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Hoyt

(54,770 posts)

39. It's relative. Keeping a person with diabetes healthy is more challenging.

Mon Jan 26, 2015, 11:29 PM

Jan 2015

There are ways to adjust payments for a patient's baseline condition. It's really not difficult, just different. Scares some folks.

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The Obama administration wants to dramatically change how doctors are paid [View all] DonViejo Jan 2015 OP

I have mixed feelings about this. Erich Bloodaxe BSN Jan 2015 #1

My feelings aren't mixed at all. teenagebambam Jan 2015 #2

I agree. What criteria do they use? There are some conditions where patients do not get better in still_one Jan 2015 #76

I'm sure they've already thought of the situations you have cited. CTyankee Jan 2015 #97

You have much more confidence then I do still_one Jan 2015 #100

Try spending 16 years in school. Whatever 840high Jan 2015 #3

As a matter of fact I have. Erich Bloodaxe BSN Jan 2015 #4

Do you help people live healthier and longer? Do 840high Jan 2015 #15

yes. he's a BSN. next question? elehhhhna Jan 2015 #36

This message was self-deleted by its author 840high Jan 2015 #49

Yup. nt Erich Bloodaxe BSN Jan 2015 #85

Given that he seems to be a nurse, I would assume so (nt) Recursion Jan 2015 #93

And all those years in school and the studying of difficult material and then the many years JDPriestly Jan 2015 #55

It takes that long to get a bachelor's degree. candelista Jan 2015 #70

they make more money then you think. even an old school vet I worked for made 3k every 10 pets Sunlei Jan 2015 #72

OF COURSE you do! VanillaRhapsody Jan 2015 #6

Simon and Garfunkel? freshwest Jan 2015 #28

I know right! VanillaRhapsody Jan 2015 #32

See my post # 55. This is a horrible idea. JDPriestly Jan 2015 #56

right because winning.... VanillaRhapsody Jan 2015 #63

I agree with you BrotherIvan Jan 2015 #14

funny how you LLI's are saying this...when that is EXACTLY what they do in Europe! VanillaRhapsody Jan 2015 #31

What is an LLI? BrotherIvan Jan 2015 #50

A "silent" dog whistle....or??? snappyturtle Jan 2015 #77

I'm still waiting to find out BrotherIvan Jan 2015 #83

You make good points. And the devil is in the details. Faryn Balyncd Jan 2015 #23

Some tests are not necessary, as in the case of my father, blood test showed Thinkingabout Jan 2015 #5

Your mother had the option 840high Jan 2015 #17

... madamesilverspurs Jan 2015 #7

It's Medicare, not for-profit insurance. jeff47 Jan 2015 #12

How do you measure value? Not sure about this change. Frustratedlady Jan 2015 #8

I agree, let me explain myself SummerSnow Jan 2015 #9

Why did u stay with this doctor? 840high Jan 2015 #18

i didnt, after 2 visits we switched, but it took about 7 days to switch through the insurance co. SummerSnow Jan 2015 #86

And if one is female, the standard is tell them it's psychomatic, IOW, you are hysterical... freshwest Jan 2015 #33

That reminds me of the Chris Rock Robitussin skit shanti Jan 2015 #88

How will doctors be stopped from "passing the buck"? My Good Babushka Jan 2015 #10

It's Medicare. There's no one to pass the buck to jeff47 Jan 2015 #11

I personally have Blue Cross and medicare. So yes it is for profit and there is someone else LiberalArkie Jan 2015 #20

No, there really isn't. The proposal is for how Medicare pays doctors. jeff47 Jan 2015 #21

Oh, no one will say anything and it will all look very above board My Good Babushka Jan 2015 #62

After all, they are making more than minimum wage--for India Demeter Jan 2015 #13

Possible outcome of this new method of payment HeiressofBickworth Jan 2015 #16

+1,000 CountAllVotes Jan 2015 #19

We do need Medicare for all. area51 Jan 2015 #57

What will happen to the disabled? CountAllVotes Jan 2015 #74

sounds like... mikemcl350 Jan 2015 #96

Fortunately there would be adjustments for baseline status. You'd get more for treating Hoyt Jan 2015 #29

Or drugs they buy from the manufacturers and sell at a mark-up (nt) Recursion Jan 2015 #94

+1000 nt Mojorabbit Jan 2015 #79

Probably not a good analogy zipplewrath Jan 2015 #22

Makes doctors into Igel Jan 2015 #24

That in a nut-shell nolabels Jan 2015 #64

Another terrible idea...did Arne Duncan come up with this? Ka hrnt Jan 2015 #25

^^This!^^ BrotherIvan Jan 2015 #84

I know. God forbid we look at the outcomes of people's work Recursion Jan 2015 #95

