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"A Massachusetts panel proposed that the state scrap traditional payments to doctors and hospitals for each office visit or procedure, and instead adopt a system where they receive a monthly or annual fee per patient.
The proposal is an effort to control the state's health-care costs, which are among the highest in the nation.
Under the new system, doctors and hospitals would be organized into groups responsible for all of a patient's health-care needs. The groups would receive a "global payment" per patient, which could be adjusted with performance incentives based on the quality of care provided."
From: http://online.wsj.com/article/SB124779934452456083.html.html
Related (includes link to the government report PDF): http://www.nytimes.com/2009/07/17/health/policy/17masshealth.html?ref=health
I envision this generating a strong administrative push to reduce diagnostic testing in the ER to prevent cost overruns on these annual per-patient payments. I also expect an incentive to document every patient with as many chronic illnesses as possible to increase the monthly payout.
The #1 reimbursement should be fibromyalgia.
The proposal is an effort to control the state's health-care costs, which are among the highest in the nation.
Under the new system, doctors and hospitals would be organized into groups responsible for all of a patient's health-care needs. The groups would receive a "global payment" per patient, which could be adjusted with performance incentives based on the quality of care provided."
From: http://online.wsj.com/article/SB124779934452456083.html.html
Related (includes link to the government report PDF): http://www.nytimes.com/2009/07/17/health/policy/17masshealth.html?ref=health
I envision this generating a strong administrative push to reduce diagnostic testing in the ER to prevent cost overruns on these annual per-patient payments. I also expect an incentive to document every patient with as many chronic illnesses as possible to increase the monthly payout.
The #1 reimbursement should be fibromyalgia.