Modern Healthcare June 25, 2020
Merrill Goozner

The COVID-19 pandemic exposed the inherent flaws in fee-for-service medicine. Congress should use healthcare’s current financial crisis to institute 
far-reaching changes in the reimbursement system.

Over the past several months, lawmakers have spent hundreds of billions of dollars to bail out hospitals and physician practices reeling from the decline in elective surgeries and office visits. The perverse incentives in FFS—do more and you earn more—are reversed when patients are too scared to arrange office visits or facilities are on lockdown.

As Modern Healthcare’s Shelby Livingston reported recently, the hospitals and practices weathering the storm best are those that embraced value-based payment arrangements. Capitated payments still flow when no one shows up. Investments in telehealth and care management outreach give providers...

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Topics: CMS, Congress / White House, Govt Agencies, Health System / Hospital, Healthcare System, Insurance, Patient / Consumer, Payment Models, Physician, Provider, Public Health / COVID
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