Massachusetts and the Bold Move
Those of you who read David Osborne's Health column in this month's Governing (Rx for Reform) know he laid out the case for ...
Those of you who read David Osborne's Health column in this month's Governing (Rx for Reform) know he laid out the case for cost savings via the payment process. He wrote about doing away with fee-for-service payments to doctors and hospitals and replacing them with per-patient fees.
Now, his home state of Massachusetts is moving a step closer to putting such a program in place. According to the Boston Globe , a state commission is poised to recommend to the governor and the legislature that insurers radically change how doctors and hospitals are paid. They will recommend that the current system, in which insurers typically pay doctors and hospitals a negotiated fee for each individual procedure or visit, be replaced with a set payment for each patient that covers all that person's care for an entire year.
Variations of such a plan are being discussed for national health reform. Payment reform is seen as one of the more effective ways of taming costs. It could discourage doctors and hospitals from providing unneeded tests and treatments, and it could force the medical community to provide better post-hospital care so that patients who survive, say, heart surgery, aren't readmitted when their condition deteriorates because they didn't understand follow-up instructions.
Massachusetts would be the first state to broadly adopt such a system.
We invite you to discuss and comment on this article using social media.
Tucked in Trump's Budget, a New Plan to Punish Sanctuary Cities3 hours ago
Single-Payer Health Care Would Cost California More Than Triple Its Budget4 hours ago
Maine's New Way of Voting Ruled Unconstitutional5 hours ago
New York Applies Special Pressure to Prescription Drugmakers5 hours ago
New Campaign Finance Rules Ignore Missouri Voters' Decision6 hours ago
An Oregon Lawmaker's Strange Crusade to Save an Iowa Town With Chinese Money6 hours ago