Forbes September 25, 2017
Robert Pearl, M.D.

Depending on the survey, 86% to 95% of all U.S. doctors and hospitals are reimbursed on a fee-for-service basis.

For its many users, healthcare’s fee-for-service reimbursement methodology is like an addiction, similar to gambling, cigarette smoking and pain pill abuse. Doctors and hospitals in the clutches of this flawed payment model have grown dependent on providing more and more healthcare services, regardless of whether the additional care adds value.

I don’t use this metaphor lightly, nor wish to trivialize our nation’s growing problem with addiction. Rather, as a physician and former healthcare CEO, I am increasingly concerned with the impact this payment structure is having on American health. And I worry about whether providers are willing to “kick the habit”...

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Topics: ACA (Affordable Care Act), ACO (Accountable Care), CMS, Health System / Hospital, MACRA, Medicaid, Medicare, Medicare Advantage, Payer, Physician, Pricing / Spending, Primary care, Provider, RCM (Revenue Cycle Mgmt), Self-insured, Value Based
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