By John Ballard
This quote speaks for itself.
For a fuller view go to the link.
Hospitals have no incentives to prevent unnecessary hospitalization. Physicians, paid mostly by fee-for-service, have every incentive to order more tests and procedures. Neither is rewarded directly for making � or keeping � patients healthy. Key to controlling health care costs in the future will be to realign these incentives.
This will require performance measurement and public reporting for both cost and quality. Provided that predetermined quality criteria are met, hospitals and physicians who can provide better care for less money would share in the savings.
How hospitals and physicians organize to provide better outcomes for less money would be up to them. New organizations, such as �accountable care organizations� and �patient-centered medical homes� would facilitate planning, shared resources, care coordination, performance measurement and reporting. It is a daunting task to realign hospital and physician relationships, but cost control won�t happen otherwise.
"Hospitals have no incentives to prevent unnecessary hospitalization."
ReplyDeleteI saw this first hand during my recent medical adventure. I should have been given a couple of prescriptions and allowed to go home from the ER but no - I was sent up to a room where I waited for 6 hours for another doctor to look at me. He wanted me to spend the night but I insisted on going home.
I hate to agree with the wingers but I think caution because of a potential malpractice suit may play a part in this.
No doubt in my mind you're right. We know that according to actual numbers tort reform is not an issue. But the reality of the numbers is not the same as the reality of the fears.
ReplyDeleteI am convinced that even if the fears are not justified, claims of fear cannot be dismissed. The president knows this, which is why that was one of his Republican applause lines in his speech to the joint session of Congress. The critics are correct when they say trial lawyers have the Democrats by the balls.