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In reply to the discussion: President Obama's Big Liberal Health Care Rout No One Noticed [View all]ND-Dem
(4,571 posts)22. Here are some notes on the major changes included in the latest Medicare reform:
Introduces means testing to Medicare This new law will require the wealthiest seniors to pay more for their own health care. Over time, this provision will affect more and more people because of inflation...
Prohibits first-dollar coverage in Medigap plans Some seniors use whats called a Medigap plan to help them cover expenses that Medicare doesnt. The new law prohibits those plans from offering first-dollar coverage. Again, this is intended to get Medicare patients to use more of their own dollars...
Changes the way doctors are paid ...the new law puts into place an even worse idea: MIPS, or a merit-based incentive payment system. This fee-for-value payment system will attempt to pay doctors according to health outcomes (I think this is similar to paying teachers according to test scores). While of course we want doctors to work toward the best outcomes for their patients, we should also understand that doctors dont have full control over outcomes. Patients have a responsibility too, to take their drugs and show up to their appointments, etc. And paying doctors for better health outcomes could discourage them from seeing patients who are especially sick or dont face a good prognosis....
http://www.iwf.org/blog/2796877/Medicare-Reforms-Become-Law
Prohibits first-dollar coverage in Medigap plans Some seniors use whats called a Medigap plan to help them cover expenses that Medicare doesnt. The new law prohibits those plans from offering first-dollar coverage. Again, this is intended to get Medicare patients to use more of their own dollars...
Changes the way doctors are paid ...the new law puts into place an even worse idea: MIPS, or a merit-based incentive payment system. This fee-for-value payment system will attempt to pay doctors according to health outcomes (I think this is similar to paying teachers according to test scores). While of course we want doctors to work toward the best outcomes for their patients, we should also understand that doctors dont have full control over outcomes. Patients have a responsibility too, to take their drugs and show up to their appointments, etc. And paying doctors for better health outcomes could discourage them from seeing patients who are especially sick or dont face a good prognosis....
http://www.iwf.org/blog/2796877/Medicare-Reforms-Become-Law
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Pcp have been under compensated by Medicare. This should address that inequity
still_one
Apr 2015
#1
Speaking of loud howls, there was certainly a fair amount of the vapors going on at DU...
Hekate
Apr 2015
#3
Here are some notes on the major changes included in the latest Medicare reform:
ND-Dem
Apr 2015
#22
MIPS. Wouldn't that simply create an incentive for doctors to try to avoid treating patients
JDPriestly
Apr 2015
#45
agreed. perverse incentive to avoid treating: the poor and all the other categories you
ND-Dem
Apr 2015
#52
This was on here but doesn't matter.. needs to be stated again and again.. thank you, she.
Cha
Apr 2015
#5
No bad.. just thought I should let you know. LIke I said.. it needs to be repeated for
Cha
Apr 2015
#10
That's right.. try and kill the messenger on the good news regarding Medicare, Medicaid, and
Cha
Apr 2015
#15
Great! Imagine! Earth, Seeds, Water, and Nourishment! Mahalo, she.. I love love love those pics
Cha
Apr 2015
#55
Yes, we have the capacity to appreciate all the good he's done with Health Care, Women's Issues,
Cha
Apr 2015
#37