Showing posts with label Rich Daly. Show all posts
Showing posts with label Rich Daly. Show all posts

Thursday, February 07, 2013

Will the 'doc fix' revolutionize U.S. healthcare?

I'm new to this, and so lack important context, but it looks to me as if a pending 'doc fix' -- a long-term replacement for the failed Medicare reimbursement formula (part of the Balanced Budget Act of 1997) that Congress patches up every year --could transform our healthcare delivery system at least as sweepingly as the Affordable Care Act.

Modern Healthcare's Rich Daly reports that two rival bills have been introduced. A bipartisan bill all but phases out fee-for-service, while a GOP bill preserves but modifies it. The first,  introduced by Rep Allyson Schwartz (D-Pa) and co-sponsored by Rep. Joe Heck (R-Nev.), an osteopath, is summarized by Daly as follows:
Schwartz's bill (PDF) would mostly unravel the fee-for-service system by requiring physicians to adopt one of several replacement models that the CMS would test and approve over five years. Physicians who did not do so would face successive payment cuts, although a small number of physicians could remain in a modified fee-for-service system if they met certain quality benchmarks or were near retirement.