Okay. But I think this sounds like education reform with all the testing scores that mean nothing. jwirr Jan 2015 #26

And there would be little motivation for doctors to treat complicated problems pnwmom Jan 2015 #27

Not true. Docs will get paid more for treating sick patients. Hoyt Jan 2015 #30

I would hope so. But as I said - she is never going to get better. She is getting older and we are jwirr Jan 2015 #34

How so? Not if they're rewarded for keeping people healthy. n/t pnwmom Jan 2015 #37

It's relative. Keeping a person with diabetes healthy is more challenging. Hoyt Jan 2015 #39

It's not nearly as simple as you think. Some people are chronically ill and won't pnwmom Jan 2015 #40

So an Endocrinologist is going to start treating runny noses? Hoyt Jan 2015 #41

No, but an endocrinologist might not want to take a patient pnwmom Jan 2015 #43

They will get severity adjusted payments. There are systems available right now to handle that. Hoyt Jan 2015 #44

The Obama administration wants to "dramatically change" how things are done. pnwmom Jan 2015 #45

No doubt, anything Obama proposes is designed to screw us. We have the worst Hoyt Jan 2015 #46

I am not a person who denigrates Obama in general, or the ACA in general. pnwmom Jan 2015 #47

I think if you read up on reimbursement systems that reward outcomes, you'll feel better about it. Hoyt Jan 2015 #48

In France, I had the impression that the doctors were paid on salaries in some cases. JDPriestly Jan 2015 #59

Too complicated. JDPriestly Jan 2015 #58

I think we better worry about how to change the delivery system to improve outcomes, not Hoyt Jan 2015 #61

I think you are asking a very good question that would apply to millions of people, pnwmom Jan 2015 #38

Whenever I read a thread like this I am so happy that cadaverdog Jan 2015 #35

I have them too, and they have been doing what Obama is proposing for decades. Hoyt Jan 2015 #42

when you say make copies of everything Skittles Jan 2015 #52

You will need various documents from your employer and your union, cadaverdog Jan 2015 #75

Like educational reform goes healthcare. BadgerKid Jan 2015 #51

More of O's micro-managing/means testing, but this time, targeting doctors instead of public schools blkmusclmachine Jan 2015 #53

Ah, but it looks good to tinker around the edges of a problem rather than Nay Jan 2015 #65

Nope Blackjackdavey Jan 2015 #68

An ice floe would kinder and more honest. "Sick" and poor Medicare patients will not be able McCamy Taylor Jan 2015 #54

this isn't going to help.Doctors already cherry pick who they will diagnose Herself Jan 2015 #60

Everyone is doing it! Blackjackdavey Jan 2015 #66

How about focusing those standards on the Pharma Industry instead? FLPanhandle Jan 2015 #67

This Can Be a Blessing And/Or cynzke Jan 2015 #69

an excellent idea-many who are on Medicare and Medicaid do NOT receive the best care Sunlei Jan 2015 #71

i think it is about time we used all the data locked up in the medicare system. mopinko Jan 2015 #73

As a Physician Assistant practicing clinical medicine in the primary care setting, Aristus Jan 2015 #78

My husband was a physician Mojorabbit Jan 2015 #81

Undoubtedly. There are so many variables in the practice of medicine that there can't be Aristus Jan 2015 #82

So This Would Mean RobinA Jan 2015 #80

Somebody who wants to help folks and/or make $200+K a year, all but guaranteed. Hoyt Jan 2015 #87

Are you in the medical field? Mojorabbit Jan 2015 #89

There are definitely "best practices" for most situations. Unfortunately, some docs don't Hoyt Jan 2015 #90

I guess it is what lens you see through Mojorabbit Jan 2015 #91

Agree. I pretty much judge docs by if they accept Medicaid. Today, most don't. Hoyt Jan 2015 #92

"Best Practices" RobinA Jan 2015 #98

There are worse practices too. Doctors aren't always up-to-date, and often treat patients that Hoyt Jan 2015 #101

Is this proposal as simplistic as that? CTyankee Jan 2015 #99

Medicine is already halfway there Mojorabbit Jan 2015 #102

It is in the best interests of the insurance companies to make a profit. CTyankee Jan 2015 #103

like so many great ideas, there are unintended consequences fxstc Jan 2015 #104