans need to be concerned about why and how that is being IMPROVED and not abandoned.
The ACA is not a blight in the USA, it has enhanced the health of the country and over time will provide for lower death rates caused by disease through early detection in free annual exams and preventives.
Are the costs worth it to see children grow and hold a grandchild on your lap? That is value. The value of the ACA exceeds whatever costs the Republicans are currently complaining about. Are all Americans allowed to see their children grow and hold a grandchild on their laps; or only those that are lucky without health care and the income class that can afford it?
Fischer-Wright: It's a mixed bag. (click here) The good news is, for a lot of people who have been holding off on technological investment, they feel comfortable enough to move forward. However, there is still that question of where our value-based payment is going in the future. Practices are still a little leery of adding people, both staff and physicians, until these value-based payment models are more sophisticated and better explained. Practices are concerned about all the regulation that does not add quality to clinical outcomes.
According to a large medical administrators states the repeal of IPAB is good for them, however, it only places the future of their practices in ambivalence. There is no reassurance any improvements they make in their practices will be met with income enough to justify them.
IPAB also impacts what is known as SGR (Sustainable Growth Rate). An SGR in relation to Medicare is appropriate. Medicare is a government program and it is irresponsible to simply repeal any mechanism of determining the impact on cost. The Congress should have first investigated a different mechanism to conduct these reviews and controls. Mechanisms to examine in the costs of Medicare and report to Congress is irresponsible to those that count on Medicare for their health insurance.
President Obama already signed the law repealing SGR as it was passed in both houses of the legislature. The real world of medical practice is still waiting for a replacement to SGR. They are uncertain what to do within their own practices.
Physicians and their organizations would like to see a value-based payment models by 2018.
March 25, 2015
The Affordable Care Act (click here) established an ambitious new framework to move our health care system away from rewarding health providers for the quantity of care they provide and toward rewarding quality. These new models have been put to work in Medicare, and have contributed to 50,000 fewer patient deaths in hospitals due to avoidable harms, such as infections or medication errors, and 150,000 fewer preventable hospital readmissions since 2010, when the Affordable Care Act became law....
The ACA was inclusive in all aspects of addressing health care. It provided for a federally recognized Patient Bill of Rights and it also demanded excellence in practice otherwise doctors and hospitals would be pulled off the Medicare reimbursement system. The ACA isn't just about Medicare, but, it took it's responsibility seriously in improving the quality of life to all citizens, including those receiving Medicare. It was successful. It is still successful. The hostility toward the ACA is nothing more than politics. The more the bill is undermined the more Americans need to be concerned about why and how that is being IMPROVED and not abandoned.
The ACA is not a blight in the USA, it has enhanced the health of the country and over time will provide for lower death rates caused by disease through early detection in free annual exams and preventives.
Are the costs worth it to see children grow and hold a grandchild on your lap? That is value. The value of the ACA exceeds whatever costs the Republicans are currently complaining about. Are all Americans allowed to see their children grow and hold a grandchild on their laps; or only those that are lucky without health care and the income class that can afford it?
